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Where is it easiest to open: All Other Miscellaneous Ambulatory Health Care Services
51 states, side by side. Operator counts and wages from Census and BLS; licence records matched on “SOC 11-9111” (soc) for Medical and Health Services Managers. A blank gate means NO RECORD MATCHED, which is not the same as no licence.
| State | Operators | Avg staff | Pay / employee | Gate | Licence titles matched |
|---|---|---|---|---|---|
| CA | 1,433 | 10.2 | $79,789 | licence | Nursing Home Administrator |
| FL | 830 | 11.3 | $64,315 | exam | Certified Nursing Assistant; Nursing Home Administrator |
| TX | 781 | 14.4 | $88,060 | licence | NURSING FACILITY ADMINISTRATOR |
| NY | 512 | 15.6 | $68,004 | licence | Nursing Home Administrator |
| GA | 332 | 6.6 | $53,594 | exam | Nursing Home Administrator |
| NJ | 323 | 9.5 | $60,801 | exam | ASSISTED LIVING ADMINISTRATOR; NURSING HOME ADMINISTRATOR |
| IL | 276 | 11.2 | $66,697 | exam | NURSING HOME ADMINISTRATOR; NURSING HOME ADMINISTRATOR TEMPORARY C |
| MI | 262 | 13.0 | $58,001 | exam | Nursing Home Administrator |
| PA | 259 | 32.5 | $70,248 | exam | Nursing Home Administrator |
| AZ | 216 | 8.4 | $56,500 | licence | Assisted Living Facility Manager; Nursing Care Institution Administrator |
| NC | 201 | 14.0 | $69,689 | exam | Abortions Clinic; Adult Care, Administrator |
| MD | 198 | 18.1 | $70,995 | licence | NURSING AIDES, ORDERLIES, AND ATTENDEN; NURSING HOME ADMINISTRATOR |
| OH | 187 | 22.4 | $70,163 | exam | Nursing Home Administrator |
| VA | 169 | 9.9 | $60,007 | exam | Assisted Living Facility Administrator; Assisted Living Facility (ALF) Adminis |
| CO | 165 | 11.4 | $87,750 | exam | Health Facilities; Nursing Home Administrator |
| TN | 153 | 13.0 | $75,122 | not matched | — |
| MA | 146 | 18.7 | $87,877 | exam | NURSING HOME ADMINISTRATOR |
| WA | 126 | 14.3 | $62,078 | exam | Nursing Assistant; Nursing Home Administrator |
| SC | 118 | 5.4 | $53,122 | licence | Community Residential Care Facility Ad; CRCFA Inactive License |
| LA | 116 | 11.1 | $50,243 | licence | Nursing Home Administrator |
| WI | 115 | 17.2 | $60,447 | exam | NURSING HOME ADMINISTRATOR |
| UT | 115 | 11.0 | $60,903 | licence | HEALTH FACILITY ADMINISTRATOR |
| IN | 113 | 13.9 | $53,244 | exam | Health Facility Administrator; HFA Preceptor |
| MO | 113 | 8.1 | $47,356 | exam | Nursing Aides, Orderlies, and Attendan |
| MN | 103 | 13.3 | $63,517 | licence | Graduate Preceptor Registration (GPP); Health Services Executive (HSE) |
| OK | 93 | 13.9 | $64,458 | exam | Adult Day Care (ADC) Administrator; Adult Day Care Aide |
| KY | 87 | 8.9 | $45,160 | exam | Licensed Long-Term Care Administrator; Temporary Long-Term Care Administrator |
| CT | 85 | 13.4 | $70,313 | licence | Nursing Home Administrator |
| AL | 84 | 12.2 | $65,226 | exam | Licensed Nursing Home Administrator |
| OR | 84 | 5.6 | $64,844 | licence | Nursing Assistants, Certified (CNA 1); Nursing Assistants, Certified (CNA 2) |
| NV | 78 | 9.8 | $71,202 | not matched | — |
| NM | 60 | 6.2 | $52,266 | exam | Nursing Home Facility Administrators L |
| ID | 51 | 6.0 | $72,765 | exam | Nursing Home Administrators; Residential Care Administrator |
| KS | 49 | 37.8 | $95,834 | exam | Adult Care Home Administrator; Certified Nursing Aide (CNA) |
| NE | 47 | 10.5 | $60,609 | licence | Assisted-Living Facility Administrator; Nursing Home Administrator |
| AR | 43 | 15.0 | $49,753 | licence | Nursing Home Administrator |
| HI | 43 | 7.6 | $61,101 | exam | Nursing Home Administrator |
| IA | 42 | 13.1 | $67,645 | exam | Nursing Home Activity Director |
| MS | 38 | 6.1 | $72,190 | not matched | — |
| MT | 28 | 7.9 | $58,099 | exam | Nursing Home Administrators - Nursing |
| AK | 27 | 5.5 | $57,723 | licence | Nursing Home Administrator |
| DE | 27 | 5.4 | $59,055 | exam | Administrative Medical; Nursing Home Administrator |
| RI | 24 | 8.4 | $67,378 | exam | Assisted Living Residence Administrato; Nursing Assistant (Aide) |
| WY | 21 | 4.4 | $42,826 | exam | NURSING HOME ADMINISTRATOR |
| DC | 18 | 12.4 | $101,099 | exam | NURSING HOME ADMIN. |
| WV | 18 | 16.7 | $58,774 | not matched | — |
| NH | 17 | 13.6 | $80,974 | exam | Medication Nursing Assistant (MNA); Nursing Assistant, Licensed (LNA) |
| SD | 11 | 97.8 | $90,499 | licence | Nursing Facility Administrator |
| ME | 10 | 11.7 | $75,299 | exam | Certified Nursing Assistants; Multi-Level Long Term Care Facility Ad |
| VT | 8 | 6.6 | $32,736 | licence | Nursing Home Administrator |
| ND | 4 | 72.2 | $48,751 | licence | Nursing Home Administrators |
Axes are shown side by side and deliberately NOT collapsed into a ranking. A composite would be a score with no measured interval, and an unmeasured score is the thing this product exists to argue against. A high licence gate is a cost to enter and a moat once cleared — which of those matters more is the operator's call, not ours.
Licence data courtesy of CareerOneStop, sponsored by the U.S. Department of Labor. Free to read, no account, always — a condition of the data licence as well as our own position.