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Best Assisted Living in New York State

Why trust this guide? Our editorial team analyzed 406 assisted living communities in New York State using New York State Department of Health (NYSDOH) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NY
Reviewed by
Last updated
Jun 2026
We analyzed
406 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

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

Jewish Home of Rochester
AL
ADC
HC
IL
MC
NC
PC
NH
Rochester (South Winton Road)
328
Facility 328
NY AVG 160
Rank #44 / 748
No
8
Facility 8
NY AVG 63
Rank #1097 / 1173
Jewish Home Of Rochester (Not For Profit)
85
Facility 85
NY AVG 83
Rank #254 / 593
9---Studio / 1 Bed / 2 Bed-
Promenade at Tuxedo Place
AL
IL
Tuxedo Park
89
Facility 89
NY AVG 160
Rank #543 / 748
No
34
Facility 34
NY AVG 63
Rank #928 / 1173
Promenade Tuxedo LLC
85
Facility 85
NY AVG 83
Rank #254 / 593
4
25%
Facility 25%
NY AVG 44.4%
Rank #111 / 318
1
Facility 1
NY AVG 14.5
Rank #103 / 318
0.3
Facility 0.3
NY AVG 1.6
Rank #115 / 318
1 Bed Suite / Private Room-
Sunrise of Holbrook
AL
MC
Holbrook (Town Of Islip)
109
Facility 109
NY AVG 160
Rank #483 / 748
Yes
40
Facility 40
NY AVG 63
Rank #879 / 1173
Gwc - Holbrook, Inc.
98
Facility 98
NY AVG 83
Rank #14 / 593
5
20%
Facility 20%
NY AVG 44.4%
Rank #105 / 318
1
Facility 1
NY AVG 14.5
Rank #103 / 318
0.2
Facility 0.2
NY AVG 1.6
Rank #106 / 318
Studio / 1 Bed / 2 BedA-
Monarch Coopers Corner
AL
MC
RC
New Rochelle (Victory Park)
90
Facility 90
NY AVG 160
Rank #536 / 748
Yes
43
Facility 43
NY AVG 63
Rank #851 / 1173
Coopers Corner, Inc.-1
0%
Facility 0%
NY AVG 44.4%
Rank #1 / 318
0
Facility 0
NY AVG 14.5
Rank #1 / 318
0
Facility 0
NY AVG 1.6
Rank #1 / 318
Studio / 1 BedA+
The Country House in Westchester
AL
Yorktown Heights (Baldwin Road)
100
Facility 100
NY AVG 160
Rank #504 / 748
No
30
Facility 30
NY AVG 63
Rank #966 / 1173
Country House Operator LLC-2
100%
Facility 100%
NY AVG 44.4%
Rank #286 / 318
25
Facility 25
NY AVG 14.5
Rank #290 / 318
12.5
Facility 12.5
NY AVG 1.6
Rank #318 / 318
Studio / 1 BedA+
Whisper Woods of Smithtown
AL
MC
Smithtown (Town Of Smithtown)
136
Facility 136
NY AVG 160
Rank #377 / 748
Yes
24
Facility 24
NY AVG 63
Rank #1005 / 1173
Bsl Smithtown Operations, Inc.
89
Facility 89
NY AVG 83
Rank #191 / 593
4
100%
Facility 100%
NY AVG 44.4%
Rank #286 / 318
0
Facility 0
NY AVG 14.5
Rank #1 / 318
0
Facility 0
NY AVG 1.6
Rank #1 / 318
Studio / 1 Bed / 2 BedF
GrandeVille Senior Living Community
AL
ADC
MC
Rochester (City Of Rochester)
115
Facility 115
NY AVG 160
Rank #469 / 748
Yes
44
Facility 44
NY AVG 63
Rank #839 / 1173
Grande\'Ville Senior Living Community, LLC
85
Facility 85
NY AVG 83
Rank #254 / 593
8
50%
Facility 50%
NY AVG 44.4%
Rank #188 / 318
11
Facility 11
NY AVG 14.5
Rank #234 / 318
1.4
Facility 1.4
NY AVG 1.6
Rank #239 / 318
Private Rooms / Semi-Private RoomsA+
Heathwood Assisted Living and Memory Care
AL
MC
Buffalo (Bassett)
128
Facility 128
