Always Best Care Senior Services

Always Best Care Senior Services is a leading franchisor in the in-home senior care industry, established in 1996 near Sacramento, California, with its headquarters now in Roseville, California. The company's mission centers on providing compassionate and professional care for older adults and others in need, aiming to offer peace of mind to clients and their families through appropriate care. It operates an extensive franchise system with over 285 units across the United States and Canada.

Always Best Care offers a comprehensive range of services, including non-medical personal care, assisted living placement, and skilled home health services. These services encompass assistance with daily activities, specialized care for post-surgery recovery or chronic illnesses like dementia, and end-of-life support. The company also leverages technology with offerings such as the "Always In Touch" system for companionship and remote patient monitoring, including a 24/7 virtual care assistant.

Jake Brown serves as the President and CEO of Always Best Care, with Michael Newman as the Founder and Executive Chairman. In November 2025, the company was acquired by NexPhase Capital, a private equity firm, positioning it for continued growth in the senior care sector. Always Best Care was recognized on Entrepreneur Magazine's 2026 Franchise 500® list at No. 454 and as a Top Franchise Opportunity Under $150,000, reflecting its steady expansion and market appeal. The company continues to expand its footprint with new franchise openings and recently launched Hybrid Home Care in March 2026, integrating Sensi.AI technology for enhanced virtual support.

Latest updates

Always Best Care Expands into Kitchener-Waterloo Amid Rising Senior Care Demand

Event summary

  • Always Best Care opens new franchise in Kitchener-Waterloo, led by Holger Fischer, to address growing demand for in-home senior care.
  • The location will offer non-medical care services, including personal care, companionship, and dementia care.
  • Ontario's senior population is growing rapidly, with 91% of seniors preferring to age in place, per Canadian Institute for Health data.
  • This expansion follows Always Best Care's recent growth in Canada, with locations in Calgary, Edmonton, and Oakville.
  • Fischer, a former business manager, is also training to become a Care Coordinator with Always Best Care.

The big picture

Always Best Care's expansion into Kitchener-Waterloo aligns with broader trends in Canada's aging population and the increasing preference for in-home senior care. The company's growth strategy involves leveraging franchise models to penetrate new markets, reflecting a shift towards decentralized, locally operated care services. With a strong presence in the U.S. and recent expansions in key Canadian cities, Always Best Care is positioning itself to capitalize on the rising demand for affordable, dependable senior care solutions.

What we're watching

Market Penetration
Whether Always Best Care can sustain its expansion pace in Canada amid increasing competition in the senior care sector.
Demand Growth
The pace at which Ontario's senior population growth will drive further demand for in-home care services.
Operational Execution
How Holger Fischer's business management background will impact the success of the Kitchener-Waterloo franchise.

Always Best Care Expands Ohio Footprint Amid Senior Care Demand

Event summary

  • Always Best Care opened a new franchise location in East Cincinnati, Ohio, on April 28, 2026.
  • The franchise is owned and operated by Sam Bernard, who has a background in real estate and development.
  • The new location offers non-medical in-home care and senior living referral services.
  • Bernard cited growing demand for senior care services in the Cincinnati area, a popular retirement destination.

The big picture

The expansion reflects the broader trend of increasing demand for senior care services driven by the aging population and a preference for in-home care. Always Best Care's franchise model allows for rapid geographic expansion, but relies heavily on the success of individual franchisees like Sam Bernard. The company's ability to maintain quality control and brand consistency across its growing network will be key to long-term success.

What we're watching

Market Saturation
The Cincinnati market's appeal as a retirement destination suggests potential for increased competition among senior care providers, requiring Always Best Care to differentiate its services and maintain margins.
Caregiver Retention
Bernard's emphasis on caregiver satisfaction and team building will be critical; high turnover rates are a persistent challenge in the home care sector and can significantly impact service quality and profitability.
Franchise Model
The success of this expansion will inform Always Best Care's broader franchise strategy, particularly regarding franchisee selection and support to ensure consistent brand delivery and operational efficiency.
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