Best Assisted Living in New York State

Maplewood Commons is an 80-bed enriched housing program at 1015 Saw Mill River Road, Ardsley, Westchester County, New York. Owned by ATR New York LH, Inc., it provides independent living, assisted living, memory care, long-term care, skilled nursing and rehabilitation services, and respite care designed to support older adults across multiple care levels in one community setting.

Maplewood Commons maintains a clean recent compliance record with the New York State Department of Health, Office of Aging and Long Term Care. From August 1, 2021 through July 31, 2025, no citations or deficiencies have been recorded. The most recent inspection on July 31, 2025, identified zero deficiencies. Zero complaints have been filed over this period, substantially below the New York average of 79.

One Stipulation and Order (#ACF-22-045) was issued on September 2, 2022, representing a formal agreement with the state to correct identified issues. No fines or license suspensions have been documented. Subsequent inspections have shown clean compliance, indicating responsive corrective action following the 2022 enforcement action.

Skilled nursing services with licensed nurses and CNAs provide on-site care. Rehabilitation services and respite care are available across the continuum. Memory care programming is offered alongside independent and assisted living. This is a state-licensed enriched housing program, not Medicare-certified.

The clean compliance record since 2021, zero complaints, and absence of deficiencies on recent inspections reflect effective operational management. The 2022 Stipulation and Order was resolved without subsequent enforcement issues.

Families evaluating Maplewood Commons should verify current compliance status and any follow-up from the 2022 Stipulation and Order.

High Point Center for Care is a 68-bed licensed adult home at 300 West Loop Road, Purchase, Westchester County, New York. Owned and operated by Purchase Senior Learning Community Inc., it is located on the Purchase College campus and provides assisted living, memory care, and respite care with emphasis on personalized care and community life. Residents maintain connections with family and the broader college community.

High Point maintains an exceptional compliance record with the New York State Department of Health, Office of Aging and Long Term Care. From August 1, 2021 through July 31, 2025, no citations or enforcement actions have been reported. The most recent inspection on July 31, 2025 identified zero deficiencies. Zero complaints have been filed over this period, substantially below the New York average of 79.

No complaint investigations have been recorded. This clean, consistent record over more than three years reflects stable adherence to regulatory standards and strong operational management.

Dining is chef-prepared with three daily meals and 24-hour snack service. Daily wellness and fitness programs, cultural events, educational opportunities, and social programming support resident engagement. The facility provides 24-hour staffing with nursing services and licensed nurses and CNAs. Rehabilitation services, short-term rehabilitation, and respite care are available.

Memory care programming is offered alongside assisted living. This is a state-licensed adult home, not Medicare-certified.

The facility’s setting on the Purchase College campus creates a distinctive community environment with built-in cultural, educational, and social resources. The clean compliance history, zero complaints, and comprehensive programming reflect an established, well-managed facility.

Families evaluating High Point Center for Care should verify current licensing and compliance status and ask about residents’ access to college campus resources and programming.

Parkwood Heights Senior Living Community is a 49-bed enriched housing program at 1340 Parkwood Drive, Macedon, Wayne County, New York. Owned by Parkwood Heights LLC, it offers independent apartments, enriched living apartments, villas (Phases I and II), and patio homes in a community focused on supporting an active senior lifestyle.

Parkwood Heights maintains an exceptional compliance record. Four inspections by the New York State Department of Health, Office of Aging and Long Term Care between August 2021 and February 2025, identified zero deficiencies across all inspections. August 2021 and October 2021 inspections found no violations. The October 2024 renewal and February 2025 complaint investigation both documented zero violations.

The facility has received 3 complaints, equaling 6.1 per 100 occupied beds, substantially below the New York average of 49.9. No enforcement actions or fines have been imposed. This consistent clean record across multiple inspection types demonstrates stable operational management.

Chef-prepared meals emphasize nutrition and palatability. Walking paths, beautiful gardens, and a fitness center support resident wellness. Social gatherings, exercise classes, hobby groups, and volunteer programming foster community engagement. The facility provides 24-hour staffing.

