Kentucky · RAL Market Report

Best places to open an assisted living home in Kentucky

Name: Kentucky assisted living market data
Creator: RAL Market Scout

The top markets for residential assisted living in Kentucky, ranked by demand versus supply — plus the cities where the homes are.

Updated July 2026

The top markets for assisted living in Kentucky right now are Hardin, Boone, Warren counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 263 licensed assisted living homes serving 308,196 residents aged 75+, at a median cost of about $5,528/mo.

Licensed homes

263

state roster

Population 75+

308,196

ACS

Median AL cost

$5,528/mo

below the national median

Bed supply

40.6/1k

moderate supply

Top 10 markets for assisted living in Kentucky

RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.

Hardin County — opportunity 7.9/10 (Strong); 6,442 seniors 75+, growing 8.8%, with 8 licensed homes.
Boone County — opportunity 7.9/10 (Strong); 8,028 seniors 75+, growing 28.6%, with 8 licensed homes.
Warren County — opportunity 7.9/10 (Strong); 7,277 seniors 75+, growing 12.1%, with 10 licensed homes.
Kenton County — opportunity 7.8/10 (Strong); 10,120 seniors 75+, growing 12.6%, with 10 licensed homes.
Campbell County — opportunity 7.8/10 (Strong); 6,171 seniors 75+, growing 5.9%, with 3 licensed homes.
Pulaski County — opportunity 7.8/10 (Strong); 5,164 seniors 75+, growing 6.2%, with 3 licensed homes.
Jefferson County — opportunity 7.8/10 (Strong); 52,740 seniors 75+, growing 5.1%, with 54 licensed homes.
Fayette County — opportunity 7.7/10 (Strong); 18,741 seniors 75+, growing 12.6%, with 22 licensed homes.
Madison County — opportunity 7.7/10 (Strong); 5,427 seniors 75+, growing 15.8%, with 5 licensed homes.
Bullitt County — opportunity 7.6/10 (Strong); 5,754 seniors 75+, growing 28.1%, with 3 licensed homes.

