Hi Michelle, I think your question might be a rare one, I bet not many of us can relate to your need, but I have managed senior/disabled buildings that are PBA and in rural areas, and have seen struggles with occupancy. We always kept ads on craigslist, even if it was far away. I would suggest contacting social workers and case workers that are at surrounding area county agencies for adult services. Perhaps drop flyers/info by the social services offices at surrounding counties. Another thing you could try and find your local ad rep for "val-pak" those blue envelopes that get mailed to everyone's address. Check into placing an ad in the val-pak mailer. Home health agencies might be a good referral source. You could establish a partnerhsip with a preferred home health agency, when you have residents that need help/services, you could refer the home health agency, and when they have customers that are needing to move out of their own home and into a senior apartment, they could refer them to your building. We also used to establish close ties with local elected officials, people of importance and fire/police - this helped our rural buildings keep a more prominent profile/reputation, etc. Good luck!