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Other Senior care options in Michigan:

Best Assisted Living in Michigan

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 607 homes in Michigan

Sources: CMS Centers for Medicare and Medicaid Services, and Michigan Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Assisted Living facilities in Michigan.

Watch this Video to see Michigan's Top-rated Senior Communities

Compare Assisted Living around Michigan The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).

Click column headers to sort
Addington Place of Northville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Northville
80Yes 33 Private Room1-891.1Arhc Apnvlmi01 Trs, Llc
Sunrise of Grosse Pointe Woods
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

Grosse Pointe Woods
78Yes 77 Studio / 1 Bed / 2 Bed1-620.3Welltower Opco Group Llc
Bickford of Canton
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Canton (Canton Township)
78Yes 24 Private Rooms7A+12272.3Bickford Of Canton, Llc
Bickford of West Lansing
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lansing (Waverly)
72Yes 51 Private Rooms1-13453.5Bickford Of W Lansing, Llc
Brookdale Troy
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Troy
78Yes 22 Private Rooms / Companion Rooms1-6213.5Brookdale Senior Living Communities, Inc.
Addington Place of Clarkston
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Independence Charter Township
72Yes 38 Studio / Suite1A-771.0Arhc Arclrmi01 Trs, Llc
Cedarbrook of Northville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Plymouth (Plymouth Charter Township)
96No 42 -12A+351.715700 N. Haggerty Road Llc
University Senior Living
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Ann Arbor (Bryant Pattengill West)
90No 59 -30A+6-0.0Ann Arbor Senior Housing Opco, Llc
Atria Park of Ann Arbor
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Ann Arbor (Logan)
98Yes 53 Studio / Suite / 1 Bed / 2 Bed1-451.3Aoc North Ann Arbor Opco, Llc
Waltonwood Twelve Oaks
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Novi (Huron Circle)
94Yes 39 Studio / 1 Bed / 2 Bed1-4102.5Waltonwood At Twelve Oaks Ii, Llc
Riley’s Grove Assisted Living & Memory Care
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Zeeland (Zeeland Charter Township)
70Yes 31 -39A+331.0Riley's Grove Assisted Living, Llc
Stonegate Village Assisted Living & Memory Care
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Sandusky
73Yes 52 -39A+294.570 W. Argyle Ave Opco Llc
Bickford of Shelby Township
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Shelby Township (Shelby Charter Township)
74Yes 33 Private Rooms1C430.8Bickford Of Shelby, Llc
Cascade Trails Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Grand Rapids (Forest Hills)
71Yes 23 -39A+691.5Cascade Trails Senior Living, Llc
Bickford of Midland
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Midland (Joseph Drive)
71Yes 29 -1-610.2Midland Bickford Cottage, Llc
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Overview of Independence Village of Oxford (waterstone)

Situated within the scenic lake-side community of Waterstone in Oxford, MI, Independence Village of Oxford (Waterstone) is an exceptional senior living community that offers independent living and enhanced living options. Residents here enjoy all the privacy and comforts of home, with additional help when needed. A bridge between independent living and assisted living, enhanced living allows residents to enjoy their autonomy benefiting from a variety of care services, including assistance with activities of daily living and medication reminders.

Learn new skills and make new connections through a wide range of stimulating activities, events, and programs designed to enrich all aspects of well-being. With three chef-prepared meals daily and access to housekeeping and laundry services, residents have the energy and free time to participate in the endeavor of their choosing. Plenty of amenities like a library, business center, salon, lobby, and fitness center further enhances residents’ quality of life.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: 1 Bed / 2 Bed

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact Independence Village of Oxford (Waterstone)

Townehall Place Of West Bloomfield

4460 Orchard Lake Rd, West Bloomfield Township, MI 48323
Overview of Townehall Place of West Bloomfield

Settled in the inviting community of West Bloomfield Township, MI, the Townehall Place is a vibrant senior living community that provides assisted living. This community offers a wide array of accommodations with floor plans tailored to the immediate needs of assisted living residents. Providing an enriching lifestyle to further comfort and convenience is the top priority of this community.

