Page 31 of Best Assisted Living in New York State

Why trust this guide? Our editorial team analyzed 363 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
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We analyzed These are the facilities in New York State our team has analyzed — not a count of every assisted living provider in New York State.
363 homes
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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: 64/ 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.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in violations, expressed as a percentage of total inspections in the window.
Total count of violations (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
The average number of violations this facility receives each time it's inspected, calculated as total violations ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
Willow Creek
AL
Hinsdale
32
Facility 32
NY AVG 160
Rank #718 / 736
No
5
Facility 5
NY AVG 64
Rank #1,119 / 1,150
-12
83%
Facility 83%
NY AVG 56.5%
Rank #280 / 323
28
Facility 28
NY AVG 14.5
Rank #285 / 323
2.3
Facility 2.3
NY AVG 2.2
Rank #250 / 323
Judson Meadows
AL
NH
RC
Glenville
80
Facility 80
NY AVG 160
Rank #573 / 736
No--12
42%
Facility 42%
NY AVG 56.5%
Rank #141 / 323
31
Facility 31
NY AVG 14.5
Rank #292 / 323
2.6
Facility 2.6
NY AVG 2.2
Rank #264 / 323
Hillcrest Spring Residential
AL
NH
SNF
Amsterdam
80
Facility 80
NY AVG 160
Rank #573 / 736
No
72
Facility 72
NY AVG 64
Rank #581 / 1,150
-9
89%
Facility 89%
NY AVG 56.5%
Rank #289 / 323
38
Facility 38
NY AVG 14.5
Rank #303 / 323
4.2
Facility 4.2
NY AVG 2.2
Rank #300 / 323
Helen Keller National Center
AL
Sands Point
52
Facility 52
NY AVG 160
Rank #667 / 736
No
11
Facility 11
NY AVG 64
Rank #1,079 / 1,150
-2
100%
Facility 100%
NY AVG 56.5%
Rank #293 / 323
7
Facility 7
NY AVG 14.5
Rank #143 / 323
3.5
Facility 3.5
NY AVG 2.2
Rank #288 / 323
Highlands Living Center
AL
IL
MC
NH
SNF
Pittsford
120
Facility 120
NY AVG 160
Rank #405 / 736
No
64
Facility 64
NY AVG 64
Rank #659 / 1,150
Highlands Living Center, Inc (Not For Profit)560%234.6
Maryville Assisted Living
AL
Huntington
32
Facility 32
NY AVG 160
Rank #718 / 736
No
91
Facility 91
NY AVG 64
Rank #236 / 1,150
-5
0%
Facility 0%
NY AVG 56.5%
Rank #1 / 323
10
Facility 10
NY AVG 14.5
Rank #175 / 323
0
Facility 0
NY AVG 2.2
Rank #225 / 323
Pine Harbour
AL
MC
Plattsburgh
66
Facility 66
NY AVG 160
Rank #619 / 736
No
25
Facility 25
NY AVG 64
Rank #994 / 1,150
-10
50%
Facility 50%
NY AVG 56.5%
Rank #164 / 323
16
Facility 16
NY AVG 14.5
Rank #220 / 323
1.6
Facility 1.6
NY AVG 2.2
Rank #203 / 323
Premier Genesee Center for Nursing and Rehabilitation
AL
MC
NH
RC
SNF
Batavia
160
Facility 160
NY AVG 160
Rank #293 / 736
No
85
Facility 85
NY AVG 64
Rank #371 / 1,150
Genesee Center Operating, LLC (For Profit)26
27%
Facility 27%
NY AVG 56.5%
Rank #78 / 323
48
Facility 48
NY AVG 14.5
Rank #312 / 323
1.8
Facility 1.8
NY AVG 2.2
Rank #213 / 323
The Mansion at South Union
AL
MC
Cambridge
44
Facility 44
NY AVG 160
Rank #689 / 736
No
55
Facility 55
NY AVG 64
Rank #746 / 1,150
-21
52%
Facility 52%
NY AVG 56.5%
Rank #196 / 323
74
Facility 74
NY AVG 14.5
Rank #320 / 323
3.5
Facility 3.5
NY AVG 2.2
Rank #288 / 323
Good Shepherd-Fairview Home Inc
AL
IL
NH
RC
SNF
Binghamton
54
Facility 54
NY AVG 160
Rank #661 / 736
No-Good Shepherd-Fairview Home, Inc (Not For Profit)10100%202.0

Rank badges are statewide: each community is ranked against every NY community we track that reports that metric, not just the 363 on this page.

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Overview of Willow Creek

Willow Creek is a small, quiet assisted living center in rural Cattaraugus County, at 4460 Union Hill Road in Hinsdale, New York. It maintains a special license named an Assisted Living Program (ALP) from the New York State Department of Health. ALP homes aid people who require more support than a basic assisted living home but do not yet require full nursing home care. Willow Creek is prepared to manage these higher medical needs.

