Last updated on July 4th, 2024 at 05:02 am

With the emergence of modern nursing homes and assisted living facilities featuring top-of-the-line accommodations, the need for quality, specialized construction services in this sector has also increased. Senior living facilities require the expertise of a professional contractor to ensure that all of the facility’s features will accommodate the needs of its senior residents. In addition to it being safe, these facilities should also provide its clients with a wide variety of amenities for residents’ enjoyment and leisure. These specialized care communities put a premium on providing the best care and comfort to senior residents and patients.

This list features the best nursing home and assisted living contractors in the US. These builders have proven their expertise in crafting and constructing well-executed spaces that focus on the quality of life of each resident. Many of these builders have garnered numerous accolades for their exceptional projects and have earned features in local and national publications. Our team evaluated these contractors based on the awards and recognition they’ve received, their industry affiliations, their years in business, and the overall quality of projects.

If you are thinking about building a nursing home, we recommend checking each builder’s license with the local licensing board, speaking to past clients, and using our bidding system to get competitive quotes from at least 3 contractors. Getting multiple bids is the best way to ensure you get a fair price and that bids include the complete scope of work.

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Davis Constructors & Engineers, Inc.

6591 A St. Suite #300, Anchorage, AK 99518

Established in 1976, Davis Constructors & Engineers has been one of Alaska’s premier general contracting companies for quite some time and has completed almost 300 completed projects across the state. With its statewide presence, the company has completed commercial building projects totaling approximately $2.25 billion. From cast in place concrete and structural steel to precast concrete panels and wood frame structures, Davis Constructors & Engineers has worked on schools, special housing, hotels, retail stores, multi-story office buildings, and specialized construction projects such as jails, hospitals, and assisted living facilities. The company also provides design-build services to both the public and private sectors.

Among its projects in the assisted living market is the Palmer Senior Residential/Adult Day Center. Located in Palmer, the company partnered with Bezek Durst Seiser architects to construct this 24,000-square-foot, single-story wood-frame building featuring 24 apartments for senior citizens and a 5,600-square-foot senior daycare facility.


Brasfield & Gorrie

3021 7th Ave. S Birmingham, AL 35233

With roots tracing back to 1921, Brasfield & Gorrie is the successor to the Thos. C. Brasfield company—a general contractor that operated as a sole proprietor in 1921. In 1964, Miller Gorrie purchased the company’s construction assets and changed its name to Brasfield & Gorrie. In the beginning, the company continued to take on small commercial and remodeling projects. As business continued to grow, Brasfield & Gorrie shifted its emphasis to larger commercial, institutional, healthcare, water/wastewater, and industrial projects.

Today, Brasfield & Gorrie has made its mark as one of the leading builders in multiple states: it operates offices in Atlanta, Alabama, Charlotte, Columbus, Dallas, Greenville, Huntsville, Jackson, Jacksonville, Nashville, Orlando, and Raleigh. Over the years, the company has garnered multiple awards including being ranked #1 Top Contractor, #1 Contractor in Alabama, #1 Contractor in Health Care, and #1 Contractor in Alabama by ENR Southeast.


Harco Constructors

8060 Counts Massie Rd., North Little Rock, AR 72113

Harco Constructors has been in business since 1985, specializing in general contracting services to a wide range of clients throughout Arkansas and the South. Since its founding, Harco’s focus on the individual clients’ specific needs while building lasting relationships has remained the same. With the Harco team’s client-centered approach, the company has earned a large percentage of its business from repeat clients.

In Conway, Harco Constructors completed the Ridgemere Luxury Senior Living project. This new facility includes assisted living, memory care, and independent living options situated on 14 acres that include walking trails, a dog park, and a stocked fishing lake. Amenities include an on-site movie theater, libraries, ice cream parlor, full-service salons, and meal service prepared by in-house executive chefs.


Tofel Dent Construction

3555 E. 42nd Stravenue, Tucson, AZ 85713

Based in Tucson, Tofel Dent Construction—a third-party general contractor founded in 1984—serves clients in commercial, hospitality, and multifamily market sectors across the Southwest. Steve and Rich Tofel, company founders, make a point of fostering lasting partnerships based on mutual integrity and trust. These long term relationships reflect the company’s dedication to service and quality construction. Tofel Dent Construction is licensed to work in Arizona, California, and New Mexico.

In collaboration with Whitneybell Architects, Inc., the company completed the Page Commons Senior Housing in Gilbert. The 100-unit senior housing project cost $5,776,000 and was completed in 2005.



2850 Saturn St., Brea, CA 92821

KPRS is committed to delivering impeccable construction services to its clients. Headquartered in Brea, the company is a full-service general contractor serving multiple market sectors. The company is a knowledge-driven organization, constantly developing new ways to manage complex projects while maximizing quality and minimizing costs. The expertise of the company is in sustainable building, design-build, preconstruction, construction management, and post-construction services. The notable awards that the company has received include being ranked on ENR’s list of Top 400 Contractors from 2012 to 2019.

