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Free guide

Senior Living Placement and Referral Advisor Business

A desk-and-phone advisory business that helps families choose assisted living, memory care and other senior housing, usually free to the family and paid by the community the senior moves into.

Figures last verified October 31, 2026

$3,739 – $7,534*

Startup cost

Coming soon

Time to first revenue

Moderate

Difficulty

Low

Physical demand

Yes

Can run solo

Year-round; driven by health crises and hospital discharges

Seasonality

* Startup cost excludes budget lines we haven't sourced yet.

Risk Meter

Eight factors from this guide's own data, each scored 1 (lowest risk) to 5 (highest). Every score shows why.

Overall risk

Moderate

2.2 out of 5

Average of 6 of 8 factors, weighted equally. 1 is the lowest risk and 5 the highest. It measures risk, not how much you'll earn, and it isn't a prediction. How we score risk.

  • Money at risk

    Not scored

    At least $7,534

    2 startup lines aren't sourced yet, so the real total is higher. We'll score this once the budget is complete.

  • Time to earn it back

    Not scored

    Not scored yet

    Some startup or operating cost lines aren't sourced yet, so a payback time would look shorter than it really is.

  • Franchise closure rate

    2 / 5

    5.7% a year

    Average of 3 brands: CarePatrol 3.5% (2025); Oasis Senior Advisors 4.3% (2025); Assisted Living Locators 9.3% (2025). Our calculation from each FDD's Item 20.

  • Loan default rate

    3 / 5

    6.5% vs 7.2% for all industries

    48 of 734 SBA 7(a) loans to Services for the Elderly and Persons with Disabilities (NAICS 624120), approved FY2010–2019, were charged off. Our count from the SBA's loan-level data; 96 loans were still open, so the final rate may be slightly higher.

  • Demand trend

    3 / 5

    About the same

    Services for the elderly and persons with disabilities (NAICS 624120), the nearest code we found for senior placement, employer establishments +6.6% (37,784 to 40,265) vs +5.1% for all industries, 2019–2023. Most businesses in this code are home care agencies, so treat this as loose evidence.

  • Licensing and rules

    1 / 5

    Light

    No state license or registration for assisted living referrals; you must follow the placement-agency rules in Health and Safety Code §1569.47, and a CDPH referral agency license is needed only for paid referrals to nursing homes (see Licensing).

  • Customer concentration

    3 / 5

    A few large customers or referral partners

    Families don't pay; your income comes from referral fees paid by a limited number of local senior living communities, and many clients come through referral partners such as hospital discharge planners, doctors and elder-law attorneys.

  • Physical demand

    1 / 5

    Low

    From the guide's at-a-glance rating; see the risks section for details.

Franchise vs. Independent

Same type of business. Two very different paths.

5-year totals assume $136,500–$322,010 in yearly revenue (our forecast presets at full volume), the same sourced operating costs (insurance, software, fees) on both paths, and both the lean and professional independent plans. Franchise investment figures come from each brand's disclosure (FDD Item 7) and already include the franchise fee. * Excludes independent startup lines we haven't sourced yet. Adjust the assumptions.

What franchisees report taking in

From each brand's own disclosure (FDD Item 19), copied exactly. These are gross sales before royalties and costs, not profit, and not a promise of what you will earn.

  • CarePatrol

    Item 19 reports 2025 average and median gross sales by territory and by owner, grouped by time in business, plus 2025 placement fees and a system-wide average income statement.

    • Average 2025 gross sales per territory (174 territories open before 2025; gross sales, not profit)$322,639 a year
    • Median 2025 gross sales per territory (same 174 territories; gross sales, not profit)$186,094 a year
    • Median 2025 gross sales, territories in business 13–36 months (47 territories; gross sales, not profit)$80,225 a year
    • Median 2025 gross sales, territories in business 60+ months (95 territories; gross sales, not profit)$331,325 a year
  • Oasis Senior Advisors

    Item 19 reports 2025 gross revenue by quartile for 114 franchised businesses open all of 2025, plus the average and median referral fee per placement.

