How a family actually searches for senior living
The search rarely starts with your name. It starts with a problem. Mom fell, or Dad's doctor said he can't live alone anymore, and a daughter opens her phone at 10 p.m. and types "assisted living near me". Google answers with a map and three profiles, and she taps the one with the best photos and the most recent reviews.
Over the next few days the searches narrow. "Assisted living Fort Collins." "Assisted living cost Colorado." "Does Medicaid pay for assisted living in Colorado." "What to ask on an assisted living tour." Somewhere in there she sees your community on a map or in a list, and she searches your name. If that search shows a profile with no photos, an old phone number and a 3.8 rating, it ends there.
So senior living SEO has four jobs. Show up for "near me". Show up for town plus care type. Answer the money and eligibility questions. And own your name, with a profile and a site that make a tired adult child feel she found the right place. Nearly all of it happens on a phone: 91% of U.S. adults own a smartphone, including 91% of those aged 50 to 64 and 79% of those 65 and older (Pew Research Center).
For the wider picture of channels and follow-up, see our senior living marketing guide. This post stays on search.
The three places you can show up
A results page for "assisted living" plus a town has three surfaces now, and each is decided by different things.
| Surface | What decides it | What you control |
|---|
| Map pack (three local listings) | Your Google Business Profile, your distance from the searcher, your reviews | Category, hours, photos, reviews, Q&A, the address on the profile |
| Organic results (the blue links) | Your website pages, their content and the links pointing to them | Care-type pages, town pages, guides, speed, structured data |
| AI answers (AI Overviews, AI Mode, ChatGPT) | The same pages, plus how directly they answer a question, plus mentions on other sites | Direct answers, clean headings, being listed by local sources |
Google says local results rest on three factors: relevance, distance and prominence (Google Business Profile Help). You can't move your building closer to the searcher. You can make the profile more relevant and the community more prominent, and that is most of the work. A good SEO and AI search program works all three surfaces at once, because they share the same inputs.
Google Business Profile is the biggest lever
If you do one thing after reading this, open your profile. Whitespark's 2026 Local Search Ranking Factors survey, which polls local SEO practitioners every year, puts the primary profile category as the single most important factor for ranking in the map pack. Proximity is second, and business hours, star rating and the number of text reviews are all in the top ten (Whitespark).
Categories and the name field
Pick "Assisted living facility" as the primary category if that is what you are. Add the secondary categories you honestly qualify for, such as "Retirement community". Don't add categories for services you don't offer. And leave the name alone: the Whitespark survey ranks keywords in the business title near the top, but that describes what works, not what is allowed. Communities that stuff "Assisted Living Fort Collins" into the name get suspended, and a suspended profile ranks nowhere.
Photos, posts, Q&A and hours
- Add real photos monthly: a resident room, the dining room at lunch, an activity, the entrance, staff. Forty current photos beat six stock images.
- Post twice a month. An open house, a new menu, a staff anniversary. Posts barely move rankings, but they show a family the place is alive.
- Seed the Q&A section with the questions you get on every tour call: "Do you accept Medicaid?", "Is there a waitlist?" Then answer them yourself.
- Keep hours accurate, holidays included. "Open at time of search" is a ranking factor in the Whitespark survey, and a profile showing "closed" at 7 p.m. loses the after-dinner searches.
Google is blunt about the limits: "There's no way to request or pay for a better local ranking on Google" (Google Business Profile Help). The profile is work, not a purchase. Our Google Business Profile service does that work monthly for communities with nobody to own it.
On-site basics that most community websites skip
The typical senior living website has one "Our Care" page that gives every care level two paragraphs. That page can't rank for anything, because Google can't tell what it is about. Fix the structure before you write another word.
One page per care type, one page per town
Assisted living gets its own page. Independent living gets its own page. Respite gets its own page. Each has one H1 naming the care type and the town, a plain description of who it is for and what is included, and a call button that works with one thumb. A group with homes in four towns needs four location pages, each with its own address, phone, photos and map. On a site we built for a four-home assisted living group in rural Colorado, each home got its own page, and the group is now #1 on Google for its name in every town it serves.
