Blog: Best PPC Agencies for Assisted Living in 2026 (Ranked and Reviewed)
Key Takeaways
- Assisted living demand is event-driven and semi-urgent. A fall, a discharge, or caregiver burnout pushes families to search and decide on a compressed timeline, so always-on, high-intent campaigns and fast speed-to-lead matter far more than slow-burn awareness plays. The agency’s job is to be present and convincing in the narrow window when a family is ready to act.
- Care level is the segmentation that makes or breaks ROI. Assisted living is not memory care and not skilled nursing, and budget bleeds away fast when campaigns blur them. Strong-fit agencies build separate campaigns, keywords, and landing pages for assisted living specifically and qualify inquiries by care need before they reach a sales team.
- Most assisted living is private-pay, so the click is only the start. Because families are often spending out of pocket, messaging and landing pages that set expectations on cost, care level, and availability up front filter out unqualified leads and protect budget against referral aggregators like A Place for Mom and Caring.com competing for the same head terms.
Table of Contents
Families rarely shop for assisted living on a whim. The search usually starts after a fall, a hospital discharge, or the slow realization that an aging parent can no longer manage daily activities safely alone, but still doesn’t need full skilled nursing. That makes assisted living paid search a distinct discipline: the intent is high, the timeline is compressed, the head terms are expensive, and national referral aggregators are bidding against every local community. This list ranks ten U.S. agencies running PPC for assisted living providers, judged on assisted living and broader senior care experience, depth of paid media capability, care-level campaign sophistication, measurable outcomes (qualified inquiries, tours, and move-ins), and reporting that ties spend to occupancy.
Top PPC Agencies for Assisted Living
| Rank | Agency | Year Established | Markets Served / Best For | Headquarters | Clutch Rating | Notable Clients | Content + Technical SEO? | Strategy + Implementation? | Dedicated Measurement Team? | Paid Media? | CRO? |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Cardinal Digital Marketing | 2009 | Multi-location & enterprise senior care | Atlanta, GA | N/A | Greater Good Health, Upperline Health | Yes | Yes | Yes | Yes | Yes |
| 2 | Conversion Logix | 2010 | Multifamily & senior living portfolios | Bothell, WA | N/A | Undisclosed | No | Yes | Yes | Yes | Yes |
| 3 | Silverback Strategies | 2007 | National senior living brands focused on occupancy | Washington, DC | 4.8 | U.S. News & World Report (Senior Living), New Perspective Senior Living | Yes | Yes | Yes | Yes | Yes |
| 4 | Senior Living SMART | 2012 | Multi-site senior living operators | Plymouth, MA | N/A | Undisclosed | Yes | Yes | No | Yes | Yes |
| 5 | Dreamscape Marketing | 2005 | Healthcare & senior living (SEO-first) | Columbia, MD | N/A | Brio Living Services | Yes | Yes | No | Yes | Yes |
| 6 | CCR Growth | N/A | Boutique & owner-operated communities | Carmel, CA | N/A | The Sonnet at Tennyson, Park View Estates | Yes | Yes | No | Yes | Yes |
| 7 | Timmermann Group | 2003 | Regional operators wanting creative-led support | St. Louis, MO | N/A | Lutheran Senior Services | Yes | Yes | No | Yes | Yes |
| 8 | Sixth City Marketing | 2010 | Single-community SMB operators | Westlake, OH | N/A | Kent State University | Yes | Yes | No | Yes | Yes |
| 9 | Mannix Marketing | 1996 | Local Northeast communities | Glens Falls, NY | N/A | Eddy Senior Living Communities | Yes | Yes | No | Yes | No |
| 10 | Golden Chapter Marketing | N/A | Single-location senior living communities | Denver, CO | N/A | PDR Senior Living | Yes | Yes | No | Yes | Yes |
1. Cardinal Digital Marketing
Best for Multi-Location and Enterprise Senior Care Operators
Founded: 2009
Headquarters: Atlanta, GA
Core Services: Paid search, paid social, programmatic display, SEO, web design, reputation management, CRO, analytics
Notable Clients: Greater Good Health, Upperline Health
About: Cardinal is a healthcare-only performance marketing agency, and senior care — assisted living, memory care, home care, and long-term care — is one of its core specialties. Its paid search practice is built for the care-level nuance assisted living demands, restructuring accounts around Smart Bidding and geo-targeting so local communities can reclaim admits that national brands and aggregators would otherwise capture.
Why they’re a strong fit: For large or fast-scaling operators that need PPC managed across dozens of communities by a team that lives in healthcare, Cardinal is a defensible first call. That healthcare-only focus is also the edge of their fit — operators wanting a channel-agnostic growth partner beyond the healthcare-acquisition playbook will want to weigh alternatives.
2. Conversion Logix
Best for Paid Media Plus Lead-Capture Software
Founded: 2010
Headquarters: Bothell, WA
Core Services: Paid search, paid social, display advertising, lead-capture software (The Conversion Cloud), attribution analytics (CLiQ)
Notable Clients: Undisclosed
About: Conversion Logix is a marketing-technology company serving multifamily and senior living, pairing display, paid search, and paid social with its Conversion Cloud lead-capture suite and CLiQ attribution platform. Its senior living case studies span single communities through national portfolios of 60-plus locations, though specific operators are not publicly named.
