Healthcare Insights

Top 15 skilled nursing facilities by average daily census

Skilled nursing facilities (SNFs) provide inpatient care and short- and long-term rehabilitation to elderly patients, especially those who require 24/7 support to transition out of the hospital.

As the U.S. population continues to age, SNFs and nursing homes—residential facilities for longer-term, less clinically intensive nursing care—represent an increasingly important part of the care continuum. Most often, these facilities treat common diagnoses like COVID-19, urinary tract infections, and sepsis.

Definitive Healthcare tracks data on more than 20,000 skilled nursing facilities. Below, we’ve compiled a list of the top SNFs by average daily census (ADC), a measure of a facility’s average patient population.

Read on to see which SNFs maintained the highest patient counts on average.

Skilled nursing facilities with the highest average daily census

RankFacility nameDefinitive IDCityStateAverage daily censusExplore dataset
1Hebrew Home at Riverdale566214RiverdaleNY752Explore
2The Plaza Rehabilitation & Nursing Center565291BronxNY674Explore
3Veterans Home of California Yountville - Skilled Nursing569007YountvilleCA663Explore
4Cedarbrook Nursing Home - Allentown562580AllentownPA615Explore
5Isabella Center566409New YorkNY542Explore
6Lakewood - Skilled Nursing563516RichmondVA520Explore
7The Chesapeake - Skilled Nursing563514Newport NewsVA508Explore
8Goodwin House Baileys Crossroads - Skilled Nursing562021Falls ChurchVA508Explore
9Loretto Health & Rehabilitation Center565624SyracuseNY504Explore
10The Forum at Rancho San Antonio Health Care Center568618CupertinoCA500Explore
11Gracedale Nursing Home574320NazarethPA496Explore
12Brookdale Skyline - Skilled Nursing564355Colorado SpringsCO490Explore
13NYC Health and Hospitals/Coler Skilled Nursing Care579027Roosevelt IslandNY489Explore
14Kings Harbor Multicare Center572113BronxNY489Explore
15CC Young Senior Living - Skilled Nursing567657DallasTX488Explore

Fig. 1 Data is from the Definitive Healthcare LongTermCareView product. Data is accurate as of August 2022.

Which SNFs had the highest ADC?

Hebrew Home at Riverdale in Riverdale, New York has an ADC of 752, putting it first on our list. With 843 staffed beds, Hebrew Home maintained an average daily occupancy rate of 89%.

In second is the Plaza Rehabilitation & Nursing Center in the Bronx, New York, with an ADC of 674. This facility has 744 staffed beds, putting their average daily occupancy just above the Hebrew Home at Riverdale at 90%.

Trailing only slightly in third is the Veterans Home of California Yountville with an ADC of 663.

The average ADC among facilities on our list was 549. The average number of staffed beds was 656.

How do you calculate average daily inpatient census?

ADC is the average number of inpatient beds occupied each day over the course of a year. The most accurate way to calculate ADC is to add the daily patient census for every day of the year, then divide by 365.

ADC can be approximated by adding the daily census for every day within a shorter period of time—say, a month—then dividing by the number of days within that period.

Why is ADC important?

Calculating ADC gives providers a high-level understanding of their facility’s patient load. This figure can also be used by healthcare vendors or competing providers as market intelligence to understand a facility’s overall busyness. Examining ADCs for consecutive periods of time can help determine when a facility is most busy.

Yearly ADC can by multiplied by 365 to determine the total number of patient days per year. As demonstrated above, ADC can also be divided by bed capacity and multiplied by 100 to determine occupancy rate.

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