A pricing page with real ranges
Operators hate this one. Families search "assisted living cost" plus the town more than almost anything else, and a page that says "call for pricing" loses to the competitor that says "studios start at $4,200 a month, and care levels add $400 to $1,500". Give a range and explain what changes it. You get fewer calls from families who can't afford you and more from families who can.
A FAQ with real answers
Google retired the FAQ rich result on May 7, 2026 (Google Search Central), so FAQ markup no longer earns the expandable questions under your listing. Write the FAQ anyway. The questions are what families type into Google and ChatGPT, and the answers are what those systems quote.
Structured data
Add LocalBusiness structured data to each location page. Google requires the name and address and recommends telephone, coordinates, price range and opening hours (Google Search Central). It is a half-hour job for a developer. We go deeper on layout and calls to action in senior living website design; if the site itself is the problem, see websites.
Content that earns local rankings
Blog posts about "5 benefits of socialization for seniors" do nothing for you. Every community in the country has one, and no family searching for care reads it. The content that ranks locally answers the questions families in your state ask before they pick up the phone.
- A cost guide for your region. What assisted living costs here, what drives the range, what is included, what long-term care insurance covers.
- A state payment guide. How Medicaid or the state waiver works for assisted living in your state, who qualifies, how to apply, how long it takes. Most states have a program, almost no community explains it, and families search for it constantly.
- A "what to look for" guide. What to ask on a tour, how to read a state inspection report, how to compare a small home with a large campus.
The second one is the sleeper. For one Colorado client we built a Colorado Medicaid payment guide, and it ranks on page one of Google. It brings in families that other communities in the area never see, because they never wrote the page. Our Colorado page has more on that market.
Google's guidance for this kind of content asks whether it is "written or reviewed by an expert or enthusiast who demonstrably knows the topic well" (Google Search Central). Your executive director knows the Medicaid process better than any content writer. Interview her for an hour, write it up, put her name on it.
Reviews: how to get them and what to do with them
BrightLocal's 2026 Local Consumer Review Survey found 97% of U.S. consumers read online reviews for local businesses, 49% trust them as much as a personal recommendation, and 74% want reviews written in the last three months (BrightLocal). Google says "more reviews and positive ratings can help your business's local ranking" (Google Business Profile Help). Recency matters: a community with 80 reviews and nothing new since 2024 looks closed.
How to ask
- Ask at good moments: thirty days after move-in, after a family event, after a care conference that went well.
- Ask the adult child, not the resident. The daughter who visits on Sundays has a Google account and a phone; her mother may not.
- Send a text with the direct review link. Not an email, not a QR code on the front desk. A text, from a person, with one link.
- Never offer anything for a review, and never screen by asking "how was it?" first. Both break Google's rules.
How to respond
The same survey found 89% of consumers expect businesses to respond to reviews, and half are put off by templated replies. Respond to every review within a week, in a human voice, without sharing anything about a resident's care. For a bad one, thank them, say you want to understand what happened, and give a name and a direct number. Families reading it judge how you handle problems, not whether you have them.
Links from local sources
Google calls this prominence, and says links from other websites and mentions in articles and directories feed it (Google Business Profile Help). For a senior living community the links worth having are local and obvious, and most communities never ask for them.
- Your state assisted living association's member directory.
- The local hospital's discharge or community resources page.
- The county Area Agency on Aging, the senior center, the chamber of commerce.
- The local paper, when you host an event or hire a new executive director.
- A church, a home health agency, an elder law attorney you already refer families to.
Ten of these beat a hundred links from directories nobody visits. You already know most of these people. The ask is one line: "Would you add us to your resources page? Here is the link and a two-sentence description." Do two a month.
Technical health: speed, mobile, indexing
None of the above works if Google can't read the site or families give up waiting for it to load. Three checks cover most of it.
- Speed. Google recommends a Largest Contentful Paint under 2.5 seconds (web.dev). Most community sites miss it because of a 6 MB hero slider. Compress the photos, drop the slider, and the number usually fixes itself.
- Mobile. Google uses the mobile version of a site's content for indexing and ranking (Google Search Central). If the phone menu hides your care pages, Google sees what the phone sees.
