The State of Care 2026, Powered by the Sage Care Index

Benchmark your portfolio in 4 steps

See how your communities compare against the Sage Care Index across response performance, resident retention, revenue and labor, and fall response.

Enter a few details about your community or portfolio to get a personalized view of where you stand, where there may be opportunity,
and where to look first.

What you'll get

1A benchmark of your response performance
2An estimate of early move-out exposure
3A view of potential revenue and labor opportunity
4A comparison of your fall response against peers

Start with your portfolio

Fill this in to populate your findings below. Every step updates as you type.

Your portfolio

Care or level-of-care fees only, not rent.

1
Step 1 of 4 · Response performance

See where response delays may be impacting resident experience

Understand how many alerts in your portfolio could be waiting 20+ minutes for a response, and whether the 6 to 8 a.m. morning window is creating additional delays.

How many alerts may be waiting 20+ minutes, and how much worse is the morning window?

Estimated alerts waiting 20+ minutes981per monthAcross your 400 residents
Additional long waits during 6 to 8 a.m.52per monthAbove what your rest-of-day rate would produce
Biggest pressure pointMorning handoff13.3% of 6 to 8 a.m. alerts wait 20+ minutes, against 8.2% the rest of the day

Your morning window is creating more long waits than your rest-of-day performance would suggest, making it a place to investigate first.

Next, see what slower response could mean for resident retention.Step 2 →

2
Step 2 of 4 · Resident retention

Understand what slower response could mean for resident retention

Sage's analysis found that communities with faster average response times had lower 90-day move-out rates. Use our estimated cost of an early move-out, or enter your own assumptions to see what that gap could mean for your portfolio.

That's an early move-out rate of 3.8 per 100 residents. Communities that respond to alerts in under 7 minutes average 2.6 per 100.

Potential annual impact$52,900If your rate matched communities responding in under 7 minutes
Equivalent to4.6fewer early move-outs a yearAt $11,500 per early move-out
Estimated cost of an early move-out$11,500

Based on one community's operating assumptions, including community fee, room turn, furniture removal, and lost revenue.

Next, see where there may be additional opportunity in the care you're already delivering and how you're staffing for it.Step 3 →

3
Step 3 of 4 · Revenue and labor

See where there may be financial opportunity

Two different places to look. Care revenue is the top line: whether residents' care needs are fully reflected in what you bill. Clinical labor is the cost side: whether clinical staff are in the right places at the right times.

Care revenue

Is the care you're already delivering fully reflected in what you bill?

  • Your current PRPM$800
  • Realized to date, of ~$200 identified+$42 PRPM
  • Estimated additional annual revenue$201,600

What this could mean: At the Sage benchmark realization rate, your portfolio could capture approximately $201,600 in additional annual revenue from care already being delivered but not yet reflected in the level of care on file.

Sage benchmark across 200+ assisted living communities. ~$200 PRPM in ongoing level-of-care revenue identified over 12 months.

Clinical labor

How could better alignment between care demand and staffing affect labor spend?

  • One 22-community portfolio achieved−$100 PRPM
  • Potential annual savings at your resident count$480,000

What this could mean: One Assisted Living and Memory Care portfolio reduced clinical labor spend by approximately $100 PRPM after labor optimization efforts informed by Sage Labor Insights.

One portfolio, January 2026 baseline against August 2026. A single result, not a rate observed across many communities.

Next, see how your fall response compares with other communities in the Sage Care Index.Step 4 →

4
Step 4 of 4 · Fall response

See how your fall response compares with peers

Across 118 communities with at least 30 recorded fall alerts, the median community claims 76.6% of fall alerts within 10 minutes. The spread between communities is wider than most operators expect.

Out of every 10 fall alerts, roughly how many does your team claim within 10 minutes?

Where you landChoose a numberPick how many of 10 above
Median community76.6%Claimed within 10 minutes
Top quartile starts at84.1%Fewer than one in four communities reach it
17.1% lowestMiddle half: 68.4% to 84.1%98.1% highest

You've completed all four steps. Here's where to start.Where to start →

Your benchmark overview

Your scorecard

Where to start

    Ranked by estimated annual value at your resident count. Each figure comes from a separate analysis, so they should not be added together.

    Next step

    Get your full benchmark report

    Your results from all four steps, what each could mean for your communities, and where to look first. Built from the figures you entered.

    Download the State of Care 2026 report

    The State of Care 2026 report is our separate research report, built on findings from 510 senior living professionals.

    Talk to us

    Review your results with Sage

    A Sage team member can walk through your benchmark with you and help you decide what, if anything, to look at first.

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    Step 1 detail

    Your day, hour by hour

    HourAlerts per dayWaiting 20+ min, per dayWaiting 20+ min, per month

    Modeled by applying observed per-resident-day rates from the Sage Care Index to your resident count. 1,749,400 alerts across 323 communities, June to August 2026. Shaded rows are the 6 to 8 a.m. window.

    Your full benchmark report

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