According to the accompanying table and charts, a typical nursing home had the largest year-over-year increase in construction costs in November 2007 (+7.0% on average for 25 major centers) among four medical and residential project categories monitored by RSMeans. As for the actual dollar-per-square-foot cost of construction, a two- to three- story hospital is most expensive, followed by a four- to eight-story hospital, then an apartment building and, in last place, a nursing home.