Townehall Place of West Bloomfield is dedicated to fostering a thriving culture wherein residents receive exceptional care through its amenities and social engagements. Enjoy delightful healthy meals in a chef-prepared dining experience and recreational activities in its beautiful and calming spaces. With its commitment to offering an inclusive environment, seniors can never go wrong with the Townehall Place of West Bloomfield.

What does this home offer?

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Room Sizes: 318 / 375 / 458 sq. ft

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Housing Options: Suite / 1 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact Townehall Place Of West Bloomfield

American House East I

17255 Common Rd, Roseville, MI 48066
Overview of American House East I

Set in the quiet, residential neighborhood of Roseville, MI, American House East I is a lively senior living community that offers independent living, assisted living, respite stays, and coordination of hospice care. Featuring well-appointed studio, one- and two-bedroom apartments, the community provides a comfortable place to visit with family and friends. A skilled and compassionate team ensures residents receive the care and support they need whenever they need it.

At American House East I, residents experience a relaxed lifestyle full of life-enriching activities, fewer worries and less stress with housekeeping, laundry, and scheduled transportation. A talented culinary team ensures residents enjoy delicious meals that cater to dietary restrictions and tastes. Residents stay engaged with a jam-packed calendar of activities and events. Amenities include an architecturally unique chapel, library and computer room, exercise room, woodworking and pottery workshop, a game room, and relaxing lounge with a grand piano, fireplace and big-screen TV, providing a comfy space for relaxation or bonding with friends.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 475 / 555 / 660 / 910 / 965 sq. ft

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Housing Options: 1 Bed / 2 Bed

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Building Type: 3-story

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Contact American House East I

American House Southland

25250 Eureka Rd, Taylor, MI 48180
Overview of American House Southland

Spend more time on things that truly matter to you at American House Southland, an excellent senior living community in Taylor, MI, offering a range of senior living options, including independent living, assisted living, respite stays, and coordination of hospice care. Residents enjoy a comfortable residence with well-appointed one- and two-bedroom apartments. Just minutes from the vibrant riverside shopping and dining in downtown Wyandotte, the community guarantees a vibrant living experience along with a diverse calendar of daily activities.

At American House Southland, residents enjoy a maintenance-free lifestyle with convenient services like housekeeping, laundry, transportation, and on-site salon services. Residents relish in deliciously prepared meals and snacks without the hassles of cooking and cleaning, thanks to a talented culinary team. Amenities like a library, movie theater, physical therapy clinic, and cozy common areas for bonding with family and friends or hosting vibrant community events.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 630 / 815 sq. ft

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Housing Options: 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact American House Southland

Addus HomeCare

3011 W Grand Blvd Suite 206, Detroit, MI 48202
Overview of Addus Homecare

Addus Homecare is a dedicated home care community situated in Detroit, Michigan. Their primary mission is to empower seniors to maintain their health and independence while residing in the comfort of their homes. The caregivers at Addus Homecare derive a sense of purpose from serving their community and forming meaningful connections with those in need.

Behind the scenes, the support and field teams are unwavering in their commitment to bolster the essential work carried out by these caregivers. With a team of compassionate caregivers, Addus Homecare delivers top-notch in-home supportive services, ensuring that individuals can live comfortably and confidently in their cherished home environments. 

Contact Addus HomeCare

Happy Life Home Care

3292 Cherry Creek Ln, Sterling Heights, MI 48314
Overview of Happy Life Home Care

Beautifully located in the heart of Sterling Heights, Michigan, Happy Life Home Care is a senior community. Here, the pursuit of exceptional service is an unwavering commitment. Their focus is on the unique healthcare needs of each senior they serve, aiming to maximize their well-being. As a world-leading provider of nonmedical home care, Happy Life Home Care also offers family caregivers the respite and opportunity to recharge, recognizing the significance of their role in the care journey.

Across Oakland, Macomb, and Wayne counties, Happy Life Home Care extends its comprehensive senior care services. Their belief goes beyond maintaining health, safety, and independence; it’s rooted in the philosophy that aging should be about living well, providing seniors with the support they need to age gracefully and contentedly in their homes. With decades of invaluable experience in providing integral care within the community, Happy Life Home Care is dedicated to delivering comprehensive and patient-centered care right in the patient’s residence.

