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Best Assisted Living in New York State

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 1,151 homes in New York State

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
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

Compare Assisted Living around New York State

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

Click column headers to sort
Promenade at Tuxedo Place
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.

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.

Tuxedo Park
89
Facility 89
NY AVG 160
Rank #546 / 751
No
34
Facility 34
NY AVG 63
Rank #923 / 1168
Promenade Tuxedo LLC804
25%
Facility 25%
NY AVG 19.6%
Rank #447 / 655
1
Facility 1
NY AVG 4
Rank #439 / 655
0.3
Facility 0.3
NY AVG 0.5
Rank #451 / 655
1 Bed Suite / Private Room-
The Bristal at White Plains
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.

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.

White Plains (North Street)
190
Facility 190
NY AVG 160
Rank #245 / 751
Yes
14
Facility 14
NY AVG 63
Rank #1055 / 1168
Ebc White Plains, LLC943
33.3%
Facility 33.3%
NY AVG 19.6%
Rank #467 / 655
1
Facility 1
NY AVG 4
Rank #439 / 655
0.3
Facility 0.3
NY AVG 0.5
Rank #451 / 655
Studio / Suite / 1 Bed-
Peregrine Senior Living at Crossgate
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.

Albany (Dunes)
83
Facility 83
NY AVG 160
Rank #573 / 751
No
49
Facility 49
NY AVG 63
Rank #783 / 1168
Psl Of Crossgate LLC-1
-
Facility -
NY AVG 19.6%
Rank #1 / 655
-
Facility -
NY AVG 4
Rank #1 / 655
-
Facility -
NY AVG 0.5
Rank #1 / 655
Studio / 1 Bed / 2 Bed-
The Chelsea at Brookhaven
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.

Yaphank
81
Facility 81
NY AVG 160
Rank #580 / 751
Yes
5
Facility 5
NY AVG 63
Rank #1116 / 1168
Brookhaven Senior Living, LLC619
77.8%
Facility 77.8%
NY AVG 19.6%
Rank #599 / 655
21
Facility 21
NY AVG 4
Rank #609 / 655
2.3
Facility 2.3
NY AVG 0.5
Rank #623 / 655
Studio / 1 Bed-
Brightview Sayville
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.

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.

Sayville (Broadway Avenue)
92
Facility 92
NY AVG 160
Rank #531 / 751
No
37
Facility 37
NY AVG 63
Rank #892 / 1168
Bv Sayville Operator, LLC769
77.8%
Facility 77.8%
NY AVG 19.6%
Rank #599 / 655
12
Facility 12
NY AVG 4
Rank #581 / 655
1.3
Facility 1.3
NY AVG 0.5
Rank #566 / 655
--
Ciel on the Hudson
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.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Yonkers (Ludlow)
84
Facility 84
NY AVG 160
Rank #565 / 751
Yes
58
Facility 58
NY AVG 63
Rank #714 / 1168
D&R Yonkers LLC855
80%
Facility 80%
NY AVG 19.6%
Rank #603 / 655
10
Facility 10
NY AVG 4
Rank #562 / 655
2.0
Facility 2.0
NY AVG 0.5
Rank #604 / 655
1 Bed / 2 Bed-
Summit At Eastwyck
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.

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.

Rensselaer (Eastwyck Circle)
182
Facility 182
NY AVG 160
Rank #263 / 751
No
25
Facility 25
NY AVG 63
Rank #991 / 1168
Gwc-East 56Th Street Inc.-2
100%
Facility 100%
NY AVG 19.6%
Rank #623 / 655
-
Facility -
NY AVG 4
Rank #1 / 655
-
Facility -
NY AVG 0.5
Rank #1 / 655
1 Bed / 2 Bed-
Brookdale Manlius
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.

Manlius (Flume Road)
86
Facility 86
NY AVG 160
Rank #553 / 751
Yes
61
Facility 61
NY AVG 63
Rank #681 / 1168
Ww Manlius Operator, Inc.6513
38.5%
Facility 38.5%
NY AVG 19.6%
Rank #499 / 655
8
Facility 8
NY AVG 4
Rank #549 / 655
0.6
Facility 0.6
NY AVG 0.5
Rank #496 / 655
Studio / Alcove / 1 Bed / 2 Bed-
Sunrise of East Meadow
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.

