Continuing Care Retirement Communities (CCRCs) Market Size, Share, Growth, and Industry Analysis, By Type (For Profit and Non-Profit), By Application (Ages 60-75, 76-90 and >90), and Regional Forecast to 2035

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CONTINUING CARE RETIREMENT COMMUNITIES (CCRCS) MARKET OVERVIEW

The global Continuing Care Retirement Communities (CCRCs) Market size stood at USD 102.07 Billion in 2026 growing further to USD 150.31 Billion by 2035 at an estimated CAGR of 4.4% from 2026 to 2035.

Continuing Care Retirement Communities (CCRCs) Market includes senior living communities that offer a full continuum of accommodation and care services from independent living to assisted living to skilled nursing within the same campus environment, allowing aging residents to remain in one community as their care needs evolve. In 2025, there are more than 1,900 CCRCs operating in the United States with approximately 623,000 residents enrolled across these communities. Individual CCRCs commonly include an average of over 330 residential units, comprised of 231 independent living units, 34 assisted living beds, and 70 skilled nursing beds per community, demonstrating the multi-facility nature of the CCRC model. Independent living segments within CCRCs are among the most prevalent in terms of occupancy, regularly ranging around above 90% occupancy across operational facilities. CCRCs also represent a substantial employment sector with about 43% of staff working in direct health support professions such as nursing assistants, patient care aides, and orderlies. The CCRC model attracts aging seniors primarily aged over 60 years, with many residents living in independent living units for 10 to 12 years, followed by assisted living stays of 1 to 2 years and nursing care stays of 1 to 2 years, illustrating the full lifecycle service provision inherent in Continuing Care Retirement Communities (CCRCs) Market offerings.

In the United States CCRC landscape, approximately 1,900 to 2,000 Continuing Care Retirement Communities are present across 48 states plus the District of Columbia, with Alaska and Wyoming historically having none. Among these, the top 10 states by number of CCRCs include Pennsylvania (~195 facilities), Ohio (~150), California (~135), Illinois (~110), Florida (~105), Texas (~90), Kansas (~72), Idaho (~70), North Carolina (~62), and Virginia (~58). These states collectively contribute more than 50% of all CCRCs in the U.S., indicating geographical concentration in both Midwest and Northeast regions. In addition, CCRCs are widely distributed, from suburban to rural to urban areas, while approximately one-half of “true” CCRCs provide the complete continuum of care guaranteed by contractual obligations. Approximately 30 states host the majority of CCRCs included in national rankings and evaluations. The average age of CCRC residents in the U.S. is around 75 years, highlighting the focus on elderly populations nearing or in advanced stages of retirement life.

KEY FINDINGS

LATEST TRENDS

The Continuing Care Retirement Communities (CCRCs) Market continues to evolve based on shifting demographics, occupancy dynamics, and care preferences. Across the U.S., there are more than 1,900 CCRCs that collectively house approximately 623,000 residents who have chosen lifetime accommodation that integrates independent living, assisted living, and skilled nursing care on a single campus. Independent living components dominate resident populations, with over 80% of units typically occupied in these settings, establishing them as both a social living environment and a preparatory stage for further care as individuals age. Assisted living and memory care units within the CCRC ecosystem also show high utilization, with occupancy rates approaching above 87% in many donor facilities, indicating sustained demand for transitional care solutions as aging needs evolve. Furthermore, memory care units are emerging as one of the fastest absorbing segments within CCRCs, with a 5.3% absorption rate reported in the third quarter of 2024 higher than assisted living and nursing care absorption indicators signaling increased market focus on specialized dementia and memory care services.

The workforce backbone of CCRCs comprises primarily health support occupations, representing around 43% of total CCRC personnel, underscoring the labor intensity required to support daily care and operations. CCRCs also offer an extensive range of amenities and services, contributing to high resident retention and occupancy as communities strive to modernize living and care environments for older adults over age 60. Despite the broad industry presence, financial vulnerability remains a trend indicator; at least 16 CCRCs have filed for bankruptcy since 2020, placing strain on entrance fee models that require upfront deposits often ranging between hundreds of thousands to over a million dollars, illustrating inherent business model risks affecting long-term stability. The Continuing Care Retirement Communities (CCRCs) Market Trends highlight the dual dynamics of aging population demand paired with operational and financial challenges shaping the current and future market outlook.

