Best Assisted Living in USA

Peregrine Delmar Place is a 106-bed assisted living and independent living community administrated by PSL of Delmar Place LLC at 467 Delaware Avenue in Delmar, New York, in Albany County. Licensed as an Enriched Housing Program by the New York State Department of Health, Office of Aging and Long Term Care, the facility holds Enhanced Assisted Living and Special Needs Assisted Living (SNARL) certifications. Peregrine Delmar Place operates under The Peregrine Way, the organization’s proprietary care framework. Pets are permitted.

The facility’s certifications permit residents to remain in place through advancing care levels without requiring relocation. Confirmed services include rehabilitation, respite care, nursing services, 24-hour staffing, diabetic care, incontinence care, medication management, memory care programming, non-ambulatory care, and ancillary services. On-site features include a dining room with grand piano, libraries, fireplaces, living room, outdoor courtyard, activity room, sanctuary space, Country Store, communal kitchens, fish tanks, private dining room, and walking paths connecting to the adjacent Bethlehem Public Library. Three named resident programs are available: Legacy Stories, Time Capsules, and a monthly Celebrate a Life event. Scheduled transportation is provided.

The New York State Department of Health, Office of Aging and Long Term Care conducted one inspection on record. The most recent inspection on July 31, 2025, identified zero deficiencies. Earlier inspections showed no citations. One enforcement action appears in the public record: Stipulation and Order ACF-21-063, dated August 13, 2021, a formal state agreement requiring correction of serious or repeated violations. No complaints, fines, or license suspensions appear in the public record. Outside of the 2021 enforcement action, the inspection record reflects consistent compliance.

Located in Delmar, Peregrine Delmar Place provides assisted and independent living with Enhanced and SNARL certifications enabling aging in place. Albany Medical Center is approximately four miles away.

Peregrine Delmar Place is suited for families seeking assisted or independent living with the ability to age in place through advancing care needs in Delmar. Families should ask about the specific care protocols triggered by the SNARL certification, staffing transitions as residents’ needs change, and the implementation of the three named resident programs before placement.

Peregrine Senior Living at Colonie is a 68-bed memory care and assisted living community administrated by TP Colonie Operator, LLC at 5 South Family Drive in Colonie, New York 12205, in Albany County. Licensed as an Adult Home under New York State law by the New York State Department of Health, Office of Aging and Long Term Care, the facility operates as a dedicated memory care community for residents with Alzheimer’s disease, dementia, and other cognitive conditions.

The community organizes care around The Peregrine Way, a proprietary care philosophy built on three stated principles: renewal of individual growth, deepening of the spiritual experience, and lifelong learning through intellectual engagement. All staff receive dementia-specific sensitivity training. Memory care pricing starts at approximately $7,950 per month.

The New York State Department of Health, Office of Aging and Long Term Care conducted one inspection on record. The most recent inspection on July 31, 2025, identified zero deficiencies. No prior inspections with citations appear in available records. Zero complaints have been filed. No enforcement actions or fines appear in the public record.

Eight confirmed amenities are on record: 24/7 caregiver support, assistance with daily tasks, housekeeping, laundry, spiritual services, family caregiver support, outings, and chef-prepared dining. Additional confirmed services include individualized care plans, medication management, bathing and grooming assistance, incontinence care, transferring and mobility assistance, nutrition management, and on-site therapeutic professionals. Respite memory care stays are available for a minimum of 30 days with full access to all community programs. The facility is wheelchair accessible with emergency systems in place.

Peregrine Senior Living at Colonie is organized around The Peregrine Way framework, combining spiritual programming, lifelong learning partnerships with local colleges and organizations, and dementia-trained staffing. This framework distinguishes the community from standard memory care models that address memory care at the level of basic daily needs only. Albany Memorial Hospital is approximately four miles away. Published reviewer sentiment across 45 accounts is strongly positive, with family members citing staff attentiveness, cleanliness, activity programming, and dining quality.

Peregrine Senior Living at Colonie is suited for residents with Alzheimer’s disease or dementia seeking memory care within a structured, spiritually-engaged community environment. Families should ask about The Peregrine Way programming specifics, dementia training credentials for all staff, and the 30-day respite care minimum before placement.