The Clearwater at Sonoma Hills is a great example of the firm’s assisted living work. This assisted living and memory care home for seniors features 90 units and modern amenities with open living spaces and kitchenettes. It also consists of an upscale courtyard with a putting green, bocce ball court, a dance floor, and a commercial-grade kitchen in the community room.


Saunders Construction, Inc.

86 Inverness Place North Englewood, CO 80112

On February 2, 1972, Richard Saunders established Saunders Construction in the basement of his home in Englewood. From those humble beginnings, the company has grown to become one of the most trusted providers of comprehensive construction management, general contracting, and real estate development services. This employee-owned corporation has recorded over $7 billion in completed projects throughout the Rocky Mountain region. The firm excels in constructing building offices, municipal buildings, educational facilities, mixed-use establishments, healthcare facilities, residential properties, hospitality buildings, mission-critical buildings, recreational facilities, and cultural and retail centers.

The Vi Senior Living Community is one of the company’s notable projects in the assisted living sector. In a joint venture with architect Solomon Cordwell Buenz, the company completed this amenity-filled, 24-acre project featuring an independent living facility, care center, and private villas. The Vi also includes walking trails, a fitness center, and an indoor swimming pool. The independent living building is a 464,000-square-foot facility with three apartment wings consisting of 213 living units. This project received the 2005 Gold Award for projects “on the boards” Senior Housing Council of the NAHB and the Bronze Associated General Contractors ACE Award of Merit.


KBE Building Corporation

76 Batterson Park Rd., Farmington, CT 06032

KBE Building Corporation continues to deliver on its promise of building excellence together. Since its inception in 1959, KBE has stood on its four core values of dedication, innovation, integrity, and pride. Providing construction management, design-build, and general contracting services to clients in multiple industries, KBE is one of Connecticut’s leading builders. The award-winning firm serves clients in the higher education, senior living, healthcare, corporate, government, and retail markets.

KBE was the general contractor chosen to build the Bridges at Crossroad Independent & Assisted Living facility in Waterford. The 91,000-square-foot assisted living retirement community features a wellness center, fitness room, country kitchen, library, hair salon, lounge, cafe, whirlpool spa, restaurant-style dining room, private dining room, offices, and meeting spaces.

SC&A Construction

3411 Silverside Rd., Shipley Building Suite #200, Wilmington, DE 19810

SC&A Construction has specialized in delivering exceptional quality construction management, general contracting, and design-build services for large and small businesses, non-profit organizations, and homeowners since 1954. Throughout the years, the company has remained relatively small compared to other contractors in the industry. The firm’s diverse construction capabilities include new construction services as well as renovations and additions.

The company—originally named George F. Snyder Builders—started out as a custom home builder. In 1973 the company merged with Crompton Construction and expanded into the commercial market as Snyder, Crompton & Associates. David Murtagh, the company’s current chairman, purchased the firm from his partners in 1978 and the firm continued to build a reputation for quality services up to this day.

One of the company’s projects is the Stonegates, an assisted living facility featuring spacious single and two-room suites as well as private and semi-private rooms.


Summit Contracting Group

1000 Riverside Ave. Suite #800, Jacksonville, FL 32204

Headquartered in Jacksonville, Summit Contracting Group has completed projects in various market sectors in over 200 cities. Summit was founded to serve clients by delivering quality projects, establishing lasting relationships, and exceeding expectations. Since its establishment, Summit has built over 100,000 multifamily units across the nation, providing over 25 years of experience in the multifamily industry. Marc Padgett, company CEO, holds Contractor Licenses and is a Qualifier for Summit in the Southeastern and Midwest United States. For over three decades, he has been involved in commercial and multifamily construction including tax credit, senior living, hotel renovations, and market-rate projects.

As an expert in senior living multifamily projects, Summit has built senior living apartments, independent living and retirement communities, assisted living apartments, memory care apartments, and other senior living facilities. Among its high-quality projects is The Canopy at Harper Lake. Located in Lake City, the 46,278-square-foot features 44 assisted living units, 20 memory care units, a maintenance building, and a commercial kitchen.


New South Construction

1180 West Peachtree St. NW, Suite #700, Atlanta, GA 30309

New South Construction was established by Doug Davidson in 1990, performing construction services for commercial clients like Delta Air Lines and The Coca-Cola Company. After almost three decades, New South Construction has continued to make a name as one of the leading construction service providers for Fortune 500 companies. Doug has held numerous national and local community and industry leadership positions, including serving on the board of the Georgia Branch of the Associated General Contractors (AGC) since 1998. He also served as a president of AGC’s Board of Directors and currently serves on NAGC’s board. His extensive experience in the industry highlights the firm’s capabilities as a general contractor.

Among the company’s projects in the nursing home and assisted living sector is the Towne Club Windermere. Located in Cumming, the project features a 180-unit senior living community consisting of 120 independent living units, 40 assisted living units, and 20 memory care beds. Other features include upscale common areas consisting of a library, a full-service kitchen, a hotel-style dining room, a cocktail lounge, a laundry room, a state-of-the-art media room, a hair salon and spa, and a medical clinic.


