Best Assisted Living in USA

The Cambridge is a 40-bed Adult Home at 4 West Main Street in Cambridge, New York 12816, within Washington County. Owned by ICC Management & Consulting, Inc. and operated under the Nova Senior Living brand, the facility is licensed as Adult Home (License #760-F-018, active status). Two care programs are confirmed: assisted living and enhanced assisted living. Enhanced assisted living is a New York State designation that authorizes a higher level of nursing and personal care than standard assisted living.

ICC Management purchased the property in 2014. The building is a renovated former hotel. Licensed nurses and CNAs provide 24-hour staffing. Pets are not permitted. The Cambridge operates as a private-pay community, distinct from the Medicaid-accepting Mansion at South Union, a sister facility owned by the same operator in the same town.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted one inspection on file. The most recent, an annual survey on August 13, 2024, identified 13 deficiencies across resident services, food service, personnel, environmental standards, and disaster planning against a state average of 22; a plan of correction was approved. A prior inspection on July 26, 2023, found no violations. Zero complaints are on record against a state average of 79. No enforcement actions are on file. The inspection history shows deficiencies emerged following a previously clean record.

The Cambridge is suited for private-pay residents seeking assisted living or enhanced assisted living in Washington County. Families should ask about the specific corrective actions and timelines for addressing the August 2024 deficiencies in resident services, food service, and disaster planning, and verify current staffing levels and protocols before placement.

Holbrook Adult Home is a 33-bed adult home licensed at 73 North Street in Granville, New York 12832, in Washington County. Owned and operated by 73 North of Granville, Inc., the facility is family owned. License number 760-F-014 is active. Pets are not permitted.

Named programs include Compassionate Care, Quality of Life, and Social Day Care. The Social Day Care program serves non-residential day attendees in addition to full-time residents. No administrator or director of nursing is named in available records.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted two inspections, both with citations, against a state average of nine inspections with five carrying citations. The most recent relicensure survey on October 22, 2024, identified five deficiencies related to general provisions and environmental standards against a state average of 22 deficiencies. A plan of correction was approved. An earlier inspection in September 2023 found three deficiencies involving criminal history review and environmental standards. Complaint surveys in 2023 and 2021 found no violations. Two complaints are on record at a rate of 6.1 per 100 occupied beds against a state average of 49.9, all unsubstantiated. No enforcement actions are on file.

Holbrook Adult Home is suited for families seeking adult home placement in Granville. Families should ask about the status of corrective actions following environmental and administrative deficiencies, specific protocols for the Social Day Care program, and current administrative staffing before placement.

Mountain Valley Manor is a 53-bed licensed Adult Home administrated by the facility at 373-421 Wilbur Avenue in Kingston, New York 12401, in Ulster County. Owned by Salaber, Inc., the facility holds a license as an Adult Home with private-pay operations exclusively. Neither Medicaid nor Medicare is accepted. Licensed nurses and CNAs provide 24-hour staffing. Pets are not permitted. Mountain Valley Manor received the award “Voted Best Assisted Living in the Hudson Valley,” the 2008-2009 Ulster County Chamber of Commerce Building Project of the Year, and the 2008-2009 Daily Freeman Mid Hudson Valley Assisted Living Home of the Year.

Two visiting physicians hold weekly on-site office hours: Dr. Elaine Lindgren on Wednesdays and Dr. Joel Mandelbaum on Tuesdays. Rehabilitation services, respite care, and short-term rehabilitation are available. Published admission criteria require residents to ambulate to and from meals, perform their own activities of daily living, and be continent of bladder and bowel.

The all-inclusive monthly package covers three meals and three snacks daily, housekeeping, laundry, two monthly transportation outings, cable, medication management, and scheduled activities. A full-time Activities Director leads 14 named activities: swimming and water aerobics, computer instruction, cocktail hour, current events and trivia, religious services, arts and crafts, walking club, musicals, monthly lunches, shopping trips, daily exercise, museum trips, and concerts in the park. The nine-acre property includes a pond, seasonal waterfall, large patio, and second-floor porch. All rooms are privately furnished with private bathrooms.

The New York State Department of Health, Office of Aging and Long Term Care, has two inspections on file, both with citations. The most recent, a complaint investigation on September 9, 2021, identified 3 deficiencies. The prior July 2021 survey found 1 deficiency. One complaint is on record at 1.9 per 100 occupied beds. No enforcement actions are on file.