    • Median 2025 gross revenue, top quarter of franchised businesses (29 businesses; gross revenue, not profit)$441,140 a year
    • Median 2025 gross revenue, second quarter of franchised businesses (28 businesses; gross revenue, not profit)$232,520 a year
    • Median 2025 gross revenue, third quarter of franchised businesses (28 businesses; gross revenue, not profit)$126,712 a year
    • Median 2025 gross revenue, bottom quarter of franchised businesses (29 businesses; gross revenue, not profit)$66,449 a year
  • Assisted Living Locators

    Item 19 reports 2025 gross invoiced and gross collected revenue for 106 full-time franchisees who operated all of 2025, grouped by number of territories owned.

    • Average 2025 gross invoiced revenue, all 106 qualifying franchisees (revenue billed, not profit)$222,762 a year
    • Median 2025 gross invoiced revenue, all 106 qualifying franchisees (revenue billed, not profit)$143,806 a year
    • Average 2025 gross collected revenue, all 106 qualifying franchisees (cash actually collected, not profit)$199,852 a year
    • Median 2025 gross collected revenue, all 106 qualifying franchisees (cash actually collected, not profit)$133,967 a year

What a franchise does give you

Franchises cost more, but the fees buy real things. Weigh them honestly.

  • A national placement brand with more than 200 franchised territories
  • Initial training at headquarters and on-site in your territory
  • A contact center that answers calls for your office
  • National partnerships with senior living companies that pay placement fees through the franchisor
  • Its own client-tracking software
  • Initial training and a Manual Suite covering community agreements and typical referral fees
  • The franchisor signs referral agreements with regional and national senior living chains
  • Its own software (Oasis IQ) for clients, communities and invoicing
  • Affiliated online referral services that can send leads to established franchisees
  • A network of other owners to learn from
  • A home-based placement brand with more than 100 franchisees
  • Pre-opening training plus two days of on-site training in your territory
  • Dementia care certification for one person included in the set-up fee
  • A franchisor-run marketing launch for your first 60 days

Going independent means

  • You keep 100% of what you earn after costs — no royalties.
  • You build your own brand, systems, and customer base.
  • You need more self-reliance, especially in the first year.

Startup Budget

One-time costs to launch, from cited sources. Totals are added up from the lines below.

Senior Living Placement and Referral Advisor startup budget, lean start
ItemLowMidHigh
California LLC filing (Articles of Organization and Statement of Information)$90$90$90
California LLC annual tax (first year)$800$800$800
City or county business licenseData coming soon
NPRA Certified Placement and Referral Specialist (CPRS) exam$349$349$349
Laptop and smartphone$1,000$2,000$3,000
Client-tracking (CRM), website and invoicing softwareData coming soon
Marketing launch (cards, brochures, introductions to hospitals, doctors and communities)$1,500$1,500$1,500
Total (sourced lines only)$3,739$4,739$5,739

Share of mid estimate

  • California LLC filing (Articles of Organization and Statement of Information)2%
  • California LLC annual tax (first year)17%
  • NPRA Certified Placement and Referral Specialist (CPRS) exam7%
  • Laptop and smartphone42%
  • Marketing launch (cards, brochures, introductions to hospitals, doctors and communities)32%

Budget spreadsheet

Every line with its sources, included in the complete kit.

Mid is the halfway point between low and high where a source gives only a range.

The total leaves out 2 lines we haven't sourced yet. We don't guess.

24-Month Forecast

An example to plan with. Every assumption is yours to change.

This is an estimate, not a prediction

Average fee is the Oasis Senior Advisors 2025 median referral fee ($3,500, FDD Item 19), which already includes $0 Medicaid placements and split fees. Placements per week, the 12-month ramp, variable costs (mileage, marketing, refunds when a resident leaves early) and the flat seasonality are our assumptions, not operator data. Change any assumption to match your market. Your results will differ.