NY AVG 160
Rank #393 / 748
Yes
60
Facility 60
NY AVG 63
Rank #696 / 1173
Heathwood Assisted Living At Williamsville, Inc.
93
Facility 93
NY AVG 83
Rank #97 / 593
5
40%
Facility 40%
NY AVG 44.4%
Rank #167 / 318
5
Facility 5
NY AVG 14.5
Rank #186 / 318
1.0
Facility 1.0
NY AVG 1.6
Rank #200 / 318
Studio / Suite / 1 Bed / 2 BedA+
Atria Riverdale
AL
IL
MC
The Bronx (Riverdale)
204
Facility 204
NY AVG 160
Rank #162 / 748
Yes
95
Facility 95
NY AVG 63
Rank #132 / 1173
Atr New York Lh, Inc.
96
Facility 96
NY AVG 83
Rank #42 / 593
6
50%
Facility 50%
NY AVG 44.4%
Rank #188 / 318
3
Facility 3
NY AVG 14.5
Rank #155 / 318
0.5
Facility 0.5
NY AVG 1.6
Rank #144 / 318
Studio / 1 Bed / 2 BedA+
Atria Briarcliff Manor
AL
IL
MC
Briarcliff Manor (Pleasantville Road)
200
Facility 200
NY AVG 160
Rank #169 / 748
No
55
Facility 55
NY AVG 63
Rank #748 / 1173
Atr New York Lh, Inc.-2
50%
Facility 50%
NY AVG 44.4%
Rank #188 / 318
1
Facility 1
NY AVG 14.5
Rank #103 / 318
0.5
Facility 0.5
NY AVG 1.6
Rank #144 / 318
Studio / 1 Bed / 2 Bed-
Island Assisted Living
AL
Hempstead (Hempstead Town House Condominiums)
200
Facility 200
NY AVG 160
Rank #169 / 748
No
67
Facility 67
NY AVG 63
Rank #638 / 1173
Newco Alp Inc.
77
Facility 77
NY AVG 83
Rank #396 / 593
18
33.3%
Facility 33.3%
NY AVG 44.4%
Rank #131 / 318
22
Facility 22
NY AVG 14.5
Rank #276 / 318
1.2
Facility 1.2
NY AVG 1.6
Rank #220 / 318
Private / Semi-Private RoomsA+
Manor Hills
AL
NH
MC
Wellsville
137
Facility 137
NY AVG 160
Rank #375 / 748
No
47
Facility 47
NY AVG 63
Rank #809 / 1173
Willow Ridge Senior Living, LLC
93
Facility 93
NY AVG 83
Rank #97 / 593
5
0%
Facility 0%
NY AVG 44.4%
Rank #1 / 318
0
Facility 0
NY AVG 14.5
Rank #1 / 318
0
Facility 0
NY AVG 1.6
Rank #1 / 318
Studio / 1 Bed / Semi-Private Rooms-
The New Homestead Home
AL
Kew Gardens
163
Facility 163
NY AVG 160
Rank #293 / 748
No
89
Facility 89
NY AVG 63
Rank #287 / 1173
New Homestead Home For Adults, Inc.
80
Facility 80
NY AVG 83
Rank #356 / 593
18
100%
Facility 100%
NY AVG 44.4%
Rank #286 / 318
22
Facility 22
NY AVG 14.5
Rank #276 / 318
1.2
Facility 1.2
NY AVG 1.6
Rank #220 / 318
Private Rooms / Semi-Private RoomsA+
Brooklyn Adult Care Center
AL
Brooklyn (Cypress Hills)
210
Facility 210
NY AVG 160
Rank #155 / 748
No
90
Facility 90
NY AVG 63
Rank #261 / 1173
Brooklyn Adult Care Center, LLC
86
Facility 86
NY AVG 83
Rank #242 / 593
16
25%
Facility 25%
NY AVG 44.4%
Rank #111 / 318
4
Facility 4
NY AVG 14.5
Rank #170 / 318
0.3
Facility 0.3
NY AVG 1.6
Rank #115 / 318
Private / Semi-Private RoomsA+
Long Beach Assisted Living
AL
Long Beach (City Of Long Beach)
200
Facility 200
NY AVG 160
Rank #169 / 748
No
70
Facility 70
NY AVG 63
Rank #610 / 1173
Hempstead Alp, LLC
84
Facility 84
NY AVG 83
Rank #278 / 593
32
15.6%
Facility 15.6%
NY AVG 44.4%
Rank #101 / 318
10
Facility 10
NY AVG 14.5
Rank #226 / 318
0.3
Facility 0.3
NY AVG 1.6
Rank #115 / 318
Studio / Semi-Private RoomsA+
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Overview of Mary Agnes Manor

