EDITOR’S NOTE: This article has been updated to clarify nursing home expenditures.

The number of nursing home discharges climbed while occupancy rates, number of facilities and revenues fell, according to a recently released federal “report card” on health.

The Centers for Disease Control and Prevention’s Health, United States report for 2015, which was released on Wednesday, found the number of nursing facilities dropped from 16,389 in 1995 to 15,643 in 2014. The number of licensed beds also fell, from 1.75 million in 1995 to 1.69 million in 2014. The number of residents decreased from 1.48 million to 1.37 million in that same time frame.

Occupancy rates for the country’s nursing homes also took a hit across the last decade, dropping from 84.5% to 80.8%, the report found. North Dakota, Rhode Island, South Dakota and the District of Columbia led the states in highest occupancy rates for 2014, the report said, while Oregon, Utah and Idaho ranked with the lowest rates.

Between 2005 and 2014, total expenditures for the country’s nursing homes grew from $2.5 billion in 2005 to $4.1 billion in 2014, while the percentage of the nation’s overall health expenditures attributable to nursing home care fell from 8.4% to 7%. During that same time period, nursing home discharges climbed from 61,000 to 68,000 annually.

Health, United States also breaks down nursing home data by state, and includes insights into racial and ethnic health disparities, morbidity and health insurance. Click here to read the full report.