Baxter Construction Co

3225 Ave. N Fort Madison, IA 52627

Baxter Construction’s legacy of top-notch quality workmanship continues to be guided by the company’s family values, and they have been in the business for four generations. Since 1945, the company has been known for delivering reliable, long-term services through successful client collaboration and the use of the latest management and building techniques. Serving the senior living, gaming, hospitality, and multifamily industries, the team at Baxter Construction brings a client-centered and team-focused approach to each and every project.

In Davenport Baxter Construction completed The Jackson Renaissance. The 54,456-square-foot historic property has been a significant part of the neighborhood for some time. In July of 2013, the company completed 48 stylish contemporary homes and a new three-story addition that houses 24 of the 48 units. The project also consisted of various additional amenities and has been specifically built for discerning 55+ adults.



1097 N. Rosario St. Suite #200, Meridian, ID 83642

With over 25 years of experience in the industry, PETRA has provided clients with reputable construction work through in-house services that include value-engineering, design review, planning, start-up, construction, cost management, and commissioning. Petra’s company philosophy: knowledge and experience build trust, trust builds partnerships, partnerships build buildings, and buildings create communities.

Founded in 1994, the PETRA team is made up of over 120 construction professionals who are all committed to bringing excellence to each and every project. Jerry Frank, the CEO of the company, has over 40 years of experience in commercial construction. Under his leadership, PETRA has built numerous outstanding establishments in the education, healthcare, hospitality, industrial, multifamily, office, retail, senior living, and tenant improvement markets.

The Terraces of Boise is one of the company’s notable senior living projects. This Continuing Care Retirement Community (CCRC) features ten buildings on a 13-acre site. The 415,000-square-foot facility is recognized as the first CCRC in the Treasure Valley to offer the Life Care benefit. The project received the Building Excellence Award in 2016 from The City of Boise.


W.E. O’Neil

1245 W. Washington Blvd., Chicago, IL 60607

Founded in 1925, W.E. O’Neil Construction Company has repeatedly proven its expertise in the construction industry and emerged as one of the leading award-winning, nationally-ranked construction companies. Four generations of O’Neil family leadership and 90 years of experience serve as the company’s foundation. From its beginnings as a labor-only contractor to its transition to heavy machinery and state-of-the-art technology, W.E. O’Neil has completed multiple projects exceeding 1,000,000 square feet in size, putting a premium on its time-honored values.

In San Diego, W.E. O’Neil completed the Sunrise Senior Living facility. The four-story Assisted Living and Memory Care building features 83 residential units and 41 on-site parking spaces. Resident amenities of the facility include memory care and full kitchen and dining services.


Majority Builders, Inc

62900 US 31 S, South Bend, IN 46614

Majority Builders has specialized in design-build and general contracting services since 1973. From office additions and office and retail build-outs to renovation and restoration projects, the team at Majority Builders has provided clients with excellent construction solutions for its clients in the commercial and industrial markets throughout Southern Michigan and Northern Indiana. Company founders Rick, Steve, and Mark Slagle have led the business into a significant and healthy growth over the past decades. Under their leadership, the company has developed into one of the leading builders serving the entire Michiana region.

Throughout the years, the company has strived to set standards of excellence through quality workmanship and effective communication between the team, clients, trade contractors, and design professionals. A member of the ABC, Majority Builders works in the office, arts and entertainment, manufacturing, healthcare, hotel, restaurant, residential, retail, religious, assisted living, multifamily, civic, education, financial, and sports markets.


Excel Constructors, Inc.

8041 W. 47th St., Overland Park, KS 66203

“Quality people produce quality projects” has been the idea that Excel Constructors has been found on. Established in 1991, the company has assembled a team of expert contractors with a high level of commitment and integrity, with 60 percent of the staff being with the company for over 15 years. The company’s dedication to honing professional craftsmen continues to translate to its exceptional projects and workmanship. Doing so has earned the company various achievements including multiple awards for Excellence in Construction and Community Impact from ABC as well as recognition from The Business Journal and Ingram’s Magazine.

Among the company’s projects in the senior living market is the Bickford Senior Living in Overland Park, Kansas. The project features a new Assisted Living and Memory Care Facility with 62 Assisted Living units and an additional 22-unit extensive care ward. Other features of the facility include a dining facility, common areas, residential apartments, administrative and staff offices, a salon and spa, family areas, and a bistro.


Kelley Construction

12550 Lake Station Place, Louisville, KY 40299

Kelley Construction’s passion for building things and doing excellent work continues to fuel the company’s commitment to excellence. A locally-founded company, Kelley Construction has redefined building innovation, repeatedly elevating construction standards for industrial, commercial, healthcare, and foodservice markets. The company attained its three decades of success through employing industry-leading construction strategies based on equal parts of insight and cutting-edge technology. The company makes a point of hiring talented people focused on building, with a passion for delivering service excellence.