Underwood Gardens, LLC, operates the home, which features 32 beds in shared rooms. Staff members are there 24 hours a day to assist you. A registered nurse oversees every person’s care plan.

Residents may access physical, occupational, and speech therapy right at the facility. A professional dietitian plans every meal and snack. The program also provides daily health checks and assistance with everyday tasks like bathing, dressing, and getting ready for the day.

There are many fun activities to join, including crafts, exercise classes, trips, games, and parties. Residents may even join a volunteer group. Since Hinsdale is in a quiet, rural area, there is no public transit. Families will need to use their own cars to visit or take their loved ones on fun outings.

New York state officials inspect the facility to ensure it follows safety rules. In the past, these state reviews have checked on things like care planning, office paperwork, and the training of the staff. This ensures everyone is doing their job correctly and safely at all times.

For families in Cattaraugus County who need extra medical support, Willow Creek is a great choice. With its special license, various therapies, healthy meals, and around-the-clock care, it offers a high level of support in a region where there are not many other options available.

Contact Willow Creek

Overview of Judson Meadows

On Swaggertown Road in Glenville, Schenectady County, Judson Meadows is operated by Baptist Health Enriched Housing Program, Inc., part of Baptist Health System. The 80-bed community carries a broader care mandate than its assisted living label alone suggests.

Assisted living, nursing care, memory care, personal care, medication management, and respite care are all available here. That list signals a community oriented toward residents who need more than minimal daily assistance, and who may have memory care or clinical care needs alongside it. Respite care extends the reach to families looking for a short-term option. Licensed nurses and certified nursing assistants are on-site around the clock, which is the staffing floor for a community offering this scope of services.

The setting is fully car-dependent, Walk Score 0, so the on-site environment carries most of the weight. Chef-prepared meals come three times daily, at breakfast, dinner, and supper, with individual dietary needs addressed. A library and billiard room are available on-site.

Inspections fall under the New York Department of Health and Office of Aging and Long Term Care. State review has focused on medication management, and care planning and documentation, both of which are expected pressure points in communities serving residents with complex clinical and personal care needs.

Judson Meadows serves the Glenville and Schenectady area, and the clinical staffing and care range fit older adults who need structured support, nursing-level oversight, or memory care services within a single setting.

Contact Judson Meadows

Hillcrest Spring Residential

5052 Rte30 Upper Market St, Pob 383, Amsterdam, NY 12010
Overview of Hillcrest Spring Residential

On Route 30 in Amsterdam, Montgomery County, Hillcrest Spring Residential runs 80 beds across both nursing home and assisted living care; a combination that lets the facility serve a wider range of needs under one roof. Paul F. Wolfe owns and operates the community. The neighborhood earns a Walk Score of 72, putting most daily errands within reach on foot.

The clinical side of this facility is well-stocked. Physical and occupational therapy, lab and pharmacy services, medication management, and case management are all available on site, and staff coordinate transportation to outside medical appointments. Meals come three times a day with accommodations for special diets. That’s a practical care structure for residents who need consistent medical support without being transferred between providers.

The common areas give the building some texture beyond the clinical. There’s a recreation kitchen, a screened porch, an outdoor patio, an entertainment room, and a library. Daily programming includes crafts, cooking, and games. Beautician services and religious services are also part of what’s offered. Call lights are installed in every room and bathroom.

The New York Department of Health’s Office of Aging and Long Term Care oversees inspections here. Regulatory findings have touched on medication management and dietary and food service.

For families in the Amsterdam area looking at nursing home or assisted living care, Hillcrest Spring Residential offers a solid range of on-site clinical services, a varied amenity program, and a walkable location in the heart of Montgomery County.

Contact Hillcrest Spring Residential

Overview of Helen Keller National Center

The address is 111 Middle Neck Road in Sands Point, Nassau County, but Helen Keller National Center is not what the “Nursing Home in Sands Point” page category suggests. The 52-bed adult home on this 25-acre campus is the residential component of the Helen Keller National Center for DeafBlind Youths and Adults, the only national program in the United States established exclusively to provide vocational rehabilitation services to people who are DeafBlind. It operates under New York State adult home licensing and is run by Helen Keller Services for the Blind.

The surrounding area earns a Walk Score of 11, firmly car-dependent. That’s a detail that reads differently here than it would for a typical assisted living placement, given that this facility’s residents are navigating the world with combined vision and hearing loss.