East Meadow (Mitchel Houses)
107
Facility 107
NY AVG 160
Rank #489 / 751
Yes
60
Facility 60
NY AVG 63
Rank #691 / 1168
Gwc - East Meadow, Inc.707
57.1%
Facility 57.1%
NY AVG 19.6%
Rank #553 / 655
7
Facility 7
NY AVG 4
Rank #544 / 655
1.0
Facility 1.0
NY AVG 0.5
Rank #536 / 655
Studio / 1 Bed-
Walden Place
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.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Cortland (South Cortland)
86
Facility 86
NY AVG 160
Rank #553 / 751
No
33
Facility 33
NY AVG 63
Rank #937 / 1168
Sl Walden, LLC6218
33.3%
Facility 33.3%
NY AVG 19.6%
Rank #467 / 655
9
Facility 9
NY AVG 4
Rank #557 / 655
0.5
Facility 0.5
NY AVG 0.5
Rank #480 / 655
Studio / 1 Bed-
The Massry Residence at Daughters of Sarah Senior Community
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.

Albany (Dunes)
210
Facility 210
NY AVG 160
Rank #157 / 751
No
31
Facility 31
NY AVG 63
Rank #953 / 1168
Daughters Of Sarah Housing Company, Inc.789
44.4%
Facility 44.4%
NY AVG 19.6%
Rank #517 / 655
31
Facility 31
NY AVG 4
Rank #639 / 655
3.4
Facility 3.4
NY AVG 0.5
Rank #635 / 655
Studio / 1 Bed / 2 Bed-
Rochester Presbyterian Home – The Homestead
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.

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.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Rochester (19Th Ward)
102
Facility 102
NY AVG 160
Rank #503 / 751
Yes
58
Facility 58
NY AVG 63
Rank #714 / 1168
Rochester Presbyterian Home, Inc.893
66.7%
Facility 66.7%
NY AVG 19.6%
Rank #569 / 655
6
Facility 6
NY AVG 4
Rank #531 / 655
2.0
Facility 2.0
NY AVG 0.5
Rank #604 / 655
Private Rooms-
Atria Forest 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.

Queens (Forest Hills)
90
Facility 90
NY AVG 160
Rank #539 / 751
Yes
38
Facility 38
NY AVG 63
Rank #887 / 1168
Atr New York Lh, Inc.945
60%
Facility 60%
NY AVG 19.6%
Rank #557 / 655
3
Facility 3
NY AVG 4
Rank #491 / 655
0.6
Facility 0.6
NY AVG 0.5
Rank #496 / 655
Studio-
Sunrise 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.

Village Of The Branch (Hauppauge Road)
104
Facility 104
NY AVG 160
Rank #500 / 751
Yes
68
Facility 68
NY AVG 63
Rank #623 / 1168
Szr New York Lh, Inc.699
33.3%
Facility 33.3%
NY AVG 19.6%
Rank #467 / 655
6
Facility 6
NY AVG 4
Rank #531 / 655
0.7
Facility 0.7
NY AVG 0.5
Rank #504 / 655
Studio / 1 Bed / 2 Bed-
Peregrine Senior Living at Onondaga Hill
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.

Syracuse (City Of Syracuse)
68
Facility 68
NY AVG 160
Rank #625 / 751
No
24
Facility 24
NY AVG 63
Rank #1000 / 1168
Tp Onondaga Operator, LLC-1
-
Facility -
NY AVG 19.6%
Rank #1 / 655
-
Facility -
NY AVG 4
Rank #1 / 655
-
Facility -
NY AVG 0.5
Rank #1 / 655
-A+
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RiverSpring Living

5901 Palisade Ave, Bronx, NY 10471
Overview of Riverspring Living

Located in Riverdale, New York, Riverspring Living is dedicated to helping older adults live full lives. For over 100 years, RiverSpring has been committed to healthy aging and the highest quality of life through innovative programs and services, and provide a full range of care solutions, including the nationally recognized Hebrew Home at Riverdale, managed long-term care, assisted living, senior housing, home care, care management, rehabilitation services, and specialized services such as elder justice and memory care.  Currently, the organization empowers over 18,000 patients, residents, and members every day, either on the 32-acre pet-friendly campus along the Hudson River or in the community. The campus offers a vibrant and engaging senior living experience, with nature views, a museum and outdoor art collection, fresh dining, a fitness center, a heated pool, a bistro serving Starbucks coffee and local baked goods, and 24/7 gated security.

