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What state has the most assisted living facilities?

3 min read

According to September 2025 data, California has the most assisted living facilities in the U.S., with over 5,900 communities. This makes it the leading state for assisted living options, significantly outpacing other high-ranking states like Florida and Washington. The reasons behind this concentration include a large senior population and a robust regulatory framework.

Quick Summary

California has the highest number of assisted living facilities in the nation, with Florida and Washington also ranking among the top. This concentration is influenced by the state's large senior population and regulatory factors.

Key Points

  • California is Number One: With over 5,900 facilities, California has the most assisted living communities in the United States.

  • Top Contenders: Other states with a high number of facilities include Florida, Washington, and Texas, which also have large or growing senior populations.

  • Population is Key: The number of facilities in a state is directly tied to the size of its senior population and demographic trends, such as retirement migration.

  • Cost and Regulations: Factors like state licensing regulations and the overall cost of living can impact the number and type of assisted living facilities available.

  • Regional Variations: Coastal and Sun Belt states often attract retirees, but populous states in other regions, like Michigan and Wisconsin, also have a high number of facilities.

  • Beyond the Numbers: When choosing a facility, factors beyond the sheer number of options, such as cost, location, and services, are essential for making an informed decision.

In This Article

California Leads the Nation in Assisted Living Facilities

Recent data confirms that California is home to more assisted living facilities than any other state in the country. With a large and growing senior population, California's sheer size and demographics play a major role in its standing. The state's Department of Social Services licenses and regulates thousands of residential care facilities for the elderly (RCFEs), which provide a home-like setting with personalized care services. This extensive network ensures a wide array of options for seniors and their families, ranging from small, intimate care homes to large, resort-style communities. The state's pleasant climate and diverse landscapes also contribute to its appeal as a retirement destination, further fueling the demand for senior housing.

Factors Influencing the Concentration of Facilities

Several factors contribute to why certain states have a higher number of assisted living facilities. These elements are a combination of demographic trends, economic conditions, and state-specific regulations.

  • Senior Population: States with a larger proportion of residents aged 65 and older naturally require more senior housing options. California, Florida, and Texas all have sizable senior populations, driving market demand.
  • Market Demand: Areas with growing numbers of retirees, especially those moving from other states, see increased development of assisted living communities. The influx of new residents creates a sustainable market for senior care providers.
  • Regulatory Environment: State-specific regulations can influence the ease of opening and operating assisted living facilities. In California, a robust licensing and inspection system ensures quality standards, which can attract both providers and residents.
  • Economic Factors: States with a higher cost of living may have more upscale or higher-priced facilities, but the overall number is more tied to population size. The economic health of a state and its retirement income friendliness can attract seniors.

Other States with High Numbers of Assisted Living Facilities

While California holds the top spot, other states have significant numbers of assisted living facilities. These states often boast favorable climates, attractive retirement benefits, or high senior populations.

  • Florida: Known as a retirement haven, Florida has a substantial number of assisted living facilities, with some estimates placing the number over 3,000. The warm weather and lack of state income tax make it a popular choice for seniors.
  • Washington: The Pacific Northwest state ranks high in terms of senior housing options, with many facilities available to its residents. Its strong long-term care access and services contribute to its ranking.
  • Texas: As one of the most populous states, Texas naturally has a high number of assisted living facilities. The state's mild climate and below-average cost of living also appeal to retirees.
  • Michigan and Wisconsin: These Midwest states consistently rank among the top for the total number of assisted living facilities, reflecting a strong regional demand for senior care.

Comparison of Assisted Living Top States

State Estimated Number of Facilities Senior Population (65+) Cost Considerations Notable Factors
California ~5,900+ Highest total in the U.S. Higher than national average Large, diverse senior population; robust regulatory system
Florida ~3,080+ Highest percentage of population Moderate to high High percentage of retirees; no state income tax
Washington ~2,000+ High population in Northwest High Strong long-term care access; good reputation for senior living
Texas ~2,000+ Rapidly growing Below national average Growing senior population; favorable weather; below average cost of living
Michigan ~3,089 Sizable Moderate Strong regional demand; robust network of facilities

Conclusion

While California has the highest number of assisted living facilities, the top states for senior housing vary depending on population size, market demand, and other factors. For prospective residents and their families, understanding these differences is crucial when choosing a retirement destination. Factors beyond just the number of facilities, such as cost, climate, and the availability of specific services, should be considered. By weighing these elements, families can make an informed decision to find the best fit for their loved ones.

For more information on state-specific regulations and assisted living types, you can consult resources from the National Center for Assisted Living.

Frequently Asked Questions

Frequently Asked Questions

California has the most assisted living facilities in the United States, with recent data from September 2025 reporting over 5,900 communities.

California's high number of assisted living facilities is primarily due to its large overall population, which translates to the highest total number of senior residents in the country. The state's demographics and demand for senior care drive the market.

Besides California, states with a high number of assisted living facilities include Florida, Washington, and Texas. Michigan and Wisconsin also rank highly.

Not always. While California has the highest total number of seniors, Florida has the highest percentage of its total population aged 65 and over. This indicates that the number of facilities can be driven by total population size as well as the proportion of seniors.

The number of facilities does not necessarily indicate better quality. Quality can vary significantly by facility and is influenced by state regulations, staffing, and care standards. States with robust regulatory oversight, like California, work to ensure quality but individual research is always recommended.

Cost is influenced by many factors, including the local cost of living and market demand, not just the number of facilities. California, for example, has a higher average monthly cost than the national average, partly due to its high cost of living.

Recent data on assisted living facilities can be found through various sources, including healthcare data analytics firms like Definitive Healthcare, publications like Caring.com, and state health care associations.

References

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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.