Mary Agnes Manor is an assisted living community in Buffalo, NY, that offers assistance with daily living activities and therapeutic services for those with Alzheimer’s and dementia. The community also features private and semi-private rooms in a nurturing and secure environment, ensuring older adults are well-cared for. 24-hour professional support, household services, and well-balanced meals are also provided to meet residents’ unique needs and preferences. Through personalized care plans, the community ensures residents live to their potential in retirement.

Outings, parties, and exercises provide residents with more opportunities to interact with friends and stay active. With spacious living areas and lively communal spaces, residents can rest without worries. Residents also have convenient access to their necessities and unique experiences, as it is conveniently located in the beautiful D’Youville University. As one of the trusted choices for senior living in New York, this assisted living community continuously provides high-quality services.

Contact Mary Agnes Manor

Overview of Madison York Assisted Living

Situated in the picturesque, tree-lined neighborhood of Flushing, New York, Madison York Assisted Living Community offers a harmonious blend of home-like comforts and comprehensive support services. Designed to allow residents to age in place while preserving their independence, Madison York offers a full suite of services including dietary planning, recreational activities, case management, medication assistance, as well as housekeeping and laundry. This modern, seven-story facility is not only fire-proof but also strategically located near transportation, shopping, parks, and various cultural and religious establishments, making it a convenient choice for seniors.

Madison York goes beyond traditional assisted living by offering specialized services that include nursing, personal care assistance, various therapies, and comprehensive care management. The community stands as an excellent alternative to living alone without necessary services, or resorting to institutional settings such as nursing homes. Licensed by the New York State Department of Health as an Adult Care Facility and approved as an Assisted Living Program, Madison York ensures a socially enriching, secure, and supportive environment where residents can thrive.

Contact Madison York Assisted Living

Overview of Eden Heights of Eden

Eden Heights, nestled in Eden, New York, is an assisted living community where seniors thrive in independence, friendships, and fulfillment. With a serene country hilltop setting offering picturesque views, the community values independence and contentment as essential aspects of resident life. Eden Heights fosters a cozy, home-like atmosphere while providing diverse recreational and social programs and personal care services.

The amenities and assisted living facilities at Eden Heights reflect a commitment to residents’ comfort and well-being. The community features a beauty salon and barber shop, ensuring convenient grooming services. Housekeeping, linen, and personal laundry services relieve residents of household chores and promote a hassle-free living experience. Eden Heights is dedicated to offering a nurturing environment where seniors can embrace an active lifestyle and enjoy the comforts of home while receiving personalized care and support.

Contact Eden Heights Of Eden

Overview of Brookdale Niagara

Located in the heart of North Tonawanda, NY, Brookdale Niagara offers state-of-the-art memory care through its Clare Bridge program. Designed for individuals with Alzheimer’s and dementia, the community provides a nurturing environment where residents thrive. With a dedicated team available 24/7, residents are ensured with personalized care that respects individual needs and preferences, fostering a sense of belonging and purpose for each resident.

At Brookdale Niagara, memory care isn’t just about support—it’s about engagement. Residents’ daily schedule includes cognitive exercises, dancing sessions, cooking classes, and music programs tailored to stimulate and delight. Residents can also participate in a variety of activities such as painting, book clubs, and gardening, promoting social interaction and personal fulfillment. With the Clare Bridge dining program, meals are more than sustenance; they’re an opportunity for connection and nutrition, featuring dementia-friendly menus and personalized dining assistance as needed. At Brookdale Niagara, they are committed to enriching lives through compassionate care and engaging experiences.