DonahueFavret Contractors, Inc.

3030 E Causeway Approach, Mandeville, LA 70448

DonahueFavret Contractors is an award-winning contractor serving clients throughout the Gulf Coast. John “Jack” Donahue Jr. founded the company in 1979, and it is now led by John Donahue III. With its commitment to construction excellence, DonahueFavret has garnered multiple awards including 19 prestigious national awards for Excellence in Construction awarded by ABC. In the past five years alone, DonahueFavret has in progress or completed construction of nearly 700 senior living beds across the Gulf South.

One of its most impressive senior living projects is the Sunrise Assisted Living in Metairie, Louisiana. This $14,890,000-project was completed in 480 days. The finished project received the ABC Bayou Chapter Excellence in Construction Award.


NEI General Contracting

27 Pacella Park Dr., Randolph, MA 02368

Based in Randolph, NEI General Contracting has delivered a wide range of general contracting and construction management services to clients in the commercial industry. Since its inception in 1998, the company has completed nearly $1 billion in construction projects across multiple markets and has made its mark as a provider of first-class construction workmanship. Its expertise includes general contracting, project development, preconstruction, construction management, project estimating, sustainable design, design-build, as well as building information modeling services.

For its top-quality projects, the company has received numerous awards and recognitions including being ranked #18 in Boston Business Journal Book of Lists 2019 Largest General Contractors in Massachusetts. They also arrived at #53 on a list of Largest Private Companies in Massachusetts. The company made it to Inc. 5000’s 2018 list as well.

One of its recently completed projects is this Mill Hill Residence. Based in West Yarmouth, the $16-million project for Omega Healthcare Investors, Inc. was completed in collaboration with Stein Troost LLC architect. The project is a new two-story, 75-bed memory care facility built on the site of the former Mill Hill Club. The facility is also a part of the award-winning, full-service, continuing care retirement community of Maplewood at Mayflower campus. Designed with a nautical, Cape Cod aesthetic, the 62,000-square-foot facility features an open-kitchen, display dining venues, bistros, a Wellness Center, an Acai Spa & Salon, libraries, and stone fireplaces.


Harkins Builders, Inc.

10490 Little Patuxent Pkwy. Suite #400, Columbia, MD 21044

Harkins is an employee-owned construction company serving customers in the multifamily, commercial, and government markets. Having been in the business since 1965, Harkins Builders has forged its success through its shared values that continue to build long-standing relationships with its clients to this day. Founded by Thomas P. Harkins in Silver Spring, the company’s first project was the Village of Cross Keys for The Rouse Company. A few decades later, Harkins Builders transitioned into a 100 percent employee-owned company, signaling the beginning of a new era for the company.

As one of the area’s leading builders for multifamily and senior living facilities, Harkins has completed a number of impressive projects, one of which is Brightview Apartments in Annapolis. In partnership with Hord Coplan Macht, Inc., the company completed the 203,174-square-foot facility with 165 units. Designed in a traditional Georgian style, the community features a full commercial kitchen and full commercial laundry services as well as several common areas, restaurants, lounges, living rooms, bars, libraries, administrative offices, and a theater.


Kasco Construction Services

226 East Hudson Ave., Royal Oak, MI 48067

Kasco Construction Services is a general contractor and construction management company dedicated to providing top-notch healthcare and institutional work. The company was incorporated in 1989 and has continued to grow steadily over the years. Currently, Kasco has over 90 highly-trained employees with a staff composed of specialty trade constructors, former consulting engineers, institutional facility managers, field personnel with the latest training, and LEED-certified professionals.

As one of Southeastern Michigan’s premier healthcare contractors, Kasco is the go-to construction management service for numerous prestigious healthcare providers. The company has also completed projects in the senior living market. Kasco puts a premium on occupant comfort and services and understands the challenges involved in providing institutional healthcare services in a residential environment.


Adolfson & Peterson Construction

408 W Superior St., Duluth, MN 55802

In 1946, George Adolfson and Gordon Peterson started in the construction industry from a basement. The firm started doing commercial construction a year after and has continued to grow over the years, handling more complex projects in various market sectors. Today, Adolfson & Peterson Construction consistently ranks among the top general contractors and construction managers in the nation. The family-owned company specializes in preconstruction and construction services to the commercial, education, healthcare, hospitality, industrial, multifamily, municipal, recreation, and senior living markets.

Our editorial team was struck by this senior living facility in Cambridge. The 214,500-square-foot care center serves up to 141 long-term residents, including memory care residents. In partnership with In-Site Architects, the care center floor plan is designed to resemble a home-like setting to accommodate Liberty Personally Designed Living.™


PARIC Corporation

77 Westport Plaza, Suite 250, St. Louis, MO 63119

PARIC is an award-winning construction company that has been serving clients for over four decades. In its many years of being a leader in construction, PARIC has stood by its core values which have shaped the company’s brand and reputation. Since 1979, the company has strived to become the first and last point of contact on its projects; it handles all facets of the project, including design, engineering, pricing, and subcontractor coordination.

