Page 2 of Best Adult Day Care in New York State

Overview of St. Ann’s Community

St. Anne’s Community, located in Irondequoit, Rochester, New York, is a leading hospice facility that caters to the needs of seniors in the community. Already established and in service for 150 years, St. Ann’s Community is a beacon of light for those seeking exceptional care. They encourage older adults in the community to live independently and have a balanced well-being.

In partnership with Leo Center for Caring, they offer comfort and dignity and provide older adults peace as they journey through their terminal illnesses. They have a well-trained yet compassionate staff that understands the need for seniors to complete their lives on their terms. With that sense of dignity and comfort they offer, clients and their families ensure they are given the highest quality of life they deserve.

Overview of King David Center

King David Center for Nursing and Rehabilitation operates 271 beds in a high-rise building at 2266 Cropsey Avenue in Brooklyn. Operated as a voluntary nonprofit by Arthur New, the facility serves a balanced mix of Medicare (50% of admissions), private-pay (49%), and Medicaid (1%) residents, with current occupancy at 98% and average stays of 193 days. Administrator David Schoenblum leads operations with a clinical team spanning nursing, therapy, social work, dietary, and maintenance.

Specialized care offerings span skilled nursing, memory care, and rehabilitation. The facility operates cardiac rehabilitation, orthopedic rehabilitation, neurological rehabilitation, robotics and technology programs, plus therapeutic gardens. Physical plant amenities include an aqua therapy pool, robotics suite, rehabilitation gym, and fine dining.

Clinical staffing reaches 3 hours 21 minutes of nursing per resident per day, 11.1% above New York average, with registered nurse hours 31% above state average. CMS ratings are uniformly strong: 5-star overall (59.2% above state), health inspection 40.8% above average, staffing 11.1% above average, quality measures 26.6% above average.

Long-stay residents demonstrate exceptional clinical outcomes: functional decline of 7.5 (59% better than state), urinary tract infections at 0.3% (76% better), depression symptoms in 3.4% (81% better), and activities of daily living decline at only 9.5% (42% better than state). Short-stay rehabilitation discharge outcomes show 71.5% of residents achieving expected self-care ability (33% better than state).

Recent complaint investigations contradict the strong ratings. December 2025 inspection documentation identified four substantive deficiencies: environmental maintenance failures including ripped window screens and metal staples in resident units, failure to timely report three residents’ abuse allegations to the state within required timeframes, incomplete care plan revisions for residents’ behavioral and wandering risks, and food safety violations (bare hand contact with food, expired food items, staff without proper hair covering). An earlier January 2024 complaint survey identified six deficiencies: absent resident participation in care plan development, non-functional call bell in a resident’s bathroom, inaccurate baseline assessments, staffing information not posted, dietary preferences ignored, and missing hospice documentation. The inspection summary explicitly states the facility shows “a pattern of issues” and “deficiencies have persisted over time with similar themes, indicating ongoing challenges” in care planning, assessments, dietary compliance, and maintenance.

Zero critical violations and zero federal enforcement actions appear in regulatory history.

The facility generated $67.4 million in gross revenue in 2023 with a 4.1% profit margin, ranking 40th in New York for total revenue and demonstrating financial stability.

The community is situated in an urban area with a walk score of 91, indicating a walker’s paradise within easy reach of shops and services. Maimonides Medical Center lies 3.03 miles away.

The facility’s 5-star rating reflects strong clinical outcomes and staffing investment, yet recent inspections document persistent failures in care planning, abuse reporting, environmental maintenance, and food safety; operational deficiencies that suggest systemic supervision gaps despite high resource allocation.

Overview of Sutton Gardens

Operated by Sutton Gardens, LLC, Sutton Gardens is an assisted living community in Flushing, Queens. The 47-bed community offers adult day care, residential care, and respite care. These options give families different ways to use the same community as a loved one’s needs change. Sutton Gardens offers a smaller setting that can provide a more personal environment than a larger high-rise community.

Residents have access to 24-hour care, so someone is always available to provide support. Memory care services are offered alongside general assisted living, and pharmacy services are available on site. Residents receive chef-prepared meals served restaurant-style. Recreational activities focus on wellness, nutrition, and fitness. Housing options include private and semi-private furnished rooms, so families can choose a resident’s living space.

