Top U.S. Cities Where Home Health Franchise Demand is Surging

An elderly veteran in a wheelchair proudly holds an American flag, symbolizing the growing demand for home health franchise services across U.S. cities with aging populations.

In recent years, the demand for home health care has grown rapidly, and it’s not just happening in one or two regions. Across the U.S., families are looking for trusted care for aging parents, grandparents, and loved ones who want to stay in the comfort of their own homes. This surge has opened the door to an exciting opportunity for entrepreneurs: home care franchising.

But like any smart business decision, timing and location matter. If you’re considering launching a care business, knowing where the need is growing can make all the difference. Whether you’re dreaming of a small-town startup or aiming to lead in a major metro area, certain U.S. cities are becoming hotspots for home care franchise territories. And now may be the perfect time to act.

Why Location Still Matters in Home Care Franchising

Sure, remote work and digital tools have changed the way many businesses operate. But in the world of in-home care, local trust is everything. People want help from providers who know their community, speak their language, and live nearby. That’s why geography still plays a key role in the success of any homecare franchise opportunity.

Franchisors like Ace Home Care understand this well. They work with you to identify and secure in-home care franchise territories that offer strong demographics, steady demand, and minimal competition. From high-growth cities to underserved suburban and rural areas, the right territory sets the stage for long-term growth.

Top Cities Where Demand Is Rising Fast

Here are some of the best U.S. cities right now for launching a home care franchise, based on aging population, health care infrastructure, and growing demand for in-home support:

1. Phoenix, AZ

  • With year-round sunshine and a huge retiree population, Phoenix is one of the top cities where seniors want to age in place.
  • As the city expands, there’s a strong need for personal care, companionship, and post-hospital recovery services.

2. Dallas–Fort Worth, TX

  • Texas is business-friendly, and the DFW metro area is booming with growth in every direction.
  • The area combines a rising senior population with fast-growing suburbs in need of reliable home care providers.

3. Tampa, FL

  • Florida has long been known as a retirement haven—but today’s seniors are choosing home care over assisted living.
  • The Tampa area offers both urban and coastal suburban markets, giving franchisees a range of client bases.

4. Charlotte, NC

  • As one of the fastest-growing cities in the South, Charlotte offers a unique blend of aging Baby Boomers and underserved communities.
  • It’s also home to several large hospitals and senior organizations that can be excellent referral partners.

5. Chicago Suburbs, IL

  • While downtown Chicago is dense, the surrounding suburbs are filled with older adults who prefer to age at home.
  • These areas offer great potential for home care franchise territories with less direct competition and more loyal clients.

6. Las Vegas, NV

  • Vegas isn’t just for tourists anymore. It’s now home to thousands of retirees and families seeking affordable senior care.
  • With limited in-home options currently available, there’s major room for growth in this market.

7. Minneapolis–St. Paul, MN

  • The Twin Cities are known for their healthcare quality and aging population.
  • This region is an ideal fit for care franchises that want to grow in a stable, supportive environment.

What Makes a Territory “Hot”?

A strong homecare franchise opportunity doesn’t always mean the biggest city or the most seniors. It means finding the right balance—a mix of need, growth potential, and support. Some factors to consider when looking at home care franchise territories:

  • Senior Population Density: Are there enough potential clients in the area over age 65?
  • Healthcare Proximity: Hospitals, rehab centers, and clinics nearby mean more referral sources.
  • Economic Stability: Areas with a stable or growing economy can better support premium care services.
  • Caregiver Availability: Are there qualified people in the area looking for caregiving jobs?
  • Local Competition: Some cities are oversaturated, while others are wide open and waiting.

Smart franchisors like Ace Home Care analyze all of this with you. They’ll help you avoid blind spots and find in home care franchise territories where you can grow steadily—and serve with confidence.

Why Now Is the Time to Enter the Market

The phrase “aging population” is often used, but what it really means is this: more people will need care at home in the next 10 years than ever before in U.S. history. By 2030, every single Baby Boomer will be over 65. And most of them won’t be headed to nursing homes—they’ll want to stay right where they are.

That’s why home care franchising is such a powerful opportunity. You’re not just starting a business—you’re meeting a growing need. And the sooner you claim a territory in a high-growth area, the more impact you can have. Whether it’s helping a neighbor recover from surgery or giving a family peace of mind, your work will matter.

Why Now Is the Time to Enter the Market

The phrase “aging population” is often used, but what it really means is this: more people will need care at home in the next 10 years than ever before in U.S. history. By 2030, every single Baby Boomer will be over 65. And most of them won’t be headed to nursing homes—they’ll want to stay right where they are.

That’s why home care franchising is such a powerful opportunity. You’re not just starting a business—you’re meeting a growing need. And the sooner you claim a territory in a high-growth area, the more impact you can have. Whether it’s helping a neighbor recover from surgery or giving a family peace of mind, your work will matter.

The Right Place. The Right Time. The Right Purpose.

You don’t have to be a healthcare expert or own a fortune to succeed in home care. What you do need is vision, grit, and the right location. The cities listed above—and many more—are already showing signs of major growth in this space. The question is: will someone else step into that opportunity first, or will it be you?

Ace Home Care is ready to help you find your perfect territory, launch with confidence, and lead with purpose. Their proven model, supportive team, and focus on quality care make them the partner you’ve been waiting for.

If you’re ready to turn your drive into something that truly helps others, contact Ace Home Care today. Because this isn’t just about business—it’s about building something that matters, right in the heart of your own community.