Skip to content

What is the largest assisted living company? A guide for families

4 min read

With the U.S. senior living market valued at over $157 billion in 2023, the industry is home to many providers vying for market share. Knowing what is the largest assisted living company can help families start their research and understand the scale of care available from major operators.

Quick Summary

Brookdale Senior Living consistently ranks as the largest senior living company by units in the United States, operating hundreds of communities across more than 40 states and offering various care types beyond just assisted living.

Key Points

  • Brookdale is the Largest Provider: Brookdale Senior Living consistently ranks as the largest senior living company in the U.S. by total units, operating a massive network of communities across the country.

  • Comprehensive Services Offered: Brookdale provides a wide spectrum of care, including independent living, assisted living, memory care, and home health, allowing residents to age in place.

  • Fragmented but Growing Market: Despite Brookdale's size, the senior living industry is fragmented, with many other large operators like Atria, LCS, and Sunrise Senior Living, as well as smaller regional providers.

  • Size Isn't Everything: The best choice for assisted living depends on individual needs, facility culture, and quality of care, not just a provider's overall size.

  • Trends Shape the Future: The industry is evolving with new trends, including technology integration, specialized memory care programs, and a greater emphasis on resident wellness and personalized care.

In This Article

Who Is the Largest Assisted Living Company?

Based on various industry reports from sources like Argentum and the American Seniors Housing Association, Brookdale Senior Living is the largest assisted living company in the U.S.. While the company's total units and communities fluctuate, it has maintained its top position for many years due to its vast network and wide range of senior care services. Headquartered in Brentwood, Tennessee, Brookdale operates hundreds of senior living communities and serves tens of thousands of residents. The company offers a comprehensive continuum of care, including independent living, assisted living, memory care, and home health services, making it a dominant force in the market.

The Larger Senior Care Market Landscape

While Brookdale holds the top spot, the senior living industry is far from a monopoly. It is a highly fragmented market with numerous large national and regional providers, as well as thousands of smaller, independent operators. The market leaders are often large, publicly traded companies, but many family-owned and non-profit organizations also play a significant role. This variety of providers means that families have a wide range of options, from resort-style communities offered by large chains to more intimate, localized care from smaller facilities.

Other Top Players in the Industry

Several other major players consistently appear in industry rankings alongside Brookdale, including:

  • Atria Senior Living: A large operator offering assisted living and memory care in many states and Canadian provinces.
  • LCS (Life Care Services): A manager of senior living communities nationwide, including independent living, assisted living, and continuing care retirement communities (CCRCs).
  • Discovery Senior Living: Known for its innovative programs and expanding portfolio, now ranking among the largest operators.
  • Sunrise Senior Living: An established company with a large number of communities focusing on a holistic approach to care.
  • Five Star Senior Living: Part of AlerisLife, this company operates a diverse portfolio of senior-living communities across many states.

Evaluating Providers Beyond Size

Choosing an assisted living facility should never be based on size alone. A provider's reputation, quality of care, staffing ratios, and community culture are all crucial factors. A larger company might offer economies of scale, more standardized procedures, and a broader range of services, but a smaller, local provider might offer a more intimate, personalized experience. Your decision should align with the specific needs and preferences of your loved one.

Comparison of Top Assisted Living Providers

To help you visualize the differences between major players, here is a comparison table based on information from recent industry reports and company data. Remember that specific offerings can vary by location.

Feature Brookdale Senior Living Atria Senior Living LCS (Life Care Services)
Ranking Consistently #1 by units Typically in the top 3 Consistently in the top 5
Headquarters Brentwood, TN Louisville, KY Des Moines, IA
Services Offered Assisted Living, Independent Living, Memory Care, Home Health, CCRCs Assisted Living, Memory Care, Independent Living Assisted Living, Independent Living, Memory Care, Skilled Nursing, CCRCs
Number of Communities ~650+ ~400+ ~470
Key Differentiator Broad national footprint and service range Focus on vibrant, upscale community life Comprehensive CCRC management and operations

Key Considerations When Choosing a Provider

When researching providers, don’t just look at their size. Ask specific questions and conduct thorough visits to find the best fit. Here are some steps to take:

  1. Assess Specific Needs: Determine the level of care required. Does your loved one need assistance with bathing and dressing, or do they require specialized memory care? This will narrow down your options.
  2. Tour Several Communities: Visit multiple facilities in person, and pay attention to the cleanliness, atmosphere, and resident engagement. Do residents seem happy and active?
  3. Talk to Staff and Residents: Engage with the staff to gauge their professionalism and warmth. If possible, speak with residents or their family members to get honest feedback on their experiences.
  4. Review State Reports: Check for inspection reports or violation records for communities you are considering. These are often available through your state's health department or licensing agency.
  5. Understand the Costs: Clarify the pricing structure, including what is included in the base rate and what services are add-ons. Ask about potential future cost increases and payment options.
  6. Consider Location and Amenities: The ideal location for a community can be a balance between proximity to family and access to desired amenities. Consider factors like dining options, activity programs, and outdoor spaces.

By focusing on these personal factors in addition to a company's size, you can make a more informed and confident decision for your family's future.

Industry Trends and Innovation

The senior care industry is constantly evolving. Major players like Brookdale and their competitors are responding to consumer demand and technological advancements. Some notable trends include:

  • Integration of Technology: Many communities now incorporate telehealth, wearable health monitoring, and smart home technology to enhance resident care and safety.
  • Focus on Wellness: There's a growing emphasis on holistic wellness programs that include fitness, nutrition, and social engagement, moving beyond just medical care.
  • Specialized Memory Care: With the aging population, the demand for specialized memory care units for residents with Alzheimer's and other dementias is increasing, leading providers to invest in innovative programs.
  • Personalized Care Models: Large companies are moving towards more individualized care plans, leveraging data to provide tailored services to each resident.

To learn more about the broader context of senior living and industry best practices, you can refer to the resources provided by the American Seniors Housing Association.

Conclusion

While Brookdale Senior Living holds the title of the largest assisted living company by unit count in the U.S., its position reflects the size of its portfolio rather than the singular quality of its care. The senior care market offers a vast array of choices, and families should use the information about the largest providers as a starting point. Comprehensive research that focuses on your specific needs, facility culture, and quality of care is the most effective approach to finding the right assisted living community.

Frequently Asked Questions

The 'largest' company is most commonly determined by its total number of units or communities under management, as reported by industry associations like Argentum. These figures, however, can change frequently due to acquisitions and new developments.

Not necessarily. While large providers can offer extensive services and resources, the best option depends on your specific needs and preferences. Factors like community culture, location, and the specifics of the care plan are often more important than a company's size.

No. While many large providers offer a range of services, including assisted living, independent living, and memory care, the specific offerings can vary by company and even by location. It's important to research the individual services available at a particular community.

Beyond size, consider the company's reputation, quality of care based on reviews and state reports, the community's culture, staffing levels, pricing structure, and the specific amenities and programs offered. A personal tour is essential.

Brookdale is known for its vast footprint and wide range of services, while Atria focuses on providing vibrant, upscale atmospheres and engaging activities. Both are among the largest national players, but their community styles can differ.

Yes, many smaller, independent facilities offer a more intimate, home-like environment and highly personalized care. While they may not have the same breadth of amenities as larger chains, they can be an excellent choice for those who value a close-knit community.

You can research online reviews, check state-level inspection reports, and speak with current residents and families. Industry associations like the American Seniors Housing Association can also provide valuable information about member companies.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7
  8. 8

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.