The company has amassed multiple awards and recognitions. It was named the #1 Top Contractor in Missouri by ENR and hit #150 spot on the 2018 ENR Top 400 Contractors. PARIC also made it to Building Design & Construction’s list of Top 300 Construction Giants as well as ENR’s Top Design-Build Firms, among many other notable distinctions.


Dick Anderson Construction

3424 Highway 12 E Helena, MT 59601

Dick Anderson Construction is a general contracting and construction management company that has been delivering exceptional construction performance across the West for over 40 years. The company has completed challenging projects in the commercial, civil, industrial, residential, and energy markets. And it has built strong relationships with many of its clients throughout Montana, Wyoming, and other Western states. With the help of a dedicated team with exceptional skills, experience, and construction expertise, the company has grown into a robust and low-debt corporation with the capability to handle multimillion-dollar projects. The company currently employs around 300 to 350 employees, with offices located in Helena, Billings, Bozeman, Great Falls, Missoula, Redmond, and Sheridan.

The company has won multiple Montana Contractors’ Association Building Excellence Awards. In 2016, the company was also listed among ENR’s Top 400 Contractors.

North Carolina

KMW Builders

P.O. Box 26040, Greensboro, NC 27420

KMW Builders is a Greensboro-based general contracting firm founded in 2009. The company specializes in beginning-to-end general contracting services for multi-family complexes, affordable housing projects, adult living communities, and apartment upfits. Backed by the philosophy to always “do the right thing,” KMW Builders has set a standard for high-quality craftsmanship and integrity. Its wide range of projects across North Carolina have impressed many clients and have helped the company develop long-term relationships.

KMW’s success is backed by the strength and experience of Weaver Investment, one of North Carolina’s most successful real estate management, development, and investment firms. The company also works closely with architects, real estate professionals, and other construction experts involved in the process from project planning and site analysis to completion of the project.

North Dakota

Shingobee Builders, Inc.

669 North Medina St., Loretto, MN 55357

Shingobee Builders is a national-certified Women Business Enterprise that provides all-in-one integrated construction solutions for commercial clients. The company was founded to provide innovative management and quality work executed by a team of dedicated professionals. This nationally-acclaimed commercial construction and development company was founded in 1980 and returned to its roots as a woman-owned company in 2018. Nancy Samson, company president and CEO, has led the company to numerous construction awards.

These awards include multiple National Excellence in Construction Awards from the ABC, Excellence in Construction Eagle Awards, STARR Awards, a Contractor of the Year win, the Minnesota Real Estate Award, and the Excellence in Construction Pyramid Award, among many others.


Sampson Construction

5825 South 14th St., Lincoln, NE 68512

Sampson Construction specializes in design-build, design-bid-build, and construction management services for multiple markets. For many years, the company has served as a trusted partner for business owners, developers, and communities throughout the nation. Sampson Construction has an in-house team of experts driven by quality, experience, and commitment. Throughout the years, the company has proudly built numerous establishments such as college stadiums, schools, hospitals, religious facilities, libraries, hotels, corporate campuses, correctional centers, college campuses, correctional centers, college campuses, manufacturing facilities, and retail developments.

Also serving the senior living market, Sampson Construction constructed The Eastern Nebraska Veterans’ Home. The 120,000-square-foot project is a single-story healthcare complex featuring a main building and three connecting wings. The facility contains 90-bed units for veterans requiring supervised living. One of the unique features of this project is a tower bell standing 69 feet tall and a 47-foot town square.

New Hampshire

Eckman Construction

84 Palomino Ln., Bedford, NH 03110

Eckman Construction started as a residential building contractor before expanding into the commercial and public markets. Founded in 1974, the company provides clients with excellent construction workmanship and quality results throughout New England. Eckman Construction is a small company, which gives it the flexibility to handle complex construction challenges and deliver outstanding results. The company has worked on a variety of projects including schools, medical and assisted living facilities, multifamily residential developments.

Located in Dover, The Residence at Silver Square features a mix of 76 studio, one-bedroom, and two-bedroom senior apartments as well as a Reflections Memory Care Alzheimer’s neighborhood. The new 68,000-square-foot facility consists of first-class amenities including a community and private dining, multiple sitting areas and lounges, a bistro, a media room, a salon, an activity room, and a fitness center. This project was completed in collaboration with The Architectural Team in 2018.

New Jersey

Pike Construction Co., LLC

171 Fifth Ave., Paterson, NJ 07524

Pike Companies’ reputation for integrity and reliability has only strengthened over the years. Over six-plus decades, the company has established an impressive record of on-time completion which remains unblemished to this day. Pike’s wide-ranging portfolio includes commercial, industrial, hotels, multifamily housing, senior living, educational, institutional, and rehabilitation work.