This is a state-licensed enriched housing program, not Medicare-certified.

The diverse housing options span independent apartments through enriched units, allowing residents to remain within the community as care needs evolve. The four-year clean inspection history and low complaint rate reflect strong management and high resident and family satisfaction.

Families evaluating Parkwood Heights should verify current licensing and compliance documentation and ask how the facility accommodates residents with evolving health needs.

The Mansion at South Union is a 44-bed assisted living and memory care community at 11 South Union Street in downtown Cambridge, New York (Washington County), Adult Home under New York regulation. Operated by ICC Management & Consulting, Inc., the facility provides personalized assisted living and memory care with 24-hour nursing services staffed by licensed nurses and certified nursing assistants. The downtown location offers zero distance to Cambridge city center. The facility does not accept pets.

New York State Department of Health, Office of Aging and Long Term Care inspection history since 2021 shows significant compliance challenges. The facility has undergone 21 inspections with 45 total deficiencies accumulated over five years, averaging 9 deficiencies per year; 76% worse than the New York state average of 5.1 per year. All 11 major inspections have cited violations. The facility is subject to two formal Stipulation & Order enforcement actions from the New York Department of Health issued March 13, 2025 (ACF-25-024) and December 15, 2023 (ACF-24-001), indicating formal state intervention for serious or repeated compliance failures.

The August 6, 2024 relicensure inspection documented 21 deficiencies spanning admission standards, resident funds and valuables safeguarding, resident services delivery, food service practices, records and reporting, and environmental standards maintenance. July 20, 2022 relicensure inspection cited 7 deficiencies across general provisions, resident services, food service, environmental standards, and emergency planning. Recurring violations across the five-year period include resident services failures (2023, 2022, 2025), food service violations (2024, 2022), environmental standards deficiencies (consistently cited, especially severe in August 2024), and admission standards lapses (2024, 2022). Additional documented violations address medication management, records and reporting, resident protections, and disaster and emergency planning.

Most recent inspections in June-July 2025 documented ongoing deficiencies: June 23, 2025 identified 5 violations (general requirements, food service, personnel, environmental standards); July 1, 2025 identified 2 violations (resident protections, resident services). Complaint investigations yielded 17 formal complaints; complaint rate of 38.6 per 100 occupied beds is below state average of 49.9.

Ask administrators specifically about: systemic corrective measures for resident services violations spanning 2022-2025; food service safety and sanitation protocols and auditing; environmental standards compliance (maintenance, cleanliness, safety equipment); admission standards and resident intake procedures; records and reporting systems; medication management and verification; and resident funds and valuables safeguarding controls. Request references from current residents and families and independent verification of compliance status

Families should ask about corrections for the August 2024 relicensure deficiencies, the July 2022 relicensure deficiencies, and the formal Stipulation & Orders issued March 2025 and December 2023.

The Cambridge is a 40-bed assisted living and enhanced assisted living community at 4 West Main Street in downtown Cambridge, New York (Washington County). Adult Home, the facility is operated by ICC Management & Consulting, Inc., the parent company of The Mansion at South Union, a nearby assisted living facility. Twenty-four-hour nursing services are provided by licensed nurses and certified nursing assistants. The downtown location places residents at zero distance to Cambridge city center.

The facility does not accept pets.

The community states a focus on personalized support, a nurturing environment, and community spirit. New York State Department of Health, Office of Aging and Long Term Care inspection records show a recent compliance shift. The July 26, 2023 relicensure survey found zero deficiencies, indicating strong standing a year ago. The August 13, 2024 relicensure survey identified 13 deficiencies, marking a sharp reversal.

Over the two-year inspection period, the facility averaged 6.5 deficiencies per year, 27% worse than the New York state average of 5.1 per year.

August 2024 deficiency categories cluster heavily in food service (4 citations addressing labeling, documentation, storage, and sanitation); disaster and emergency planning (2 citations); and resident services (3 citations covering service delivery and documentation). Additional deficiencies address general provisions, personnel requirements, environmental standards, and admission and retention standards. Zero complaints have been filed, significantly better than the state average of 79. No enforcement actions, fines, or license suspensions have been imposed.