- Indexing. Open Search Console, check the Pages report, and confirm every care-type page, location page and guide is indexed. Plenty of sites have their best pages blocked by a noindex tag left over from the redesign.
Add a sitemap, fix broken links, and use the same phone number on the site, the profile and every directory. That is the whole technical list for most communities. Nobody needs a 40-page audit.
AI search: what is different and what is not
Families ask AI assistants now. In a February 2026 Pew survey, 44% of U.S. adults said they had used ChatGPT, including 37% of those aged 50 to 64 and 19% of those 65 and older (Pew Research Center). BrightLocal found the share of consumers using ChatGPT and similar tools for local business recommendations jumped from 6% to 45% in a year (BrightLocal).
Almost nothing new is required. Google says there are "no additional requirements to appear in AI Overviews or AI Mode", and that traffic from them is counted inside the normal Search Console numbers (Google Search Central). Its May 2026 guide on generative AI features says it another way: "optimizing for generative AI search is optimizing for the search experience, and thus still SEO" (Google Search Central).
What changes is how plainly you have to write.
- Answer in the first sentence. Under a heading like "Does Medicaid pay for assisted living in Colorado?", the first sentence is the answer. AI systems lift that sentence and skip the warm-up.
- Keep the facts in text. Prices in a PDF, hours in an image, care levels in a video: none of that gets read. Put it in plain HTML on the page.
- Get listed by other sites. AI assistants lean on "best assisted living in [town]" lists, local news and association directories when they recommend a community. The local links above do double duty here.
A note on llms.txt, the proposed file that gives AI agents a summary of a site (llmstxt.org). Google says you "don't need to create new machine readable files, AI text files, markup, or Markdown" to appear in its AI features, and that Google Search ignores the file (Google Search Central). It takes ten minutes, does no harm, and other assistants may read it. Add one if you like. Don't expect it to do anything your care pages aren't already doing.
How long it takes and what to track
Profile changes show in weeks. New pages take two to four months to settle. A content program compounds over six to twelve. Two examples from our own work: a site built for a four-home assisted living group in rural Colorado moved from an average Google position of 15.4 to 9.9 in four months, with impressions up 35%. An independent home in a Colorado city went from 25.4 to 10.5 in three months, reached #1 for "assisted living" plus its town, and doubled its click-through rate. More in our case studies.
Track five numbers, monthly, in one sheet:
- Impressions and average position in Search Console, for the whole site and for "assisted living" plus town, "assisted living cost" plus town, and your name.
- Calls, direction requests and website clicks from the Business Profile performance report (Google Business Profile Help).
- New reviews this month and your current rating.
- Inquiries from organic search, which means call tracking on the site number and a source field on the form.
- Tours booked from those inquiries. The only one that pays the mortgage.
The last two are where most SEO reporting stops. An inquiry that reaches voicemail is a ranking you paid for and wasted. That is why we pair search with lead handling: a person answers within minutes and books the tour, so the ranking becomes a move-in.
A monthly checklist, and when to hire help
| Every month | Who | Time |
|---|
| Add 5 to 10 new photos to the Business Profile | Activities director | 20 min |
| Publish two profile posts | Marketing or ED | 20 min |
| Ask 5 families for reviews by text; respond to every new review | ED or sales | 1 hour |
| Check hours, phone and categories; answer new Q&A | Sales | 20 min |
| Request two local links | ED | 30 min |
| Publish or update one guide page | Marketing | 3 to 4 hours |
| Review Search Console positions, profile calls and tours | Owner or ED | 30 min |
| Spot-check speed and indexing | Web developer | 20 min |
That is about seven hours a month. A single community with an engaged executive director can do it in-house, and many do. You probably need help when you have more than one location, when the website needs rebuilding first, when nobody on the team can write the guides, or when inquiries from search arrive and go unanswered.
Care Growth is headquartered in Denver and works with assisted living communities across the country. We build the site, run the profile, write the guides and answer the calls, and we charge a fee per move-in rather than a retainer, with a 30-day move-out refund. To see where your community stands in search today, ask for a free growth audit.
Related: SEO & AI search · Google Business Profile · Websites · Lead handling · Senior living marketing guide · Senior living website design