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MARKET SEGMENTATION

The Continuing Care Retirement Communities (CCRCs) Market is segmented by Type and Application to reflect ownership models and demographic use. Segmentation allows industry analysts to assess where efficiencies, care preferences, and resident needs differ across organizational categories and age groups, providing deeper insights into service strategy and community design.

By Type

• For-Profit CCRCs: For-profit Continuing Care Retirement Communities typically emphasize operational scale and investor returns. In the United States, approximately 50% of true CCRCs that offer guaranteed continuum of care contracts operate under for-profit structures, serving a significant portion of the 1,900+ facilities nationwide. For-profit CCRCs often include multiple communities under shared corporate management and generally focus on broader geographic footprints across states such as Florida, Texas, and California where higher concentrations of seniors reside. These entities may serve hundreds to thousands of residents each, and workforce compositions within for-profit CCRCs reflect similar health support staffing proportions (~43%) as the broader CCRC market. Although occupancy rates in independent living segments exceed 90% in many facilities, for-profit CCRCs face challenges including 16 reported bankruptcies affecting several hundred families over recent years. For-profit segments also invest in memory care and assisted living capacities due to rising demand, with absorption rates in memory care reaching 5.3% in certain segments.
• Non-Profit CCRCs: Non-profit Continuing Care Retirement Communities comprise the other half of the market and are frequently affiliated with religious or charitable organizations. Around 50% of true CCRCs are connected to faith-based entities. Non-profit CCRCs typically serve a comparable number of residents as for-profit counterparts, commonly found in states like Pennsylvania and Ohio with high facility counts. Non-profit CCRCs tend to maintain steady occupancy in independent living and assisted living units — often reaching 87% and above — and focus on long-term resident care with community-centered service models. Median age of residents in these communities is around 75 years, aligning with national CCRC demographic trends. Non-profit models may also offer more attractive refund provisions and financial protections, influencing resident choice and retention. Non-profit CCRCs may receive philanthropic support to enhance amenities and subsidize care for lower-income seniors, thereby extending access across broader socioeconomic groups. In states like Florida, over 70% of CCRCs are non-profit, indicating a dominant non-profit presence within regional markets. Non-profit CCRCs also employ staff across health support, clinical, and administrative functions in numbers that mirror or exceed the national standard distribution within the broader CCRC workforce.

By Application

• Ages 60-75: CCRCs serving the 60 to 75 age group represent the earliest stage of resident entry and typically account for a large segment of independent living units, which compose over 70% of total residential capacity within communities. This cohort often chooses CCRCs for lifestyle, social activities, and forward-looking care provision. In independent living segments analyzed across facilities in the U.S., occupancy often exceeds 90.5%, underscoring strong demand among this age bracket for early retirement lifestyle transition into a community setting with built-in future healthcare access. Residents aged 60-75 commonly remain in independent living residences for 10 to 12 years before transitioning to higher care levels.
• Ages 76-90: The 76 to 90 age group is a core demographic within CCRCs, where residents frequently transition into assisted living and memory care services as health and care needs increase. Within this age application segment, assisted living units often maintain occupancy levels around 87.5%, indicating robust need for intermediate care support services. Memory care units also attract significant participation in this age band, with absorption rates in memory care reaching 5.3% in recent analyses — higher than both assisted living and nursing care in some geographies. CCRCs provide tailored care plans and workforce allocations to support this age application group, reflecting the complexity of care needs that emerge with advancing age.
• Ages >90: Residents aged over 90 years predominantly occupy the highest acuity care segments within CCRCs, including skilled nursing care and intensive memory care. While the number of units designated for this age group is smaller compared to other segments, demand remains significant due to rising life expectancy. Skilled nursing segments within CCRCs provide 24-hour clinical support and often serve residents over 90 with complex healthcare requirements. Occupancy rates for the highest care levels remain essential components of the CCRC application portfolio, ensuring older seniors can remain within a familiar community environment rather than transfer to external nursing facilities. CCRCs serving residents over 90 typically offer personalized care plans incorporating rehabilitative, medical, and palliative services, supported by health support staff.

MARKET DYNAMICS

Driver

Aging Population and Long‑Term Senior Housing Demand.

The Continuing Care Retirement Communities (CCRCs) Market continues to be driven by the rapid increase in older adult populations requiring comprehensive care solutions. In the United States alone, more than 75 million individuals are aged 60 and above, and this cohort increasingly prefers senior living models that offer a continuum of independent living to skilled nursing care in one community. Independent living units represent over 70% of total residential capacity in many communities, and such occupancy often exceeds 90%, reflecting strong sustained demand. Additionally, memory care components within CCRCs have shown absorption rates above 5% in recent evaluations, further indicating that residents are seeking environments that integrate healthcare support with lifestyle services. Workforce figures also highlight growth dynamics; about 43% of CCRC staff members are employed in direct health support roles, illustrating significant operational commitments to care provision and service scalability. These dynamics collectively reinforce the position of CCRCs as highly sought after in senior living portfolios, with high occupancy driving continual development of new units and expansion of existing campuses.

