Tennessee · RAL Market Report

Best places to open an assisted living home in Tennessee

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

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

Updated July 2026

The top markets for assisted living in Tennessee right now are Maury, Williamson, Shelby counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 330 licensed assisted living homes serving 476,760 residents aged 75+, at a median cost of about $5,845/mo.

Licensed homes

330

state roster

Population 75+

476,760

ACS

Median AL cost

$5,845/mo

below the national median

Bed supply

36.5/1k

moderate supply

Top 10 markets for assisted living in Tennessee

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.

Maury County — opportunity 8.7/10 (Strong); 6,839 seniors 75+, growing 23.9%, with 9 licensed homes.
Williamson County — opportunity 8.5/10 (Strong); 14,879 seniors 75+, growing 39.6%, with 16 licensed homes.
Shelby County — opportunity 8.4/10 (Strong); 50,739 seniors 75+, growing 7.0%, with 32 licensed homes.
Rutherford County — opportunity 8.3/10 (Strong); 14,791 seniors 75+, growing 25.2%, with 13 licensed homes.
Davidson County — opportunity 8.3/10 (Strong); 34,679 seniors 75+, growing 6.6%, with 28 licensed homes.
Sevier County — opportunity 8.3/10 (Strong); 7,839 seniors 75+, growing 9.9%, with 3 licensed homes.
Washington County — opportunity 8.2/10 (Strong); 10,468 seniors 75+, growing 10.6%, with 6 licensed homes.
Blount County — opportunity 8.2/10 (Strong); 12,034 seniors 75+, growing 14.2%, with 6 licensed homes.
Montgomery County — opportunity 8.2/10 (Strong); 8,331 seniors 75+, growing 20.5%, with 6 licensed homes.
Knox County — opportunity 8.2/10 (Strong); 32,218 seniors 75+, growing 10.5%, with 33 licensed homes.

