With the rapidly growing population of older adults in the United States, the demand for home care is increasing across the country. However, not all states are created equal when it comes to starting a successful home care business. Factors such as local regulations, the availability of caregivers, the cost of living, and demographic trends can significantly affect profitability and sustainability. Whether you're evaluating franchise opportunities or creating an independent agency, understanding the landscape is critical.
Here's a look at the best and worst states to start a home care business in 2025, plus information on promising markets to consider. This is where franchises can offer a competitive advantage. Its proven systems, support and structure help overcome these common industry challenges. Whether you're in a booming senior center like Tampa or a growing market like Colorado Springs, Caring Senior Service provides franchisees with the tools and support they need to thrive.
You don't have to navigate a complex state environment on your own. Our experienced team is here to guide you every step of the way. Choosing the right state is just one piece of the puzzle. Your personal drive, commitment to quality, and ability to build strong relationships are equally important to your success. Michigan has a unique and strong senior population, with nearly as many adults over the age of 50 as there are people in the entire state of Oklahoma.
It's also a very affordable state to retire in. So, while it's true that many older adults end up moving to warmer climates, many others choose to stay and reap the rewards of affordable housing and home care in Michigan. Like Michigan, Ohio has a population over 50 years old that outnumbers the total population of several others United States. By 2030, the percentage of adults over 65 in Ohio is expected to reach around 22%, a massive increase from the current proportion.
And while Ohio has a higher-than-average number of independent living communities, assisted living facilities and nursing homes, it needs more home health care services, as this attractive option is already in 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 55 is still employed, suggesting that there are many older adults here who still want to remain independent and age in their workplace.
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 national average. Residents of the Cradle of Freedom live and work longer, once again suggesting a strong desire to continue living independently with purpose. CareTime has compiled a list of the ten states with the most home care agencies.
The top ten states represent 56% of all agencies in the country. The number one state represents 11% of existing agencies. Without further ado, here are the ten states with the most home care agencies. Texas clearly leads the way with more than 1,700 home care agencies and approximately 11% of all home care facilities in the U.S. UU.
The three states of Texas, Florida and North Carolina represent 26% of the country's home care companies. This demand is reflected in labor statistics, which project an increase in the number of jobs and highlight a national trend toward home care rather than traditional long-term care facilities. While this list provides general guidance, it's important for home care entrepreneurs to conduct local market research to understand unique regional dynamics. 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.
Running a home health agency goes beyond the typical goals of a company; it's about making a real impact. This aligns perfectly with the growing demand on the part of older people for nursing care and personal care at home. We also consider variables specific to home care, such as the availability of caregivers, Medicaid reimbursement policies, and state regulations on non-medical home care. Their opinions can guide you through the complexities of starting a home health care business, ensuring that your company is not only viable, but also prepared to grow and make a significant contribution to the community.
Boost Home Healthcare is here to provide the specialized home care services that seniors across America deserve. In a pioneering partnership in the industry, Nurse Next Door opens twenty-six new home care franchises to extend continuity of care from St. Consultation with tax professionals and experts in developing home care franchises can provide you with strategic and personalized information. Joining Nurse Next Door is more than starting a business; it's a commitment to impactful care in the rapidly expanding home health care industry.
In a nutshell, there is a demand for both home care services and qualified professionals to provide assistance, so future Homewatch CareGivers franchise owners will have ample opportunities to make their mark.