The surrounding area is very walkable, with a Walk Score of 92. Most daily errands can be completed without a car, and there are shops and services nearby. Flushing Hospital Medical Center is also less than a mile away, so there’s convenient access to medical appointments or emergencies.

State inspections by the New York Department of Health have shown a generally clean record over the years. One cited issue involved the handling of resident funds and valuables, which was addressed through an approved corrective plan. There were no violations in other inspections on file.

Gurwin’s Assisted Living on Long Island aims for an elegant, independent lifestyle with added support. Their assisted living community fosters personalized relationships, creating a social, engaging, and supportive environment. Residents enjoy enriched lives through friendships, fine dining, and various activities.

As part of the Gurwin Healthcare System’s Life Plan Community, residents have priority access to additional assisted living levels of care, ensuring comprehensive support for Long Island’s older adults. The residences within the community offer worry-free living with well-equipped apartments, weekly housekeeping, linen services, and 24-hour security. Transportation services and an onsite beauty salon and barber shop add convenience and luxury, anticipating and meeting residents’ diverse needs for a harmonious and comfortable living experience.

Overview of Brookside Multicare Nursing Center

Brookside Multicare Nursing Center is a skilled nursing home serving Suffolk County, specifically on Route 25A in Smithtown, New York. Optima Care Smithtown, LLC operates the facility under the ownership of Emm Healthcare Group LLC. It accepts Medicare, Medicaid, and private pay, offering multiple options for families to cover care costs.

The 353-bed center is one of the larger skilled nursing communities, with an 86% occupancy rate reflecting steady patient flow. Most stay an average of 171 days, a mix of post-acute rehabilitation residents and those receiving longer-term care.

The facility’s nursing support is significant. Total nurse staffing averages 3 hours and 55 minutes per resident each day. Registered nurses spent about 56 minutes directly engaged with a patient, nurse aides spent 2 hours and 29 minutes, and licensed practical nurses contributed 41 minutes. With this staffing structure, residents can receive hands-on care and assistance throughout the day.

The facility’s strength is in its rehabilitation focus and specialized programming. There is a dedicated unit for stroke, orthopedic, and cardiac rehabilitation. Plus, there are services for ventilator care, wound management, and amputee recovery. Pediatric services and an adult day health program are available, and long-term care, dementia, and memory care are for residents with ongoing chronic conditions and cognitive decline. Pain management and psychological counseling are available for those with complex medical and emotional needs.

Residents can choose private and semi-private rooms, with amenities including Wi-Fi, individual televisions, beauty services, pastoral care, and therapeutic recreation. They can enjoy activities like coffee and tea socials, birthday and holiday celebrations, and special events and performances. Laundry and housekeeping services are also included.

The neighborhood is not very walkable, with a walkability score of 16 out of 100. Most visits, errands, and trips to nearby services require a car.

Overview of St Anns Community

Situated at 920 Cherry Ridge Boulevard in Webster, Monroe County, St. Ann’s Community operates as a 72-bed nonprofit nursing home. The facility serves Medicare rehabilitation patients and longer-term skilled nursing residents, with memory care and respite options available. Current occupancy stands at 97%, well above the state average, signaling consistent demand and stable operations.

The staffing measure that most distinguishes this community is nurse hours: 4 hours 32 minutes per resident per day, approximately 30% higher than New York’s 3-hour 29-minute state average. This ranks the facility 40th among 388 state nursing homes. Direct clinical care at or above this level often reflects stronger oversight capacity and faster response to resident health changes; a meaningful differentiator for families evaluating skilled nursing options.

Regulatory findings, however, paint a more complex story. Across nine state inspections since 2021, the facility accumulated 20 citations, substantially above New York’s average. The September 2025 inspection, the most recent, documented six Level 2 deficiencies spanning feeding assistance, medication labeling, environmental safety, and electrical systems; no actual harm was reported at the time.

Earlier surveys during 2023 and 2024 identified similar recurring patterns in medication management, care planning, and life safety code compliance. While the facility corrected some deficiencies within months, the pattern of recurrence across multiple inspection cycles suggests systemic vulnerabilities in these operational areas.