All Tennessee counties by market opportunity

County	Pop 75+	Demand	Homes	Market	Band
Maury	6,839	6.2	9	8.7	Strong
Williamson	14,879	6.9	16	8.5	Strong
Shelby	50,739	4.9	32	8.4	Strong
Rutherford	14,791	6.9	13	8.3	Strong
Davidson	34,679	4.4	28	8.3	Strong
Sevier	7,839	4.1	3	8.3	Strong
Washington	10,468	6.0	6	8.2	Strong
Blount	12,034	5.1	6	8.2	Strong
Montgomery	8,331	5.4	6	8.2	Strong
Knox	32,218	5.4	33	8.2	Strong
Anderson	6,520	4.3	5	8.2	Strong
Madison	7,022	4.9	6	8.1	Strong
Bradley	7,885	5.0	7	8.1	Strong
Cumberland	8,604	5.8	4	8.1	Strong
Greene	6,470	4.4	2	8.1	Strong
Sullivan	15,381	4.2	12	8.1	Strong
Putnam	5,474	3.4	4	8.0	Strong
Wilson	9,897	6.5	7	8.0	Strong
Loudon	6,627	6.2	5	8.0	Strong
Monroe	4,233	6.2	2	8.0	Strong
Hamilton	28,821	5.4	20	7.8	Strong
Hawkins	5,191	5.1	1	7.8	Strong
Sumner	13,574	6.0	17	7.8	Strong
Roane	5,261	4.8	2	7.8	Strong
Hamblen	4,829	4.6	1	7.7	Strong
Robertson	4,126	3.1	5	7.6	Strong
Carter	5,451	5.3	1	7.5	Strong
Jefferson	4,745	4.9	2	7.5	Strong
Tipton	3,639	3.3	2	7.4	Strong
Cocke	3,174	4.3	1	7.4	Strong
Warren	3,010	4.1	4	7.3	Strong
Cheatham	2,361	5.3	0	7.3	Strong
Dickson	3,462	3.7	2	7.3	Strong
McMinn	4,580	4.5	4	7.3	Strong
Marshall	2,296	4.9	1	7.3	Strong
Fayette	3,893	6.2	2	7.3	Strong
Bedford	3,246	3.9	3	7.3	Strong
Franklin	3,729	5.6	3	7.2	Strong
Scott	1,552	4.6	0	7.2	Strong
Hickman	1,702	3.1	0	7.2	Strong
Marion	2,300	3.7	4	7.2	Strong
Rhea	2,579	4.1	1	7.2	Strong
Dyer	2,620	2.3	1	7.2	Strong
Grainger	2,127	4.9	0	7.2	Strong
Lawrence	3,370	3.3	3	7.2	Strong
Henry	3,121	3.4	2	7.1	Strong
Chester	1,276	3.9	1	7.1	Strong
McNairy	2,291	3.7	1	7.0	Strong
Jackson	1,032	3.1	1	7.0	Strong
Claiborne	2,538	4.3	1	7.0	Moderate
Union	1,432	4.3	0	6.9	Moderate
Gibson	3,700	3.4	4	6.9	Moderate
Campbell	3,519	3.9	0	6.9	Moderate
Unicoi	1,734	3.7	1	6.9	Moderate
Giles	2,602	4.1	1	6.9	Moderate
Obion	2,692	3.3	3	6.9	Moderate
Coffee	4,438	4.9	5	6.9	Moderate
Fentress	1,778	7.3	0	6.8	Moderate
Meigs	1,082	5.9	0	6.8	Moderate
White	2,331	3.1	1	6.8	Moderate
Hardin	2,744	4.1	1	6.8	Moderate
Lincoln	2,896	3.4	1	6.8	Moderate
Hardeman	1,976	3.9	0	6.8	Moderate
Decatur	1,101	2.7	1	6.7	Moderate
Carroll	2,405	3.3	1	6.7	Moderate
Lewis	1,062	4.3	0	6.6	Moderate
Haywood	1,389	5.2	2	6.6	Moderate
Henderson	2,143	3.3	3	6.6	Moderate
Polk	1,537	4.3	0	6.6	Moderate
Smith	1,301	2.9	1	6.6	Moderate
Weakley	2,517	3.1	1	6.5	Moderate
DeKalb	1,500	3.3	2	6.5	Moderate
Benton	1,607	3.1	0	6.4	Moderate
Johnson	1,774	4.8	0	6.4	Moderate
Macon	1,577	4.8	1	6.4	Moderate
Sequatchie	1,517	7.0	0	6.4	Moderate
Cannon	1,045	3.3	1	6.4	Moderate
Overton	1,821	3.6	0	6.3	Moderate
Grundy	1,185	4.1	2	6.3	Moderate
Lauderdale	1,650	3.8	1	6.2	Moderate
Morgan	1,547	4.1	0	6.2	Moderate
Wayne	1,311	3.3	1	6.2	Moderate
Bledsoe	1,337	6.5	0	5.9	Moderate
Stewart	1,161	5.6	0	5.8	Moderate
Crockett	1,098	3.0	0	5.7	Moderate
Humphreys	1,687	4.7	1	5.5	Moderate
Houston	686	2.8	0	—	—
Perry	856	6.2	0	—	—
Hancock	552	2.9	0	—	—
Lake	432	3.1	0	—	—
Moore	623	6.3	0	—	—
Clay	820	3.9	0	—	—
Trousdale	532	4.1	1	—	—
Pickett	616	4.6	0	—	—
Van Buren	621	7.3	0	—	—

Top cities for assisted living in Tennessee

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

City	Homes	Beds	Avg size
Knoxville	29	2,344	80.8
Nashville	20	1,855	92.8
Memphis	15	1,050	70.0
Chattanooga	12	955	79.6
Murfreesboro	11	726	66.0
Kingsport	11	722	65.6
Hendersonville	10	600	60.0
Franklin	9	811	90.1
Jackson	7	423	60.4
Cleveland	7	477	68.1
Johnson City	6	409	68.2
Brentwood	6	526	87.7
Clarksville	6	357	59.5
Maryville	6	372	62.0
Collierville	5	429	85.8
Germantown	5	388	77.6
Oak Ridge	5	335	67.0
Spring Hill	5	340	68.0
Ooltewah	5	369	73.8

Frequently asked questions

What are the top markets for assisted living in Tennessee?

The strongest Tennessee markets on RAL Market Scout's opportunity scoring are Maury, Williamson, Shelby, Rutherford, Davidson counties — based on 75+ demand and projected senior growth versus current bed supply.

Which Tennessee city has the most assisted living homes?

Knoxville has the most, with 29 licensed assisted living homes (about 2,344 beds).

How much does assisted living cost in Tennessee?

The median assisted living cost in Tennessee is about $5,845 per month — below the national median.

How many assisted living homes are in Tennessee?

Tennessee has approximately 330 licensed assisted living homes serving 476,760 residents aged 75 and older.

See the full Tennessee picture

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