Contact Happy Life Home Care

Overview of Seasons Hospice & Palliative Care

Now part of AccentCare, Seasons Hospice & Palliative Care is a community that offers senior care services in Ann Arbor, Michigan. With services spanning the spectrum of personal care, home health, and hospice care, AccentCare is dedicated to providing the highest quality compassionate care, ensuring an exceptional experience for patients and their families. Their expertise and remarkable quality scores have established them as trusted guides for patients, families, and partners.

Patients currently under the care of AccentCare’s family of companies can expect the same outstanding level of service they have come to rely on. As a unified brand connecting the full continuum of care, their commitment is to make the lives of all patients and providers, whether new or long-standing, easier and better. 

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Contact Seasons Hospice & Palliative Care

Overview of Peace of Mind Home Care, LLC

Located in the heart of Sterling Heights, Michigan, Peace of Mind Home Care, LLC is a beacon of compassionate care for seniors in the comfort of their homes. This dedicated agency offers a broad spectrum of services, from companion care to comprehensive assistance, all designed to enable our clients to reside in their homes securely and independently.

Peace of Mind Home Care, LLC places paramount importance on the safety and trustworthiness of their caregivers. Rigorous background checks, bonding, and insurance are essential components of their commitment to their senior clients’ well-being and peace of mind. Their services encompass a wide array of daily tasks, including bathing, grooming, meal preparation, medication reminders, light housekeeping, laundry, and transportation, ensuring that each individual’s unique needs and desires are at the forefront of the care plan. 

Contact Peace of Mind Home Care, LLC

Overview of Mt. Pleasant Comfort Care

Dedicated to the mission of enabling seniors to age gracefully within the familiarity of their own homes, Mt. Pleasant Comfort Care stands as a pillar of exceptional in-home care. This assisted living community consistently delivers high-quality senior care to serve the communities of Mount Pleasant and North Charleston.
Their commitment extends beyond the traditional bounds of personal and companion care services, specializing in offering tailored solutions, including Alzheimer’s and dementia care, respite care, transitioning home care, and end-of-life care. Their unique approach to home care, known as Interactive Caregiving, sets them apart, promoting physical and mental well-being and ensuring that seniors receive essential care, meaningful companionship, and support on their journey to comfortably at home.

Contact Mt. Pleasant Comfort Care

Overview of Orchestra Place Apartments

Ideally settled in the vibrant neighborhood of Detroit, MI, Orchestra Place Apartments is a welcoming senior living community that offers independent living to active and dynamic residents. The community provides comfortably designed accommodations with a selection of floor plans to choose from, ensuring residents enjoy a cozy and stunning living space that matches their needs and tastes. Every residence is equipped with various amenities for their convenience, complemented with a wide array of thoughtful amenities.

The community encourages residents to explore and go out more with easy access to the neighborhood’s excellent dining, shopping, and entertainment spots. An array of planned social activities are also offered to help residents stay active and connected. Thoughtfully designed community spaces, such as a ballroom, community room, chapel, and a courtyard are offered to further enhance residents’ living experience.

What does this home offer?

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Building Type: High-rise

Contact Orchestra Place Apartments

Ranking Methodology

How we rank these assisted living communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.

Public data 6 weighted categories Updated quarterly
Full methodology

Weighting overview

35%
Resident Experience
25%
Regulatory
15%
Visual Media
10%
Website
10%
Stability
5%
Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

Includes Review Sentiment Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

Includes State Inspections Citations/Inspection % Inspections w/ Citations Complaint Visits Accreditations BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

Includes Video Tours Virtual Walkthroughs Photo Quantity Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

Includes Website Content Mobile Usability Staff Info Available Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

Includes Occupancy Rate Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

Includes Walk Score Pricing Transparency
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

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Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

Frequently Asked Questions about Assisted Living in Michigan

What's the difference between assisted living and memory care in Michigan?

Assisted living in Michigan supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Michigan?

Assisted living in Michigan is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Michigan Medicaid cover assisted living?

Michigan Medicaid does not directly pay room-and-board for assisted living, but most states (including Michigan) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 20 assisted living facilities in Michigan. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Michigan?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Michigan, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Michigan?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.