Restraint

Labor Shortages and Staffing Pressures Constraining Operations.

One significant restraint within the Continuing Care Retirement Communities (CCRCs) Market stems from ongoing workforce challenges and labor shortages in key caregiving roles. A majority of facility operators report that staffing remains one of the top budgetary hurdles, with experienced caregiving positions such as certified nursing assistants and specialized memory care aides often vacant due to insufficient labor supply. Reports indicate that vacancy rates for specialized caregiving positions can exceed 13%, which directly impacts service delivery and operational efficiency. This shortage influences waitlists, increases pressure on existing staff, and can delay transitions of residents from independent living to assisted care levels when required. Additionally, staffing pressures contribute to increased operational costs, as communities must compete for a limited pool of trained professionals. These restraints particularly affect CCRCs in suburban and rural locations where labor pools are smaller, leading to disparities in care quality and resident satisfaction metrics. As a result, the market faces limitations on expansion and service consistency unless the workforce supply improves through training programs and incentive structures.

Technology Integration and Smart Care Innovations.

Opportunity

The Continuing Care Retirement Communities (CCRCs) Market is also experiencing new opportunities driven by emerging technologies and smart care systems that enhance resident care and operational efficiencies. A growing number of communities are integrating digital health platforms, wearable monitoring systems, and predictive health analytics tools to support real‑time health tracking for residents. In many advanced CCRCs, adoption rates of smart resident monitoring devices exceed 75%, enabling better management of chronic conditions, quicker response times for emergencies, and enhanced quality of life for seniors. Telehealth services are being deployed in over 60% of larger senior networks, reducing unnecessary hospital transfers and improving coordination between onsite care teams and external clinicians. Furthermore, specialized care technologies within memory care units, such as AI‑assisted environment monitoring, have contributed to reductions in falls and critical incidents. These developments not only elevate service quality but also attract investors and stakeholders seeking sustainable and forward‑thinking senior living models. As competition increases, technology becomes a differentiator that expands market appeal and facilitates higher resident and family satisfaction scores.

Financial Sustainability and Entrance Fee Structures.

Challenge

A key challenge confronting the Continuing Care Retirement Communities (CCRCs) Market is financial sustainability tied to entrance fee models and long‑term operational funding. Many CCRCs require residents to pay substantial entrance fees—commonly in the hundreds of thousands to over a million dollars—in exchange for lifelong care access and accommodation. However, shifts in market conditions have led to financial instability for some communities, with a reported 16 CCRCs filing for bankruptcy in recent years, disrupting service continuity for over 1,000 families. This challenge highlights vulnerabilities in traditional financial models that depend on future resident inflows to fund ongoing care and capital improvements. In addition, economic fluctuations affect residents’ ability to commit to large upfront costs, resulting in slower admissions and extended waiting lists in some regions. These financial pressures also influence smaller, independent operators who lack diversified funding sources. The broad challenge in the market is balancing sustainable pricing structures that remain attractive to new residents while ensuring that service quality and facility upkeep are not compromised.

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REGIONAL OUTLOOK

Continuing Care Retirement Communities (CCRCs) Market Regional Performance:

The CCRC landscape shows significant variation across regions due to demographic patterns, healthcare infrastructure, cultural preferences, and senior care maturity. North America remains the most developed region with the largest proportion of CCRCs and highest resident uptake. Europe holds a solid share with established senior living traditions and government‑supported care systems. Asia‑Pacific is increasingly important due to rapid aging populations and shifting family care models in urban centers. The Middle East & Africa remains at an early stage with emerging demand among expatriate and affluent aging groups.

• North America

North America accounts for the largest share of the Continuing Care Retirement Communities (CCRCs) Market globally. The region hosts well over 1,900 CCRC facilities in the United States alone, compared with a far smaller number in Canada, establishing North America as the dominant market. States such as Pennsylvania, Ohio, California, and Florida together comprise more than 50% of all U.S. CCRCs, reflecting concentrated demand centers. Independent living units frequently report occupancy rates above 90.5%, assisted living segments near 87.5%, and memory care rooms regularly above 86%, underlining strong utilization across care levels. Urban and suburban zones host the majority of CCRCs, with an estimated 70% of communities located where access to healthcare and family networks is high. Workforce engagement levels in the region are substantial, with nearly 43% of staff employed in health support roles, emphasizing the operational intensity required to sustain care services. Through continued innovation in resident services and smart care integration, North America maintains robust performance and influence in the Continuing Care Retirement Communities (CCRCs) Market.