Ask directly about: what operational changes have been implemented since the clean July 2023 inspection to account for the 13 deficiencies found in August 2024; current food service audit and verification practices; emergency response protocols and staff training; resident services delivery and documentation systems; and how the facility monitors ongoing compliance. Request independent verification of corrective measure completion and current compliance status.

Families evaluating The Cambridge should request detailed corrective action documentation for the August 2024 relicensure deficiencies, specifically food service safety protocols and disaster and emergency preparedness procedures.

Holbrook Adult Home is a 33-bed assisted living community at 73 North Street in Granville, New York (Washington County), family-owned and operated by 73 North of Granville, Inc. Adult Home, the facility emphasizes compassionate care in a family-like environment. Programs include Compassionate Care, Quality of Life support, and Social Day Care. The downtown location places residents at zero distance to Granville city center.

The facility does not accept pets. New York State Department of Health, Office of Aging and Long Term Care inspection records reflect strong overall compliance performance. Over three years, the facility accumulated 5 deficiencies across 4 inspections (1.7 per year), 67% better than the New York state average of 5.1 per year. Two complaint surveys (February 2023, December 2021) found zero violations.

September 2023 relicensure survey cited 3 deficiencies: one for criminal history review procedures and two addressing environmental standards. October 2024 relicensure survey cited 2 deficiencies for general provisions and environmental standards. The recurring environmental standards citations across both relicensure surveys indicate minor maintenance or housekeeping issues. Two formal complaints have been filed (complaint rate 6.1 per 100 occupied beds), substantially better than state average of 49.9.

No enforcement actions, fines, or license suspensions on record. Request details on the criminal history review procedures cited in 2023 to ensure implementation.

Families should verify corrections for the environmental standards citations cited in September 2023 and October 2024 and confirm current facility maintenance and housekeeping protocols.

Mountain Valley Manor is a 53-bed assisted living community at 373-421 Wilbur Avenue in Kingston, New York (Ulster County), Adult Home and operated by Salaber, Inc. The facility has earned recognition as “Voted Best Assisted Living in the Hudson Valley.”

The community accommodates residents who are able to ambulate to meals, perform their own activities of daily living, and maintain continence. Services include three daily meals plus three snacks, housekeeping and laundry, medication management, and two monthly transportation trips. Rehabilitation services, respite care, and short-term rehab are available. A doctor is on staff with 24-hour staffing by licensed nurses and certified nursing assistants.

Activities are extensive: swimming and water aerobics, computer instruction, cocktail hour, current events, trivia and word games, religious services, arts and crafts, walking club, musicals and dance programs, shopping trips, daily exercise classes, museum trips, and concerts. Religious services are offered. The facility does not accept Medicaid, Medicare, or pets. Kingston downtown location offers zero distance to city center.

New York State Department of Health, Office of Aging and Long Term Care inspection records from 2021 show minimal deficiency findings. July 20, 2021 renewal inspection cited one deficiency related to general provisions. September 9, 2021 complaint investigation cited two deficiencies involving certified long-term care ombudsmen access and resident protections. The facility recorded 3 deficiencies for 2021, 41% better than New York state average of 5.1.

One formal complaint on record (1.9 per 100 occupied beds, significantly better than state average of 49.9). No enforcement actions.

No state inspection data has been published since September 2021; over four years. Current compliance status cannot be verified from available inspection reports. Current regulatory compliance documentation, licensing status verification, and any recent state correspondence should be requested directly from the facility administrator before enrollment.

Families should ask specifically about any unposted inspections, state communications, or regulatory actions since September 2021.

The Arbors at Islandia West is a 200-bed assisted living community at 1515 Veterans Memorial Highway in Islandia, New York (Suffolk County), Adult Home and operated by Arcadia Management, Inc. The community provides all-inclusive assisted living beginning at $4,400 monthly, with specialized neighborhoods for transition support and memory care. Chef-prepared, farm-to-table meals are included. Rehabilitation services, respite care, and short-term rehab are available.