Contact Brookdale Niagara

Overview of Jefferson’s Ferry

The Vincent Bove Health Center operates as Jefferson’s Ferry’s skilled nursing unit, a 60-bed facility at 500 Mather Drive in South Setauket. Owned and operated by Active Retirement Community Inc, a voluntary non-profit, it serves as part of a continuing care community ranked #1 in New York and #28 nationally by Newsweek for 2026. Financial stability upgraded to BBB+ with stable outlook by Fitch Ratings in September 2025, and the facility received the Pinnacle Customer Experience Award for six years running.

At 5 hours 28 minutes per resident per day, nursing coverage ranks sixth in New York and exceeds the state mean by 57%. Registered nurses work 1 hour 2 minutes daily per resident (48% above state benchmark), licensed practical nurses 1 hour 1 minute (33% above), and certified nursing aides 3 hours 27 minutes (58% above). The facility maintains weekend RN presence at 56 minutes per resident per day; 100% above the state average. Physical therapy spans 12 minutes per resident daily. A staff roster of 118, 81 direct employees and 37 contract personnel, sustains 88% bed occupancy with predominantly Medicare-funded short-term admissions (96%).

Over four years, the facility accumulated 25 citations, representing 92% more than the state average. Health citations totaled 17 (slightly below state average), but life safety citations reached 8; double the state benchmark.

Recent complaint investigations addressed freedom from abuse/neglect (July 2025), elevator code failures (July 2025), and physical restraint documentation (January 2025), all corrected within months. No fines or enforcement actions appear in the past three years. Complaint investigations yielded zero substantiated complaints.

Short-stay residents show strong discharge trajectories: 0% experience major injury falls, 68.3% achieve functional self-care goals, 58.3% return successfully to community settings, and vaccination coverage reaches 100% for both pneumococcal and influenza protection.

Long-stay residents face measurably worse outcomes: urinary tract infections at 7.5% (436% above state), walking decline at 23.9% (44% above), falls with major injury at 4.7% (58% above), and weight loss at 8.3% (35% above). Depressive symptom prevalence at 3.6% ranks 80% better than state comparison.

Amenities span fitness center, indoor pool, wood shop, movie theater, library, salon services, restaurants, and gardens. Personal services include chef-prepared meals, housekeeping, medication management, personal care assistance, and on-site vision and dental care.

Prospective residents considering extended stays should ask about the discrepancy between substantial regulatory citations and staffing investment alongside long-stay clinical performance metrics.

Contact Jefferson’s Ferry

Overview of South Bay Adult Home

Enjoy a balance between relaxation and compassionate care in South Bay Adult Home, a warm and welcoming community in Moriches, NY providing a vibrant setting for assisted living. Their compassionate team is available 24/7 to support residents with their daily living activities, medication management, personal hygiene, and more. Residents here also enjoy access to physical, occupational, and speech therapy services to ensure they are able to maintain their overall functioning and maximum potential.

Their bright and cozy accommodations have housekeeping services and emergency response systems for immediate response whenever residents need assistance or have emergencies. Various recreational activities are also available to provide residents with plenty of opportunities to connect with others and maintain an active lifestyle. Fresh, delicious meals are also served daily to ensure residents’ cravings and nutritional needs are always satisfied. Whether you’re seeking comfort or enriching experiences, South Bay Adult Home has it all for you.

Contact South Bay Adult Home

Overview of Amber Court of Pelham Gardens

A proud member of the Amber Court, Pelham Garden boasts affordable senior living to live your golden years with a peaceful mind and in an oasis-like setting in the Bronx suburban area. Seniors are welcomed with warmth and comfort as they are treated like family. Amber Court understands that most of their residents are not financially well-off, so management proudly offers affordable care and has been exalted with their fine service. As a community that accepts Medicaid and Medicare, families of the residents and/or seniors themselves can rest easy knowing that they can still stay at Amber Court even when they’re finances cannot fully afford it anymore. 
Residents can gather together like a bunch of family when eating at the community’s own restaurant-style dining room and lounges; or enjoy good weather at their outdoor patio. At most times, seniors can feel like they’re on a vacation because of how hospitable the staff are with their service. The location of Amber Court is situated in the neighborhood of Pelham, and is accessible to a few highways, as well as tourist attractions like the Bronx Zoo and the Botanical Gardens where residents can visit during their outings or off-site activities. 

