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Other Senior care options in Long Island:

Best Assisted Living in Long Island, NY

Reviewed by Dr. Jordan Weiss
Updated Mar 2026
We analyzed 16 homes in Long Island, NY

Sources: CMS Centers for Medicare and Medicaid Services, and New York State Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Assisted Living facilities in Long Island, New York State.

Watch this Video to see Long Island's Top-rated Senior Communities
Avg. Monthly cost: $6,000
National average: $5,600
Monthly cost range: $5,500–$8,500
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:12
National average: 1:6

Compare Assisted Living around Long Island

The information below is reported by the New York State Department of Health.

Click column headers to sort
The Bristal at North Hills
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

North Hills (South Service Road)
140
Facility 140
NY AVG 185
Rank #368 / 752
Yes
19
Facility 19
NY AVG 62
Rank #1027 / 1167
Engel Burman Senior Housing At North Hills, Inc.2100%--Suite / Studio / 1 Bed / 2 Bed-
Whisper Woods of Smithtown
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Smithtown (Town Of Smithtown)
136
Facility 136
NY AVG 185
Rank #381 / 752
Yes
24
Facility 24
NY AVG 62
Rank #999 / 1167
Bsl Smithtown Operations, Inc.4100%--Studio / 1 Bed / 2 BedF
The Bristal Assisted Living at Lake Grove
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lake Grove (Lake Grove Shopping Center)
155
Facility 155
NY AVG 185
Rank #343 / 752
Yes
57
Facility 57
NY AVG 62
Rank #721 / 1167
Lake Grove Senior Care LLC633.3%20.3Studio / 1 Bed / 2 Bed-
The Bristal at Sayville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Sayville
155
Facility 155
NY AVG 185
Rank #343 / 752
Yes
67
Facility 67
NY AVG 62
Rank #633 / 1167
Sayville Senior Care LLC450%30.8Studio / 1 Bed / 2 Bed-
The Bristal at Jericho
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Jericho (The Hamlet Estates)
200
Facility 200
NY AVG 185
Rank #172 / 752
Yes
46
Facility 46
NY AVG 62
Rank #810 / 1167
Engel Burman Senior Care At Jericho, LLC475%30.8Suite / Studio / 1 Bed / 2 Bed-
Gurwin Jewish – Fay J. Lindner Residences
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Commack
200
Facility 200
NY AVG 185
Rank #172 / 752
No
24
Facility 24
NY AVG 62
Rank #999 / 1167
Gurwin Jewish - Fay J. Lindner Residences, Inc.540%51.0--
Dominican Village
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Amityville (North Amityville)
66
Facility 66
NY AVG 185
Rank #633 / 752
No
33
Facility 33
NY AVG 62
Rank #936 / 1167
Dominican Village Ehp425%10.3--
The Bristal at Westbury
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Westbury (Village Of Westbury)
180
Facility 180
NY AVG 185
Rank #269 / 752
Yes
84
Facility 84
NY AVG 62
Rank #401 / 1167
Westbury Senior Living Inc.714.3%10.1Suite / Studio / 1 Bed-
The Bristal Assisted Living at Garden City
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Garden City (Village Of Garden City)
170
Facility 170
NY AVG 185
Rank #288 / 752
Yes
65
Facility 65
NY AVG 62
Rank #647 / 1167
Eb Care At Garden City, LLC728.6%71.0Studio / 1 Bed / 2 Bed-
The Bristal at Holtsville
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Holtsville (Express Drive North)
166
Facility 166
NY AVG 185
Rank #290 / 752
Yes
36
Facility 36
NY AVG 62
Rank #900 / 1167
Eb Care At Farmingville LLC922.2%20.2Studio / 1 Bed / 2 Bed-
The Bristal at North Woodmere
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

North Woodmere (Hungry Harbor Road)
155
Facility 155
NY AVG 185
Rank #343 / 752
Yes
30
Facility 30
NY AVG 62
Rank #960 / 1167
Hungry Harbor Care LLC3100%--Suite / Studio / 1 Bed / 2 Bed-
Island Assisted Living
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Hempstead (Hempstead Town House Condominiums)
200
Facility 200
NY AVG 185
Rank #172 / 752
No
67
Facility 67
NY AVG 62
Rank #633 / 1167
Newco Alp Inc.1833.3%221.2Private / Semi-Private RoomsA+
The Bristal at Massapequa
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Massapequa
86
Facility 86
NY AVG 185
Rank #557 / 752
Yes
64
Facility 64
NY AVG 62
Rank #656 / 1167
Eb Care At Massapequa, LLC333.3%10.3Suite / Studio / 1 Bed / 2 Bed-
The Bristal at Mount Sinai
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Mt Sinai (Mount Sinai)
157
Facility 157
NY AVG 185
Rank #339 / 752
Yes
46
Facility 46
NY AVG 62
Rank #810 / 1167
Eb Care At Mount Sinai, LLC837.5%30.4Studio / Suite / 1 Bed-
Long Beach Assisted Living
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Long Beach (City Of Long Beach)
200
Facility 200
NY AVG 185
Rank #172 / 752
No
70
Facility 70
NY AVG 62
Rank #605 / 1167
Hempstead Alp, LLC3215.6%100.3Studio / Semi-Private RoomsA+
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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 T&f Assisted Living

Live comfortably in your retirement at T&F Assisted Living, a blissful retreat in Brooklyn, NY, that offers assisted living. The community also offers different levels of care, including memory care, post-surgical care, high acuity care, and respite care, striving to meet residents’ healthcare needs. Alongside housekeeping and laundry services, assistance with daily living activities are also provided 24/7.

A thoughtfully curated calendar of enriching activities and engaging programs is conducted to keep residents active and socially connected. Mealtimes are also something to look forward to, with delicious and healthy dining options that cater to their dietary needs and preferences. Residents do not have to worry about their prescriptions and can travel conveniently with medication management and transportation services. With its warm and supportive environment, the community strives to help residents reach their potential.

Contact T&F 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 Mount Sinai

Situated on the scenic Mount Sinai, NY, The Bristal at Mount Sinai provides exceptional care and senior living options. The Bristal offers a range of floor plans and its very own Reflections area where residents can receive expert care and support whether they are looking for independent living, assisted living, or memory care. The community has a complete calendar of events, a movie theater, a fitness center, and a beauty salon among its amenities.

In addition to its excellent amenities, The Bristal at Mount Sinai takes pride in its Foresite fall management system, which uses state-of-the-art technology to guarantee residents’ safety and well-being. Residents may easily visit the North Fork’s wineries and local restaurants because of its convenient location close to the Long Island Expressway, while Port Jefferson provides quick access to neighboring cultural attractions and transit, providing residents with joyous adventures and entertainment.

Contact The Bristal at Mount Sinai

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

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
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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 16 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.