The Pavilion at Vestal is a 40-bed adult home administrated by The Pavilion at Vestal, LLC at 105 West Sheedy Road in Vestal, New York 13850, in Broome County. Licensed by the New York State Department of Health, Office of Aging and Long Term Care, the facility offers assisted living, memory care, and skilled nursing. The Pavilion at Vestal is co-located with Vestal Park Rehabilitation and Nursing Center on the same campus under the same operator.

CMS ratings are 2-star overall, 1-star health inspection, 4-star staffing, and 5-star quality measures. The New York State Department of Health, Office of Aging and Long Term Care has conducted 3 inspections with 7 total deficiencies across the record. The most recent inspection on May 13, 2025, a complaint investigation, identified zero deficiencies. Earlier inspections cited deficiencies in resident funds and valuables, resident services, personnel, and environmental standards. One enforcement action is on record: Stipulation and Order ACF-24-038, dated November 12, 2024, requiring correction of serious or repeated violations. Six complaints have been filed; investigations found no substantiated violations. No fines or immediate jeopardy findings appear in public record.

Twelve confirmed amenities include housekeeping, maintenance, laundry, transportation services, cable TV access, spacious single rooms, deluxe suites, double suites, 24-hour assistance, independently controlled heat and air conditioning, private bathrooms with easy-entry showers, and trained staff for medication management. A 24-hour emergency response system is in place. Programs include short-term rehabilitation, long-term care, Memory Care and Dementia Program, respite care, medical adult day health services, pet therapy, recreation therapy, and chaplain counseling. Three daily meals are served with chef-prepared menus and dietitian support. An on-site barber and salon are available. Respite stays range from one night to extended periods.

Lourdes Hospital is approximately 1.2 miles from the facility.

The Pavilion at Vestal is suited for seniors requiring assisted living, memory care, short-term rehabilitation, or long-term skilled nursing within a single-campus model. Families should ask about the specific corrections implemented under Stipulation and Order ACF-24-038, the nature of earlier deficiencies in resident funds management and personnel practices, and current protocols to prevent recurrence before placement.

Loudonville Assisted Living Residence is a 105-bed assisted living and memory care community at 298 Albany Shaker Road in Loudonville, New York, in Albany County, owned by Westmere Home for Adults, LLC and administrated by the Levine family. Licensed as an Adult Home under New York State law by the New York State Department of Health, Office of Aging and Long Term Care, the facility has been operated by the Levine family across three generations for more than 50 years. The continuum of care spans four named programs: Traditional Assisted Living, Enhanced Services, Enhanced Assisted Living, and the Gerald Levine Center for Memory Care. A policy allows couples to remain together regardless of differing care levels.

Eight inspections have been conducted by the New York State Department of Health, Office of Aging and Long Term Care, producing 20 total deficiencies across the record. The most recent inspection, an Other survey on May 13, 2025, cited one deficiency related to records and reports. Earlier inspections showed variable results, with multiple deficiencies spanning resident services, environmental standards, food service, admission and retention standards, and medication management in some surveys, and no violations in others. Thirteen complaints have been filed, at a rate of 12.4 per 100 occupied beds, below the New York state average of 49.9. Complaint investigations were generally unsubstantiated. No fines, immediate jeopardy findings, or enforcement actions appear in the public record.

Eight confirmed amenities are on record: 24-hour care and supervision, unlimited personal care services, on-site primary care physicians, physical therapy and occupational therapy, podiatry services, medical scheduling, wheelchair-accessible transportation, and a full-service hair salon. Nursing services, skilled nursing, and 24-hour staffing are confirmed. Additional services include medication management, health monitoring by a licensed nurse, case management, laundry and housekeeping seven days a week, emergency call systems, and scheduled transportation. Chef-prepared dining accommodates special diets.

Albany Medical Center is approximately two miles away. Reviewer accounts across many years report strong satisfaction with family ownership, staff continuity, and resident relationships.

Loudonville Assisted Living Residence is suited for seniors seeking assisted living, enhanced care, or memory care within a family-owned continuum-of-care model operated by the same family for three generations. Families should ask about the couple-together policy specifics, care level transition protocols within the four named programs, and how long-term resident relationships and staff continuity are maintained during transitions before placement.

