Best Assisted Living in Long Island, NY

Why trust this guide? Our editorial team analyzed 15 assisted living communities in Long Island, NY using NY State Dept. of Health (NYSDOH) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NY
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We analyzed These are the facilities in Long Island, NY our team has analyzed — not a count of every assisted living provider in Long Island, NY.
15 homes
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Info below is compiled from the NY State Dept. of Health (NYSDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in violations, expressed as a percentage of total inspections in the window.
Regulatory visits tied to complaints or allegations in the state file—not the same as every routine survey.
Total count of violations (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
The average number of violations this facility receives each time it's inspected, calculated as total violations ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Whisper Woods of Smithtown
AL
MC
Smithtown (Town Of Smithtown)
136
Facility 136
NY AVG 121
Rank #113 / 309
Yes
24
Facility 24
NY AVG 54
Rank #272 / 330
Bsl Smithtown Operations, IncA+4
0%
Facility 0%
NY AVG 55%
Rank #1 / 301
0
Facility 0
NY AVG 14.5
Rank #1 / 301
0.0
Facility 0.0
NY AVG 2.3
Rank #1 / 301
Studio / 1 Bed / 2 BedC-
The Bristal at North Woodmere
AL
IL
MC
North Woodmere
155
Facility 155
NY AVG 121
Rank #89 / 309
Yes
30
Facility 30
NY AVG 54
Rank #251 / 330
Hungry Harbor Care LLCA+4
0%
Facility 0%
NY AVG 55%
Rank #1 / 301
0
Facility 0
NY AVG 14.5
Rank #1 / 301
0.0
Facility 0.0
NY AVG 2.3
Rank #1 / 301
Suite / Studio / 1 Bed / 2 Bed-
Island Assisted Living
AL
Hempstead
200
Facility 200
NY AVG 121
Rank #21 / 309
No
67
Facility 67
NY AVG 54
Rank #123 / 330
Newco Alp IncA-20
20%
Facility 20%
NY AVG 55%
Rank #60 / 301
23
Facility 23
NY AVG 14.5
Rank #239 / 301
1.2
Facility 1.2
NY AVG 2.3
Rank #155 / 301
Private / Semi-Private RoomsA+
Long Beach Assisted Living
AL
Long Beach (City Of Long Beach)
200
Facility 200
NY AVG 121
Rank #21 / 309
No
70
Facility 70
NY AVG 54
Rank #114 / 330
Hempstead Alp, LLCA30
10%
Facility 10%
NY AVG 55%
Rank #48 / 301
7
Facility 7
NY AVG 14.5
Rank #132 / 301
0.2
Facility 0.2
NY AVG 2.3
Rank #47 / 301
Studio / Semi-Private RoomsA+
The Bristal at Westbury
AL
IL
MC
Westbury (Village Of Westbury)
180
Facility 180
NY AVG 121
Rank #67 / 309
Yes
84
Facility 84
NY AVG 54
Rank #74 / 330
Westbury Senior Living IncA7
29%
Facility 29%
NY AVG 55%
Rank #91 / 301
4
Facility 4
NY AVG 14.5
Rank #98 / 301
0.6
Facility 0.6
NY AVG 2.3
Rank #100 / 301
Suite / Studio / 1 Bed-
The Bristal at Holtsville
AL
IL
MC
Holtsville (Express Drive North)
166
Facility 166
NY AVG 121
Rank #72 / 309
Yes
36
Facility 36
NY AVG 54
Rank #227 / 330
Eb Care At Farmingville LLCA8
38%
Facility 38%
NY AVG 55%
Rank #130 / 301
3
Facility 3
NY AVG 14.5
Rank #82 / 301
0.4
Facility 0.4
NY AVG 2.3
Rank #72 / 301
Studio / 1 Bed / 2 Bed-
The Bristal at Massapequa
AL
IL
MC
Massapequa
86
Facility 86
NY AVG 121
Rank #198 / 309
Yes
64
Facility 64
NY AVG 54
Rank #135 / 330
Eb Care At Massapequa, LLCA-4
25%
Facility 25%
NY AVG 55%
Rank #74 / 301
1
Facility 1
NY AVG 14.5
Rank #44 / 301
0.3
Facility 0.3
NY AVG 2.3
Rank #57 / 301
Suite / Studio / 1 Bed / 2 Bed-
The Bristal at Mount Sinai
AL
MC
Mt Sinai (Mount Sinai)
157
Facility 157
NY AVG 121
Rank #87 / 309
Yes
46
Facility 46
NY AVG 54
Rank #196 / 330
Eb Care At Mount Sinai, LLCA5
40%
Facility 40%
NY AVG 55%
Rank #144 / 301
2
Facility 2
NY AVG 14.5
Rank #58 / 301
0.4
Facility 0.4
NY AVG 2.3
Rank #72 / 301
Studio / Suite / 1 Bed-
The Bristal at Sayville
AL
MC
Sayville
155
Facility 155
NY AVG 121
Rank #89 / 309
Yes
67
Facility 67
NY AVG 54
Rank #123 / 330
Sayville Senior Care LLCA+5
20%
Facility 20%
NY AVG 55%
Rank #60 / 301
2
Facility 2
NY AVG 14.5
Rank #58 / 301
0.4
Facility 0.4
NY AVG 2.3
Rank #72 / 301
Studio / 1 Bed / 2 Bed-
The Bristal at North Hills
AL
North Hills
140
Facility 140
NY AVG 121
Rank #107 / 309
Yes
19
Facility 19
NY AVG 54
Rank #281 / 330
Engel Burman Senior Housing At North Hills, IncA+3
33%
Facility 33%
NY AVG 55%
Rank #101 / 301
1
Facility 1
NY AVG 14.5
Rank #44 / 301
0.3
Facility 0.3
NY AVG 2.3
Rank #57 / 301
Suite / Studio / 1 Bed / 2 Bed-

