Demand, supply, and opportunity for small assisted living homes in Smith County — from the RAL Market Scout dataset.
Updated July 2026
Smith County, TX scores 8.1/10 (Strong) for assisted living opportunity. It has 17,697 residents aged 75+, growing 10.9%, against 21 licensed homes — a strong small-home market on RAL Market Scout's demand-vs-supply scoring.
Opportunity score
8.1/10
Strong
Population 75+
17,697
10.9% growth
Licensed homes
21
current supply
Demand rating
5.9/10
Moderate
Why Smith County ranks here
Smith County scores 8.1/10 (Strong) because its 17,697 seniors 75+ are growing 10.9% against just 21 licensed homes, with referral capacity of 3.2 per 1,000 seniors from nearby hospitals, hospice, and home-health agencies. A senior median income of $56,418 and median home value of $240,700 signal the local private-pay base.
Smith County demand & supply detail
Population 75+
17,697
75+ growth (10-yr)
10.9%
Dementia prevalence (65+)
8.0%
Licensed assisted living homes
21
Referral facilities nearby (hospital · hospice · SNF · home health · FQHC)
AZALEA TRAILS ASSISTED LIVING AND MEMORY CARE COMMUNITY
TYLER
54
MEADOW LAKE ASSISTED LIVING COMMUNITY
TYLER
54
BROOKDALE TYLER EAST
TYLER
50
OAK HILLS TERRACE MEMORY CARE
TYLER
48
REUNION INN ASSISTED LIVING, LLC
TYLER
40
Frequently asked questions
How many assisted living homes are in Smith County?
Smith County has 21 licensed assisted living homes, serving 17,697 residents aged 75 and older.
Is Smith County a good market for assisted living?
Smith County scores 8.1 out of 10 (Strong) on RAL Market Scout, which weighs 75+ demand and projected senior growth against current bed supply. Its 75+ population is growing 10.9%.
How fast is the senior population growing in Smith County?
The 75+ population in Smith County is projected to change 10.9% over the coming decade, with dementia prevalence around 8.0% of seniors 65+.
Go deeper on Smith County
RAL Market Scout maps demand and supply down to the ZIP and builds a full site report for any specific address in Smith County.
Sources: Licensed-home count from the Texas state roster (RAL Market Scout pipeline). 75+ population, growth, income, and home value from U.S. Census ACS. Dementia prevalence from CMS chronic-condition data. Opportunity score is RAL Market Scout's model. Snapshot: 2026-07. Informational only — not legal, financial, or investment advice.