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Best Assisted Living in New York State

Why trust this guide? Our editorial team analyzed 365 assisted living communities in NY using NY State Dept. of Health (NYSDOH) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NY
Reviewed by
Last updated
Jul 2026
We analyzed
365 homes
Other senior care options in New York:

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

Watch this Video to see New York State's Top-rated Senior Communities
Avg Monthly Cost: $6,685The average monthly cost across facilities in New York State. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 63/ 100The average Walk Score across facilities in New York State. 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: 160The average licensed bed capacity across facilities in New York State. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around New York State

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 to lowest based on our ranking methodology.

Jewish Home of Rochester
AL
ADC
HC
IL
MC
NH
PC
SNF
Rochester (South Winton Road)
328
Facility 328
NY AVG 160
Rank #44 / 739
Yes
8
Facility 8
NY AVG 63
Rank #1093 / 1169
Jewish Home Of Rochester (Not For Profit)
85
Facility 85
NY AVG 83
Rank #263 / 608
9---Studio / 1 Bed / 2 Bed
United Hebrew of New Rochelle
AL
IL
MC
NH
SNF
New Rochelle
294
Facility 294
NY AVG 160
Rank #72 / 739
No
80
Facility 80
NY AVG 63
Rank #454 / 1169
United Home For Aged Hebrews (Not For Profit)
96
Facility 96
NY AVG 83
Rank #43 / 608
7---Studio / 1 Bed / 2 Bed
The Nottingham
AL
IL
MC
NH
SNF
Jamesville (Nottingham Road)
64
Facility 64
NY AVG 160
Rank #634 / 739
No
0
Facility 0
NY AVG 63
Rank #1154 / 1169
Loretto Adult Community, Inc
84
Facility 84
NY AVG 83
Rank #289 / 608
14
42.9%
Facility 42.9%
NY AVG 44.4%
Rank #186 / 319
7
Facility 7
NY AVG 14.5
Rank #209 / 319
0.5
Facility 0.5
NY AVG 1.6
Rank #145 / 319
Private / Semi-Private Rooms
Peconic Landing at Southold
AL
IL
MC
NH
RC
SNF
Greenport
60
Facility 60
NY AVG 160
Rank #641 / 739
No
74
Facility 74
NY AVG 63
Rank #540 / 1169
Peconic Landing At Southold, Inc (Not For Profit)
92
Facility 92
NY AVG 83
Rank #117 / 608
7----
Kendal On Hudson
AL
IL
MC
NH
SNF
Sleepy Hollow (Sleepy Hollow Manor)
26
Facility 26
NY AVG 160
Rank #729 / 739
Yes
0
Facility 0
NY AVG 63
Rank #1154 / 1169
Kendal On Hudson
93
Facility 93
NY AVG 83
Rank #94 / 608
4
0%
Facility 0%
NY AVG 44.4%
Rank #1 / 319
0
Facility 0
NY AVG 14.5
Rank #1 / 319
0
Facility 0
NY AVG 1.6
Rank #1 / 319
Studio / 1 Bed / 2 Bed
The Wartburg Home
AL
ADC
HOS
IL
MC
NH
PC
RC
SNF
Mount Vernon (North Side)
210
Facility 210
NY AVG 160
Rank #152 / 739
Yes
31
