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RAL MARKET SCOUT Top assisted livingmarkets in Pennsylvania 996 licensed homes · Monroe County is #1 ralmarketscout.com
Pennsylvania · RAL Market Report

Best places to open an assisted living home in Pennsylvania

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

Updated July 2026
The top markets for assisted living in Pennsylvania right now are Monroe, Franklin, Pike counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 996 licensed assisted living homes serving 1,053,408 residents aged 75+, at a median cost of about $6,480/mo.
Licensed homes
996
state roster
Population 75+
1,053,408
ACS
Median AL cost
$6,480/mo
near the national median
Bed supply
59.7/1k
saturated supply

Top 10 markets for assisted living in Pennsylvania

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. Monroe Countyopportunity 6.0/10 (Moderate); 12,173 seniors 75+, growing 12.9%, with 7 licensed homes.
  2. Franklin Countyopportunity 6.0/10 (Moderate); 13,696 seniors 75+, growing 2.1%, with 19 licensed homes.
  3. Pike Countyopportunity 5.9/10 (Moderate); 6,009 seniors 75+, growing 25.3%, with 5 licensed homes.
  4. Adams Countyopportunity 5.9/10 (Moderate); 9,308 seniors 75+, growing 8.8%, with 7 licensed homes.
  5. Crawford Countyopportunity 5.9/10 (Moderate); 7,808 seniors 75+, growing 12.8%, with 2 licensed homes.
  6. Beaver Countyopportunity 5.9/10 (Moderate); 15,425 seniors 75+, growing -2.2%, with 10 licensed homes.
  7. Blair Countyopportunity 5.9/10 (Moderate); 10,844 seniors 75+, growing -3.9%, with 14 licensed homes.
  8. Dauphin Countyopportunity 5.9/10 (Moderate); 21,071 seniors 75+, growing 11.3%, with 20 licensed homes.
  9. Carbon Countyopportunity 5.9/10 (Moderate); 5,768 seniors 75+, growing 5.5%, with 5 licensed homes.
  10. Washington Countyopportunity 5.9/10 (Moderate); 18,760 seniors 75+, growing 3.2%, with 11 licensed homes.

All Pennsylvania counties by market opportunity

CountyPop 75+DemandHomesMarketBand
Monroe12,1735.676.0Moderate
Franklin13,6963.8196.0Moderate
Pike6,0096.955.9Moderate
Adams9,3083.875.9Moderate
Crawford7,8085.625.9Moderate
Beaver15,4253.6105.9Moderate
Blair10,8443.2145.9Moderate
Dauphin21,0715.8205.9Moderate
Carbon5,7684.455.9Moderate
Washington18,7603.9115.9Moderate
Indiana6,9933.8135.9Moderate
Philadelphia92,8654.4445.8Moderate
Berks32,8165.4265.8Moderate
Luzerne28,0123.6235.8Moderate
Chester39,7686.4495.8Moderate
Centre10,4294.6155.8Moderate
Clearfield7,1743.265.8Moderate
Erie21,1994.2215.8Moderate
Wayne5,2594.835.8Moderate
Butler16,5075.4215.8Moderate
Westmoreland35,5254.6415.8Moderate
Armstrong6,3983.8115.8Moderate
York35,9295.8295.8Moderate
Cambria12,8943.6225.7Moderate
Bucks54,8916.0475.7Moderate
Schuylkill12,6304.255.7Moderate
Lebanon12,9355.0145.7Moderate
Lycoming9,5903.4145.7Moderate
Lawrence8,3993.285.7Moderate
Fayette11,5843.3205.7Moderate
Lehigh28,0735.2325.7Moderate
Lackawanna18,9964.4145.7Moderate
Allegheny102,9404.61005.7Moderate
Delaware40,8534.8355.6Moderate
Venango4,8993.775.6Moderate
Cumberland21,9195.8215.6Moderate
Northampton28,1325.4275.6Moderate
Columbia5,4593.435.6Moderate
Northumberland8,4162.8145.5Moderate
Somerset7,3362.9105.5Moderate
Mercer10,9634.2155.5Moderate
Montgomery69,6925.6645.4Moderate
Perry3,6153.915.4Moderate
Bradford5,7043.665.3Moderate
Lancaster49,4076.3505.3Moderate
Susquehanna3,9702.925.2Moderate
Greene2,7612.845.2Moderate
Mifflin4,5133.425.1Moderate
McKean3,4283.135.1Moderate
Huntingdon4,1503.435.1Moderate
Warren3,9393.255.1Moderate
Bedford4,9372.435.0Moderate
Jefferson4,0023.265.0Moderate
Tioga4,1113.434.9Moderate
Snyder3,6244.614.8Moderate
Elk3,0873.414.7Moderate
Clarion3,1452.444.6Moderate
Clinton3,2153.334.6Moderate
Wyoming2,4384.814.5Thin
Montour1,7662.844.3Thin
Union3,9444.854.2Thin
Potter1,7603.414.2Thin
Juniata2,1462.854.2Thin
Fulton1,4804.703.8Thin
Sullivan7544.20
Cameron5253.01
Forest6503.20

Top cities for assisted living in Pennsylvania

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

CityCountyHomesBedsAvg size
Philadelphia44214,900,0004884090.9
Pittsburgh38312,900,0008234210.5
Allentown16137,900,0008618750.0
York16146,900,0009181250.0
Lancaster1576,500,0005100000.0
Erie15116,100,0007740000.0
Harrisburg1479,600,0005685714.3
Bethlehem13114,700,0008823076.9
Chambersburg1045,100,0004510000.0
Mechanicsburg10115,800,00011580000.0
Uniontown934,400,0003822222.2
Indiana931,200,0003466666.7
West Chester974,600,0008288888.9
Langhorne917,600,0001955555.6
Johnstown943,400,0004822222.2
Greensburg860,000,0007500000.0
Williamsport837,400,0004675000.0
State College858,000,0007250000.0
Reading874,600,0009325000.0
Lebanon836,000,0004500000.0

Frequently asked questions

What are the top markets for assisted living in Pennsylvania?
The strongest Pennsylvania markets on RAL Market Scout's opportunity scoring are Monroe, Franklin, Pike, Adams, Crawford counties — based on 75+ demand and projected senior growth versus current bed supply.
Which Pennsylvania city has the most assisted living homes?
Philadelphia has the most, with 44 licensed assisted living homes (about 214,900,000 beds).
How much does assisted living cost in Pennsylvania?
The median assisted living cost in Pennsylvania is about $6,480 per month — near the national median.
How many assisted living homes are in Pennsylvania?
Pennsylvania has approximately 996 licensed assisted living homes serving 1,053,408 residents aged 75 and older.

See the full Pennsylvania picture

RAL Market Scout scores every county and ZIP in Pennsylvania 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 Pennsylvania 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.