Contact Amber Court of Pelham Gardens

Brooklyn Adult Care Center

2830 Pitkin Ave, Brooklyn, NY 11208
Overview of Brooklyn Adult Care Center

Specializing in independent living, Brooklyn Adult Care Center has built one of the trusted senior living communities in Brooklyn– prioritizing its inclusive services for the welfare of its residents. Their commitment in making sure that an individual is able to feel independent while being engaged is one of their utmost priority for a balanced lifestyle; they ensure that their residents are healthy and active.  Brooklyn Adult Care Center’s goal is to ensure a living environment where everyone can thrive and succeed. Brooklyn Adult Care Center has ensured a diverse and inclusive environment offering a strong sense of community in the BK borough.

A modern and fully furnished 210-bed facility, Brooklyn Adult Care Center is conveniently located by all public transportation and stores. For their assisted living program, residents are supported by the nursing staff and doctors on-site, along with medication management and other daily activities. The community essentially has in-house health care services ready to provide various medical services. Brooklyn Adult Care Center has an array of amenities, but the highlights are their bathroom equipped with safety features, fully furnished room with telephone service and emergency call system, air conditioning, and rooftop patio.

Contact Brooklyn Adult Care Center

Overview of Fox Run at Orchard Park

Fox Run at Orchard Park, a 60-bed continuing care retirement community at One Fox Run Lane in Orchard Park, Erie County, New York, operates as a nonprofit entity affiliated with a church. The community supports independent living, assisted living, memory care, and skilled nursing across a single campus, allowing residents to transition care levels as health needs evolve. The average length of stay runs 207 days, reflecting a mixed census of shorter post-acute stays and longer-term residents.

Health inspection records span four state surveys since 2021, yielding two moderate citations, one in 2022 related to incontinence care protocols, another in 2025 involving psychotropic medication documentation; both subsequently corrected. The facility’s health inspection performance places it among the state’s top performers, with 65% fewer health citations than the New York average.

Nursing staffing delivers 4 hours 35 minutes of care per resident daily, 31% above the state average, complemented by physical therapy services running double the regional standard. These strong staffing metrics are offset by quality outcome data: functional decline, walking-ability loss, and urinary tract infection rates significantly exceed state averages for long-stay residents, suggesting care-management gaps in daily operations.

Dining encompasses casual (The Bistro) and formal (The Bob & Sally Bieler Oak Room) options alongside private event spaces. Amenities include a modern fitness center with exercise programming, wellness initiatives, on-site medical services, a library, and landscaped grounds. Memory care, skilled nursing, and independent or assisted living tiers serve the community’s continuum model.

Occupancy holds steady at 87%, and the payer mix is predominantly private pay. The community maintains staffing at 94 personnel, with investment in licensed nursing and therapy services.

Fox Run serves residents and families prioritizing access to multiple care levels within a single community, particularly those entering on private resources.

Contact Fox Run at Orchard Park

Overview of Queens Adult Care Center

Queens Adult Care Center is a well-regarded assisted living community in Queens, NY, that offers assistance with daily living activities. With its nurturing and safe environment, the community strives to keep older adults comfortable and well-cared for. Three nutritious meals daily, light housekeeping, laundry, and medication assistance are among the many activities provided to enrich residents’ living experiences. The community strives to understand residents’ needs and preferences through personalized care plans.

Off-site activities, light exercises, and fun gatherings provide residents with more opportunities to try new things and gain meaningful experiences. Residents can also relax and move around, as cozy living spaces and accessible communal areas are available. With its ideal setting in the thriving Elmhurst Avenue, near restaurants and local amenities, the community guarantees accessibility and convenience. This assisted living community ensures older adults can age comfortably, making it one of the best choices for senior living in New York.

Contact Queens Adult Care Center

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 406 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.