Top 10 Largest Assisted Living Companies in the USA

The National Center for Assisted Living (NCAL) reports that over 800,000 Americans live in assisted living communities. As the 65+ population grows, that number is set to increase.

As the U.S. population ages, the demand for assisted living services is on the rise. These services provide elderly individuals with the help they need to live independently, while offering a safe and supportive environment.

Assisted living is more than just a place to live—it’s about finding the right care that balances independence with essential support.

1. Understanding Assisted Living in the Modern Age

Assisted living is for seniors who need help with activities such as bathing, dressing, and taking medication, but still want to maintain their independence. Unlike nursing homes, these communities feel more like home.

2. Essential 7 Key Factors That Define the Largest Assisted Living Companies

Here are some key factors that define the largest assisted living companies in the U.S.:

Size and Reach: The biggest companies operate nationwide, with hundreds or even thousands of facilities across multiple states.
Range of Services: They offer a wide variety of services, from basic daily assistance to specialized care like memory care and rehabilitation.
Quality of Care: These companies focus heavily on providing personalized care that balances independence with support, often with high ratings and strong reputations for resident care.
Innovation in Facilities: Many large companies invest in creating modern, comfortable environments that feel more like home and include amenities like fitness centers, social activities, and dining options.
Financial Stability: The largest players have the financial resources to invest in expansion, technology, and staff training, which helps them maintain and improve service quality.
Regulatory Compliance: Top companies maintain strict adherence to state and federal regulations, ensuring they meet the high standards required for safety and quality care.
Reputation and Trust: Established companies build trust over time through positive reviews, word-of-mouth, and a consistent history of providing reliable, compassionate care.

These factors help determine which companies are leading the assisted living industry in the U.S.

Ready to take the next step in finding the best assisted living facility email list??

You are click away!

3. Top 10 Largest Assisted Living Companies in the USA

Assisted living is a crucial part of senior care, offering a safe, supportive environment for older adults who need assistance with daily activities but want to maintain independence.

In this blog, we’ll dive into the top 10 largest assisted living companies in the USA, highlighting their history, services, and what sets them apart from the competition.

3.1. Brookdale Senior Living

History: Founded in 1978, Brookdale is one of the largest senior living providers in the U.S.
Facilities: Over 600 locations nationwide.
Services: Memory care, rehabilitation, independent living, and short-term stays.
Special Features: Brookdale integrates technology like fall detection systems and telehealth options.
Notable Standards: Brookdale has received numerous awards for quality care, including Best of Senior Living awards on SeniorAdvisor.com.

3.2. Amedisys Inc.

History: Founded in 1982, Amedisys has a strong focus on home healthcare and senior services.
Facilities: Over 450 locations.
Services: In-home healthcare, memory care, hospice services, and rehabilitation.
Special Features: They specialize in home-based services that allow seniors to age in place.
Notable Standards: Amedisys is known for its high-quality care ratings and recognition in U.S. News & World Report.

3.3. LCS (Life Care Services)

History: A pioneer in senior living, LCS was founded in 1971 and now serves over 30,000 residents.
Facilities: Over 140 communities across the U.S.
Services: Independent living, assisted living, memory care, rehabilitation, and long-term care.
Special Features: LCS is known for its luxury amenities, including upscale dining and concierge services.
Notable Standards: Multiple accolades for its focus on resident satisfaction and care quality.

3.4. Five Star Senior Living

History: Established in 2000, Five Star Senior Living has a reputation for luxury and high standards in senior care.
Facilities: More than 250 locations across the U.S.
Services: Assisted living, memory care, skilled nursing, and rehabilitation.
Special Features: Five-star dining, social events, and upscale living environments.
Notable Standards: Recognized for caregiver training programs and high patient satisfaction scores.

3.5. Holiday Retirement

History: Founded in 1971, Holiday Retirement is one of the largest independent living providers in the U.S.
Facilities: Over 500 locations nationwide.
Services: Independent living and some memory care options.
Special Features: Offers a stress-free lifestyle with a focus on community engagement and wellness.
Notable Standards: Holiday Retirement is consistently ranked for best value and affordable options for senior living.