Facility 31
NY AVG 63
Rank #954 / 1169
The Wartburg Home Of The Evangelical Lutheran Church (Not For Profit)
88
Facility 88
NY AVG 83
Rank #211 / 608
9----
Greenfield Health & Rehab Center
AL
IL
MC
NH
PC
RC
SNF
Broadway Lancaster
160
Facility 160
NY AVG 160
Rank #295 / 739
No
77
Facility 77
NY AVG 63
Rank #500 / 1169
Niagara Lutheran Development, Inc (Not For Profit)
66
Facility 66
NY AVG 83
Rank #554 / 608
13----
Belair Care Center Inc
AL
HOS
MC
NH
PC
RC
SNF
No Bellmore (Jerusalem Avenue)
102
Facility 102
NY AVG 160
Rank #495 / 739
No
92
Facility 92
NY AVG 63
Rank #221 / 1169
Belair Care Center, Inc (For Profit)
90
Facility 90
NY AVG 83
Rank #156 / 608
5----
Jefferson’s Ferry
AL
IL
MC
NH
SNF
So Setauket
60
Facility 60
NY AVG 160
Rank #641 / 739
Yes
21
Facility 21
NY AVG 63
Rank #1020 / 1169
Active Retirement Community Inc (Not For Profit)
88
Facility 88
NY AVG 83
Rank #211 / 608
6----
RiverSpring Residences
AL
NH
HC
HOS
IL
MC
PC
SNF
New York
69
Facility 69
NY AVG 160
Rank #615 / 739
Yes
56
Facility 56
NY AVG 63
Rank #735 / 1169
--2
50%
Facility 50%
NY AVG 44.4%
Rank #1 / 319
1
Facility 1
NY AVG 14.5
Rank #1 / 319
0.5
Facility 0.5
NY AVG 1.6
Rank #1 / 319
-
Fox Run at Orchard Park
AL
IL
MC
NH
SNF
Orchard Park
60
Facility 60
NY AVG 160
Rank #641 / 739
No
13
Facility 13
NY AVG 63
Rank #1062 / 1169
Orchard Park Ccrc, Inc. (Not For Profit)
90
Facility 90
NY AVG 83
Rank #156 / 608
4----
The Baptist Home at Brookmeade
AL
IL
NH
PC
SNF
Rhinebeck (Rhinebeck Village)
120
Facility 120
NY AVG 160
Rank #408 / 739
No
68
Facility 68
NY AVG 63
Rank #625 / 1169
Baptist Home Of Brooklyn Ny Inc (Not For Profit)
97
Facility 97
NY AVG 83
Rank #30 / 608
3----
Good Shepherd Village at Endwell
AL
IL
MC
NH
SNF
Endwell (Town Of Union)
32
Facility 32
NY AVG 160
Rank #721 / 739
No
46
Facility 46
NY AVG 63
Rank #811 / 1169
Good Shepherd Village At Endwell, Inc. (Not For Profit)
88
Facility 88
NY AVG 83
Rank #211 / 608
5----
Atria Riverdale
AL
IL
MC
The Bronx (Riverdale)
204
Facility 204
NY AVG 160
Rank #159 / 739
Yes
95
Facility 95
NY AVG 63
Rank #131 / 1169
Atr New York Lh, Inc
97
Facility 97
NY AVG 83
Rank #43 / 608
6
50%
Facility 50%
NY AVG 44.4%
Rank #189 / 319
3
Facility 3
NY AVG 14.5
Rank #156 / 319
0.5
Facility 0.5
NY AVG 1.6
Rank #145 / 319
Studio / 1 Bed / 2 Bed
McHarrie Pointe
AL
IL
MC
NH
SNF
Baldwinsville (Town Of Lysander)
47
Facility 47
NY AVG 160
Rank #685 / 739
No
79
Facility 79
NY AVG 63
Rank #472 / 1169
-1003
33.3%
Facility 33.3%
NY AVG 44.4%
Rank #1 / 319
1
Facility 1
NY AVG 14.5
Rank #1 / 319
0.3
Facility 0.3
NY AVG 1.6
Rank #1 / 319
-
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Overview of Jewish Home of Rochester

