Assisted Living Level Of Care Calculator

Level-of-care pricing drives assisted living revenue growth.

Base monthly rent

Level 1 residents

Level 2 residents

Level 3 residents

Level 1 fee / mo

Level 2 fee / mo

Level 3 fee / mo

Monthly revenue

$686,000

Blended / resident

$6,236

LOC fee revenue / mo

$246,000

How the math works

Revenue = (residents × base) + (L1 × L1 fee + L2 × L2 fee + L3 × L3 fee).

110 × $4k = $440k base + (40×$900 + 50×$2.4k + 20×$4.5k) = $246k LOC = $686k/mo. $6,236/resident blended.

How to Use

Enter base rent.
Enter Level 1 residents (light care).
Enter Level 2 residents (moderate).
Enter Level 3 residents (heavy).
Enter L1/L2/L3 fees per month.
Read blended revenue.

Frequently Asked Questions

What is 'level of care'?

Tiered care fee structure in assisted living based on ADL (Activities of Daily Living) needs. Level 1 (light): minimal assistance, med reminders. Level 2 (moderate): help with some ADLs, 2-3 daily check-ins. Level 3 (heavy): bed-bound, full ADL assistance. Each level has additional fees on top of base rent. Typical spreads: Level 1 $500-1,500, Level 2 $1,500-3,500, Level 3 $3,500-7,500 above base.

Why does it matter for NOI?

LOC fees are pure-margin revenue — incremental cost is labor (care staff) at 30-50% of fee. Material NOI growth from resident progression through levels. Typical resident ages from Level 1 to Level 3 over 2-4 years. Operator revenue grows by $20-60k per resident over hold period without base rent growth. Revenue management by careful assessment and appropriate charging.

ADL assessment process?

Skilled nurse or care director assesses each resident at move-in and periodically (3-6 months). Functional assessment: bathing, dressing, toileting, transferring, continence, eating. Score generates LOC tier. Resident/family receives notice of tier change + fee adjustment. Challenges common in family disputes. Document carefully. Some states require specific assessment protocols.

Industry benchmarks?

Level 1: 30-40% of residents. Level 2: 40-50%. Level 3: 15-25%. Blend drives revenue per resident. High Level 1 census: can sustain without intensive staffing. High Level 3 census: needs 24/7 RN coverage + significantly higher care staff. Average LOC fee per resident: $1,500-3,500/month beyond base rent. Effective revenue per resident: $4,500-8,500/month with LOC. Top 10% of operators capture higher LOC fees through rigorous assessment.