The Stonebridge at Montgomery is a CCRC featuring 196 independent living apartments, 24 independent living cottages, 100 assisted living and skilled nursing beds, a 50,000-square-foot clubhouse, and recreational amenities across a 40-acre campus. In collaboration with Wallace Roberts & Todd, LLC, Pike was able to deliver ahead of schedule.

New Mexico

Bradbury Stamm Construction, Inc.

7110 2nd Street NW, Albuquerque, NM 87107

Bradbury Stamm Construction has been one of New Mexico’s leading general contracting companies for nearly a century. The company has made its name through customer-focused services and keen attention to detail throughout the construction process. With offices in New Mexico, Minnesota, Colorado, and Texas, the company’s excellent projects have gained the attention of award-giving bodies as well as prominent publications. The company’s notable achievements include being ranked among ENR’s Top 400 Contractors in 2019, winning 2017’s ENR Southwest Contractor of the Year award, and placing #23 on the ENR Southwest Top Contracting Firm 2018 list. The company was also named the Largest Women-Owned Business in New Mexico 2019 by Albuquerque Business First and was ranked among ENR’s Top 100 Green Building Contractors.

Among the company’s works in the senior living market: The Neighborhood in Rio Rancho. This project is a 252,000-square-foot retirement center broken into three sections: independent living, assisted living, and healthcare. It also features an indoor pool, spa, walking trails, fountains, gardens, and a dog park.

New York


375 Hudson St. 6th Floor, New York, NY 10014

Over 100 years ago, Henry Turner founded Turner Construction Company—a general contracting business built on the core values of teamwork, integrity, and commitment. The company attributes its success in the construction industry to this strong foundation. Today, the company has a global reach and has completed numerous top-notch institutional projects, including schools, hospitals, workplaces, and social and cultural centers. As a founding member of the USGBC, Turner has also completed sustainable projects and has now delivered over 700 green projects.

This North America-based, international construction company has earned recognition for successfully delivering large and complex projects in diverse market segments. Currently, the company has 10,000 employees and completes $12 billion of construction on around 1,500 projects each year. Many of these projects have garnered prestigious awards from ENR, Modern Healthcare, and Building Design+Construction.


Sunseri Construction, Inc.

888 W. 2nd St. Suite #303, Reno, NV 89503

Sunseri Construction, Inc. is a general contracting company committed to providing clients successful construction experiences. Established in the early 1970s, the company has primarily served the affordable multifamily and senior housing sectors. The company continues to fulfill its mission by having completed over eight thousand units of housing for low-income seniors, families, homeless individuals, and people needing assistance. With operations in California and Nevada, Sunseri employs an average of 40 people, with annual revenues of over forty million.

Donny Lieberman, president and CEO, has led the company for many years. Lieberman is the Board President of Brilliant Corners, a statewide nonprofit that serves thousands of Californians facing barriers to independent living. He has also been active in housing advocacy since the early 1980s and is a member of various organizations including the Builders Association of Northern Nevada, California Coalition for Rural Housing, East Bay Housing Organization, Housing California, Leading Age California, Sacramento Housing Alliance, and The Non-Profit Housing Association of Northern California.


The Douglas Company

1716 Perrysburg Holland Rd., Holland, OH 43528

The Douglas Company is an award-winning firm based in Holland, Ohio. The company was founded in 1976 and has been one of the industry’s = leaders in commercial construction, providing services in multiple market segments including senior living and multifamily housing. Its excellent projects and reputable workmanship have earned the company various awards such as being a seven-time honoree on the INC. 5000 list of Fastest-Growing Private Companies.

Peter Douglas, company president, earned his degree in BS Construction Engineering from Iowa State University and his Master’s Degree in Management from J.L. Kellogg Graduate School of Management. His four decades of experience in the industry has helped him lead the firm to excellence in the construction industry.


Cowen Construction

2200 S. Utica Place Suite #100, Tulsa, OK 74114

Cowen Construction has long been serving the construction industry: since its founding in 1896. In the late 1800s, seven Cowen brothers worked on the construction of the Frisco railroad and used their stonemason skills to build new structures. One of the brothers, Nathan, met his future bride during these travels. Soon, he discovered that he could earn more in building homes than making railroads, and Cowen Construction was established.

Today, the company has made its mark among Oklahoma’s leading contractors. Over the years, Cowen Construction has received numerous awards for its well-executed projects in various markets. The company is also affiliated with numerous organizations including the Occupational Safety and Health Administration, the American Society of Healthcare Constructors, Design-Build Institute of America, American Society for Healthcare Engineering, Associated General Contractors, AIA, and Green Advantage Certified.

One of the company’s works in the senior living markets is the HarborChase of South Oklahoma City. In a joint venture with Confluent Senior Living and Harbor Retirement Associates, the company constructed this two-story luxury retirement facility featuring a 112-unit, 102,000-square-foot assisted living and memory care community on a six-acre lot in South Oklahoma City.


