Our rankings are based on publicly available data — Google ratings, review volumes, profile completeness, and citation signals. No pay-to-rank. No sponsored placements. Here's exactly how the numbers work.
Each facility receives a 0–100 Profile Score calculated from five independently weighted signals.
The facility's average Google star rating on a 1.0–5.0 scale. A 5.0 rating earns the full 35 points; a 1.0 earns 0. We use the rating as-reported by Google Places — we do not adjust, filter, or weight individual reviews ourselves.
Source: Google Places API · refreshed quarterly
Total number of Google reviews. A facility with 200+ reviews scores full marks on this signal. Volume matters because a 4.8 rating from 3 reviews is far less reliable than a 4.5 from 180 reviews. We cap the scale at 200 reviews to avoid over-rewarding volume alone.
Source: Google Places API · refreshed quarterly
Whether the facility has photos, a verified website, a listed phone number, and updated business hours on Google. Facilities that actively maintain their Google Business Profile tend to be more responsive to families. Incomplete profiles suggest lower engagement.
Source: Google Places API · refreshed quarterly
Number of third-party directories (Yelp, A Place for Mom, SeniorAdvisor, Care.com, etc.) where the facility appears with consistent NAP (name, address, phone) data. Higher citation counts correlate with established, well-known facilities. Capped at 75 citations.
Source: Aggregated from public directory data · refreshed quarterly
How long the facility has been listed on Google. Newer facilities (under 2 years) score lower on this signal. Facilities open 10+ years earn the full 10 points. Longevity is a proxy for operational stability — a facility that has operated for years has demonstrated sustained family trust.
Source: Google Places API · verified at data collection
Facilities cannot pay to appear higher in our rankings. Position is determined entirely by the five scored signals above.
We do not receive commissions from facilities when families contact them. Phone numbers and websites link directly to facilities.
We display the Google rating and review count as-reported. We do not remove, filter, or selectively display individual reviews.
Quarterly refresh. We re-pull facility data (ratings, review counts, photos, contact info) every quarter. Rankings reflect the most recent data pull. Facilities that have recently improved or declined may not be reflected until the next refresh cycle.
Limitations. Our Profile Score does not incorporate state health inspection results, staffing ratios, CMS star ratings (for nursing homes), or on-site visit assessments. It is a signal of online presence and family sentiment — not a substitute for in-person evaluation or state inspection review.
Cost estimates. Monthly cost ranges shown on location pages are market estimates based on regional Genworth/AARP survey data and publicly disclosed pricing. Actual costs vary significantly by facility, care level, and room type. Always request a full fee schedule directly from the facility.
Corrections & updates. If you are a facility administrator and believe your data is incorrect, contact us. We review correction requests and update data out of cycle when errors are confirmed.
Home Care Growth is a digital marketing agency that works exclusively with home care and senior care agencies across the US. Our market intelligence pages are built from the same data signals we use to help our clients understand their competitive position — review velocity, citation gaps, and profile completeness relative to local competitors.
We publish this data publicly because families deserve a clear, unsponsored view of who operates in their market. We track 23 metro areas, 5 care categories, and 150+ facilities updated quarterly.