A Heroes Welcome Program serves military veterans. Twenty-four-hour staffing includes licensed nurses and certified nursing assistants. Engagement programming provides daily activities for social, physical, cognitive, and spiritual wellness. The downtown Islandia location is 0.3 miles from the city center.

The facility does not accept pets.

New York State Department of Health, Office of Aging and Long Term Care inspection records reflect excellent compliance. Across seven inspections from September 2021 through May 2024, the facility recorded 3 deficiencies total; 1 per year, 80% better than New York state average of 5.1. September and November 2021 surveys cited isolated records and reporting deficiencies. February 2023 survey cited one general provisions deficiency.

All subsequent inspections: June 2023 complaint survey, December 2023 period surveys, March 2024 relicensure survey, and May 2024 complaint survey, showed zero violations. Clear improvement trajectory with recent surveys consistently free of deficiencies. Four formal complaints on record (2 per 100 occupied beds, significantly better than state average of 49.9). No enforcement actions.

With zero violations in recent inspections, The Arbors suits families seeking large-scale assisted and memory care. Verify memory care staff training and protocols before enrollment.

Sachem Adult Home is a 60-bed adult home at 1298 Coates Avenue, Holbrook, New York (Suffolk County), Adult Home and operated by Sachem Adult Home And Alp Llc. The facility provides personalized assisted living with 24-hour staffing. Services include personal care assistance, laundry, support with daily activities, and health care. The facility is 1.3 miles from Holbrook city center.

New York State Department of Health, Office of Aging and Long Term Care inspection records span five years from September 2021 through July 2025 across eleven surveys. Total deficiencies: 13, averaging 2.6 per year. That’s 49% better than New York state average of 5.1. Historical deficiencies concentrated in late 2021: October 2021 renewal cited 5 deficiencies (general requirements, resident services, records and reports); October 2021 complaint investigation cited 1 resident services deficiency; September 2021 cited 1 records deficiency.

December 2023 renewal identified 4 deficiencies (records and reports, environmental standards). Recent pattern shows improvement: April 2022 through January 2025 surveys were primarily clean; September 2024 complaint investigation cited 1 resident services deficiency; July 2025 complaint investigation cited 1 environmental standards deficiency. Nine formal complaints recorded; complaint rate 19.6 per 100 occupied beds, significantly better than state average of 49.9. No enforcement actions.

Sachem Adult Home suits families seeking assisted living in Holbrook, but families should verify policies on resident services protocols, documentation practices, and environmental maintenance standards.

St. Joseph’s Home for the Aged is a 60-bed Adult Home licensed by New York State at 350 Cuba Hill Road in Huntington, New York, in Suffolk County, operated by the Missionary Sisters of St. Benedict. The congregation is an international Benedictine community with houses in Poland, Ukraine, Brazil, Ecuador, Chicago, Ephrata, and Huntington, where 23 sisters are in residence.

The Missionary Sisters established their presence in Huntington in 1940, when two sisters stranded during wartime received property through the Polish National Association. The current facility occupies 22 acres on the north shore of Long Island.

Adult Home with enhanced assisted living certification, which authorizes a higher level of nursing and personal care than a standard adult home, the facility provides ADL assistance through Sisters and trained resident care aides. A case manager supports residents throughout their stay. Menus are planned with a registered dietitian. Sisters participate in dining services; on occasions, meals are served in a patio gazebo overlooking gardens maintained by the Sisters.

A pre-admission packet must be completed before a tour can be scheduled.

The New York State Department of Health, Office of Aging and Long Term Care, conducted one inspection on January 31, 2023, which identified no deficiencies. Earlier inspections also showed no violations. Zero complaints are on record against a state average of 79. No enforcement actions appear in available reports.

With only one recent inspection on file, a broader compliance trend cannot be assessed.

Families should ask about the spiritual dimension of daily life, religious practices and services, dietary accommodations within the Sisters’ meal preparation model before placement.