Andersen Construction

6712 N. Cutter Circle, Portland, OR 97217

Established in 1950, Andersen Construction is the Pacific Northwest’s latest family-owned Negotiated General Contractor. Andy Andersen, company founder, started his own company in 1950, with nothing more than a borrowed pick-up truck and a loan of a few thousand dollars. In 1960, the firm had already established a reputation as one of Oregon’s top contractors. Its first project, a small concrete tilt-up warehouse and office, still stands to this day. Throughout the years, the company has won multiple awards including being listed among the Top U.S. Contractors and the Top 50 National Building Contractors.

Serving the senior living sector, the company constructed this Wallowa County Memorial Hospital campus. The single-story, wood-framed building consists of nine memory care and 16 assisted living facilities. The 17,100-square-foot building also includes common areas and a commercial kitchen.


Wohlsen Construction

548 Steel Way, PO Box 7066, Lancaster, PA 17604

As one of Mid-Atlantic’s most respected construction companies, Wohlsen Construction has delivered exceptional quality projects for a range of industries. With over 130 years of experience, the Wohlsen team has honed its skills performing for markets that include senior living, healthcare, and higher education. Wohlsen Construction’s story started in 1877 when a 16-year old carpenter named Herman F. Wohlsen left Germany and moved to Central Pennsylvania. In 1890, he established Wohlsen Construction Company.

The company has been frequently recognized regionally and nationally by various trade associations including the National Associated Builders and Contractors, the Delaware Contractors Association, Historic Preservation Trust of Lancaster County, and numerous other industry associations. The company is a recipient of 17 ABC national honors, 243 regional awards, and three project of the year awards. Wohlsen’s seasoned craftsmen also earned the National ABC Craft Championship Gold Medal four times.

South Carolina

Sherman Construction

1330 Piedmont Hwy., Piedmont, SC 29673

Sherman Construction started as Sherman Masonry, a masonry contracting company focused on building relationships and delivering on its promise of excellent workmanship. Eventually, Sherman Masonry expanded its operations into building gas stations. In 1961, Sherman Construction Company was formally organized in 1961. Over the last few decades, Sherman Construction has steadily grown and has established itself as a respected contractor for multiple markets including higher education, religious, multifamily housing, senior living, recreational, healthcare, and industrial.

The Palmettos of Garden City Assisted Living Community is one of the company’s projects in the senior living industry. National Healthcare hired Sherman Construction for the preconstruction and construction of a 65,000-square-foot assisted living with a memory care wing. This project was completed in 2017 in partnership with Johnson + Bailey Architects,

South Dakota

Scull Construction Services Inc.

803 Industrial Ave., Rapid City, SD 57702

Scull Construction Services specializes in commercial construction, educational construction, and healthcare construction throughout South Dakota, North Dakota, Nebraska, Montana, and Wyoming. The company began primarily providing government projects and became known for its well-crafted results. Soon, the company expanded and has become one of the leading licensed general contractors serving North Dakota and South Dakota.

Excelling in various markets, the company completed the South Dakota State Veterans Home. This project is a great example of how the company can work within a very specific budget and still provide top-notch results. The new 145,000-square-foot facility includes assisted living spaces, nursing areas, and a medical clinic. It also consists of an expanded, high-tech kitchen, library, multipurpose room, and screening room for movies and entertainment.


Brindley Construction

747 W. College St., P.O. Box 303, Pulaski, TN 38478

For the last six decades, Brindley Construction has provided clients throughout the Southeast with comprehensive design-build and general contracting services. Most importantly, the Brindley Team listens to their clients’ needs and understands the challenges that assisted living facilities face during design, construction and renovation.

One of its senior living projects is The Fountains of Franklin Senior Living in Franklin, Tennessee. This stunning project features a two-story assisted living facility with 59 one- and two-bedroom apartments ranging in size from 676 to 1,140 square feet. This project presented Brindley Construction with many challenges: the regulatory environment was harsh, with standards that were nearly unattainable; the budget was extremely tight and the project’s financing was secured during a world-wide financial crisis, causing contractors and suppliers to reduce margins to remain within budget. Nevertheless, the Brindley Construction team persevered and drove the project to completion with the attention to detail and determination for which they have become well-known. This project received the 2013 Regional Excellence in Construction Award for Residential – Multifamily Projects Up To $100 Million from the ABC of North Alabama.


Ridgemont Commercial Construction

1520 W Walnut Hill Lane, Irving, TX 75038

Ridgemont Commercial Construction is a construction company that specializes in traditional design-build and construction management services. Bob O’Brien, company CEO and principal, brings years of industry experience to the company. Under his leadership, the company has developed into one of the region’s most successful privately-held construction management firms. Ridgemont Commercial Construction’s core values of people, integrity, improvement, and ambition have been among the company’s hallmarks in providing exceptional construction work.

The company provides services to a variety of markets. In the senior living sector, the Ridgemont team specializes in assisted living, memory care, independent living, skilled nursing, rehabilitation facilities, physical and respiratory therapies, continuing care retirement communities, short-term care, and hospice. The company has completed numerous senior living projects over the years and has a proven track record for successfully completing quality facilities.