Contact RiverSpring Living

Overview of Peregrine Senior Living at Shaker

Peregrine Senior Living at Shaker is an upscale assisted living home that has continuously been practicing a personal approach to the meaningful service they are guaranteed to deliver to the seniors; they strive to make a difference in the lives of older adults. The retirement home undoubtedly knows how to provide and maintain a quality holistic approach to senior care.

Peregrine aims for a comfortable and secure lifestyle — specialized programs, life enrichment activities, housekeeping, and transportation. Their amenities include wheelchair-accessible showers, social and recreational areas, an elegant dining room, spacious outdoor living, and beautiful interiors that holistically stimulate the well-being of residents.

Contact Peregrine Senior Living at Shaker

Overview of The Regency at Glen Cove

The Regency Assisted Living is a stunning retreat located in Glen Cove, New York, just a short drive away from the Bronx. They provide a range of services that cater to residents’ unique needs, including independent living, assisted living, and memory care. They also offer a specialized veterans program and a short-term retreat option for residents who need extra care. The Regency’s prime location in the heart of Glen Cove has everything residents could need within walking distance, including restaurants and shopping. And with newly renovated accommodations, the unique ambiance elevates the senior living experience to a whole new level.
The team at The Regency is committed to providing individualized therapy sessions and life enhancement programs to ensure that residents are living their best lives. And when residents want to indulge in some pampering, they can visit the on-site salon and spa. The home also organizes outings and trips so that residents can explore the local area. And when they return, they can enjoy fine dining on the premises or use the limo service for a lovely dinner.

Contact The Regency At Glen Cove

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 Atria West 86

Atria West 86 is a renowned assisted living community in New York, NY, that offers personalized care and independent living. With a resort-style setting and Art Deco-inspired architecture, the community promotes a welcoming environment where residents can maintain their independence without worries. Multiple dining venues, emergency alert technology, and pet-friendly spaces are among the community’s top amenities, dedicated to residents’ safety and happiness. The community combines tailored care and a vibrant living, ensuring residents experience an unmatched lifestyle.

Three chef-prepared meals are served in its distinct dining venues that aim to promote social engagement over locally sourced and freshly prepared menus. Residents can lounge in the community’s unique rooftop and take in the city’s lively scenery. With the Hudson River Waterfront Greenway and Broadway Malls nearby, the community provides convenient access for leisure. Combined with New York’s thriving setting, Atria West 86 is one of the state’s best senior living options.

Contact Atria West 86

Atria Riverdale

3718-3726 Henry Hudson Pkwy, The Bronx, NY 10463
Overview of Atria Riverdale

A senior living community in the Bronx, Atria Riverdale provides services for independent living, assisted living, and memory care. Atria Riverdale is about making everyone inclusive and feel as if their lives are normal. There’s endless possibilities and opportunities that await you or your loved one at the Atria Riverdale, while guaranteeing service built to the highest standard of quality care. The community’s goal is to provide remarkable service and care. Atria Riverdale is proud to house professional staff who are encouraging, empowering, and enriching the lives of the residents by providing a kind of hospitality and immediate attention, the community has attracted many families of all income levels.

Life at the Riverdale provides nothing but their branded Atria service: They provide a Life® Program that allows residents to come out of their comfort and nurture their lifestyle by socializing, exercising, and doing different activities. Residents are encouraged to have a healthy lifestyle provided by their community amenities such as their outdoor pool, a golf simulator, or socialize in the lounge areas. A major facility and service that Atria Riverdale strives to provide is their on-site physical therapy and occupational therapy services. A 24-hour resident nurse and podiatrist are present along with a primary care physician who visits weekly. One exclusive offer by Atria Riverdale is their flexible month-to-month lease, making financials lighter for residents. 

Contact Atria Riverdale

Overview of Atria Tanglewood

Located in Lynbrook, Atria Tanglewood is 5 miles away from Garden City. Here, residents find comfort, companionship, and personalized support. From spacious living quarters to various activities, Atria Tanglewood offers everything needed for a fulfilling lifestyle.