• Europe

Europe represents a mature and diversified portion of the Continuing Care Retirement Communities (CCRCs) Market, supported by widespread healthcare systems and established social care frameworks. Although specific counts of CCRC facilities are lower than in North America, the region sustains high levels of service provision, particularly in Western European countries where aging population segments exceed 20% of national populations aged 65 and above. Longstanding non‑profit and social housing operators contribute significantly to senior care, maintaining occupancy figures that rival North American averages in independent living and assisted formats. A notable portion of senior residents in European markets reside in structured community formats that integrate health support, lifestyle amenities, and transitional care models. Cultural emphasis on elder well‑being along with government regulatory frameworks facilitates continuity of care for residents as they age. European CCRCs often participate in collaborative networks with national health systems to optimize both clinical and non‑clinical services, resulting in comprehensive care delivery that appeals to retirees seeking secure living environments. Although demographic pressures vary by country, regions such as Scandinavia, the United Kingdom, France, and Germany maintain high demand for integrated senior living options, positioning Europe as a key regional contributor to the global Continuing Care Retirement Communities (CCRCs) Market.

• Asia‑Pacific

The Asia‑Pacific region is an emerging but rapidly expanding component of the Continuing Care Retirement Communities (CCRCs) Market. Driven by increasing life expectancy and urbanization trends in countries such as China, Japan, and South Korea, demand for structured senior living that integrates independent living and comprehensive care is rising. Although the total number of CCRCs in Asia‑Pacific is lower compared with North America and Europe, the pace of new developments and senior housing investments reflects shifting family dynamics where traditional multigenerational care models are evolving into professional care environments. Urban centers with dense populations aged over 65 years are becoming priority locations for CCRC construction. In addition, expanding middle‑income populations in countries such as India and Southeast Asia contribute to growing interest in quality senior living solutions. Service offerings in the region increasingly include on‑site healthcare coordination, memory care programs, and lifestyle amenities tailored to affluent retirees, which helps expand market appeal. As senior populations grow, the Asia‑Pacific region represents substantial opportunity for both local and international CCRC operators seeking to introduce advanced care delivery models and sustainable community concepts within evolving senior living ecosystems.

• Middle East & Africa

The Middle East & Africa region, while still early in the development of Continuing Care Retirement Communities (CCRCs), shows potential for future expansion as demographics gradually shift toward higher percentages of older adults in some countries. Expatriate populations and affluent local senior cohorts are beginning to demand Western‑style senior living models that offer integrated healthcare, lifestyle services, and long‑term accommodation. In Gulf Cooperation Council nations where healthcare infrastructure has seen notable growth, a small but growing number of high‑end senior living communities incorporate continuing care elements to attract retirees and long‑term residents. Cultural shifts toward professional elder living solutions, combined with government investments in healthcare and retirement planning, are stimulating interest in structured communities. Although the absolute number of dedicated CCRCs remains limited compared with other regions, nascent markets are emerging with residential complexes that emphasize independence, comfort, and medical support for residents over 60 years of age. These early developments suggest the Middle East & Africa region is poised to contribute a growing share of Continuing Care Retirement Communities (CCRCs) Market participation over coming years as awareness and demand rise among senior populations.

List Of Top Continuing Care Retirement Communities (Ccrcs) Companies

• Five Star Senior Living (U.S.)
• Econ Healthcare Group (Singapore)
• Manor Care (U.S.)
• Benesse Style Care (Japan)
• Kindred Healthcare (U.S.)
• Care well-Service (Japan)
• HC-One Ltd. (U.K.)
• Golden Care Group (U.K.)
• Sunrise Senior Living (U.S.)
• ApnaCare Latin America (U.S.)
• Brookdale Senior Living (U.S.)
• Genesis HealthCare (U.S.)
• Holiday Retirement (U.S.).

Top 2 Companies With Continuing Care Retirement Communities (Ccrcs) Market Share:

• Brookdale Senior Living (U.S.) — Largest senior living operator in the United States with over 623 facilities and a resident base exceeding 60,000 in senior housing and CCRC environments.
• Sunrise Senior Living (U.S.) — Operates more than 270 independent living, assisted living, and memory care communities across the U.S. and Canada, ranking among the top providers in senior living and CCRC‑related care services.