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other NY assisted living community we track that reports that metric, not just the 15 analyzed for Long Island. See how we rank facilities

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Overview of Whisper Woods of Smithtown

Based in the convenient community of Smithtown, NY, the Whisper Woods of Smithtown is a respected senior living community offering assisted living and memory care services. Here, residents can choose from a variety of accommodations including one-bedroom, two-bedroom, and memory care studio. In terms of memory care, those with cognitive conditions can receive personalized 24/7 needs-based care as determined by a nursing assessment and other programs.

Experience its exceptional amenities and other services including chef-prepared meals to satisfy your cravings. Avail of their concierge services with weekly housekeeping, laundry and linen services, and transportation assistance. Get to meet new friends by exploring its beautifully created shared spaces or by participating in their active learning activities. Equipped with the right tools and people, seniors are guaranteed a comfortable and secure living experience with the Whisper Woods of Smithtown.

Contact Whisper Woods of Smithtown

Overview of Long Beach Assisted Living

Conveniently located in the beautiful setting of Long Beach, NY, Long Beach Assisted Living is an exceptional community that offers assisted living. Here, residents can keep their peace of mind with top-notch care for their daily living activities around the clock. This community is led by a registered nurse, ensuring residents can maintain their independence without worries.

Group exercises, fun social events, and enriching activities are conducted for residents’ enjoyment and wellness. With full-service dining, residents enjoy a variety of dining options that cater to their dietary needs and preferences. The community also accepts payment from SSA, SSI, and Medicaid to ease financial burdens. Residents will surely have the finest retirement experience, accompanied by the community’s dedicated services and state-of-the-art amenities.

Contact Long Beach Assisted Living

Overview of The Bristal at Sayville

The Bristal at Sayville offers assisted living and memory care in Sayville, NY. Assisted living provides help with daily tasks while allowing a resident to maintain a private living space. Memory care provides a secured setting with supervision for someone who may be at risk of wandering.

