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 NY State Dept. of Health (NYSDOH) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NY
Reviewed by
Last updated
Jul 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

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.

Horizons
AL
South Canandaigua
76
Facility 76
NY AVG 160
Rank #599 / 739
No
85
Facility 85
NY AVG 63
Rank #371 / 1169
95
Facility 95
NY AVG 83
Rank #30 / 591
10-
Quail Summit
AL
IL
MC
Ext. Canandaigua
55
Facility 55
NY AVG 160
Rank #663 / 739
No
85
Facility 85
NY AVG 63
Rank #371 / 1169
92
Facility 92
NY AVG 83
Rank #61 / 591
8-
Seneca Lake Terrace-Geneva
AL
MC
Geneva
66
Facility 66
NY AVG 160
Rank #622 / 739
No
30
Facility 30
NY AVG 63
Rank #962 / 1169
--Private / Companion / Studio / 1 Bed Rooms

Horizons

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

Horizons holds New York State’s Assisted Living Program designation, qualifying it to serve residents who are medically eligible for nursing home placement but don’t require continual nursing care. The 76-bed community is at 3132 State Route 21 South in Canandaigua, Ontario County, operated by DePaul Adult Care Communities, Inc. The neighborhood earns a Walk Score of 85, consistent with a Canandaigua location where most essentials are reachable on foot.

The ALP designation supports a services list that goes beyond what standard assisted living typically offers. Nursing and rehabilitation services are provided, alongside medication management, diabetes monitoring, on-site speech therapy, and on-site podiatry. Dementia and Alzheimer’s care is available with wandering-prevention technology in place. Personal care assistance, transfer support, and respite and short-term stays complete the clinical picture.

On-site amenities include an outdoor garden with raised gardening beds, a barber and beauty salon, and a convenience market on-site. Activities run from arts and crafts and daily exercise to off-site field trips, live entertainment, shopping excursions, faith activities, and picnics. An education program and volunteer program add further structure to the weekly calendar.

Inspections are overseen by New York’s Department of Health and Office of Aging and Long Term Care. State review has historically focused on medication management and dietary and food service.

Horizons serves older adults in Canandaigua and Ontario County who need assisted living with the clinical depth that the ALP designation enables. Specialty services like speech therapy and podiatry, dementia care with wandering-prevention technology, and an on-site convenience market reflect a facility designed around residents with real and varied medical needs.

Contact Horizons

Quail Summit

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

Quail Summit is a senior living community located at 5102 Parrish Street Ext. in Canandaigua, New York. This 55-bed facility is managed by Quail Summit, Inc. and sits in the heart of the Finger Lakes region.

One of its best features is a Walk Score of 85. This high rating shows that the downtown location is very convenient. Residents can easily get around and finish most of their daily errands on foot.

The campus is split into three unique neighborhoods: The Estates, The Harbor, and The Village. These areas provide different levels of support, such as independent living, assisted living, and memory care. If someone is not ready for a permanent move, they can try the Short-Term Stays program. This is a great way to use the community’s resources for a little while without signing a long-term contract.

Quail Summit provides many helpful services to make life easier. Every resident has access to on-site meals, planned transportation, and a busy calendar of activities. These services are available to everyone, no matter which neighborhood they live in.

The facility also offers respite care. This gives family members and caregivers a much-needed break by providing a safe, temporary place for their loved ones.

By offering both a great urban location and different levels of care, Quail Summit is a dependable choice for seniors in Ontario County. The community’s simple layout helps residents find the exact support they need while staying active and connected to the local area.

Contact Quail Summit

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

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.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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.