While the nursing care inventory nationally has been nominally declining for several years, some markets are still experiencing growth. As of the second quarter of 2013, five of the 31 largest metropolitan markets had their respective inventory increase by 1% or more. Those markets were Minneapolis; Houston; Dallas; Denver; and San Antonio. Among these markets, three were located in Texas–a state that does not require a Certificate of Need.
Most metropolitan markets continue to experience slight declines in their nursing care inventory, with three of 31 largest metropolitan markets experiencing noticeably larger contractions. Cincinnati, Cleveland, and Seattle each had their nursing care inventory decline by more than 2% during the past year.