Your buyer is a 55-year-old daughter with two weeks to decide
Nobody wakes up and shops for assisted living. A parent falls, a hospital case manager says discharge is Friday, and an adult child starts searching that night. The decision window is days, the emotional load is high, and the person searching has never done this before.
That changes what the site has to do. Pricing, care levels, what is included, what triggers a move to memory care, and whether you can take someone off a hospital discharge this week are the questions being asked. Most community sites answer none of them and lead with a photo of a garden.
The searcher is also not the resident. Copy written to an 82-year-old reads wrong to the person making the call and writing the check.
You are competing against aggregators, not other communities
Search assisted living in almost any US city and the first page belongs to national referral networks. They outspend and outrank individual operators, capture the inquiry, then sell it back to you as a placement fee when the resident moves in. Communities end up paying for calls generated on their own brand and city terms.
There is nothing wrong with using them. There is something wrong with using only them, because you never build a channel you own and your cost per move-in never comes down. The communities that get out from under this rank their own location pages, run their own Google Business Profile properly, and answer the phone.
For skilled nursing there is a third competitor: your own CMS star rating. It is public, it ranks for your brand name, and no amount of website copy outweighs a two-star inspection result on Care Compare.