South Haven Homes

437 E 1000 S Pleasant Grove, UT 84062

From small home remodels to ground-up construction, South Haven Homes has the skill and experience to complete the vision of its clients. Through transparency and communication, the company succeeds in providing Utah clients with professional, unmatchable services. For over 20 years, the company has honed its expertise in real estate, development, remodeling, and new construction and has also proven its ability in the senior and assisted living market sector.

One of its projects is the Avalon Senior Living Apartments in Lindon City, Utah. It is a brand new 55+ senior living company featuring one-, two-, and three-bedroom apartments and high-quality facilities. It also consists of two fitness centers, a bark park, community gardens, a courtyard, two movie theaters, two craft rooms, and a community game room.


Scott-Long Construction, Inc.

14420 Albemarle Point Place Suite #250, Chantilly, VA 20151

Scott-Long Construction has been in business since 1961 and was originally incorporated as Bruce Scott Construction. In 1978, Henry Long joined the company and Scott-Long Construction was formed. Since 2004, John Scott, Bruce’s son, has led the company as CEO. He completed the purchase of the company in 2012. John’s mission remains true to the founding principles that his father intended: workmanship, innovation, and value. Over the years, the company’s driving philosophy has focused on superior workmanship, competitive pricing, and innovative technologies, which have remained the same up to this day.

Scott-Long Construction specializes in projects that have a lasting and beneficial effect on the communities it serves. These projects include hospitals, senior care facilities, private schools, religious institutions, community, clubhouses, and other commercial facilities.

The company focuses on building facilities that offer the best possible care for seniors. Using the latest technologies, Scott-Long has completed multiple senior care projects, including independent living, assisted living, skilled nursing, hospice, and palliative care facilities.


Walker Construction, Inc.

1800 East Trent Ave., Spokane WA, 99202

Walker Construction takes pride in safely delivering superior quality projects that exceed its client’s expectations. For Walker’s team of construction experts, construction is more than just building—it’s also to create lasting partnerships and help communities thrive. Walker Construction has been in business for 45 years and has provided quality construction solutions and general contracting services via multiple delivery methods including preconstruction, project management, self-performed labor, value engineering, general contracting, construction management, and design-build.

Moran Vista Assisted Living Facility is one of the company’s assisted living projects. Located in Spokane, the 27,000-square-foot facility was the first phase of what is now Moran Vista Senior Living Center. The project provides residents with several living options including several units with kitchenettes. It consists of an attached sixteen-unit protective care wing, a beauty parlor, activity rooms, and sitting areas.


Horizon Develop Build Manage

5201 E Terrace Dr. Suite #300, Madison, WI 53718

Over 30 years of experience has provided Horizon Develop Build Manage the expertise to build across multiple industries. Its portfolio of wide-ranging projects features senior neighborhoods, multifamily communities, commercial properties, hotels, and indoor water resorts. In 1984, Chuck Heath and his partners founded Horizon Investment & Development Corp. as a real estate development company. In 1996, three Horizon entities were established to distinguish its platform of services: Horizon Development Group, Inc. (HDG), Horizon Construction Group, Inc. (HCG), Horizon Management Services, Inc. (HMS).

The company was hired to provide general contracting and design-build services for the All Saints Assisted Living in Madison. The project features studio-style units and health and supportive services for its elderly and memory care residents. The 43,000-square-foot, 58-unit facility features dining rooms, activity rooms, outdoor garden sitting areas, storage areas, and a non-denominational reflection room.

About Our Rankings

This list takes a range of ranking criteria into consideration, including but not limited to: work history, customer satisfaction, awards and recognition, geographic area of work, cost, building permits, and clientele. We spent over 40 hours researching local contractors before calculating the final ranking for this post. If there is additional information about your business that could affect these rankings, please fill out this form and we will take it into consideration.

Get Bids For Your Build

If you are thinking about building a nursing home, we recommend checking each builder’s license with the local licensing board, speaking to past clients, and using our bidding system to get competitive quotes from at least 3 contractors. Getting multiple bids is the best way to ensure you get a fair price and that bids include the complete scope of work.


  • Alex Mericle

    Alex Mericle is the Chief Editor at General Contractors Magazine with five years of experience in the construction space. Alex has always had a strong interest in residential and commercial construction and architecture, and he has built up technical experience with building permit data, subcontractor operations, and materials procurement over the years. On top of his experience at General Contractors Magazine, he has prior experience at BuildZoom. His analytical skillset, honed through a degree in Business Analytics from Creighton University and from his work experience, allows him to transform complex construction data into actionable insights and useful, captivating content. Expertise: Residential and Commercial Construction, Building Permit Data, Home Design and Build, Architecture, Subcontractor Operations, Material Procurement Key Highlights: Over 5 years of experience writing and editing in the construction space, Chief Editor at General Contractors Magazine, Previous experience at BuildZoom Education: Creighton University, Degree in Business Analytics