Overview
- Spain would need more than 50,000 additional residential places to meet current Grado II/III demand, rising to 96,916 to reach the benchmark of five places per 100 people aged 65+.
- The system currently has about 412,109 places with 82.4% occupancy and 339,655 residents.
- Official data show 32,842 people with Grado II and 15,686 with Grado III on waiting lists, plus 57,091 pending assessment.
- Deficits are concentrated in Andalucía (36,327) and Valencia (26,929), while Castilla y León shows a surplus of 16,712 places and several regions report over 95% occupancy versus very low rates elsewhere, indicating distribution or cost barriers.
- Home-care services cover only about 5.8% of the elderly population with an average of 23.8 hours per month, undermining the 2023 deinstitutionalization strategy.