The Largest Senior Care Organizations

This list is in the process of a major revision. The list was originally started as a summary of the largest assisted living and independent living organizations. We are updating it to include organizations and corporations that focus on nursing homes.

Some people prefer a smaller home run by locals and some seniors are happier in a larger corporate-run facility. The larger organizations have deep pockets so they have a greater presence in the market when caregivers are searching for a facility. The larger organizations tend to operate larger assisted living facilities with more standardized services and a wider range of amenities. Many of these larger facilities offer multiple services in one facility, like independent and assisted living. By offering several services that are health-based, seniors can move into a facility and then change their care plan based on their health. This is a great option for many seniors.

The original data for this site was based on government data, so it included many fields like fax number, license number and number of licensed beds. The problem with government data is that they never keep track of other services offered by an organization. For example, they don't track if an assisted living facility also offers independent living. For this reason, Assisted Senior Living started a program for updating the data based on corporate sites. Corporate sites usually don't show license numbers and other fields but they usually show all their services. By cross-referencing the corporate data with the government data, we are building the most complete data of senior care. We strive for 100% accuracy in our data but rarely meet it. Name changes, service changes and other business needs force the senior providers to constantly adapt and cause inaccuracy. Although we are constantly updating the data, we are a small operation.

Who runs the most communities

The company behind a community matters more than most families expect. A large operator sets staffing levels, training and medication policy across every building it owns, so what you find at one location usually holds at the next. If you are moving a parent closer to you, that spares you starting a search from nothing in a city you do not know.

The 378 companies below run 11,915 communities between them. These counts come from our own listings and move as communities open, change hands or close. Choose a name to see all of theirs, the care each one provides, and the cost where it has been published.

Sort: largest first  ·  A to Z — showing the top 25 of 378

#OrganizationCommunitiesLicensed bedsCare offered
1 Brookdale Senior Living 994 51,363 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC, Retirement
2 Genesis HealthCare 507 57,558 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC
3 The Ensign Group 418 42,553 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC, Retirement
4 Holiday Retirement 291 2,380 Assisted Living, Independent Living, Memory Care, In-Home Care, Retirement
5 Sunrise Senior Living 250 13,144 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC, Retirement
6 Evangelical Lutheran Good Samaritan Society 230 9,333 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC
7 PACS Group 226 26,210 Assisted Living, Nursing Homes, Memory Care, CCRC, Retirement
8 Life Care Centers of America 204 25,525 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC, Retirement
9 Atria Senior Living 138 13,384 Assisted Living, Independent Living, Memory Care, Hospice, Retirement
10 Bayada Home Health Care 127 10 Assisted Living, In-Home Care, Hospice
11 Creative Solutions in Healthcare 121 14,465 Assisted Living, Nursing Homes, Memory Care, CCRC
12 HCR ManorCare 118 3,557 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice
13 Saber Healthcare Group 115 12,475 Assisted Living, Nursing Homes, Memory Care, Hospice, CCRC, Retirement
14 5 Star Quality Care 103 4,612 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, CCRC, Retirement
15 Assisted Living Concepts Inc 92 919 Assisted Living, Independent Living, Memory Care, In-Home Care
16 Life Care Services 92 8,168 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC, Retirement
17 Signature Healthcare 91 10,741 Assisted Living, Nursing Homes, Memory Care, In-Home Care
18 Avir Health Group 88 9,291 Nursing Homes, CCRC, Retirement
19 National HealthCare Corporation 88 8,021 Assisted Living, Nursing Homes, Independent Living, In-Home Care, Hospice, CCRC
20 CommuniCare Health 85 9,570 Assisted Living, Nursing Homes, CCRC
21 American Senior Communities 84 8,241 Assisted Living, Nursing Homes, Independent Living, Memory Care, Hospice, CCRC
22 Senior Lifestyle 84 6,078 Assisted Living, Nursing Homes, Independent Living, Memory Care, Hospice, CCRC, Retirement
23 PruittHealth 82 8,246 Nursing Homes, In-Home Care, Hospice, CCRC, Retirement
24 Legacy Healthcare 80 9,383 Assisted Living, Nursing Homes, CCRC
25 Discovery Senior Living 72 277,594 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC, Retirement

See all 378 organizations →

Older notes on organizations we have followed

These entries were written when we first began keeping notes on the industry, and several describe deals that have long since completed: Sunwest's communities went to Emeritus, and Emeritus itself was absorbed by Brookdale in 2014. They are kept because the history of who owned what is genuinely useful when you are trying to understand a community's track record, but read them as a record of their time rather than as current ownership. The table above is the live one.

OrganizationDetailsNotes
Sunwest Management Inc. (Privately owned) 3723 Fairview, Salem, OR 97302. (503) 375-9016 Sunwest assisted living
  • Retirement Communities
  • Assisted Living Communities
  • Respite Care
  • Alzheimer's Care Communities
SMI managed approximately 200 communities nationwide. Sunwest is selling 138 facilities to Emeritus/Blackstone, so they will soon fall way down the list.
Carefree Senior Living www.carefreeseniors.com 3 super high-caliber facilities in California and Nevada.
Heritage Health Care Management Services heritagehealthcaremanagement.com: Assisted Living, Nursing Home, Alzheimer's / Dementia Care They offer 12 senior care facilities in Colorado and 2 others.
Franciscan Communities www.franciscancommunities.com 14 church-based communities.
Bon Secours www.bonsecoursal.com 3 facilities.
Aston Gardens (2010) Florida 6 luxury retirement communities with assisted living in Florida.
CaraVita www.caravita.com 3 facilities.
Pine Crest Communities pinecrestcommunity.org 4 facilities.
Laureate Group (Updated) 8 facilities in Wisconsin.
Centura Senior Services 6 facilities in Colorado.
AnewStarr (Updated) Use the search by facility name and choose AnewStarr from the owner's list to review these facilities. 3 facilities in Wisconsin.
Elizabeth Residences (Updated) Use the search by facility name and choose Elizabeth Residences from the owner's list to review these facilities. 5 facilities in Wisconsin.
ASC Senior Care / Miller's Merry Manor ascseniorcare.com, millersmerrymanor.com These groups will be updated as soon as possible.
Oakdale Management Group They are out of business. They sold 9 facilities to Pacifica; some others were sold to 5 Star, Sign of the Dove and Westmont Living. Before going under, they had over 30 facilities.
Trans Healthcare Going out of business.
Researching a senior care provider? A senior care advisor can help you compare organizations, at no cost. Contact us.