Twelve programs are documented: Comprehensive Vocational Rehabilitation Program, Adaptive Technology Training, Audiology Services, Communications Training, Creative Arts, Independent Living Training, Low Vision Services, Mental Health Services, Orientation and Mobility Training, Rehabilitation Counseling, Residential Services, and Vocational Training. Rehabilitation services are also offered. Access to the residential program runs through state vocational rehabilitation agencies, not through the standard family placement channels that most ALM readers are using.

State inspections, conducted by the New York Department of Health’s Office of Aging and Long Term Care, have identified themes around staffing and staff credentials and dietary and food service.

Helen Keller National Center exists to serve a specific, underserved population through a specialized federal program. Families searching for a conventional assisted living or nursing home placement will need to look elsewhere; what this facility offers is vocational rehabilitation housing for DeafBlind individuals referred through state agencies.

Contact Helen Keller National Center

Overview of Highlands Living Center

Located in Pittsford, New York, Highlands Living Center is an assisted living community operated by Samuel Busari and his team. It serves older adults who need support with daily activities while maintaining independence. The community accepts Medicare, Medicaid, and private pay, giving families flexibility in arranging coverage.

The community is home to 120 residents and typically operates at an occupancy rate of about 95%. Residents stay for an average of 201 days. Some come for short-term respite placements, while others are long-term residents. Located on Hahnemann Trail in Pittsford with a Walk Score of 64, the neighborhood is moderately walkable. Some errands and activities can be managed on foot, but most trips require a car.

Clinically, Highlands Living Center focuses on rehabilitation services. It offers short-term rehab alongside daily licensed nursing and certified nursing assistant support. This makes the facility a practical choice for residents recovering from a hospital stay or needing structured rehabilitation.

Nurse staffing averages 3 hours and 28 minutes of total care per resident each day. Registered nurses contribute approximately 28 minutes, and certified nursing assistants provide around 1 hour and 55 minutes of hands-on support.

Dining is a notable part of a resident’s daily experience. The community operates three distinct venues: The Oneida Restaurant, The Bistro, and Cupcake Café. Each offers fresh, thoughtfully prepared meals, so residents have plenty of choices and variety.

New York’s Department of Health has conducted inspections over the past five years. The findings were centered on health and life-safety matters. The facility promptly corrected those issues, reflecting its responsiveness to regulatory oversight.

Families considering Highlands Living Center should take a tour to see the dining venues, meet the nursing staff, evaluate the community’s approach to rehabilitation and daily care, and determine whether it aligns with their loved one’s needs.

Contact Highlands Living Center

Overview of Maryville Assisted Living

Maryville Assisted Living’s visiting specialist network brings eye care, medical care, psychiatric and psychological care, podiatric care, and chiropractic care on-site to 70 Greenlawn Road in Huntington, Suffolk County. Operated by Maryville Adult Home, Inc., the 32-bed adult home also provides on-site physical and occupational therapy.

The building is a single-floor facility, which has direct implications for how residents with mobility limitations move through the space. Licensed nurses and CNAs staff the community around the clock, with ADL assistance, medication assistance, and case management available alongside the clinical specialty access.

Three home-cooked meals are served daily, with snacks. HD televisions are in all rooms. Weekly religious services, scheduled local transportation, an emergency call system, and therapeutic recreation programming round out the amenity model. The facility’s Aging In Place orientation is designed to support residents as care needs evolve over time.

The Walk Score is 91, which places the Greenlawn Road address in Walker’s Paradise range where most errands are reachable on foot. New York’s Department of Health, Office of Aging and Long Term Care has noted themes around care planning and documentation and dietary and food service through the inspection process.

At 32 beds, Maryville Assisted Living is a smaller Suffolk County adult home with on-site PT and OT, a visiting multi-specialty clinical network, and a Huntington walker’s paradise address. The clinical access here, combining on-site therapy with five visiting specialty types, is extensive relative to a community of this census.

Contact Maryville Assisted Living

Pine Harbour

15 New Hampshire Street, Plattsburgh, NY 12903
Overview of Pine Harbour

Pine Harbour is on New Hampshire Street in Plattsburgh, New York, right at the edge of Lake Champlain in Clinton County. The Walk Score is 25, which is car-dependent. Transportation is available for residents, and given where this facility sits, that service does real work.

At 66 beds, this is a mid-size community; its starting price is $7,650 per month, the highest confirmed price point in this part of the region. Staffing runs around the clock, and three named programs give the community its shape: Life On The Lake, which ties resident experience directly to the lakeside setting; Culinary Experience, which frames dining as programming rather than a cafeteria function; and Veterans Benefits, which signals support navigation for residents with military service backgrounds. The activity calendar covers memory games, exercise classes, and arts and crafts.

State inspections are handled by the New York Department of Health, Office of Aging and Long Term Care. The inspection focus area on record is care planning and documentation, an administrative category.

