Whether you're evaluating franchise opportunities or launching an independent agency, understanding the landscape is critical. Here's a summary of the best and worst states to start a home care business in 2025, plus information on promising markets to consider. Michigan has a unique and strong population of older adults, with nearly the same number of adults over the age of 50 as there are in the entire state of Oklahoma. It's also a very affordable state to retire in.
For those looking for Home Care near Line Lexington PA, Michigan offers a significant number of affordable housing options and quality home care services for older adults who choose to stay in the state. Like Michigan, Ohio has a population over 50 years old that outnumbers the entire population of several other United States. By 2030, the percentage of adults over 65 in Ohio is expected to reach around 22%, a huge increase from the current proportion. And although Ohio has a higher-than-average number of independent living communities, assisted living centers and nursing homes, it needs more home health care services, since this attractive option already has a high demand. South Dakota may seem like a surprising option for this list. For those looking for Home Care near Line Lexington PA, Michigan offers a significant number of affordable housing options and quality home care services for older adults who choose to stay in the state. Like Michigan, Ohio has a population over 50 years old that outnumbers the entire population of several other United States. By 2030, the percentage of adults over 65 in Ohio is expected to reach around 22%, a huge increase from the current proportion. And although Ohio has a higher-than-average number of independent living communities, assisted living centers and nursing homes, it needs more home health care services, since this attractive option already has a high demand. South Dakota may seem like a surprising option for this list.
After all, the population is quite small and is among the national averages for aging and life expectancy. That said, more older adults in South Dakota remain in the workforce than in almost any other state. Nearly half of the population over the age of 55 is still employed, suggesting that there are many older adults here who still want to remain independent and grow old instead of work. Although in many ways representative of the national average, Massachusetts' aging population has some interesting characteristics that make it an attractive market.
Life expectancy in Massachusetts is 80.4 years, the sixth highest in the United States, and about 2 years above the national average. Residents of the Cradle of Freedom live and work longer, once again suggesting a strong desire to continue living independently with purpose. 24-hour full-time home care is not covered by Medicare, except in specific cases of palliative care. As the Baby Boomer generation ages, the need for home health care services is increasing, making choosing the state for this type of business more important than ever.
Therefore, more than 270,000 elderly people are happily in their golden years and may need home care. While home health care and palliative care are services covered by Medicare and provided to patients at home, each of them focuses on different types of patients. Across the country, demand for home care services is skyrocketing, opening up a multitude of franchise opportunities for aspiring entrepreneurs. For those working in the home care industry, this is phenomenal news, as it means a steady flow of customers, which means a demand for home care franchises.
Joining Nurse Next Door is more than starting a business; it's a commitment to effective care in the rapidly expanding home health care industry. Home health care services are usually provided by home health aides and nurses, and may include wound care, medication administration, drug infusion therapy, or education for patient caregivers, and more. This makes Keystone State an attractive place for people to reap the benefits of affordable housing and home care. This aligns perfectly with the growing demand of older people to receive nursing care aides and personal care at home.
Rounding out the list are the Western Home Health, CenterWell and Pinnacle Home Care agencies, which serve between 50,000 and 90,000 patients, indicating a sharp drop after which it performed best, but still a considerable reach. Creating your own home care agency or joining a home care franchise isn't just a matter of business growth. Choosing Nurse Next Door means taking on a role that combines deep care through human services with a thriving business model in the growing home care industry. This approach highlights the urgent need for home care services and the profound influence these services have on individuals, their families and the wider community.
