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 Additional Sources


 NCAL Member Resources

​Upload your community's data to learn your occupancy rates and compare your performance to your AL peers.



 Number and Size of Communities


There are 30,200 assisted living communities with 1 million licensed beds in the United States today. The number of licensed beds within a community range from 4 to 499, and the average number of licensed beds is 33.1

Size of Communities: 48% 4-10 beds, 15% 11-25 beds, 30% 26-100 beds, 7% 100+ beds
 See state estimates for sizes of AL communities.


 Communities Makeup


​Regional Distribution

  • 8.2% Northeast
  • 21.8% Midwest
  • 28.1% South
  • 42.0% West


  • 56% are chain-affiliated (defined as a company with two or more communities)
  • 44% are independently-owned



Typical Services:

  • 24-hour supervision and assistance
  • exercise, health and wellness programs
  • housekeeping and maintenance
  • meals and dining services
  • medication management or assistance
  • personal care services (such as Activities of Daily Living [ADLs])
  • transportation

Tailored Communities

Some assisted living communities specialize in serving individuals with specific needs. These may include, but are not limited to, Alzheimer's disease or other forms of dementia (such as memory care units), intellectual and developmental disabilities, and particular medical conditions (e.g., Parkinson's disease) or other needs.

Percentage of assisted living communities that provide disease-specific programs:

  • Alzheimer’s disease or other dementias program: 58%
    • 12% have a dementia care unit, wing or floor designated
    • 10% only serve adults with dementia
  • Diabetes program: 58%
  • Cardiovascular program: 52%
  • Depression program: 48%

Coordinated Services

Assisted living does not directly provide certain health care services, but consistently works with other providers to offer these services:

  • 53.8% dental
  • 83.3% depression screening
  • 61.6% hospice
  • 52.1% mental health or counseling
  • 82.4% pharmacy/pharmacist
  • 73.8% podiatry
  • 59.0% skilled nursing
  • 69.0% therapy (physical, occupational or speech)



Harris-Kojetin L, Sengupta M, Park-Lee E, et al. Long-term care providers and services users in the United States: Data from the National Study of Long-Term Care Providers, 2013–2014. National Center for Health Statistics. Vital Health Stat 3(38). 2016.

Caffrey C, Harris-Kojetin L, Sengupta M. Variation in operating characteristics of residential care communities, by size of community: United States, 2014. NCHS data brief, no 222. Hyattsville, MD: National Center for Health Statistics. 2015.