The place offers spacious studio, one-, and two-bedroom apartments, residents enjoy all-inclusive amenities, including 24-hour security, housekeeping, maintenance, and laundry services. The flexible month-to-month lease and absence of buy-in fees make it an attractive choice for seniors seeking a comfortable and engaging lifestyle while maintaining affordability.

 

Contact Atria Tanglewood

Atria Briarcliff Manor

1025 Pleasantville Rd, Briarcliff Manor, NY 10510
Overview of Atria Briarcliff Manor

Atria Briar Cliff Manor, located in the busy town of New York, is a senior living community offering independent living, assisted living, and memory care services to its residents. This senior living community boasts of the luxurious amenities within their community from their art studio, to movie theater, and salon – providing all the comforts one may need to enjoy a fulfilling retirement. Additionally their chef-prepared meals are served in a full-table service restaurant, and offers quality dishes for everyone to enjoy.

This senior living community, while mainly offering independent and assisted living services, are also proud to be of service to their residents living with Alzheimer’s and dementia, offering a 24hr care staff, and Alzheimer’s and Dementia support group. Furthermore, the community features emergency alert system, for additional peace of mind, and housekeeping, linen and laundry services, for added convenience.

Contact Atria Briarcliff Manor

Overview of Vista on 5th

Vista on 5th is a trusted assisted living community in New York, NY, that offers personal care around the clock. With its home-like setting, the community welcomes older adults regardless of income. Therapy services, mental health resources, and chef-prepared dining are just some of the community’s services dedicated to residents’ well-being. Individualized care in a vibrant city environment is at the core of the community’s commitment to supporting residents in retirement.

Utilizing innovation and technology, interactive media, a nurse call system, and a voice-activated care assistance are among the community’s top amenities. Residents can also interact with peers of the same age with a variety of culturally diverse activities. The community’s proximity to Central Park allows residents and their loved ones to experience a laid-back living even in the middle of the city. As one of New York’s finest senior living communities, Vista on 5th continuously promotes equal housing opportunities.

Contact Vista on 5th

Overview of Riverspring Residences

Riverspring Residences operates 69 beds across independent living, assisted living, and memory care at 5901 Palisade Avenue, Riverdale, Bronx, under The Hebrew Home for the Aged at Riverdale. Occupancy at 91.2 percent reflects strong demand. Average length of stay is 153 days, balancing short-term rehabilitation (47 percent Medicare) with longer-stay private-pay residents (49 percent of admissions).

Staffing depth is substantive. 447 staff (374 employees, 73 contractors) support a 1.01 to 1 patient-to-staff ratio. Direct nursing includes 90 RNs, 26 LPNs, and 225 CNAs, plus 25 clinical nurse specialists and therapy specialists. This ranks fifth statewide in payroll investment at 63 million dollars annually.

Clinical outcomes correlate with this staffing level. Falls with major injury occur in 1.1 percent of residents versus the state average of 3.0 percent. Depressive symptoms affect 4.4 percent versus 18.1 percent statewide. Functional decline scores average 12.2 versus 18.1 statewide. Short-stay antipsychotic initiation runs 63 percent lower than peers.

The Inspection Reports show one inspection (November 2021) with one documentation deficiency. CMS Health Inspection History simultaneously documents three inspections since 2019 with thirteen total health citations (most recent May 2024), centered on resident rights, quality of life and care, and infection control. All violations remain moderate to minor. Zero critical or serious citations.

Zero resident complaints. Zero fines. Zero enforcement actions. Administrative deficiencies have not triggered care quality complaints.

The most recent fiscal year generated a net operating loss of 15.6 million dollars on 81.5 million in revenue, producing a negative 19.1 percent profit margin. Operating expenses of 121.5 million substantially exceed revenue. The deficit persists despite occupancy improvements, indicating current revenue cannot service accumulated debt. Facilities operating at negative margins lack resilience for unexpected expenses, capital replacement, or labor market pressures.

Amenities include restaurant-style dining with chef preparation, fitness center, salon, 24-hour concierge, scheduled transportation, wheelchair accessibility, emergency alert systems, and included utilities. Services span rehabilitation, respite care, home care options, geriatric care management, and 24-hour nursing.

Strong staffing and clinical outcomes cannot offset operational insolvency.

Before placement, request detailed financial disclosures regarding debt obligations, capital reserve status, and any pending restructuring.

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
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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 44 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.