3.6. Senior Lifestyle Corporation

History: Founded in 1985, Senior Lifestyle Corporation operates across the U.S. with a strong focus on resident-centric care.
Facilities: 100+ communities.
Services: Assisted living, memory care, independent living, and rehabilitation.
Special Features: Known for integrating wellness programs and technological solutions in their care services.
Notable Standards: Awarded for excellence in person-centered care and providing holistic health services.

3.7. Encompass Health

History: Founded in 1984, Encompass Health focuses on delivering high-quality rehabilitation services.
Facilities: Over 130 locations.
Services: Inpatient rehabilitation, home health, and outpatient therapy.
Special Features: Specialized in rehabilitation therapies and post-acute care.
Notable Standards: Encompass Health has been recognized for excellence in post-surgical recovery and patient rehabilitation care.

3.8. Brookstone Senior Living

History: A newer player in the market, Brookstone was established in 2015 and quickly gained a reputation for compassionate care.
Facilities: 50+ facilities across the U.S.
Services: Assisted living, memory care, and short-term rehabilitation.
Special Features: Innovative care technology for monitoring residents’ well-being and safety.
Notable Standards: Known for providing family-oriented care and ensuring residents’ independence.

3.9. Merrill Gardens

History: Founded in 1993, Merrill Gardens is known for providing high-quality independent living and assisted living options.
Facilities: Over 30 locations across the U.S.
Services: Assisted living, memory care, and independent living.
Special Features: Offers modern amenities, including spacious apartments and fitness programs.
Notable Standards: Merrill Gardens has received numerous awards for customer satisfaction and employee care.

3.10. Brookdale Health Services

History: A subsidiary of Brookdale Senior Living, Brookdale Health Services specializes in rehabilitation and skilled nursing care.
Facilities: Over 600 locations.
Services: Rehabilitation, skilled nursing, assisted living, and memory care.
Special Features: Known for its personalized care programs and therapeutic wellness initiatives.
Notable Standards: Awarded for best rehabilitation services in senior healthcare.

4. Trends Shaping the Assisted Living Industry in 2025

In 2025, the assisted living industry will see several healthcare trends shaping its future:

AI Integration: Artificial intelligence will be used to monitor residents’ health, manage medications, and improve personalized care plans. AI-powered tools will enhance efficiency and support caregivers.
Technology-Enabled Independence: Smart home devices, wearable tech, and telehealth will allow seniors to live more independently while staying connected with caregivers and loved ones.
Focus on Memory Care: As Alzheimer’s and dementia rates rise, more communities will offer specialized memory care services to provide tailored support for residents with cognitive challenges.
Home-Like Environments: Assisted living communities will continue to evolve with more homelike settings, focusing on comfort, community engagement, and wellness programs.
Sustainability: Eco-friendly designs and energy-efficient practices will become a priority, aligning with growing concerns about sustainability.

These trends will redefine how assisted living services are delivered and experienced.

5. How Technology is Enhancing the Senior Living Experience

Technology is transforming senior living by improving safety, health, and connection. Wearable devices track vital signs and detect falls, alerting caregivers when needed. Telehealth allows seniors to consult doctors remotely, reducing travel.

Smart home tech, like voice assistants, helps seniors control their environment with ease. Social media and video calls keep them connected with family and friends, reducing isolation. Robotics assist with tasks like medication reminders and light cleaning, adding convenience and security to daily life.

6. Conclusion: The Future of Assisted Living in the USA

In the next 5-10 years, the assisted living industry will evolve with advancements in technology, such as AI, smart homes, and telehealth, enhancing care and independence. Consumers will increasingly seek personalized services and specialized care. Leading assisted living companies are adopting innovative technologies and new business models to meet these demands, improving care and affordability.

For those seeking more information, MedicoLeads offers a valuable B2B contact database to connect with assisted living facilities across the U.S., helping businesses and consumers navigate this changing landscape.