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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 approximately 28,900 assisted living communities with nearly 1 million licensed beds in the United States today. The average number of licensed beds in an assisted living community 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

  • 8.6% Northeast
  • 22.6% Midwest
  • 28.0% South
  • 40.8% West


  • 56% are chain-affiliated (an organization with two or more communities)
  • 42% 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:
    • 14.3% have a dementia care unit, wing or floor designated
    • 8.7% only serve adults with dementia 

Health Care Services

Percentage of assisted living communities that provide (by employees or arranged with an outside service provider) certain health care services: 

  • 83.6% pharmacy/pharmacist
  • 82.8% dietary and nutritional
  • 71.4% therapy (physical, occupational or speech)
  • 67.7% hospice
  • 66.1% skilled nursing
  • 55.0% mental health or counseling
  • 51.1% social work services