Both care levels are available on one campus. A resident whose needs grow over time may be able to remain in the community rather than move elsewhere. The Bristal at Sayville has 155 beds, with studio, one bedroom and two bedroom layouts; a studio offers one private space, while a two bedroom can suit a couple moving together or someone who wants a companion.

A Walk Score of 67 places the area in the somewhat walkable band, so some errands can be completed on foot. A resident who no longer drives may still be able to manage certain outings independently. Pets are allowed, letting a resident who moves with an animal keep that companion with them.

Sayville Senior Care operates The Bristal at Sayville. The community may be a good fit for someone who needs assisted living now and may later need secured memory care, or for a couple whose needs differ.

Contact The Bristal at Sayville

Overview of The Bristal at North Hills

The Bristal at North Hills is an assisted living community in North Hills, NY, where residents can receive help with daily tasks while living in their own apartment. It has 140 beds. Housing includes suites, studios, one bedroom apartments, and two bedroom apartments, with a two bedroom option for people moving with a companion.

Rehabilitation services and temporary rehabilitation stays are available for residents who need therapy or a period of recovery. A doctor is on staff, so medical evaluation is available within the community. Residents can use the garden as an outdoor space, and pets are allowed. The community accepts Medicaid and Medicare, giving eligible residents and families payment options for covered care. Engel Burman Senior Housing at North Hills operates The Bristal at North Hills. The range of housing options and rehabilitation services available within the community may suit a resident who wants assisted living with support that can include recovery focused care.

Contact The Bristal at North Hills

Overview of The Bristal at North Woodmere

Overlooking the tranquil shores of a picturesque lake, The Bristal at North Woodmere offers a serene retreat within the charming North Woodmere, NY. Offering independent living, assisted living, and memory care, among other senior living alternatives, residents lead relaxed yet active lives within the community. You can find a living space that fits your preferences, from comfortable studios to roomy two-bedroom apartments.

The Bristal at North Woodmere is a dynamic community focused on holistic care and active living, committed to promoting personal growth and improving quality of life. The community provides residents with various amenities that allow them to participate in various planned social activities, pursue their interests in the fitness facility or creative arts studio, and 24-hour security surveillance that keeps them safe. Other amenities include a beauty salon, cinema, library, outdoor courtyard, and country club-style dining.

Contact The Bristal at North Woodmere

Overview of Island Assisted Living

Island Assisted Living is a distinguished community situated in the thriving neighborhood of Hempstead, NY, that offers assisted living. Alongside a variety of purposely built, private, and semi-private rooms, housekeeping and laundry services are also provided to ensure residents feel at ease during their stay. Here, residents also receive top-notch assistance for their daily living activities and healthcare needs from a respectful and well-trained team 24/7.

Focusing on residents’ leisure and wellness, engaging social events and fun activities are conducted. A restaurant-style dining is provided, ensuring residents enjoy delicious and healthy dining options three times daily. The community is a good option for those needing assistance to live comfortably in retirement, especially with its friendly environment and cozy amenities.

Contact Island Assisted Living

Overview of The Bristal at Massapequa

The Bristal at Massapequa is an idyllic senior living community located at County Line Road, Massapequa, NY offering independent living, assisted living, and memory care. Featuring various floor plans including studio suites, one-bedroom, and two-bedroom suites, the community provides cozy and spacious residences. With an exclusive Reflection memory care, the community offers a reflection suite for individuals with Alzheimer’s disease and dementia.

The community boasts a team of humble, dedicated, and well-trained professionals who provide the utmost care and assistance 24/7. Here, residents enjoy healthy and hearty meals three times daily. The Bristal at Massapequa is equipped with Bistro Grille, a creative arts studio, a programming room, a wallstreet room, a beauty salon and barbershop, a cinema, a library, a fitness center, and a courtyard. Delivering top-notch care and assistance, the community ensures a relaxing and safe residence for its residents.