Break-even
Month 2
Year-1 revenue
$91,000
Year-2 profit
$110,901
Show monthly table
MonthJobsRevenueCostsProfitCumulative cash
1 (Mar)1.1$3,792$996$2,796-$1,943
2 (Apr)1.3$4,481$1,099$3,382$1,439
3 (May)1.5$5,170$1,203$3,968$5,407
4 (Jun)1.7$5,860$1,306$4,554$9,961
5 (Jul)1.9$6,549$1,409$5,140$15,100
6 (Aug)2.1$7,239$1,513$5,726$20,826
7 (Sep)2.3$7,928$1,616$6,312$27,138
8 (Oct)2.5$8,617$1,720$6,898$34,036
9 (Nov)2.7$9,307$1,823$7,484$41,520
10 (Dec)2.9$9,996$1,926$8,070$49,589
11 (Jan)3.1$10,686$2,030$8,656$58,245
12 (Feb)3.3$11,375$2,133$9,242$67,487
13 (Mar)3.3$11,375$2,133$9,242$76,729
14 (Apr)3.3$11,375$2,133$9,242$85,971
15 (May)3.3$11,375$2,133$9,242$95,212
16 (Jun)3.3$11,375$2,133$9,242$104,454
17 (Jul)3.3$11,375$2,133$9,242$113,696
18 (Aug)3.3$11,375$2,133$9,242$122,938
19 (Sep)3.3$11,375$2,133$9,242$132,179
20 (Oct)3.3$11,375$2,133$9,242$141,421
21 (Nov)3.3$11,375$2,133$9,242$150,663
22 (Dec)3.3$11,375$2,133$9,242$159,905
23 (Jan)3.3$11,375$2,133$9,242$169,146
24 (Feb)3.3$11,375$2,133$9,242$178,388

Assumptions

Chemicals, fuel, and other per-job costs.

Starts at the insurance we've sourced, divided by 12.

Starts at the lean plan's mid estimate (sourced lines only).

Seasonality by month

1 = an average month. 1.3 = 30% busier.

Pricing

What customers typically pay, from large-sample cost data.

What customers pay

What similar businesses take in

Context only, not a promise of what you will earn. Government figures cover every business in the industry; guide figures are rougher. Tap the source icon to see which is which. These are revenue, before costs.

  • Average yearly receipts per 'services for the elderly and persons with disabilities' firm with fewer than 5 employees (NAICS 624120, U.S. employer firms, 2022)$134,508 a year
  • Average yearly receipts per 'services for the elderly and persons with disabilities' firm with fewer than 5 employees in California (NAICS 624120, employer firms, 2022)$211,899 a year
  • Average yearly receipts per nonemployer (solo, no payroll) 'individual and family services' business (NAICS 6241, U.S., 2024)$33,395 a year

Key Risks and How to Manage Them

  • Your income depends on facilities agreeing to pay you

    Families pay nothing, so you earn only when a community you have a signed referral agreement with admits your client. Communities set the terms, can decline to sign, and can stop paying. Oasis's FDD, for example, requires franchisees to sign agreements with at least 30% of local communities within 90 days, and says compensation varies from community to community.

    How to manage it: Start signing referral agreements before you launch, put every fee and refund term in writing, and keep a broad list of communities so no single one controls your income.

  • Fees that are reduced or never paid

    If a resident dies or moves out soon after moving in, the community may pay less or nothing. CarePatrol's FDD lets franchisees subtract these 'unrealized placement fees' from gross sales, and Assisted Living Locators' FDD notes collected revenue can be well below what was invoiced. Residents on Medicaid usually generate no fee at all.

    How to manage it: Read each agreement's refund window, invoice promptly, track what is actually collected (not just billed), and keep a cash reserve.

  • Liability if a placement goes badly

    If a senior is hurt, neglected or abused in a community you recommended, the family may blame you. In California it is a misdemeanor to place someone in an assisted living home that cannot care for them within its license, or to refer anyone to an unlicensed facility.

    How to manage it: Check every facility's license and inspection history on the CDSS Care Facility Search before recommending it, visit in person, document the client's care needs, and carry general and professional liability insurance.

  • Competition from national online referral services and free public tools

    Large online referral services, such as A Place for Mom (which sponsored California's 2024 referral-agency bill), compete for the same families, and the State of California funds a free comparison site, CalLongTermCareCompare.org. Many families find a community on their own.