Why they’re a strong fit: Operators who want paid campaigns wired directly to on-site tour scheduling, AI chat, and unified attribution get a software-plus-services package well suited to the speed assisted living inquiries demand. Its multifamily roots and productized, platform-led approach are the narrower angle — communities wanting deep content SEO or a fully custom, consultative strategy may find it more templated.
3. Silverback Strategies
Best for Assisted Living Brands That Want PPC Measured Against Occupancy
Founded: 2007
Headquarters: Washington, DC
Core Services: Paid search, paid social, SEO, CRO, measurement, content marketing
Notable Clients: New Perspective Senior Living, Advanced Nursing & Home Support
About: Silverback is a performance marketing agency with long experience in healthcare and senior living, including work for U.S. News & World Report’s Senior Living vertical and New Perspective Senior Living. Its in-house teams run paid search and paid social across Google Search, Demand Gen, and Performance Max, reinforced by SEO, conversion rate optimization, and a dedicated measurement practice.
Why they’re a strong fit: Silverback treats assisted living paid media as an occupancy problem, not a traffic problem. Campaigns are segmented by care level so assisted living budget isn’t quietly consumed by memory-care or skilled-nursing searches, and the team runs more than 500 experiments a year — testing copy, bids, and landing pages — to learn what actually turns an anxious adult child into a booked tour and helps communities clear their occupancy targets. Because that experimentation is paired with reporting built around tours, move-ins, and cost per move-in, marketing leaders can justify spend to operators and finance in the language of census rather than clicks. For providers that need paid search held accountable to occupancy, Silverback combines full-funnel execution with a measurement depth most specialists don’t carry.
4. Senior Living SMART
Best for Inbound-Led, Multi-Site Operators
Founded: 2012
Headquarters: Plymouth, MA
Core Services: Inbound marketing, SEO, content, website design, marketing automation, paid search, paid social
Notable Clients: Undisclosed
About: Founded by former senior living operators, Senior Living SMART works only in this industry and leans on an inbound, HubSpot-centric model: content, SEO, website conversion, marketing automation, and paid campaigns aimed at weaning communities off costly third-party referral leads.
Why they’re a strong fit: Their operator’s-eye perspective and emphasis on owned pipeline suit multi-site providers willing to build demand over time. That inbound orientation is the narrower angle — for an assisted living operator whose pressing need is aggressive, care-level-segmented paid search at scale, PPC here is one instrument in a wider inbound program rather than the lead.
5. Dreamscape Marketing
Best for SEO-First Healthcare and Senior Living Web Presence
Founded: 2005
Headquarters: Columbia, MD
Core Services: SEO, PPC, web design, paid social, content marketing, marketing automation, CRO
Notable Clients: Brio Living Services
About: Now part of Unlock Health, Dreamscape is a healthcare digital marketing agency with an established senior living practice. Its center of gravity is SEO and conversion-built websites, with pay-per-click layered on and tuned for the sensitivities of healthcare-adjacent advertising.
Why they’re a strong fit: Communities that want a durable organic foundation and a high-converting site, with paid search supporting it, get a healthcare-seasoned partner. That SEO-and-website emphasis makes them a narrower fit for operators whose first priority is paid-media scale and aggressive bid management.
6. CCR Growth
Best for Boutique and Owner-Operated Communities
Founded: N/A
Headquarters: Carmel, CA
Core Services: SEO, paid media, website development, CRM & automation, content, sales enablement
Notable Clients: The Sonnet at Tennyson, Park View Estates
About: CCR Growth is a senior-living-exclusive demand generation agency that fuses marketing, sales, and business systems into one framework. Its work covers SEO, paid media, website development, CRM alignment, content, and automation, with named community case studies including The Sonnet at Tennyson and Park View Estates.
Why they’re a strong fit: Their performance-based, done-for-you model fits boutique and owner-operated assisted living communities that lack internal marketing muscle and want occupancy outcomes handled end to end — including the lead-to-tour follow-up where many small operators leak inquiries. The single-operator focus is the trade-off; larger portfolios may need more channel and measurement depth than a boutique engagement carries.
7. Timmermann Group
Best for Regional Operators Wanting Creative-Led Support
Founded: 2003
Headquarters: St. Louis, MO
Core Services: SEO, paid search, paid social, web design, branding, content, analytics
Notable Clients: Lutheran Senior Services
About: Timmermann Group is a full-service, award-winning digital agency whose senior living clients include Lutheran Senior Services. It offers SEO, paid search, paid social, web design, branding, content, and analytics, with a creative-forward, conversion-minded philosophy.
Why they’re a strong fit: Regional operators that want strong creative paired with paid search and conversion tracking will find a capable generalist. Because senior living is one vertical among many here, providers seeking a dedicated senior-care bench will weigh that against the creative strength.