Contact The Bristal at Massapequa

Overview of The Bristal at Westbury

Located in Westbury, NY, The Bristal at Westbury provides a dynamic assisted living experience catered to the requirements and preferences of its residents. Residents can choose from friendship suites, studios, or one-bedroom apartments, each equipped with a kitchenette and private bathroom. The community’s Reflections Memory Care area offers outstanding care, including assistance for dementia and Alzheimer’s patients. Residents get three delectable meals daily, housekeeping, laundry, and round-the-clock security. Scheduled transportation makes it simple to go to local amenities, and trips to NYC are made convenient by the LIRR’s proximity.

Committed to creating an engaging environment, The Bristal at Westbury offers a range of amenities and activities to foster social connections and wellness. Residents may stay active with amenities, including a fitness facility and putting green, while the Bistro Grille serves beverages all day long. With a billiards club, movie theater, library, and creative arts studio, the community offers plenty of engaging activities all year round. The Bristal at Westbury aims to offer contemporary, enjoyable, and meaningful living where people feel completely at home.

Contact The Bristal at Westbury

Overview of The Bristal at Mount Sinai

The Bristal at Mount Sinai offers assisted living and memory care in Mt Sinai, NY. Assisted living includes help with daily tasks such as dressing, bathing, and medication while a resident keeps a private living space. Memory care provides a secured setting with supervision for someone at risk of wandering. With both care levels on one campus, the community may be a good fit for a resident whose needs could grow over time without requiring a move to a different community.

The community has 157 beds and is operated by EB Care at Mount Sinai. Housing options include studios, suites, and one bedroom layouts, with friendship suite pricing starting at $5,700, giving families a concrete starting point for budgeting that option. Respite care supports a short stay when someone’s usual caregiver needs to travel or recover, and pets are allowed for residents who have a pet companion.

Residents can use the creative arts studio, fitness center, beauty salon, outdoor terrace, bistro, and private dining room. Three chef prepared meals are served daily in a country club style dining room, with special diets available for residents who require dietary accommodations. Daily programming includes social and cultural programs, live entertainment, and scheduled transportation to shops, parks, cultural outings, and restaurants.

A Walk Score of 46 places the area in a car dependent setting, so most errands require a car or a ride. The community’s scheduled transportation provides rides for the listed shopping, park, cultural, and restaurant outings.

Contact The Bristal at Mount Sinai

Overview of The Bristal at Holtsville

Located within the neighborhood of Holtsville, NY, The Bristal at Holtsville provides families in Suffolk County with an assisted living experience like no other – in services, amenities, and care. The Bristal at Holtsville offers various living options, including independent living, assisted living, and memory care, where their professional and courteous team leads in providing top-of-the-line assistance and care fit to the varying needs of their residents.

Conveniently located near The Brookhaven Wildlife and Ecology Center, the amphitheater at Bald Hill, and the downtown area of Patchogue, residents at The Bristal can visit and enjoy fine restaurants, theaters, and cultural attractions. Dedicated to creating a dynamic and active atmosphere for its residents, the community offers amenities, including a heated outdoor pool, a putting green, a cinema, a fitness center, a full programming calendar, and a pet-friendly community

Contact The Bristal at Holtsville

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in Long Island at a glance

Avg Walk Score: 47/ 100The average Walk Score across facilities in Long Island, NY. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 153The average licensed bed capacity across facilities in Long Island, NY. Individual facilities can vary widely from this average.
National Average: 90
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Frequently Asked Questions about Assisted Living in Long Island, NY

What's the difference between assisted living and memory care in New York?

Assisted living in New York supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in New York?

Assisted living in New York is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does New York Medicaid cover assisted living?

New York Medicaid does not directly pay room-and-board for assisted living, but most states (including New York) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 15 assisted living facilities in Long Island, NY. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Long Island, NY?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Long Island, NY, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Long Island, NY?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.