    How to manage it: Compete on what a website can't do: local visits, tours with the family, and steady relationships with hospital discharge planners, doctors, elder-law attorneys and home care agencies.

  • A slow first two years

    Referral relationships take time. In CarePatrol's FDD, territories in business 13–36 months had 2025 median gross sales of $80,225, against $331,325 for territories open five years or more. Oasis's bottom quarter had a median of $66,449.

    How to manage it: Plan for at least a year of thin income, keep your costs low (this business runs from home), and track your referral sources so you know which ones produce placements.

  • Conflict-of-interest scrutiny and changing law

    Because communities pay you, critics argue advisors steer families toward the facilities that pay most. California's governor vetoed a 2022 bill partly on that concern, and the Legislature has tried at least six times since 2015 to license or regulate these advisors. New rules could add a license, disclosures or insurance minimums.

    How to manage it: Tell every family in writing that communities pay you and which ones you have agreements with, show options you are not paid for when they fit better, and follow NPRA's Code of Ethics.

  • Emotional weight and short-notice work

    Most calls come during a crisis: a fall, a hospital discharge or a dementia diagnosis. Families are stressed and may disagree, and timelines are measured in days.

    How to manage it: Set clear expectations at the first meeting, keep a short list of communities that can take quick admissions, and build in time off so you don't burn out.

Licensing by State

Requirements vary by state and local jurisdiction.

More states are coming.

A general guide only. Rules change and vary by city and county — confirm with your local government before you start.

The Playbook

A step-by-step guide from setup to growth.

  1. Phase 1

    Setup

    • Choose your business structure and register it
    • Get general and professional liability insurance
    • Write a family disclosure that explains how communities pay you
    • Draft a referral agreement for communities, with fee and refund terms
    • Learn to check licenses and inspection reports on the CDSS Care Facility Search
    • Decide whether to join NPRA and take the CPRS or CSA training
  2. Phase 2

    Signing community agreements

    Included in the complete kit

  3. Phase 3

    Building referral sources

    Included in the complete kit

  4. Phase 4

    Launch

    Included in the complete kit

  5. Phase 5

    Working with a family

    Included in the complete kit

  6. Phase 6

    Invoicing and collections

    Included in the complete kit

  7. Phase 7

    Growth

    Included in the complete kit

Suppliers and Tools

Vendors independent operators use.

No supplier pays to be listed. If we ever earn a referral fee from a link, it will say “Affiliate link” right next to it.

Trade association and training

Ethics standards, a referral directory and credentials for placement advisors.

Facility license and quality lookups

Free public tools for checking a community's license and inspection history.

The Kit Is Coming

Everything on this page is free. The downloadable kit (playbook, spreadsheets, templates) is in the works.

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Frequently Asked Questions

Is this a franchise?

No. The Open Franchise is not a franchise and does not sell franchises. You start and own your business yourself, with no franchise fee, royalties, or territory rules. We sell guides and kits; that's all.

Who pays me, and how much?

Usually the senior living community the client moves into, not the family. Franchise FDDs describe fees based on the resident's first month of rent and care: Oasis Senior Advisors says typically 70% to 100% of the first month. In 2025, CarePatrol offices reported a median fee of $4,954 per placement and Oasis offices a median of $3,500. Residents on Medicaid usually bring no fee.

Do I need a license in California?

Not for assisted living referrals, as far as we could find in October 2026, but you must follow the placement agency rules in Health and Safety Code §1569.47, including never referring to an unlicensed facility. If you are paid for referrals to skilled nursing homes, you need a referral agency license from the California Department of Public Health. Confirm both with the state before you start.

Is demand growing?

The U.S. Census Bureau's 2023 national population projections show Americans aged 85 and older growing from about 7.05 million in 2025 to about 13.68 million in 2040. That is a projection, not a guarantee of business for any one advisor.

Are these numbers guaranteed?

No. Every cost and price is from a cited source, shown with the date we last checked it. Franchise revenue figures are gross sales reported by franchisees, not profit, and your results will depend on your market and the relationships you build.

Figures last verified October 31, 2026. Every number links to its source. See all sources for this page.

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