Each month, we analyze online reputation performance across more than 200 senior living brands using our Senior Living Reputation (SLR) score. The goal isn’t just to identify who ranks highest; it’s to understand where momentum is building, where risk is accumulating, and what trends are shaping the competitive landscape.
March’s data reinforces a pattern that has been emerging since the start of the year:
The top tier remains remarkably stable, while the rest of the industry is quietly spreading out in both directions.
This month’s Top 10 reflects continued excellence from operators that have built strong, consistent reputation management practices across their portfolios.
While positions shifted slightly within the group, most of these brands have appeared near the top consistently over recent months. This is a powerful signal that reputation leadership is driven by sustained operational discipline rather than short-term fluctuations.
Breaking into this tier remains difficult, but not impossible. Brands that close KPI gaps across their communities can still move up quickly, but only if the KPIs are being measured and used for improvement.
Although the Top 10 itself remains relatively stable, the most interesting activity continues to occur just below it.
Several brands made meaningful upward moves over the past three months by strengthening performance across medium-scoring communities. This group is typically one KPI away from top-tier status.
At the same time, other operators experienced rank declines as pockets of weaker-performing locations accumulated. These shifts often happen gradually, without dramatic single-month drops, but compound over time.
Across all brands, average reputation performance has edged upward since January. This suggests that many operators are making progress in strengthening their online presence and review profiles.
However, that improvement is not evenly distributed.
Some brands are clearly pulling ahead, while others are struggling to maintain momentum. The result is a widening performance gap across the industry rather than a uniform lift.
One of the most significant trends emerging from the data is the growth of communities in the “medium” performance range (SLR scores between 75 and 90).
These communities typically have solid foundations, but have at least one KPI requiring attention. Most often, this is due to review recency, but could also be a sudden influx of negative reviews or a rating just below a desired threshold.
Because they sit on the edge of high performance, they represent the largest opportunity for improvement. Brands that actively address these gaps can move large portions of their portfolios upward relatively quickly.
Conversely, when these issues are left unaddressed, medium-performing communities are the ones most likely to drift into the low-performance category.
Perhaps the most concerning industry-wide trend is the steady growth in communities with low SLR scores (below 75).
These locations typically have multiple reputation gaps and are at higher risk of reduced visibility, lower trust from prospective residents, and weaker lead performance.
Importantly, this increase is happening even as overall averages improve, suggesting that gains at the top are occurring alongside growing challenges elsewhere.
In practical terms, the industry is not rising together. It is diverging.
Taken together, the data points to a market that is increasingly defined by execution.
Operators that consistently monitor performance, encourage feedback, and address issues proactively are strengthening their position month after month.
Those that do not may not experience immediate declines, but the gradual accumulation of weaker-performing communities can eventually impact brand perception and competitiveness.
In an environment where families rely heavily on online research to evaluate options, these differences matter more than ever.
This leaderboard provides a high-level view, but the underlying drivers of reputation performance are happening at the community level.
In upcoming analyses, we’ll take a deeper look at:
These deeper insights will help explain not just who is leading, but why.
Our rankings are based on the Senior Living Reputation (SLR) Scores of all communities in a brand. The SLR Score™ provides a simple, standardized way to measure a community’s Google review performance and understand how prospective families perceive a location. This reflects real-world decision-making behaviors and helps communities understand what prospective families see.
For more details on the SLR Score™ see our blog post here.
You can check out your brand’s ranking and performance against important review KPIs in our Senior Living Reputation Intelligence Center – or contact our team to learn how we can help you monitor and improve your on-line reputation.
* Note that the rankings and data associated with each brand are current as of March 1, 2026.
Cautionary tales where senior living communities shared the exact same Google rating but had dramatically different underlying reputation signals.
This month's Senior Living Reputation Leaderboard shows stability at the top, but quiet shifts across the industry.