INVESTMENT ANALYSIS AND OPPORTUNITIES

Investment dynamics in the Continuing Care Retirement Communities (CCRCs) Market reflect structured demand driven by demographic trends and evolving care preferences among aging populations. With North America housing nearly 50% of CCRCs globally, investor interest remains high for senior living assets that combine residential capacity with continuum care delivery. Independent living units represent over 70% of total residential inventory in many communities, and high occupancy rates above 90% indicate stable underlying demand. As memory care absorption rates have reached above 5% in recent analyses, specialized care segments represent profitable niches for investment. Additionally, entrance fee models that require upfront commitments from residents—often in the hundreds of thousands to over a million dollars — create long‑term capital inflows that support operational expansion and facility improvements. Institutional investors manage a substantial proportion of senior living facilities, and technology enhancements such as wearable health monitors and digital service platforms are adding efficiency gains attractive to capital deployment. Regions such as Asia‑Pacific are emerging as opportunity zones, particularly in urban centers where aging populations are underserved by traditional care networks. Private equity interest in CCRCs has increased, with the top five sector players controlling a meaningful portion of beds, indicating consolidation opportunities. Furthermore, partnerships between CCRCs and health systems to integrate acute and post‑acute services are creating value propositions that appeal to both investors and consumers seeking comprehensive care solutions.

NEW PRODUCT DEVELOPMENT

Innovation in the Continuing Care Retirement Communities (CCRCs) Market is increasingly focused on resident experience improvements and technological integration. A growing number of communities are adopting smart monitoring systems that track resident vitals and mobility indicators in real time, with over 70% of modern facilities deploying wearable health technology to enhance safety and personalized care. Telehealth platforms are also being integrated, enabling remote consultations with physicians and specialists while reducing the need for external medical appointments. Another key area of new product development is memory care technology; advanced sensor networks and AI‑assisted safety systems are being rolled out in more than 60% of high‑end CCRCs, delivering precision supervision and tailored cognitive support programs. Lifestyle‑centric innovations include digital community engagement tools that connect residents with activities, social groups, and family members, leading to greater resident satisfaction and retention. Additionally, modular design solutions that allow flexible reconfiguration of living spaces including adaptable units for changing mobility needs are increasingly offered, enhancing resident comfort and long‑term usability of facilities. These innovations combined with enhanced service delivery models contribute to a differentiated market proposition for CCRCs.

FIVE RECENT DEVELOPMENTS (2023‑2025)

• In 2025, a major national senior living network expanded its footprint by acquiring three senior living campuses with integrated care programs, adding hundreds of new CCRC units to its portfolio.
• In 2024, a leading senior living operator launched a real‑time monitoring platform across over 100 communities, enhancing staff workflows and resident alert systems.
• During 2023, several flagship CCRCs enhanced memory care infrastructure, adding specialized dementia support units that increased memory care capacity by more than 15% in selected communities.
• A prominent senior living service provider integrated advanced telehealth systems into over 50% of its properties, enabling remote specialist consultations and chronic condition monitoring.
• Continued strategic partnerships between senior living networks and major healthcare providers resulted in integrated acute care delivery options in amenities across more than 60% of large senior living campuses.

REPORT COVERAGE

The Continuing Care Retirement Communities (CCRCs) Market Report encompasses a broad scope of senior living industry insights, capturing detailed analyses by type, application, regional outlook, and competitive landscape. The coverage quantifies facility counts, resident demographics, labor compositions, and occupancy levels across major regions, ensuring data‑driven decision frameworks for stakeholders. The report includes segmentation by ownership structure (for‑profit vs non‑profit) and age application (ages 60‑75, 76‑90, and over 90), each supported by occupancy and utilization figures that show distinct behavior profiles. Geographic distributions highlight regional shares with North America leading in unit concentration and Europe, Asia‑Pacific, and the Middle East & Africa emerging in varied growth patterns. The report outlines market dynamics including drivers such as aging population demand and challenges like staffing shortages. Investment flows, technology adoption rates, and competitive positioning of key providers are detailed with numerical indicators to support strategic planning and operational benchmarking. Across the spectrum, the report delivers comprehensive data and insights tailored for B2B audiences seeking Continuing Care Retirement Communities (CCRCs) Market Research Report, Market Analysis, and Market Insights.