Jewish Home of Rochester does its best to encourage residents to do whatever interests them while receiving exceptional care– making it one of the trusted senior living in the city. The center provides a comprehensive range of care, including specialized nursing home care, designed to meet the unique needs of residents. They boast a fantastic team of well-trained professionals who deliver lovely senior care that helps maintain independence.
The nursing home is focused on conducting a results-driven approach to individual recovery.  The nursing community promotes social activities, education programs, specialized programs, an emergency call system, individualized controlled AC and heating, screened patios, and fitness center.

Contact Jewish Home of Rochester

Overview of United Hebrew of New Rochelle

Create unforgettable moments with United Hebrew of New Rochelle, a blissful community set in the peaceful neighborhood of New Rochelle, NY, that focuses on memory care. Here, residents receive top-tier care and support tailored to their unique needs from a compassionate and well-trained team available around the clock. There’s no need to worry about day-to-day activities with the community taking care of the housekeeping and other responsibilities.

To enhance residents’ cognition, the community also conducts stimulating activities and engaging programs tailored to their enjoyment and well-being. Mealtimes foster comfort while meeting dietary needs, ensuring a delightful dining experience with diverse dining options. The community is an enticing option for residents with memory-related needs to live their lives to the fullest despite their conditions.

Contact United Hebrew of New Rochelle

The Nottingham

1301 Nottingham Rd, Jamesville, NY 13078
Overview of The Nottingham

The Nottingham is a retirement community in Jamesville, NY, that offers comprehensive care options, including independent living, assisted living, memory care, and skilled nursing. Here, older adults are well-cared for, accompanied by a supportive and welcoming environment. Excellent services, including housekeeping, nutritious meals, and 24-hour assistance, are also provided to improve residents’ living experiences. Dedicated to understanding residents’ unique needs and habits, the community provides customized care plans.

Indoor games, light exercises, and a variety of recreational opportunities ensure residents can stay active. An indoor pool, a coffee lounge, and the Clubhouse are among the state-of-the-art amenities available, so residents can rest and create meaningful moments with friends. Surrounded by trees and green spaces in Jamesville, the community guarantees a laid-back lifestyle. As one of the trusted options for senior living in New York, this retirement community ensures older adults can live to their potential in retirement.

Contact The Nottingham

Overview of Peconic Landing at Southold

Peconic Landing at Southold occupies 1500 Brecknock Road in Greenport, New York, a Continuing Care Retirement Community run by Peconic Landing at Southold, Inc. It’s not built around one level of care. Nursing home services, assisted living, independent living, memory care, respite care, and skilled nursing all exist under a single organization, with independent living available in cottages or apartments and more intensive care ready if a resident’s needs shift.

Sixty beds, 83 percent occupancy, and a Walk Score of 74, solidly walkable for a coastal North Fork community. Peconic Landing accepts Medicare, Medicaid, and private pay, and the staffing numbers back up the CCRC structure: total nursing care runs 5 hours and 29 minutes per resident, per day, a substantial figure in this field.

The amenities here go well beyond what most facilities offer. A half-mile of private Long Island Sound beach isn’t something you find at a typical nursing home. Add a heated indoor pool, two tennis courts, and a sculpture garden, and the picture starts to look more like a resort community than institutional care. A full calendar of fitness, educational, and social programming fills out daily life, backed by rehabilitation services, respite care, nursing services, and staff on-site around the clock.

On the regulatory side, the compliance record here has been consistently clean.

Peconic Landing at Southold adds up to a coastal Continuing Care Retirement Community that combines genuine care continuity, nursing home through independent living, with amenities and a compliance record that set it apart from a standard skilled nursing facility.

Contact Peconic Landing at Southold

Overview of Kendal on Hudson

Offering skilled nursing, rehabilitation, and physical therapy services, Kendal on Hudson is a life plan community in Sleepy Hollow, New York, with a 26-bed capacity. Located at 1010 Kendal Way, the mid-rise residence offers studio, one-bedroom, and two-bedroom accommodations and maintains a 96% occupancy rate. Operated by Kendal on Hudson under owner Shirley Regan, it also accepts Medicare, Medicaid, and private pay.

An average of 6 hours and 56 minutes of direct nursing care is provided each day from registered nurses, licensed practical nurses, and certified nursing assistants. This level of staffing supports individuals recovering from surgery or illness as well as those with ongoing skilled nursing needs.

In addition, an outdoor patio overlooking the Hudson River, an indoor swimming pool, and transportation to the express train serving New York City are available, making it easier to access medical appointments, cultural attractions, and family visits. Although the surrounding area is largely car-dependent, these transportation options provide added convenience.

State inspections conducted by the New York Department of Health have also demonstrated a strong compliance record. For over seven years, the community received no cited deficiencies, substantiated complaints, or enforcement actions.

