Home health is the fastest-growing care setting.
The technology that runs it is failing.
Source: U.S. Bureau of Labor Statistics, Occupational Outlook 2023–2033 — home health care services projected to grow 22% (820,500 new jobs), the largest occupational growth in the U.S. economy.What follows is the evidence — every number cited, every source linked. We use this data to inform our product, our pitch, and our public commitments. If you find a number that doesn't trace to its primary source, tell us and we'll fix it.
The documentation crisis
Now spent typing into a screen instead of caring for patients.
Black Book Research 2025 — national survey of 9,000+ U.S. nursesAverage time an inpatient nurse spends actively navigating the EHR.
UCLA Health · AHA 2025The nurse exodus
The labor crisis in home health is structural, measurable, and accelerating. The cost of replacing each nurse is high enough to wipe out an agency's margin on a single departure.
Annual separation rate for full-time home health registered nurses — the highest in healthcare.
Bergman et al, PMC 9122113 — Medical Care Research and Review, 2022Annual turnover for personal support workers and home health aides — the highest of any healthcare role.
DailyPay Healthcare Turnover 2024Average cost to replace a single registered nurse — one departure can wipe out a quarter's margin at a small agency.
IntelyCare 202534% of nurses are thinking about leaving their job within a year due to EHR-related stress. 19% are thinking about leaving nursing entirely.
Black Book Research 2025The UK crisis
The UK home care market is fragile in a way that creates an opening for purpose-built platforms designed for the regulatory environment. The numbers are stark.
Vacant adult social care posts in England in 2024/25. Sector vacancy rate is 7.0% — roughly three times the UK economy as a whole.
Skills for Care 2024/25Of UK home care providers say they cannot meet current demand. 84% cite recruitment difficulties as the primary reason.
Homecare Association Workforce Survey 2024Drop in qualified district nurses per 10,000 people aged 65+ over the last 14 years.
CQC State of Care 2023-2024UK home care and domiciliary care industry value in 2024. Projected 27% workforce growth needed by 2040.
PolicyBee 2025 · Skills for CareThe hidden mortality
When nurses cannot observe patients because they are documenting, harm follows. The connection between documentation burden and preventable deaths is no longer theoretical — it has been measured in peer-reviewed Canadian research.
Medicare nursing home residents are harmed by an adverse event within their first 35 days. 60% of those harms are preventable; 37% involve medication errors.
HHS Office of Inspector General report (2014)Long-term care residents in Ontario showing clinical signs of neglect had a 55% higher 90-day mortality risk before COVID. During the pandemic, the figure jumped to 80% higher. Sample size: 106,765 residents.
Hsu et al, McMaster University — Healthcare Policy, peer-reviewedUS nursing home residents die from sepsis each year after being transferred to hospitals. Medicare cost: $2 billion annually. The Sepsis Alliance estimates 80% of sepsis deaths are preventable through early treatment.
KFF Health News / Chicago Tribune 2018Of US nursing homes have been cited for not having or not adhering to an infection control program. Inspection data compiled by CMS.
CMS data via KFF Health NewsThe provider cost
Wrongful neglect lawsuits against care providers are not just rising in number — the average settlement amounts are climbing year over year. The financial exposure is large enough that a single judgment can wipe out an entire year's profit at a mid-size provider.
Average wrongful neglect settlement against a skilled nursing facility in 2024. Up from $216,428 in 2018 — a 16% increase.
CNA Aging Services Claim Report 2024Increase in average total incurred for resident abuse claims at skilled nursing facilities. Assisted living: +17.3%.
CNA Aging Services Claim Report 2024Per-occurrence and annual aggregate liability insurance required for California skilled nursing facilities — and policy limits often constrain settlement negotiations.
Berman & Riedel CaliforniaHome health claims denied on first submission, industry-wide. Each denial costs an agency an estimated $118 to manage — and many denials would have been preventable with cleaner referral and authorization tracking.
Sirius Solutions Home Health Billing KPIs 2026According to court records and reporting in McKnight's Senior Living, a Sacramento jury found the operator of Pine Creek Care Center (Plum Healthcare) liable in a 2017 case involving Sam Rios, Jr., 86. The court found that Mr. Rios was repositioned only once in 42 shifts and that the care plan did not include pressure sore prevention documentation. The jury awarded $5.9 million in compensatory damages and $25 million in punitive damages — $30.9 million total.
McKnight's Senior Living published the case under the headline: "$30 million judgment hits nursing home that failed to document, reposition rehab patient."
We cite this case not to pass judgment on a single operator, but because it illustrates a broader systemic pattern that the Ontario neglect study confirmed at scale: when documentation crowds out direct care, observation gaps appear, and clinical harms follow. The Ontario data shows the link is statistically significant. The Pine Creek verdict shows what the financial consequences of that link look like when they reach a jury.
Sources: McKnight's Senior Living · BamLaw California · Robert Kreisman, Chicago Nursing Home Lawyers BlogThe aging tsunami
Demand for home-based care is not slowing. It is accelerating in lockstep with demographics that no policy intervention can reverse.
Of Canada's population will be 65 or older by the end of the 2030s. Currently 18.9%. Ontario alone is projected to add 650,000 seniors in just 5 years.
Statistics CanadaPeople aged 65+ in the UK by 2030. The 65+ population is projected to grow by 8.6 million over the next 50 years.
Caremark UK Aging Report 2025Canadians aged 65+ who reported unmet home care needs in the most recent national survey (2021). The gap between demand and supply is widening every year.
Government of Canada Expert PanelAnnual eldercare costs in Canada will nearly double from $29.7B in 2019 to $58.5B by 2031 — a $490 billion cumulative impact.
CMA-commissioned reportThe family caregiver subsidy
The home care system survives today because families are quietly subsidizing it with billions of unpaid hours. That subsidy is unsustainable, and the data on caregiver burnout shows it is approaching collapse.
Annual unpaid caregiving hours in Canada — worth $97.1 billion, or 4.2% of national GDP. Replacing this labor would require 2.8 million full-time workers who do not exist.
Vanier Institute · RAPP / U Alberta + U ManitobaAnnual labor value of US family caregiving — 3.2% of US GDP. Equivalent to a company larger than Apple, Amazon, or Walmart by revenue.
Columbia Mailman / Otsuka 2024Of Ontario caregivers say they are so burnt out they don't know how they will keep going. 1 in 5 have brought the person they care for to the ED specifically for respite.
Ontario Caregiver Organization Spotlight ReportCanadians providing unpaid care to adults — 75% of all home care delivered in Canada comes from unpaid family.
Canadian Centre for Caregiving ExcellenceWhat this means for CuraNexus™
Everything above is the reason we built CuraNexus. Not because home health needs another EHR — there are dozens — but because the existing ones are part of why the system is failing.
Our wedge is simple: give nurses their time back. AI documentation that runs inside the security perimeter. Referral pipelines that connect to billing without spreadsheets. Real-time business visibility for the agency owners who write the checks. All built from scratch for home health, not adapted from a hospital system.
The data on this page is the foundation of our pitch and our public commitments. If the numbers change — and they will — we update this page. Every claim we make traces to a primary source you can verify yourself.