The Paramount at Somers Rehabilitation and Nursing Center is a 300-bed skilled nursing facility at Route 100 in Somers, New York 10589, in Westchester County. Operated by Somers Operating, LLC, a for-profit limited liability company within the CareRite Centers network of 34 facilities, the facility is certified by the Centers for Medicare and Medicaid Services. Administrated by management within the CareRite network, the facility has participated in Medicare since July 1, 1970. The Paramount at Somers holds certification as a skilled nursing facility with average daily census of approximately 271 residents.

CMS ratings are 3 out of 5 overall, 4 out of 5 health inspection, 1 out of 5 staffing, and 5 out of 5 short-stay quality measures. Total nurse staff hours per resident per day are 2.59, below both the New York state and national averages. Total nursing staff turnover is approximately 43.5 percent; registered nurse turnover is 45.2 percent. Named programs include Orthopedic Rehabilitation, Short Term Rehabilitation, Wound Care, Long Term Care, Amputee Care, Recreation, Urban Zen, Concierge and Patient Experience, and Culinary Excellence Program. The facility accepts Medicare and Medicaid.

The New York State Department of Health has conducted 7 inspections, generating 36 deficiencies and 39 total citations across the record. The most recent inspection, a complaint investigation on November 7, 2024, identified multiple health and life safety deficiencies at mostly Level 2 severity, corrected by early 2025. Prior cycles cited recurring deficiencies in resident care, staffing, medication management, and life safety areas including exit discharge and fire safety systems. One enforcement action is on record: Stipulation and Order NH-24-072, dated August 7, 2024. Eighty-one complaints have been filed; complaint investigations did not result in substantiated complaints. No fines appear in the public record.

Located in Somers, The Paramount at Somers Rehabilitation and Nursing Center provides skilled nursing care with a 5 out of 5 short-stay quality measures rating. Northern Westchester Hospital is approximately four miles away.

The Paramount at Somers Rehabilitation and Nursing Center is suited for short-term post-acute rehabilitation or long-term skilled nursing care in Somers. Families should ask directly about current staffing levels and turnover patterns, nurse-to-resident ratios, implementation of corrective actions from the November 2024 complaint investigation, and specific protocols for the named rehabilitation and wound care programs before placement.

The Osborn is a 286-bed nonprofit Life Plan Community administrated by the Miriam Osborn Memorial Home Association at 101 Theall Road in Rye, New York, in Westchester County. Established by New York State Legislature following Miriam Osborn’s death in 1892, the association operates as a 501(c)(3) organization. The campus opened April 21, 1908, and is the only CCRC in Westchester County. Licensed as a Continuing Care Community with CARF-CCAC accreditation, it is set on 56 acres and encompasses independent living, assisted living, the H.O.P.E. Center for Memory Care, skilled nursing and short-term rehabilitation in the Osborn Pasciuti Pavilion with 84 certified beds, and Osborn Home Care, a licensed New York State home care agency. The Osborn was recognized as a 2025 Best Nursing Home by U.S. News and World Report and ranked among the top 100 CCRCs nationally by Newsweek in 2025.

Occupancy stands at 89.6 percent. Medicare and Medicaid are accepted. Medicare represents approximately 70 percent of new admissions and private pay 30 percent. Annual revenue is $66.8 million against total costs of $74.2 million, with an operating deficit of $18.1 million, consistent with the nonprofit operating model. Total nursing care per resident per day is 4 hours 1 minute.

Named programs include Rehabilitation, Respite Care, Osborn Home Care, and the WellSpring wellness program. The H.O.P.E. Center for Memory Care is the dedicated dementia program on campus.

The New York State Department of Health has conducted 7 inspections, producing 34 deficiencies and 34 total citations. The most recent inspection, a complaint investigation on February 19, 2025, identified multiple Level 2 health and life safety deficiencies, most corrected by April 20, 2025. Top deficiency categories are Resident Rights, Quality of Life and Care, and Environmental. One enforcement action is on record: Stipulation and Order NH-16-100, dated April 18, 2014. Nineteen complaints have been filed at a rate of 22.6 per 100 occupied beds, below the New York state average of 49.9. No complaints are currently open.

