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RAL MARKET SCOUT Best states for assistedliving All 51 states ranked · 48 with full rosters ralmarketscout.com
RAL Market Scout · National

Best states & markets for residential assisted living

Compare all 50 states on the numbers that decide where a small assisted living home pencils — licensed supply, 75+ demand, cost, and small-home friendliness. Drill into any fully-mapped state for county-level opportunity scores.

Updated July 2026
RAL Market Scout tracks all 51 state markets for assisted living — licensed home counts, 75+ demand, bed supply, costs, and small-home friendliness. 48 states have full home-level rosters loaded; 47 are fully mapped to the county and city level, with more rolling out.
StateAL homesPop 75+Beds/1kSupplyMedian $/moSmall-home
Alabama202361,91020.5Tight$4,425Mixed
Alaska56133,88795.1Saturated$9,882Yes
Arizona2,047600,21673.1Saturated$6,250Yes
Arkansas220,466$4,637Big-box
California7,9622,547,67981.9Saturated$7,000Yes
Colorado648348,77776.2Saturated$6,584Mixed
Connecticut239284,325$9,118Yes
Delaware3382,43026.4Tight$7,600Big-box
District of Columbia2236,65749.6Moderate$6,978Big-box
Florida3,0002,149,81854.8Saturated$5,610Mixed
Georgia1,359636,25329.1Tight$5,300Yes
Hawaii17130,643$12,096Yes
Idaho257128,11082.2Saturated$5,175Mixed
Illinois498882,99531.3Tight$6,219Big-box
Indiana366458,919$5,639Big-box
Iowa497242,570$5,380Mixed
Kansas549203,208$5,975Yes
Kentucky263308,196$5,528Big-box
Louisiana157301,053$5,162Big-box
Maine88124,11325.5Tight$8,205Yes
Maryland1,540421,77253.3Saturated$7,172Yes
Massachusetts305519,044$9,600Mixed
Michigan3,888743,51743.1Moderate$5,818Yes
Minnesota2,464404,380$6,572Mixed
Mississippi180200,10839.0Moderate$4,369Big-box
Missouri600452,01861.4Saturated$5,400Mixed
Montana20686,57669.6Saturated$6,075Yes
Nebraska276134,493$6,350Big-box
Nevada434212,51947.5Moderate$6,241Yes
New Hampshire36110,294$8,025Mixed
New Jersey346672,89743.3Moderate$8,710Big-box
New Mexico165,112$5,950Mixed
New York5541,500,53534.5Tight$7,110Big-box
North Carolina1,085737,440$6,496Mixed
North Dakota7354,69743.2Moderate$4,729Big-box
Ohio814864,47982.1Saturated$6,102Big-box
Oklahoma214266,95649.1Moderate$6,150Big-box
Oregon2,125322,896115.6Saturated$6,874Yes
Pennsylvania9961,053,40858.7Saturated$6,480Big-box
Rhode Island6485,50558.7Saturated$7,780Big-box
South Carolina429393,370$5,350Mixed
South Dakota17863,53497.4Saturated$4,900Mixed
Tennessee330476,76045.7Moderate$5,845Big-box
Texas2,0011,577,05952.3Saturated$5,666Mixed
Utah224155,67380.6Saturated$5,475Mixed
Vermont10354,73661.4Saturated$8,597Yes
Virginia570592,47164.1Saturated$6,945Big-box
Washington6,639510,873144.6Saturated$7,600Yes
West Virginia81150,22422.1Tight$6,340Big-box
Wisconsin4,371434,379142.6Saturated$6,540Mixed
Wyoming3240,77140.1Moderate$5,325Mixed

Linked states are fully mapped to the county level. "Beds/1k" = licensed AL beds per 1,000 residents 75+ (lower = tighter supply). "Small-home" = how friendly the state's licensing is to sub-16-bed RAL models.

Frequently asked questions

What is the best state for residential assisted living?
It depends on your model: states marked 'small-home friendly: Yes' with tighter supply (lower beds per 1,000 seniors 75+) tend to favor new small assisted living homes. RAL Market Scout scores supply tightness and small-home friendliness for all 50 states.
How many assisted living facilities are there in the U.S.?
There are roughly 30,000+ licensed assisted living and residential care communities nationwide. RAL Market Scout maintains state-by-state licensed counts and bed supply.

Find your market

RAL Market Scout scores demand, supply gaps, and referral capacity for every county and ZIP — and builds a full report for any address you're evaluating.

Sources: State AL counts and bed supply from state assisted-living license rosters; 75+ population from U.S. Census ACS; costs are market medians. Snapshot: 2026-07. Informational only.