Mountain Valley Manor is suited for private-pay residents seeking assisted living in Kingston with structured activities and on-site physician availability. Families should verify whether inspections more recent than September 2021 exist and ask about current compliance status and any corrective actions taken since the 2021 complaint investigation before placement.

The Arbors at Islandia West is a 200-bed licensed Adult Home administrated by Allison at 1515 Veterans Memorial Highway in Islandia, New York 11749, in Suffolk County. Owned by Arcadia Management, Inc., operator of five Long Island communities under The Arbors Assisted Living brand, the facility is the largest adult home in this collection. Licensed as an Adult Home with all-inclusive pricing, no additional fees charged for any level of care regardless of changing resident needs. Starting price is $4,400 per month. Pets are permitted.

Four named programs are confirmed. Standard assisted living serves independent residents with daily support. The Transitions Neighborhood functions as a bridge between assisted living and memory care, designed for residents who are independent but forgetful or who have difficulty navigating a larger community. The SafeCare Neighborhood provides memory care with 24-hour support and purpose-driven activities. The Heroes Welcome Program serves military and first responder community members. Dining is chef-prepared, farm-to-table, and served restaurant-style. Rehabilitation and respite services are available.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted three inspections on file, all with citations, against a state average of nine with five carrying citations. The most recent inspection on May 28, 2024, a complaint survey, found no deficiencies. Earlier surveys identified isolated deficiencies in records, reports, and general provisions. Four complaints are on record at a rate of 2.0 per 100 occupied beds against a state average of 49.9; no complaints were substantiated. No enforcement actions are on file. The inspection summary describes the trend as one of improvement, with recent surveys consistently free of deficiencies.

The Arbors at Islandia West is suited for independent and memory care residents seeking all-inclusive assisted living in Islandia. Families should verify the pet policy directly, ask about the specific structure and transition protocols of the Transitions Neighborhood, and confirm current staffing levels in SafeCare before placement.

Judson Meadows is an 80-bed Enriched Housing Program at 39 Swaggertown Road in Glenville, New York 12302, Schenectady County. The administrator is not named. the facility is licensed by the New York State Department of Health, Office of Aging and Long Term Care with license number 650-S-009, the facility is owned by Baptist Health Enriched Housing Program, Inc., one of three divisions of Baptist Health System. Baptist Health System is a not-for-profit organization that has served the Capital Region since 1977; the other divisions are Baptist Health Nursing and Rehabilitation Center, located adjacent to Judson Meadows, and The Nurse Connection Staffing. Judson Meadows opened in fall 2013 on the site of the former Horstman Farm. Total licensed bed capacity is 80. Pets are not permitted.

Judson Meadows holds both Assisted Living Residence and Enhanced Assisted Living Residence certifications from New York State, supporting three tiered levels of care and aging in place for residents whose care needs increase. Licensed nurses and certified nursing assistants provide 24-hour staffing. Pricing is all-inclusive with tiered service packages; utilities, housekeeping, personal laundry, and Wi-Fi are bundled into the monthly fee. The facility accepts private pay, long-term care insurance, and Medicaid home- and community-based waiver funding for qualified residents. A medical director, nurse practitioner, podiatrist, dentist, psychiatrist, and mobile lab and X-ray services make regular rounds. Residents requiring physical, occupational, or speech therapy can access Baptist Health Nursing and Rehabilitation Center next door. Restaurant-style dining features an executive chef and an all-day bistro; a registered dietitian oversees dietary menus. Hospice care is offered on-site, and residents may receive priority admission to the adjacent rehabilitation center. A library and billiard room are available.

The New York State Department of Health, Office of Aging and Long Term Care conducted 5 inspections on file, all with citations against a state average of 9 inspections, 5 with citations. Thirty-three total deficiencies have been recorded against a state average of 22. The most recent inspection on January 31, 2025, was a complaint investigation that found no deficiencies. Ten complaints are on record at a rate of 12.5 per 100 occupied beds against a state average of 49.9; none were substantiated. No enforcement actions appear in available reports. The inspection trend shows improvement, with the most recent survey free of deficiencies.

Judson Meadows is suited for individuals seeking Enriched Housing Program services within the Baptist Health System with dual ALR and EALR certifications and aging-in-place support in Schenectady County. Families should ask about transition protocols between the three care tiers, staffing continuity across those levels, and how hospice services integrate with other care provided.