Contact Kendal On Hudson

Overview of The Wartburg Home

Operated by the Evangelical Lutheran Church, The Wartburg Home is a nursing facility in Mount Vernon, New York, with 210 beds. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to arrange care. Residents stay an average of 79 days, including short-term rehabilitation stays and longer-term nursing care.

Nurse staffing averages 4 hours and 40 minutes per resident daily. The facility offers rehabilitation services, respite care, 24-hour staffing, and an adult day program. These services offer families the flexibility to select the appropriate level of support and care for their loved one.

The Wartburg Home has a wide range of programs beyond traditional nursing care. Specialized services include hospice and palliative care for residents with advanced health needs. The community also provides wellness programs, creative aging activities, lifelong learning opportunities, and intergenerational programs. Advanced life planning support and affordable senior living initiatives further expand the services available to residents and families.

The neighborhood has a Walk Score of 31. Some destinations are within walking distance, but most trips require transportation. Still, the home is reasonably accessible for visiting family members.

State inspections have focused on areas such as respiratory care, medication security, food safety, and equipment maintenance. The facility has

Contact The Wartburg Home

Overview of Greenfield Health & Rehab Center

Greenfield Health & Rehab Center is a 160-bed facility in Lancaster, New York, and it covers a lot of ground: nursing home care, assisted living, independent living, memory care, palliative care, respite care, and skilled nursing all live under one roof at 5949 Broadway. Right now 153 people call it home, with 150 of the 160 beds filled, so occupancy sits at 94 percent. The area itself scores 77 on Walk Score, solidly walkable, so getting around without a car isn’t really a problem here.

Let’s talk staffing, because the numbers tell a story worth paying attention to. Nurse aides log the most hands-on time by far, 2 hours and 52 minutes per resident every day, the bathing, dressing, and getting-around-safely kind of care. LPNs come in at 1 hour and 24 minutes daily, mostly medications and wound care. RNs average 36 minutes per resident per day, which is the clinical-oversight layer, watching for changes and directing the care plan. On top of that baseline, the facility runs 24-hour staffing, so coverage doesn’t just stop at shift change.

Paying for a stay here isn’t a one-size-fits-all situation. Greenfield Health takes Medicare, Medicaid, and private pay, so families actually have options depending on their situation. Day to day, residents have transportation to medical appointments, shared community spaces, and a central courtyard they can access. There’s also an active Resident Council, a real group that meets regularly to talk through policies, care quality, and quality-of-life issues, not just a name on a brochure.

Inspections here come from New York’s Department of Health, Office of Aging and Long Term Care, unannounced visits meant to check the place against state and federal rules. The recurring themes have been infection prevention, fire-safety systems, emergency readiness, resident rights, and general housekeeping and upkeep.

Put it all together and what you get is a large, full-spectrum facility, multiple care types, a staffing model heavy on direct nurse aide time, 24-hour coverage, and a resident body with an actual voice through its council, serving a sizable population in Lancaster.

Contact Greenfield Health & Rehab Center

Overview of Belair Care Center

Belair Care Center operates a 102-bed skilled nursing facility at 2478 Jerusalem Avenue in North Bellmore, Nassau County, under the ownership and operation of Andrew Yandoli. The community holds a comprehensive 5-star CMS rating, 59.2% above the New York average across all measured categories. Its resident census reflects a Medicare-dominant model: 95% of admissions are Medicare-funded short-stay rehabilitation patients, with an average length of stay of 41 days and a payer mix that channels nearly all capacity toward post-acute care recovery. Awards include US News 2024 recognition for both short- and long-term care, a McKnight’s Technology Award, and Great Place to Work certification.

Clinical outcomes for short-stay rehabilitation stand above the benchmark. Residents achieve successful return-to-home rates of 71.5% versus 50.6% statewide. Emergency department utilization remains low at 3.4% for short-stay residents compared to 9.7% across New York nursing homes. Re-hospitalization following SNF stay measures 15.3%, outperforming the 20.6% state average. These discharge-related metrics reflect the facility’s rehabilitation focus and care model alignment.

