Emeritus Senior Living edged out Brookdale Senior Living this year for the top spot, both companies having jostled for No. 1 over the past few years. Emeritus, however, made a leap of more than 20,000 in its occupant capacity in the past year, likely due to its fourth quarter 2012 lease and ownership acquisition of 138 communities.
The remaining top contenders shuffled a bit, except for Sunrise Senior Living, Atria Senior Living, and Five Star Quality Care, which remained in slots Nos. 3, 4, and 5, respectively, again this year. No. 6 this year is Merrill Gardens, which switched places with Assisted Living Concepts, which comes in at No. 7.
Newcomers to the Top 40 this year include BMA Management, Bradley, Ill.; Milestone Retirement Communities, Vancouver, Wash.; and Saber Healthcare Group, Foothill Ranch, Calif.

Person-Centered Care Continues

A number of assisted living providers are taking on person-centered care models of care, including top dog Emeritus. The company says it is redesigning its memory care neighborhoods “to address stages of memory loss, incorporating new technology for resident socialization and family communication, including wireless technology, for operations and nursing.”
Americare, No. 17, reported that it is “very active in many aspects of the Pioneer Network.”
No. 2, Brookdale, is making ongoing renovations by adding units and revamping “physical plants and décor conducive to the needs of our resident and adult children populations.”
Similarly, No. 18, Trilogy Health Services, says it will remove nurse stations from all facilities, and “we continually strive to make our facilities feel more homelike.”
No. 21, Aegis Living, is “reviewing and updating our activities program and Life Skills Stations to increase benefit to residents and families.” 

Diversification On The Rise

Unsurprisingly, all of this year’s Top 40 providers offer dementia care among their services. What’s more, there are 36 that have independent living in their lineup of service/housing types, a jump of three from last year’s 33.
Also similar to last year among the Top 40 providers, 23 this year also offer nursing home care, compared with 24 companies that had traditional nursing home care in their business lines.
Last year’s Top 40 included 22 companies that offered post-acute care, compared with this year’s figure of 21.
Outpatient therapy is offered by 16 companies in this year’s Top 40, mostly by companies that have post-acute care services and/or buildings as well.
This year’s lineup represents a resident capacity of more than 240,000 and more than 2,900 buildings.
Provider’s 2013 Top 40 Largest Assisted Living Companies is ranked by occupant capacity as of Dec. 31, 2012.
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