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 1501 companies below run 17,306 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 1501

#OrganizationCommunitiesLicensed bedsCare offeredStaff rating
1 Brookdale Senior Living 1,003 52,929 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC, Retirement Employer rating 2.9 out of 5 from 8,174 employee reviews
2 Genesis HealthCare 507 57,558 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC Employer rating 3.0 out of 5 from 4,439 employee reviews
3 The Ensign Group 419 42,678 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC, Retirement Employer rating 3.3 out of 5 from 39 employee reviews
4 Holiday Retirement 287 2,380 Assisted Living, Independent Living, Memory Care, In-Home Care, Retirement Employer rating 2.8 out of 5 from 1,338 employee reviews
5 Sunrise Senior Living 272 15,543 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC, Retirement Employer rating 3.3 out of 5 from 3,766 employee reviews
6 Evangelical Lutheran Good Samaritan Society 230 9,333 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC Employer rating 3.3 out of 5 from 1,694 employee reviews
7 PACS Group 226 26,210 Assisted Living, Nursing Homes, Memory Care, CCRC, Retirement Employer rating 3.2 out of 5 from 52 employee reviews
8 Life Care Centers of America 204 25,525 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC, Retirement Employer rating 3.0 out of 5 from 2,575 employee reviews
9 Atria Senior Living 144 14,055 Assisted Living, Independent Living, Memory Care, Hospice, Retirement Employer rating 3.0 out of 5 from 2,298 employee reviews
10 Bayada Home Health Care 126 10 Assisted Living, In-Home Care, Hospice Employer rating 3.8 out of 5 from 4,194 employee reviews
11 Creative Solutions in Healthcare 121 14,465 Assisted Living, Nursing Homes, Memory Care, CCRC Employer rating 2.8 out of 5 from 254 employee reviews
12 HumanGood 120 3,975 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, CCRC, Retirement Employer rating 3.6 out of 5 from 661 employee reviews
13 Saber Healthcare Group 114 12,375 Assisted Living, Nursing Homes, Memory Care, Hospice, CCRC, Retirement Employer rating 2.9 out of 5 from 2,244 employee reviews
14 5 Star Quality Care 103 4,612 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, CCRC, Retirement -
15 Life Care Services 93 8,247 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC, Retirement -
16 Assisted Living Concepts Inc 92 919 Assisted Living, Independent Living, Memory Care, In-Home Care -
17 Signature Healthcare 91 10,741 Assisted Living, Nursing Homes, Memory Care, In-Home Care -
18 National HealthCare Corporation 89 8,021 Assisted Living, Nursing Homes, Independent Living, In-Home Care, Hospice, CCRC Employer rating 3.5 out of 5 from 1,921 employee reviews
19 Avir Health Group 88 9,291 Nursing Homes, CCRC, Retirement Employer rating 2.4 out of 5 from 33 employee reviews
20 Senior Lifestyle Corporation 88 6,258 Assisted Living, Nursing Homes, Independent Living, Memory Care, In-Home Care, Hospice, CCRC, Retirement -
21 Communicare Health 85 9,570 Assisted Living, Nursing Homes, CCRC Employer rating 2.8 out of 5 from 1,610 employee reviews
22 American Senior Communities 84 8,241 Assisted Living, Nursing Homes, Independent Living, Memory Care, Hospice, CCRC Employer rating 3.0 out of 5 from 1,479 employee reviews
23 PruittHealth 82 8,246 Nursing Homes, In-Home Care, Hospice, CCRC, Retirement Employer rating 2.7 out of 5 from 2,166 employee reviews
24 Legacy Healthcare 81 9,383 Assisted Living, Nursing Homes, In-Home Care, CCRC Employer rating 3.0 out of 5 from 271 employee reviews
25 Merrill Gardens 77 4,763 Assisted Living, Nursing Homes, Independent Living, Memory Care, Hospice Employer rating 3.2 out of 5 from 461 employee reviews

See all 1501 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.