All Kentucky counties by market opportunity

County	Pop 75+	Demand	Homes	Market	Band
Hardin	6,442	4.1	8	7.9	Strong
Boone	8,028	6.9	8	7.9	Strong
Warren	7,277	4.9	10	7.9	Strong
Kenton	10,120	5.3	10	7.8	Strong
Campbell	6,171	3.7	3	7.8	Strong
Pulaski	5,164	4.1	3	7.8	Strong
Jefferson	52,740	4.6	54	7.8	Strong
Fayette	18,741	5.3	22	7.7	Strong
Madison	5,427	5.9	5	7.7	Strong
Bullitt	5,754	5.9	3	7.6	Strong
Daviess	7,469	3.4	9	7.5	Strong
Oldham	3,884	6.1	8	7.3	Strong
McCracken	5,753	4.6	5	7.2	Strong
Pike	4,366	3.4	1	7.2	Strong
Laurel	4,161	3.7	2	7.0	Strong
Franklin	3,662	4.6	4	7.0	Strong
Whitley	2,336	2.8	0	7.0	Moderate
Shelby	3,192	4.2	7	7.0	Moderate
Harlan	1,873	3.4	1	6.9	Moderate
Nelson	3,097	4.9	4	6.9	Moderate
Anderson	1,726	5.6	1	6.9	Moderate
Scott	2,931	5.8	4	6.9	Moderate
Henderson	3,373	4.2	3	6.9	Moderate
Meade	1,734	5.1	2	6.8	Moderate
Montgomery	1,802	4.1	2	6.8	Moderate
Woodford	2,255	6.1	2	6.8	Moderate
Letcher	1,593	3.7	0	6.8	Moderate
Ohio	1,823	3.3	2	6.8	Moderate
Hopkins	3,350	3.3	4	6.8	Moderate
Jessamine	3,516	5.1	4	6.7	Moderate
Mason	1,194	3.4	1	6.7	Moderate
Greenup	3,299	4.4	3	6.7	Moderate
Barren	3,253	4.0	2	6.7	Moderate
Henry	1,109	3.1	1	6.7	Moderate
Knott	1,023	2.7	1	6.6	Moderate
Allen	1,527	5.0	2	6.6	Moderate
Lincoln	1,817	3.1	4	6.6	Moderate
Floyd	2,540	4.1	0	6.6	Moderate
Breckinridge	1,580	3.7	1	6.6	Moderate
Grayson	1,840	3.3	1	6.6	Moderate
Clay	1,126	2.8	0	6.6	Moderate
Boyle	2,386	2.7	5	6.6	Moderate
Marion	1,358	3.6	1	6.6	Moderate
Carter	2,119	2.7	1	6.6	Moderate
Christian	3,949	2.7	5	6.5	Moderate
Marshall	2,943	4.0	2	6.4	Moderate
McCreary	1,082	3.9	1	6.4	Moderate
Perry	1,864	4.3	0	6.4	Moderate
Knox	2,249	4.3	0	6.4	Moderate
Simpson	1,330	5.1	2	6.4	Moderate
Johnson	1,650	4.3	0	6.4	Moderate
Clark	2,815	3.6	2	6.4	Moderate
Rowan	1,552	4.8	0	6.3	Moderate
Adair	1,420	3.7	1	6.3	Moderate
Muhlenberg	2,635	3.9	2	6.3	Moderate
Fleming	1,154	4.6	0	6.3	Moderate
Spencer	1,055	4.9	1	6.3	Moderate
Calloway	2,664	2.3	4	6.3	Moderate
Boyd	3,976	3.6	4	6.3	Moderate
Lawrence	1,104	3.9	0	6.2	Moderate
Logan	2,174	3.6	1	6.2	Moderate
Casey	1,368	4.1	0	6.1	Moderate
Russell	1,495	3.4	0	6.1	Moderate
Edmonson	1,094	5.5	0	6.1	Moderate
Green	1,182	6.3	0	6.0	Moderate
Trigg	1,309	4.0	2	6.0	Moderate
Estill	1,113	4.2	0	6.0	Moderate
Hart	1,319	4.0	1	6.0	Moderate
Bell	1,780	2.4	1	6.0	Moderate
Rockcastle	1,276	4.1	0	5.9	Moderate
Grant	1,352	3.7	0	5.9	Moderate
Harrison	1,502	3.9	3	5.9	Moderate
Graves	2,783	3.1	2	5.9	Moderate
Bourbon	1,704	3.3	0	5.8	Moderate
Wayne	1,737	2.7	1	5.8	Moderate
Larue	1,036	3.0	0	5.7	Moderate
Garrard	1,302	3.4	0	5.7	Moderate
Mercer	1,809	5.3	0	5.7	Moderate
Caldwell	1,217	4.1	1	5.3	Moderate
Taylor	1,925	2.9	2	5.1	Moderate
Webster	852	3.4	1	—	—
Ballard	668	2.7	0	—	—
Hancock	701	5.6	1	—	—
Fulton	568	4.6	0	—	—
Pendleton	936	3.6	2	—	—
Crittenden	774	4.4	0	—	—
Union	919	2.3	1	—	—
Breathitt	858	3.6	0	—	—
Morgan	838	2.9	0	—	—
Livingston	807	4.4	0	—	—
Clinton	774	3.1	0	—	—
Leslie	728	2.1	0	—	—
Carroll	676	3.3	3	—	—
Cumberland	543	3.9	0	—	—
Monroe	848	4.0	0	—	—
Todd	814	2.1	0	—	—
Trimble	630	5.9	0	—	—
Lewis	991	2.9	0	—	—
Metcalfe	792	4.4	1	—	—
Martin	733	3.3	0	—	—
Magoffin	787	2.9	0	—	—
Wolfe	486	3.9	0	—	—
Lee	516	4.9	0	—	—
Gallatin	516	6.6	0	—	—
Hickman	522	4.7	0	—	—
Washington	944	3.9	0	—	—
Carlisle	420	3.3	0	—	—
Butler	958	3.4	0	—	—
Lyon	819	3.4	1	—	—
Bracken	551	2.3	0	—	—
Bath	858	4.1	0	—	—
Jackson	863	2.3	1	—	—
Owen	879	5.1	0	—	—
Powell	730	4.4	0	—	—
Menifee	628	5.4	0	—	—
Nicholas	517	3.6	0	—	—
Robertson	179	3.5	0	—	—
Owsley	227	3.1	0	—	—
Elliott	680	4.3	0	—	—
McLean	816	4.3	0	—	—

Top cities for assisted living in Kentucky

Where the homes actually are. Each linked city has its own page with local supply and market context.

City	County	Homes	Avg size
Louisville	Jefferson	48	—
Lexington	Fayette	22	—
Bowling Green	Warren	10	—
Owensboro	Daviess	9	—
Elizabethtown	Hardin	8	—
Shelbyville	Shelby	7	—
Covington	Kenton	6	—
Florence	Boone	6	—
Hopkinsville	Christian	5	—
Danville	Boyle	5	—
Paducah	Mccracken	5	—

Frequently asked questions

What are the top markets for assisted living in Kentucky?

The strongest Kentucky markets on RAL Market Scout's opportunity scoring are Hardin, Boone, Warren, Kenton, Campbell counties — based on 75+ demand and projected senior growth versus current bed supply.

Which Kentucky city has the most assisted living homes?

Louisville has the most, with 48 licensed assisted living homes (about 0 beds).

How much does assisted living cost in Kentucky?

The median assisted living cost in Kentucky is about $5,528 per month — below the national median.

How many assisted living homes are in Kentucky?

Kentucky has approximately 263 licensed assisted living homes serving 308,196 residents aged 75 and older.

See the full Kentucky picture

RAL Market Scout scores every county and ZIP in Kentucky on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.

Run a Market Report Site Intelligence report

Sources: Licensed-home and city counts from Kentucky state licensing rosters (RAL Market Scout data pipeline). 75+ population and growth from U.S. Census ACS. Bed supply from NIC MAP / state surveys. Cost figures are market medians. Data snapshot: 2026-07. Informational only — not legal, financial, or investment advice.