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RAL MARKET SCOUT Top assisted livingmarkets in Maryland 1,540 licensed homes · Prince George's County is #1 ralmarketscout.com
Maryland · RAL Market Report

Best places to open an assisted living home in Maryland

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

Updated July 2026
The top markets for assisted living in Maryland right now are Prince George's, Baltimore city, Charles counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 1,540 licensed assisted living homes serving 421,772 residents aged 75+, at a median cost of about $7,172/mo.
Licensed homes
1,540
state roster
Population 75+
421,772
ACS
Median AL cost
$7,172/mo
above the national median
Bed supply
41.5/1k
moderate supply

Top 10 markets for assisted living in Maryland

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.

  1. Prince George's Countyopportunity 7.9/10 (Strong); 53,607 seniors 75+, growing 23.7%, with 290 licensed homes.
  2. Baltimore city Countyopportunity 7.8/10 (Strong); 33,382 seniors 75+, growing -1.2%, with 363 licensed homes.
  3. Charles Countyopportunity 7.7/10 (Strong); 8,885 seniors 75+, growing 21.0%, with 41 licensed homes.
  4. Wicomico Countyopportunity 7.7/10 (Strong); 6,783 seniors 75+, growing 3.0%, with 11 licensed homes.
  5. St. Mary's Countyopportunity 7.6/10 (Strong); 6,418 seniors 75+, growing 12.4%, with 5 licensed homes.
  6. Cecil Countyopportunity 7.6/10 (Strong); 6,750 seniors 75+, growing 15.3%, with 19 licensed homes.
  7. Anne Arundel Countyopportunity 7.6/10 (Strong); 38,933 seniors 75+, growing 19.2%, with 111 licensed homes.
  8. Harford Countyopportunity 7.5/10 (Strong); 18,363 seniors 75+, growing 15.6%, with 45 licensed homes.
  9. Allegany Countyopportunity 7.4/10 (Strong); 6,339 seniors 75+, growing -2.0%, with 7 licensed homes.
  10. Howard Countyopportunity 7.4/10 (Strong); 21,258 seniors 75+, growing 29.8%, with 81 licensed homes.

All Maryland counties by market opportunity

CountyPop 75+DemandHomesMarketBand
Prince George's53,6077.02907.9Strong
Baltimore city33,3823.43637.8Strong
Charles8,8855.8417.7Strong
Wicomico6,7834.4117.7Strong
St. Mary's6,4184.757.6Strong
Cecil6,7505.3197.6Strong
Anne Arundel38,9336.51117.6Strong
Harford18,3635.3457.5Strong
Allegany6,3393.277.4Strong
Howard21,2587.5817.4Strong
Calvert6,2835.987.3Strong
Washington11,8245.0177.3Strong
Baltimore64,8975.02077.3Strong
Carroll13,2396.3327.3Strong
Frederick17,8156.3257.2Strong
Montgomery77,9887.12317.1Strong
Worcester6,7125.687.1Strong
Dorchester3,1054.756.9Moderate
Queen Anne's4,4095.856.9Moderate
Talbot5,4025.256.8Moderate
Garrett2,9365.026.4Moderate
Somerset1,7101.726.3Moderate
Caroline2,3654.386.3Moderate
Kent2,3693.6105.8Moderate

Top cities for assisted living in Maryland

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

CityCountyHomesBedsAvg size
BaltimoreBaltimore City4583,5477.8
Silver SpringPrince George'S881,36915.6
BowiePrince George'S695487.9
RockvilleMontgomery3888023.2
RandallstownBaltimore331424.3
WaldorfCharles3030410.1
Upper MarlboroPrince George'S292077.1
ColumbiaHoward2774627.6
Glen BurnieAnne Arundel261385.3
Fort WashingtonPrince George'S231406.1
HyattsvillePrince George'S2225911.8
Ellicott CityHoward2157327.3
PasadenaAnne Arundel201859.3
LaurelPrince George'S1925613.5
ClintonPrince George'S181025.7
FrederickFrederick1783749.2
WestminsterCarroll1741924.6
AnnapolisAnne Arundel1752530.9
PotomacMontgomery1632020.0
GaithersburgMontgomery1625415.9

Frequently asked questions

What are the top markets for assisted living in Maryland?
The strongest Maryland markets on RAL Market Scout's opportunity scoring are Prince George's, Baltimore city, Charles, Wicomico, St. Mary's counties — based on 75+ demand and projected senior growth versus current bed supply.
Which Maryland city has the most assisted living homes?
Baltimore has the most, with 458 licensed assisted living homes (about 3,547 beds).
How much does assisted living cost in Maryland?
The median assisted living cost in Maryland is about $7,172 per month — above the national median.
How many assisted living homes are in Maryland?
Maryland has approximately 1,540 licensed assisted living homes serving 421,772 residents aged 75 and older.

See the full Maryland picture

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

Sources: Licensed-home and city counts from Maryland 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.