Ingersoll Place is an 86-bed licensed Adult Home administrated by the Resident Care Director at 3359 Consaul Road in Schenectady, New York, in Schenectady County. Owned by Ingersoll Adult Home, Inc., a local not-for-profit organization, the facility has operated for approximately 98 years. Pets are not permitted. Ingersoll Place offers three confirmed care programs: assisted living, memory care, and respite care.

The memory care program operates as a secure, self-contained wing designed for safe wandering, social programming, and close staff observation. Standard care is all-inclusive, covering chef-prepared meals, medication management, scheduled transportation to routine medical and dental appointments, assistance with dressing, bathing, and personal hygiene, and housekeeping, laundry, and linen services. Enhanced care services are available at an additional fee and include transfer and ambulation assistance, catheter care, chronic incontinence management, wound care, and oxygen equipment management. All prospective residents receive assessment by the facility’s Resident Care Director and by their primary care physician; assessments are reviewed every six months or upon any change in condition.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted four inspections on file, all with citations, against a state average of nine inspections with five carrying citations. Twenty-three total deficiencies have been recorded against a state average of 22. The most recent inspection on July 21, 2025, a complaint investigation, identified no deficiencies. A separate complaint investigation in May 2025 identified one deficiency related to admission standards, which was corrected. Earlier inspections documented patterns in resident services, food service, environmental standards, and records. Seven complaints are on record at a rate of 8.1 per 100 occupied beds against a state average of 49.9; most were unsubstantiated. No enforcement actions are on file. The inspection trend reflects improvement over time.

Ingersoll Place is suited for families seeking assisted living, memory care, or respite care in Schenectady with a not-for-profit operating structure and a secure memory care program. Families should ask about the specific corrective actions taken following the May 2025 admission standards deficiency, current assessment and care planning procedures, and enhanced care service protocols before placement.

Home of the Good Shepherd at Highpointe is an 86-bed licensed Adult Home at 26 Rock Rose Way in Malta, New York, in Saratoga County. Owned by The Church Aid of the Protestant Episcopal Church in the Town of Saratoga Springs, Inc., a not-for-profit organization affiliated with Bethesda Episcopal Church in Saratoga Springs, the facility is part of the five-community Home of the Good Shepherd network. The Malta residence opened in 2013. Pets are not permitted. The facility is wheelchair accessible. Licensed nurses and CNAs provide 24-hour staffing with skilled nursing services confirmed.

Three care programs are confirmed: assisted living, enhanced assisted living, and memory care. Respite and rehabilitation services are available. Enhanced assisted living allows residents to age in place through skilled nursing tasks and nursing assessments alongside standard personal care. A calendar of activities is maintained for resident engagement.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted seven inspections on file, all with citations, against a state average of nine with five carrying citations. Twenty-five total deficiencies have been recorded against a state average of 22. The most recent inspection on July 15, 2025, a complaint investigation, found no deficiencies. Earlier inspections showed patterns involving resident services, environmental standards, structural issues, personnel, and food service. Fifteen complaints are on record at a rate of 17.4 per 100 occupied beds against a state average of 49.9; most were unsubstantiated. No enforcement actions appear on file. The inspection summary notes improvement over time, with the most recent survey free of deficiencies.

Home of the Good Shepherd at Highpointe is suited for families seeking assisted living or memory care within an Episcopal nonprofit continuing care network in Saratoga County. Families should ask about the structural and environmental issues noted in earlier inspections, current remediation status, resident services protocols, and food service standards before placement.

Danforth Adult Care Center is an 80-bed licensed Adult Home with an Assisted Living Program (ALP) designation at 19 Danforth Street in Hoosick Falls, New York 12090, in Rensselaer County. Owned by Danforth Assisted Living Program LLC, the facility holds license number 600-F-254. The administrator is not named. The ALP designation indicates a licensed Assisted Living Program, a New York State authorization allowing a higher level of nursing and personal care than a standard adult home. Danforth operates under the Nova Senior Living brand, which also manages The Mansion at South Union and The Cambridge in Washington County, Sachem Adult Home in Suffolk County, and other communities across New York State.

The facility does not permit pets.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted 4 inspections, all with citations, compared to a state average of 9 inspections with 5 carrying citations. Eighteen deficiencies have been recorded against a state average of 22. The most recent inspection on March 18, 2025, a complaint investigation, identified one deficiency related to environmental standards; a plan of correction was approved. Earlier inspections documented a pattern involving environmental standards, resident services, food service, general provisions, and disaster planning, with correction plans approved each time. Thirteen complaints have been filed at a rate of 16.3 per 100 occupied beds against a state average of 49.9; most were unsubstantiated. No enforcement actions appear in available records. The inspection history shows improvement over time, with fewer issues noted in recent surveys.