8. Sixth City Marketing
Best for Single-Community SMB Operators
Founded: 2010
Headquarters: Westlake, OH
Core Services: SEO, PPC, web design, CRO, social media
Notable Clients: Kent State University
About: Sixth City Marketing is an ROI-focused, in-house agency offering SEO, PPC, web design, and CRO across many industries, with named clients such as Kent State University. It’s known for hands-on collaboration and transparent reporting.
Why they’re a strong fit: A single assisted living community on a tighter budget gets close, consultative PPC and SEO management without enterprise overhead. Its generalist, regional profile is the narrower fit — multi-location operators needing specialized senior care experience and high-volume media management may outgrow it.
9. Mannix Marketing
Best for Local Northeast Communities
Founded: 1996
Headquarters: Glens Falls, NY
Core Services: Web design, SEO, PPC, social media, email marketing
Notable Clients: Eddy Senior Living Communities
About: Mannix Marketing is a long-established, woman-owned web design and SEO agency that names senior living as a specialty and has worked with Eddy Senior Living Communities. Its services include website design, SEO, PPC, social media, and email marketing.
Why they’re a strong fit: Local communities that want a strong website and organic visibility, with geo-targeted paid search driving calls and tour requests, get a personalized regional partner. The web-and-SEO center of gravity makes paid media a supporting service here, which is the narrower edge for an operator wanting a PPC-first program.
10. Golden Chapter Marketing
Best for Single-Location Senior Living Communities
Founded: N/A
Headquarters: Denver, CO
Core Services: SEO, PPC, branding, web design, social media
Notable Clients: PDR Senior Living
About: Golden Chapter Marketing is a senior-living-exclusive boutique offering SEO, PPC, branding, web design, and social media, with named clients such as PDR Senior Living. Its PPC work emphasizes high-intent keywords, compliant ad copy, and conversion-focused landing pages with full call and form tracking.
Why they’re a strong fit: Single-location communities that want a senior-living-only partner and close, founder-accessible service will value the focus and the attention to call tracking that assisted living lead handling requires. As a boutique, it’s a narrower fit for large multi-state portfolios that need dedicated measurement teams and high-volume media management.
What Makes a Great Assisted Living PPC Agency?
The strongest assisted living PPC partners start from a single insight: this is a high-stakes, compressed-timeline decision, not a casual purchase. They build campaigns that stay present for event-driven searches — “assisted living near me,” “assisted living after hospital discharge,” “assisted living with respite care” — and they obsess over speed-to-lead, because a family in crisis will tour and deposit with whoever responds first and clearly. Just as important, they architect campaigns by care level, keeping assisted living budget separate from memory care and skilled nursing so spend isn’t wasted on the wrong intent and so leads arrive pre-qualified by care need.
A great agency also understands the economics families are walking into. Because assisted living is largely private-pay, ad copy and landing pages have to set honest expectations about cost, care level, and availability — that transparency suppresses junk leads and lifts conversion among families who can actually move forward. And they treat referral aggregators as the real competition for the head terms, using long-tail intent, tight radius targeting, and conversion-optimized community pages to win inquiries back into the operator’s own funnel. Underpinning all of it is call tracking and CRM integration that connect every dollar to tours and move-ins, with reporting an executive team can read at a glance.
How to Choose the Right PPC Agency for Your Assisted Living Business
Begin with the question most pitches skip: how will they structure campaigns by care level? An agency that can explain how it separates assisted living from memory care and skilled nursing — in keywords, ad copy, and landing pages — is one that won’t burn your budget on mismatched intent. Then probe for urgency: ask how they handle event-driven demand and what their plan is for speed-to-lead, since the community that answers a discharge-day inquiry first usually wins the tour.
Look closely at how they treat cost and the aggregators. Assisted living is mostly private-pay, so you want a partner who frames pricing and care level in messaging to qualify families up front, and who has a concrete strategy for competing with A Place for Mom and Caring.com rather than ceding the head terms. Match their footprint to yours — a single community needs hyper-local geo-targeting and call tracking, while a multi-location operator needs consistent management and reporting across markets without losing local nuance. Finally, pressure-test the fundamentals that separate strong partners from order-takers: Do they offer CRO and landing page support, or only ad management? Will they integrate call tracking and your CRM so tours and move-ins are attributed to campaigns? And does their reporting connect spend to census and cost per move-in — the numbers your operations and finance teams actually care about?
Conclusions & Next Steps
Assisted living is one of the harder paid search categories to do well: the moment of need is urgent, the audience is an anxious family rather than the resident, the budget is private-pay, and the auction is crowded with national aggregators. The right partner meets families in that decision window, segments rigorously by care level, qualifies leads before they reach your sales team, and proves its value in tours and move-ins. The agencies above each bring a credible angle — from healthcare-specialist scale to senior-living-only boutiques — so the best fit depends on your footprint, your internal team, and how directly you need marketing tied to occupancy.
Contact us to learn how Silverback can help turn digital marketing investment into qualified leads, booked appointments, and measurable growth for your assisted living business.
This list is updated quarterly to reflect the latest research and client feedback.