Pine Harbour is a 66-bed assisted living community in Plattsburgh with a lakeside-oriented program identity, a Culinary Experience program, Veterans Benefits navigation, 24-hour staffing, and a starting price of $7,650 per month. It is built for adults who want a defined, setting-specific assisted living experience on Lake Champlain in northern New York.

Contact Pine Harbour

Overview of Premier Genesee Center for Nursing and Rehabilitation

Batavia’s Bank Street corridor is walkable in a way a lot of nursing home neighborhoods aren’t. Premier Genesee Center for Nursing and Rehabilitation sits right in that stretch, with a Walk Score of 85, so getting around on foot for coffee or a quick errand is genuinely doable. The facility itself is a 160-bed skilled nursing community that also covers assisted living, memory care, and respite stays, all managed by Genesee Center Operating, LLC.

Right now, 157 of those 160 beds are filled. That’s 98 percent occupancy, which tells you people are choosing this place and staying. For someone weighing options, a number like that says more than any brochure could: families are picking Premier Genesee and residents are staying put.

Care here comes from licensed nurses and CNAs who are on the floor 24 hours a day, plus dedicated rehab and respite services for folks who need either a short recovery stint or a longer-term arrangement. The staffing breakdown backs that up. Nurse aides put in about 1 hour and 52 minutes per resident daily, the biggest single chunk of hands-on care time, covering things like bathing, dressing, and helping residents get around. LPNs add another 1 hour and 11 minutes, mostly medication and wound care. RNs are on the lighter side at 13 minutes a day, which is worth knowing if a resident’s situation calls for more frequent clinical oversight.

When state inspectors have come through, resident rights and protections has been one of the areas they’ve paid attention to here, alongside the other standard categories every New York nursing home gets checked on.

Put simply: Premier Genesee looks built for two kinds of residents. One is someone bouncing back from a hospital stay who needs short-term rehab and a fast track home. The other is someone who needs steady, round-the-clock nursing care for the long haul, in a spot where family can actually walk over and visit without fighting for parking.

Contact Premier Genesee Center for Nursing and Rehabilitation

Overview of The Mansion at South Union

At 11 South Union Street in downtown Cambridge, Washington County, The Mansion at South Union runs a 44-bed adult home offering assisted living and memory care under one roof. ICC Management & Consulting, Inc. is the operating entity.

Licensed nurses and certified nursing assistants staff the facility on a 24-hour basis, maintaining clinical coverage through overnight hours. The care model runs two tracks: assisted living for residents who need daily support, and a dedicated memory care setting for those with dementia-related needs. Both tracks operate within the same building and share the same staffing infrastructure.

The downtown Cambridge address generates a Walk Score of 55, which is moderate walkability. Some errands and local services are reachable on foot from the South Union Street location. New York’s Department of Health, Office of Aging and Long Term Care has noted themes around dietary and food service through its inspection process.

The Mansion at South Union is a Washington County adult home in downtown Cambridge with 24-hour nurse and CNA coverage across assisted living and memory care. The dual care model and moderately walkable village setting are the defining placement features here.

Contact The Mansion at South Union

Overview of Good Shepherd-Fairview Home

Good Shepherd-Fairview Home is a skilled nursing facility at 80 Fairview Avenue in Binghamton, New York, serving the Broome County area. It is operated by Good Shepherd-Fairview Home, Inc. and owned by Fredrick Allabaugh. The home is set up to care for residents recovering from surgery, illness, or injury who need short term rehabilitation, as well as those who need longer term nursing care. It accepts Medicare, Medicaid, and private pay, giving families several ways to cover a stay.

The home has 54 beds and runs close to full, with an occupancy rate of 91 percent. The average length of stay is 59 days, reflecting its focus on shorter, post-acute rehabilitation stays alongside longer term nursing care. Staffing is a particular strength, with total nursing care averaging 4 hours and 17 minutes per resident each day. Nurse aide hours make up a large part of that total, at 2 hours and 44 minutes per resident per day.

State inspections of the home have most often centered on infection control practices, medication labeling, and care planning, along with general life safety code compliance and supervision related practices. These are common areas of review for skilled nursing facilities, and families touring Good Shepherd-Fairview Home may want to ask staff how those areas are handled day to day.

Residents have access to a Wellness Center, a beauty salon, and a library, along with free Wi-Fi and secured entrances throughout the building. The Therapeutic Recreation Department organizes scheduled shopping trips, along with social, cultural, and religious activities for residents to take part in. On-site rehabilitation and respite care are available in addition to round the clock staffing. The surrounding area is car dependent, with a Walk Score of 0 out of 100, meaning most errands and outings will require a vehicle.

Contact Good Shepherd-Fairview Home Inc

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.
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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 363 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.