Quality measure data presents a mixed profile. Need for help with daily activities is 120 percent worse than state average. Functional decline is 91 percent worse than state average. Falls with major injury are 74 percent better than state average. Depressive symptoms are 100 percent better than state average. Short-stay antipsychotic medication increases are 76 percent better than state average. Greenwich Hospital is approximately 6 miles away.

The Osborn is suited for individuals seeking continuing care with onsite memory care, rehabilitation, or skilled nursing in Rye. Families should ask about the Level 2 deficiencies identified in the February 2025 investigation, current corrective action status, protocols for resident rights compliance, and quality of care measures before placement.

Cortlandt Healthcare is a 120-bed skilled nursing facility at 110 Oregon Road in Cortlandt Manor, New York, in Westchester County, owned and operated by Cortlandt Operations, LLC, a for-profit entity within the CareRite Centers network. The facility has operated for more than 50 years, accepts Medicare and Medicaid, and holds a CMS overall rating of 2 stars, against a New York state average of 3.33.

Physical therapist availability averages 9.24 minutes per resident per day, above the national average of 6 minutes. Ten confirmed amenities are on record: fine dining, coffee and snacks throughout the day, room service, daily housekeeping, on-site laundry, on-site beauty salon, iPads and computers, magazines, books and DVDs, and individualized veteran programs. Named programs include Amputee Care, Orthopedic Rehabilitation, Respiratory Therapy, True2Life, Urban Zen, a Concierge and Patient Experience program, and Long Term Care. Additional confirmed services include clinical labs, dental care, mental health, occupational therapy, pharmacy, physician and physician extender, podiatry, physical therapy, social work, speech pathology, and X-rays. An in-house chef and staff dietitian prepare all meals.

The New York State Department of Health conducted four inspections, producing 34 deficiencies and 33 total citations. The most recent, a complaint investigation on March 3, 2025, identified multiple Level 2 deficiencies involving infection control, immunizations, drug labeling, cooking facilities, electrical and fire safety systems, HVAC, sprinkler maintenance, and building space subdivisions, with many corrected by April 2025. Prior inspection cycles showed recurring Level 2 deficiencies across pharmacy services, medication error prevention, care planning, accident hazards, respiratory care, and life safety code issues, most corrected within a few months of citation. Sixty-seven complaints have been filed, at a rate of 55.8 per 100 occupied beds, above the New York state average of 49.9. No fines, immediate jeopardy findings, or enforcement actions appear in the public record.

New York Presbyterian Hudson Valley Hospital is in the broader northern Westchester service area.

Cortlandt Healthcare is suited for families considering post-acute rehabilitation given the depth of named programs and physical therapy availability.

Sky View Rehabilitation and Health Care Center, LLC is a 192-bed skilled nursing facility administrated by CEO Lizer Jozefovic at 1280 Albany Post Road in Croton-on-Hudson, New York 10520, in Westchester County. Owned and operated by Epic Healthcare Management as a for-profit partnership, the facility was acquired in October 2003. SKY View holds 192 certified beds, accepts Medicare and Medicaid, and provides post-acute rehabilitation and long-term care services. The facility received the 2025 Bronze National Quality Award from the American Health Care Association and the National Center for Assisted Living. U.S. News rates the facility High Performing for short-term rehabilitation.

CMS ratings are 3-star overall, 4-star health inspection, 1-star staffing, and 4-star quality measures. Confirmed clinical specialties include orthopedic rehabilitation covering fractures, multiple trauma, joint replacements, and prosthetics and orthotics, and subacute wound care covering diabetic, traumatic, and pressure wounds. Additional services include social work, registered dieticians, dental, consulting psychiatry, podiatry, a restorative nursing program, speech therapy, occupational therapy, oral chemotherapy, pain management, hospice, and orthotist and prosthetist services. Amenities include gourmet dining, Wi-Fi, an on-site salon, a gym, laundry, and concierge service. Pets are permitted.

The New York State Department of Health has conducted 7 inspections producing 8 deficiencies and 7 total citations. The most recent annual inspection on July 10, 2024, cited one deficiency related to abuse reporting documentation. Earlier inspections cited recurring issues with national health safety network reporting and deficiencies in food sanitation and resident mobility that were corrected. Fifty-five complaints have been filed at a rate of 28.6 per 100 occupied beds, below the New York state average of 49.9. No enforcement actions or fines appear in the public record.