The complaint record provides some counterbalance: 22 formal complaints over seven years resulted in 47% fewer complaint investigations than the state average, and those investigations yielded unsubstantiated findings. The facility has incurred no federal fines in the past three years. Long-stay resident outcomes, though, underscore care-quality gaps. Functional decline and fall-injury rates both run significantly above state averages, indicating residents either arrive with complex needs or experience functional loss during their stay at higher-than-typical rates.

St. Ann’s Community is suited for families seeking skilled nursing care with above-average staffing levels, particularly for short-stay rehabilitation or residents managing multiple chronic conditions.

Overview of Maria Regina Rehabilitation and Nursing

Maria Regina Rehabilitation and Nursing sits on a 212-acre campus at 1725 Brentwood Rd in Brentwood, New York. Optima Care Brentwood, LLC runs it. Every single bed, all 188 of them, is in a private room.

Most residents come here for short-term rehab, usually under Medicare. But the facility also handles long-term nursing care, Alzheimer’s and dementia care, and recovery after a stroke.

Right now, occupancy is at 93 percent. That’s 175 of the 188 beds filled. The facility takes Medicare, Medicaid, and private pay. As for getting around the area, the Walk Score is 49, so it’s somewhat walkable, but not fully.

The staffing numbers tell you something real about daily care. Total nursing time runs 3 hours and 44 minutes per resident, each day. Licensed practical nurses handle 1 hour and 19 minutes of that time. Outside of medical care, residents can spend time in a garden courtyard, attend services in the chapel, eat in the resident dining room, or visit the beauty and nail salon.

When it comes to inspections, this facility tends to get looked at for medication management, fire safety, and staffing and staff credentials. Those are common areas regulators check at large nursing facilities like this one.

Put simply, Maria Regina is a big, campus-style facility built for rehab and recovery. Every resident gets a private room, and the staffing levels show a real commitment to short-term, intensive care.

A 112-bed SNF in upstate New York operated by 1 Bethesda Drive Operating Company LLC is Elderwood at Hornell. It welcomes Medicare, Medicaid, and private pay to provide wide coverage routes for families planning short-term rehabilitation or longer-term care. With an 89 percent occupancy rate, averaging a stay length of about 109 days, the facility serves a blend of post-acute patients and those needing ongoing nursing care.

The facility highlights rehabilitation across multiple specialties: subacute rehabilitation, cardiac recovery, and orthopedic rehab are core programs, anchored by dedicated long-term care therapy, adult day services, and palliative care. Secure memory care exists for residents with advanced dementia. Total nursing care averages roughly 3 hours 13 minutes per resident day, with registered nurses providing 39 minutes of direct care daily. This level of staffing mirrors a dedication to diligent clinical support all day. The setting features a bright, spacious rehabilitation gym with modern equipment to bolster therapy goals. Rooms are available in private and semi-private configurations, and daily housekeeping and laundry services support residents’ comfort. Social activities and lively programming keep daily life engaged, and there’s Wi-Fi building-wide. The dining program provides pleasant meal experiences. The memory care unit is built to meet the specific needs of occupants with cognitive decline. Families should know that the car-dependent location requires a vehicle for most errands.

Care planning and environmental maintenance improvements over time have been documented by state inspections. The facility accepted and resolved deficiency citations promptly, and recent years show no substantiated complaints.

For those evaluating care options, touring in person can clarify room layouts, therapy programs, and the community’s daily culture.

Overview of GrandeVille Senior Living Community

GrandeVille is a resident-centered senior living community. Seniors who specialize in residential assisted living, memory care, enhanced care, and adult care find a haven for an enriched and fulfilling lifestyle. GrandeVille’s environment focuses on comfort and comprehensive care to help seniors do more and be more as they continue living in a nurturing environment. 

Providing a high standard of quality living, GrandeVille offers premium services promoting a continuum of growth and meaningful experiences that meet the unique needs of its residents. The senior living community is a flexible community that will adjust to the needs of its residents–  activities and programs, stunning living spaces, and a 24-hour team of dedicated professionals committed to providing residents with the highest care and support.