Best places to open an assisted living home in Massachusetts
The top markets for residential assisted living in Massachusetts, ranked by demand versus supply — plus the cities where the homes are.
Updated July 2026
The top markets for assisted living in Massachusetts right now are Franklin, Hampshire, Plymouth counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 305 licensed assisted living homes serving 519,044 residents aged 75+, at a median cost of about $9,600/mo.
Licensed homes
305
state roster
Population 75+
519,044
ACS
Median AL cost
$9,600/mo
above the national median
Bed supply
26.2/1k
tight supply
Top 10 markets for assisted living in Massachusetts
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.
Franklin County — opportunity 9.6/10 (Strong); 6,389 seniors 75+, growing 15.4%, with 2 licensed homes.
Hampshire County — opportunity 9.3/10 (Strong); 12,240 seniors 75+, growing 17.2%, with 7 licensed homes.
Plymouth County — opportunity 9.0/10 (Strong); 42,878 seniors 75+, growing 16.8%, with 17 licensed homes.
Worcester County — opportunity 8.9/10 (Strong); 58,563 seniors 75+, growing 10.6%, with 43 licensed homes.
Bristol County — opportunity 8.7/10 (Strong); 42,388 seniors 75+, growing 5.6%, with 20 licensed homes.
Suffolk County — opportunity 8.7/10 (Strong); 42,794 seniors 75+, growing 6.5%, with 21 licensed homes.
Middlesex County — opportunity 8.6/10 (Strong); 112,383 seniors 75+, growing 7.6%, with 71 licensed homes.
Barnstable County — opportunity 8.6/10 (Strong); 32,727 seniors 75+, growing 18.3%, with 20 licensed homes.
Essex County — opportunity 8.6/10 (Strong); 61,819 seniors 75+, growing 10.4%, with 36 licensed homes.
Hampden County — opportunity 8.6/10 (Strong); 34,561 seniors 75+, growing 3.8%, with 20 licensed homes.
Where the homes actually are. Each linked city has its own page with local supply and market context.
City
County
Homes
Beds
Avg size
Boston
16
0
—
Worcester
13
0
—
Quincy
5
0
—
Northampton
5
0
—
Newton
5
0
—
Woburn
5
0
—
Plymouth
5
0
—
Danvers
5
0
—
Frequently asked questions
What are the top markets for assisted living in Massachusetts?
The strongest Massachusetts markets on RAL Market Scout's opportunity scoring are Franklin, Hampshire, Plymouth, Worcester, Bristol counties — based on 75+ demand and projected senior growth versus current bed supply.
Which Massachusetts city has the most assisted living homes?
Boston has the most, with 16 licensed assisted living homes (about 0 beds).
How much does assisted living cost in Massachusetts?
The median assisted living cost in Massachusetts is about $9,600 per month — above the national median.
How many assisted living homes are in Massachusetts?
Massachusetts has approximately 305 licensed assisted living homes serving 519,044 residents aged 75 and older.
See the full Massachusetts picture
RAL Market Scout scores every county and ZIP in Massachusetts 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 Massachusetts 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.