Located in Croton-on-Hudson, Sky View Rehabilitation and Health Care Center, LLC provides post-acute rehabilitation and long-term care with a High Performing designation for short-term rehabilitation and an AHCA Bronze Award.

Sky View Rehabilitation and Health Care Center, LLC is suited for individuals requiring post-acute rehabilitation or long-term skilled nursing in Westchester County. Families should ask directly about current staffing ratios, protocols for abuse reporting and documentation, and corrective measures implemented following the July 2024 inspection before placement.

Washington Center for Rehabilitation and Healthcare is a 122-bed skilled nursing facility at Route 40 in Argyle, New York, in Washington County, owned and operated by Washington Operations Associates, LLC, a for-profit entity within the Centers Health Care network of 35 facilities. The facility holds a CMS 5-star overall rating, ranked second out of ten facilities within a 25-mile radius. It accepts Medicare and Medicaid, operates 24 hours a day, seven days a week, and permits pets. Average daily census is approximately 118.6 residents against 122 beds, an occupancy rate of approximately 97 percent. Nurse staffing averages 3.42 hours per resident per day.

The RehabStrong program is the operator’s branded rehabilitation approach, described as technology-driven and individualized. Named programs include Health Services, Health Programs, RehabStrong, Wellness, a registered dietitian-led Nutrition Program, and Community programming. A doctor is on staff with nursing services, skilled nursing, licensed nurses and CNAs, and 24-hour staffing confirmed.

Four enforcement actions are on record from the New York State Department of Health: Stipulation and Order NH-16-134, dated September 11, 2015; Stipulation and Order NH-17-003, with no date populated in available records; Stipulation and Order NH-21-148, dated February 10, 2021; and Stipulation and Order NH-24-015, dated May 23, 2023. Each represents a formal state agreement requiring correction of serious or repeated violations. Five inspections have been conducted, with 18 deficiencies and 6 total citations. The most recent, a complaint investigation on September 12, 2025, cited deficiencies in garbage disposal, abuse and neglect, pharmacy services, resident rights, respiratory care, and multiple life safety code areas. An earlier inspection included an immediate jeopardy citation related to CPR, which was corrected. Sixty-one complaints have been filed; complaint investigations in the available record were not substantiated.

Glens Falls Hospital is approximately 18 miles away.

Families must ask directly about the four enforcement actions on record, and current compliance with abuse and neglect protocols before placement.

Chenango Valley Home is a 32-bed adult home administrated by The Chenango Valley Home, Inc. at 24 Canasawacta Street in Norwich, New York 13815, in Chenango County. Licensed as an Adult Home under New York State law by the New York State Department of Health, Office of Aging and Long Term Care, the facility is a 501(c)(3) nonprofit founded in 1898. Medicare and Medicaid are not accepted. The organization receives no public funds, with approximately 30 percent of operational costs supported by investment of donations accumulated since its founding. An independent living apartment complex operates on the same campus.

Confirmed services include assistance with living, 24-hour supervision, medication management, regular meals and snacks, housekeeping, case management, and activities programming. Confirmed amenities include an art studio, library, outdoor walking path, beauty and barber shop, laundry and linen service, whirlpool tub, sun decks, screened porches, sunrooms, landscaped grounds with flower and vegetable gardens and patio areas, incontinence care, private dining space, and emergency call system.

The New York State Department of Health, Office of Aging and Long Term Care conducted one inspection cycle. The Relicensure Survey on July 23, 2024, identified zero deficiencies. A prior survey in February 2023 cited one deficiency related to case management recordkeeping. A complaint investigation in July 2024 identified no violations. No fines, enforcement actions, or license issues appear in the public record.

Chenango Memorial Hospital is approximately one mile away. Reviewer accounts report staff attentiveness, facility upkeep, and activity programming.

Chenango Valley Home is suited for seniors requiring assisted living within a small, privately funded nonprofit community. Families should ask about the private-pay model, specific funding mechanisms, and how the facility manages transitions or care changes given its limited public funding structure.