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Who is the largest senior living company in the US? Unveiling the Top Providers

4 min read

According to the American Seniors Housing Association's 2025 report, Brookdale Senior Living holds the top spot, managing more than 53,000 units across the United States. This article answers the question, Who is the largest senior living company in the US?, and explores the other major players shaping the senior living landscape.

Quick Summary

Brookdale Senior Living has consistently ranked as the largest senior living operator by units in the US, according to recent industry reports, with other companies like Discovery Senior Living and LCS also holding prominent positions. The top companies offer a wide range of care options, including independent living, assisted living, and memory care.

Key Points

  • Brookdale Senior Living is the largest senior living company in the US based on the total number of managed units, a position it has held for several years.

  • Key competitors include Discovery Senior Living and LCS, which also manage significant portfolios of senior living communities.

  • Industry rankings like the ASHA 50 are based on managed units, indicating market share rather than care quality.

  • Top providers offer a wide range of services, such as independent living, assisted living, memory care, and continuing care retirement communities (CCRCs).

  • Choosing a community requires looking beyond size, considering specific care needs, community culture, amenities, and cost.

  • The senior living market is dynamic, with significant movement among the top-ranked companies based on annual reports.

In This Article

Brookdale Senior Living: The Industry Giant

For several years, Brookdale Senior Living has been recognized as the largest operator of senior living communities in the United States. Headquartered in Brentwood, Tennessee, the company operates hundreds of communities in more than 40 states, providing a comprehensive range of senior care solutions.

Brookdale's offerings include:

  • Independent living
  • Assisted living
  • Memory care
  • Continuing care retirement communities (CCRCs)
  • Home health services

This extensive portfolio of services and vast network of communities cements Brookdale's position at the top of the senior living industry, serving tens of thousands of residents nationwide.

The Evolving Landscape of Top Senior Living Companies

While Brookdale has maintained its leadership position, the senior living industry is dynamic, with other major players frequently appearing in top rankings. For example, recent reports from the American Seniors Housing Association (ASHA) and Lument highlight significant movement among the top companies. This evolution is driven by several factors, including changing demographics, consumer preferences, and consolidation within the industry.

Other Leading Senior Living Providers

Several other large companies play a vital role in the U.S. senior living market, often specializing in certain types of care or operating in specific regions. These competitors offer alternatives that cater to a wide array of needs and preferences.

Key Competitors and Industry Trends:

  • Discovery Senior Living: This company has seen rapid growth, climbing into the top operator ranks with a significant increase in managed units. Discovery is known for its lifestyle-driven experiences and is headquartered in Bonita Springs, Florida.
  • LCS (Life Care Services): LCS is a major player, offering a full spectrum of senior living options including independent living, assisted living, memory care, and skilled nursing. It has consistently ranked among the largest providers.
  • Erickson Senior Living: Primarily focusing on independent living with a continuum of care model, Erickson operates in numerous states, with a large presence on the East Coast.
  • Atria Senior Living: Known for its extensive portfolio of communities and commitment to sustainability, Atria offers assisted living and memory care across many states.

Comparing Top Senior Living Companies

When evaluating senior living providers, several factors beyond size are important, such as the types of care offered, geographic reach, and resident capacity. The following table provides a comparison of some of the largest companies based on data from recent industry reports:

Feature Brookdale Senior Living Discovery Senior Living LCS (Life Care Services) Atria Senior Living
Total Units (Approximate) 53,000+ (2025) 39,000+ (2025) 39,000+ (2025) 25,000+ (2025)
Number of Communities 600+ 300+ 130+ 190+
Headquarters Brentwood, TN Bonita Springs, FL Des Moines, IA Louisville, KY
Care Levels Independent Living, Assisted Living, Memory Care, CCRCs Independent Living, Assisted Living, Memory Care Independent Living, Assisted Living, Memory Care, Skilled Nursing, CCRCs Assisted Living, Memory Care
Geographic Reach 40+ states 40+ states Nationwide 30+ states & Canada

How to Choose the Right Senior Living Community

While size can indicate a company's market presence and resources, it is not the sole factor to consider when choosing a senior living community. Factors such as a community's culture, resident services, and specialized care options are often more critical to a family's decision-making process.

Key Considerations Beyond Company Size

  • Specific Care Needs: Assess if the community offers the specific level of care required, whether it's independent living, assisted living, or specialized memory care.
  • Location and Amenities: The proximity to family, along with amenities such as dining options, social activities, and transportation, can greatly impact a resident's quality of life.
  • Community Culture: Visit different communities to get a feel for the atmosphere. Is it vibrant and social, or more tranquil? The right fit often depends on personal preference.
  • Staff-to-Resident Ratio: Ask about staffing levels to ensure your loved one will receive adequate attention and support.
  • Cost and Contract Structure: Understand the pricing models, including what services are covered by the base fee and what costs are extra. For instance, continuing care retirement communities (CCRCs) often require a significant entry fee in addition to monthly payments.

Conclusion

As the largest senior living operator by number of units, Brookdale Senior Living continues to dominate the U.S. market, offering a wide array of services. However, the senior living landscape is competitive, with other significant players like Discovery Senior Living, LCS, and Atria also holding major market share. For families, understanding the market leaders is a good starting point, but the final choice should be based on a thorough evaluation of individual communities to find the best fit for their loved one's specific needs and preferences.

Learn more about different types of senior housing from Argentum, the leading national association representing senior living providers.

How Senior Living Rankings are Determined

Reputable organizations like the American Seniors Housing Association (ASHA) and Lument frequently publish reports and rankings to provide insight into the senior living industry. These rankings are typically based on metrics such as total number of managed units, number of communities, and operational resident capacity, giving an objective measure of market dominance. While these lists are useful for understanding the market, they do not assess the quality of care or resident satisfaction. Families are advised to use rankings as a starting point for further, in-depth research.

Top US Senior Living Companies (Updated 2025)

  • Brookdale Senior Living: Remains the largest operator by managed units.
  • Discovery Senior Living: Holds the #2 position as a major operator with significant growth.
  • LCS: A long-standing leader, offering a full spectrum of care and ranking #3 for operators in 2025.
  • Erickson Senior Living: A top provider known for its continuum of care communities.
  • Greystar Real Estate Partners: Moved into the top five operators in the 2025 rankings.
  • Atria Senior Living: A large operator specializing in assisted living and memory care.
  • Five Star Senior Living: Maintains a diverse portfolio of senior living communities.
  • Sunrise Senior Living: Focuses on a holistic approach to senior living.

These rankings highlight the scale of the industry and the key players who manage a large portion of the senior housing market in the United States.

Frequently Asked Questions

Brookdale Senior Living has consistently been recognized as the largest senior living company in the U.S. based on the total number of units it manages.

According to the American Seniors Housing Association's 2025 report, Discovery Senior Living is the second-largest operator in the U.S., with significant growth in its managed portfolio.

Industry associations like the American Seniors Housing Association (ASHA) release annual rankings based on metrics such as the total number of managed units, operational resident capacity, and number of communities.

No, a company's size does not necessarily mean it is the best fit. Factors like specific care needs, location, amenities, community culture, and cost are often more important when choosing a community.

The largest companies typically offer a wide spectrum of care options, including independent living, assisted living, memory care, and continuing care retirement communities (CCRCs).

Other major competitors include LCS (Life Care Services), Erickson Senior Living, Atria Senior Living, and Discovery Senior Living, which all rank among the largest operators in the U.S..

Start by identifying the level of care needed, then research reputable providers in your desired location. Consult industry reports, visit communities in person, and speak with current residents or families to gather firsthand impressions of the atmosphere and quality of care.

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.