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