Total nursing hours measure 3 hours 9 minutes per resident daily, slightly below the state average of 3 hours 29 minutes. Registered nurse hours, however, reach 1 hour 8 minutes per day, 62% above the state benchmark, enabling robust clinical oversight characteristic of strong rehabilitation programs. This RN concentration, paired with five-star staffing and quality-measure ratings, suggests deliberate resource allocation toward short-stay patients.

The facility’s inspection history since 2021 shows 16 citations across life safety and care-planning categories, all corrected. A May 7, 2025, annual survey identified seven deficiencies; corrections were completed by June 2025. Four active lawsuits are currently on record, with a docket history extending to 2003, indicating ongoing legal exposure.

With 95% of admissions from Medicare-funded short-stay patients and a 41-day average length of stay, the facility is structured for post-acute rehabilitation and discharge-to-home outcomes.

Contact Belair Care Center Inc

Overview of Jefferson’s Ferry

Jefferson’s Ferry sits at 500 Mather Drive in South Setauket, a continuing care community whose skilled nursing unit, The Vincent Bove Health Center, holds 60 beds under Active Retirement Community Inc. The range here is real: nursing home care, assisted living, independent living, and memory care all exist within the same community, not as separate, disconnected offerings.

Most admissions to the skilled nursing side are short-term, covered under Medicare, and the facility also takes Medicaid and private pay. Occupancy sits at 88 percent, 53 of 60 beds filled. Getting around outside the community takes a car; the Walk Score is 21, solidly car-dependent.

Staffing is where the numbers actually say something concrete. Total nursing care runs 5 hours and 28 minutes per resident, per day, with registered nurses handling 1 hour and 6 minutes of that. Rehabilitation services round out the clinical offering, supporting residents working toward a return home or a transition to a lower level of care within the same community.

On the regulatory side, inspections here have tended to center on fire-safety systems and staffing and staff credentials, the kind of operational areas regulators typically review at skilled nursing units inside larger continuing care communities.

What can be said about Jefferson’s Ferry is that it is a skilled nursing unit backed by real staffing depth, embedded inside a continuing care community structured so a resident’s needs can shift, short-term rehab now, something more permanent later, without starting over somewhere new.

Contact Jefferson’s Ferry

Overview of RiverSpring Residences

RiverSpring Residences, located on Palisade Avenue in the Riverdale area of the Bronx, is managed by The Hebrew Home for the Aged at Riverdale. This 69-bed facility provides many types of care in one spot: nursing home help, assisted living, independent living, memory care, home care, hospice, and palliative care. Having all these options is a big plus for families who want a place that can adjust as health needs change. They accept Medicaid, Medicare, and private payments.

Right now, 63 out of 69 beds are filled, which is a 91% occupancy rate. The average resident stays for about 153 days, covering both those there for quick recovery and those living there long-term. Riverdale has a Walk Score of 56, which means you can walk to some places, but having a car is usually a good idea for getting around.

Registered nurses spend about 53 minutes a day with each resident, and the total nursing care from all staff adds up to about 3 hours and 17 minutes daily per person. They offer specific programs like Independent Living 65+, Assisted Living Medicaid, Certified Home Health Aide services, Licensed Home Care, and Geriatric Care Management.

The facility has nice apartments, dining that feels like a restaurant, a gym, a hair salon, 24-hour front desk help, and planned bus rides. Residents also have plenty of daily activities and community events to choose from.

The New York Department of Health regularly checks the facility. Previous inspections mentioned some issues with how care plans and paperwork are handled. If you take a tour, it is a good idea to ask the staff how they create and update each person’s specific care plan to make sure everyone gets exactly what they need.

RiverSpring Residences is a very complete choice for senior care in the Bronx. With its 69 beds, seven different types of care, clear staffing numbers, and acceptance of Medicaid and Medicare, it is a strong option for families looking for a place that can handle many different health situations as they evolve.

Contact RiverSpring Residences

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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Frequently Asked Questions about Assisted Living in New York State

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

Assisted living in New York State 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 State?

Assisted living in New York State 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 State Medicaid cover assisted living?

New York State Medicaid does not directly pay room-and-board for assisted living, but most states (including New York State) 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 365 assisted living facilities in New York State. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in New York State?

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 New York State, 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 New York State?

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.