Families evaluating Danforth Adult Care Center should ask about the specific corrective actions taken following deficiency findings in environmental standards, current staff training protocols for general provisions and disaster planning, and verification of how resident services and food service complaints have been addressed before placement.

Castle Senior Living at Forest Hills is a 177-bed Enriched Housing Program administrated by Marie Scotti at 108-25 Horace Harding Expressway in Forest Hills, New York, in Queens County. Licensed as an Enriched Housing Program with Assisted Living Program designation for Medicaid-eligible residents, the facility is owned by Midway A.L., LLC. Castle Senior Living operates two confirmed care programs: an Enriched Housing Program and an Assisted Living Program. Memory care operates as a secured floor dedicated to residents with Alzheimer’s disease and related cognitive impairments. A Trial Stay Program allows prospective residents to experience the community before committing to permanent placement.

Health care services are provided by a licensed home care services agency operating on premises under the direction of a registered nurse. The facility provides nine confirmed amenities: 24-hour trained staff, a full-time registered nurse, a full-time physical therapist, a full-time occupational therapist, a health and wellness program, daily scheduled activities, a beauty and barber salon, a theatre, and a specialized 24-hour secured neighborhood for memory care residents. Dining is kosher and restaurant-style with three meals daily and a private dining room available for family meals. The facility accepts Medicaid through its Assisted Living Program designation. Pets are listed as welcome by the facility; however, a separate state-reported field marks them as not permitted. Families should confirm current pet policy directly before placement.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted five inspections on file, all with citations, against a state average of nine with five carrying citations. Twenty-nine total deficiencies have been recorded against a state average of 22. The most recent inspection, a complaint investigation on April 10, 2025, identified no deficiencies. Earlier inspections documented a pattern involving environmental standards, resident protections, disaster and emergency procedures, and resident services. Six complaints are on record at a rate of 3.4 per 100 occupied beds against a state average of 49.9; complaint investigations were unsubstantiated. One enforcement action is on file: Stipulation and Order ACF-21-102, dated November 23, 2021. The inspection trend shows improvement over time, with recent surveys free of deficiencies.

Located 0.67 miles from the emergency department at Long Island Jewish Forest Hills, Castle Senior Living at Forest Hills provides Enriched Housing and Assisted Living services with kosher dining and full-time clinical staffing.

Castle Senior Living at Forest Hills is suited for Medicaid-eligible residents seeking Enriched Housing or Assisted Living with kosher dining and secured memory care in Queens County. Families should ask about the 2021 enforcement action and corrective measures implemented, current pet policies, and the specific services available during Trial Stay placements before commitment.

Woodside Hall is a 37-bed licensed Adult Home at 1 Main Street in Cooperstown, New York, within Otsego County, owned by Woodside Hall LLC and locally operated. New York State Certified. The building dates to 1829, constructed in Neo-classical style with white columns visible from Cooperstown’s main street; the approach is by a winding driveway through mature oak and maple trees. Licensed nurses and CNAs provide 24-hour staffing.

Three programs are offered: Adult Home Living, Respite Care, and Social Day Program. The Social Day Program serves both current residents and community members, accommodating up to six participants at a time with social, recreational, and emotional programming and outings to Cooperstown cultural events. Bassett Medical Center is 0.4 miles from the facility.

The facility’s own listing does not specify a pet policy, while a third-party source describes it as pet-friendly. Families should confirm directly.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted nine inspections on file, all with citations, matching the state average of nine with five carrying citations. Forty-eight total deficiencies have been recorded against a state average of 22. The most recent inspection on April 16, 2025, identified one deficiency related to inspection requirements; a plan of correction was approved. Earlier inspections showed a recurring pattern involving resident services, environmental standards, food service, and records. Three complaints are on record at a rate of 8.1 per 100 occupied beds against a state average of 49.9; complaint investigations were unsubstantiated. One enforcement action is on file: Stipulation and Order ACF-21-140, dated December 16, 2021. The inspection summary notes some improvement in recent surveys, with fewer deficiencies than in prior renewal inspections.

Woodside Hall is suited for individuals seeking adult home living or respite care in Cooperstown. Families should ask administrators directly about the 48 deficiencies in the inspection record versus the state average of 22, the status and current compliance with the December 2021 enforcement action, the specific policies and protocols for resident services, environmental maintenance, food safety, and documentation, and ask to verify the current pet policy before placement.