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Other senior care options in Ontario County:

Best Assisted Living in Ontario County, NY

Why trust this guide? Our editorial team analyzed 3 assisted living communities in Ontario County, NY 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
May 2026
We analyzed
3 homes
Other senior care options in Ontario County:
Avg Walk Score: 67/ 100The average Walk Score across facilities in Ontario County, NY. 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: 66The average licensed bed capacity across facilities in Ontario County, NY. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Ontario County

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

Seneca Lake Terrace-Geneva
AL
MC
Geneva
66
Facility 66
NY AVG 160
Rank #628 / 748
No
30
Facility 30
NY AVG 63
Rank #966 / 1173
--Private / Companion / Studio / 1 Bed Rooms
Horizons
AL
Canandaigua
76
Facility 76
NY AVG 160
Rank #605 / 748
No
85
Facility 85
NY AVG 63
Rank #374 / 1173
97
Facility 97
NY AVG 83
Rank #31 / 593
10-
Quail Summit
AL
IL
MC
Canandaigua
55
Facility 55
NY AVG 160
Rank #671 / 748
No
85
Facility 85
NY AVG 63
Rank #374 / 1173
95
Facility 95
NY AVG 83
Rank #62 / 593
8-
The Clark Manor House
Canandaigua
172
Victor Views Assisted Living
Victor
1212
Overview of Seneca Lake Terrace-Geneva

Ideally set in the harmonious neighborhood of Geneva, NY, Seneca Lake Terrace-Geneva is a blissful haven that offers assisted living, memory care, and respite care. Residents enjoy the utmost comfort and convenience with a kind and highly trained team helping with their daily living activities and household chores 24/7. Specially designed and cozy accommodations are provided in a nurturing and inviting setting, ensuring residents feel at ease during their stay.

Residents will not feel lonely with a thoughtfully curated calendar of enriching programs and exciting events. Delicious and healthy dining options are prepared to satisfy residents’ nutritional needs and preferences. Medication management and transportation services are also provided for residents’ convenience. The community’s dedicated services and top-notch amenities create the ideal setting for residents to make the most of their golden years.

Contact Seneca Lake Terrace-Geneva

Quail Summit

5102 Parrish Street Ext, Canandaigua, NY 14424
Overview of Quail Summit

Quail Summit is a fifty-five-bed Enriched Housing Program at 5102 Parrish Street Ext., Canandaigua, Ontario County, New York. The community is a not-for-profit organization licensed by the New York Department of Health, Office of Aging and Long Term Care. The facility offers three residential components; The Estates, The Harbor, and The Village, alongside independent living, enriched living, and memory care options, with meals prepared on site, transportation services, Wi-Fi access, and structured daily activities. The facility is located in downtown Canandaigua and does not accept pets.

The New York State Department of Health, Office of Aging and Long Term Care inspection record reveals a pattern of recurring deficiencies in resident services and admission standards. Over four years beginning November 2022, the facility received four complaint investigations and one renewal survey.

The most recent inspection on April 24, 2025, documented three violations: admission and retention standards, resident protections, and resident services, with an approved corrective plan. An April 26, 2024 complaint investigation found five deficiencies spanning resident services and admission standards. An October 20, 2023 renewal survey identified five violations involving operating certificates, resident services, and environmental standards. A November 30, 2022 investigation yielded one deficiency related to operating certificates.

Between October and December 2024, three consecutive complaint investigations found zero violations, suggesting the facility addressed the deficiency categories across these compliance visits.

Across the four-year period, Quail Summit averaged 3.5 deficiencies per year, 31 percent better than New York’s average of 5.1 per year.

No enforcement actions, immediate jeopardy findings, or fines have been imposed. The complaint rate stands at 12.7 per 100 occupied beds, well below the state average of 49.9.

Prospective residents should ask about the deficiencies identified in the April 2025 inspection related to admission standards, resident protections, and resident services.

Contact Quail Summit

Horizons

3132 State Route 21 South, Canandaigua, NY 14424
Overview of Horizons

Horizons is a 76-bed adult home located at 3132 State Route 21 South, Canandaigua, Ontario County, New York, operated by DePaul Adult Care Communities, Inc. The facility maintains active New York State licensing and does not allow pets.

The facility’s inspection history with the New York State Department of Health, Office of Aging and Long Term Care demonstrates mixed but generally favorable performance. Since 2021, Horizons has received 10 regulatory inspections, averaging 2.2 deficiencies per year, which is 57 percent better than New York’s state average of 5.1 deficiencies per year. The facility has reported 9 complaints, equivalent to 11.8 complaints per 100 occupied beds, significantly better than New York’s state average of 49.9. No enforcement actions are on record, and no active lawsuits are currently pending.

Medication management has emerged as a recurring concern. An August 2024 renewal inspection identified 8 deficiencies covering medication management, resident services, food service, environmental standards, disaster planning, and admission standards. Subsequent complaint investigations in October 2024 and June 2024 resulted in clean reports. A January 2025 complaint investigation identified one deficiency related to admission standards with plan of correction approved.

The most recent complaint investigation on March 20, 2025, identified one deficiency related to medication management with plan of correction approved. Medication management violations and admission standards violations appeared in multiple recent inspections, suggesting these areas require continued attention.

The facility’s compliance pattern shows improvement, with clean complaint investigation reports in 2023 and 2024 interspersed with targeted findings. Most deficiencies identified carry approved plans of correction. The facility’s complaint rate significantly outperforms state averages, indicating residents or families file fewer formal complaints than peer facilities.

Services include medication management, diabetes monitoring, dementia and Alzheimer’s care with wandering-prevention technology, on-site speech therapy, on-site podiatry, incontinence reminders, and transfer assistance ranging from standby to one-person support. Respite and short-term stays are available. Amenities include a barber and beauty salon, an outdoor garden with raised beds for resident gardening, and an on-site convenience market. Activities include arts and crafts, daily exercise, education programs, off-site field trips, live entertainers, shopping trips, faith activities, and picnics.

Families should request detailed explanation of recurring medication management deficiencies, current protocols, and verification procedures. Verify implementation of approved corrective action plans.

Contact Horizons

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 Ontario County, NY

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

Assisted living in New York 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?

Assisted living in New York 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 Medicaid cover assisted living?

New York Medicaid does not directly pay room-and-board for assisted living, but most states (including New York) 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 3 assisted living facilities in Ontario County, NY. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Ontario County, NY?

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 Ontario County, NY, 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 Ontario County, NY?

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.