The senior home care industry continues to expand as demand for aging-in-place solutions accelerates across the United States. Franchise systems in this sector vary widely—from non-medical home care to medical support, senior placement services, and adult day programs—making it essential to compare brands on clear financial and operational criteria.
This ranking identifies the top senior-home franchises using a balanced scoring model that equally weighs payback period, profitability, startup investment, three-year network growth, and total operating units. The result highlights the brands that combine strong financial performance with scale, stability, and consistent expansion.
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578
$117,000 - $188,000
$891,000
373
$132,000 - $235,000
$355,000
275
$90,000 - $254,000
$1,022,000
201
$65,000 - $136,000
$192,000
7
$847,000 - $1,387,000
$1,042,000
Comfort Keepers offers in-home care services for seniors and individuals needing assistance with daily living activities, promoting independence and quality of life.
KEY FRANCHISE STATS
All you need to know about this franchise
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$891,000
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n.a.
What WE LIKE
Here's the rationale for our score
What they do: A leading in-home senior care franchise offering personal care, companionship, and specialized dementia support.
Why it ranks highly: Comfort Keepers combines one of the fastest payback profiles (0.17x) with a large, mature network (578 units), stable growth, and a relatively low average investment for the sector.
Key drivers
BrightStar Care provides in-home healthcare services, including skilled nursing, personal care, and companionship, to individuals of all ages.
KEY FRANCHISE STATS
All you need to know about this franchise
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$355,000
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n.a.
What WE LIKE
Here's the rationale for our score
What they do: A full-service medical and non-medical home care brand serving seniors requiring clinical, skilled nursing, and companion services.
Why it ranks highly: BrightStar has an attractive 0.52x payback, a large footprint, and steady system growth, with a moderate investment level.
Key drivers
Always Best Care is a senior care franchise offering in-home care, assisted living placement, and skilled home health care services.
KEY FRANCHISE STATS
All you need to know about this franchise
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$1,022,000
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n.a.
What WE LIKE
Here's the rationale for our score
What they do: Provides non-medical in-home care, assisted living placement services, and skilled home health in certain markets.
Why it ranks well: Strong 0.17x payback, a large national network, and solid franchisee growth position it among the top operators.
Key drivers
CarePatrol is a senior care franchise that assists families in finding appropriate senior living options based on their specific needs and preferences.
KEY FRANCHISE STATS
All you need to know about this franchise
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$192,000
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29.1%
What WE LIKE
Here's the rationale for our score
What they do: A senior placement and advisory service helping families find assisted living, memory care, and nursing home solutions.
Why it ranks well: CarePatrol benefits from high profitability (29.1%), a competitive payback period, and moderate investment.
Key drivers
Town Square provides an innovative senior care environment designed to support individuals with Alzheimer’s and other forms of dementia. Through reminiscence therapy and engaging activities, Town Square enhances the quality of life for seniors and their families.
KEY FRANCHISE STATS
All you need to know about this franchise
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$1,042,000
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15.5%
What WE LIKE
Here's the rationale for our score
What they do: A reminiscence-therapy-based adult day care model designed for seniors with cognitive decline.
Why it ranks well: Town Square posts solid profitability and exceptional reported growth, though its investment requirement is higher and network scale remains small.
Key drivers
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