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.

Does New York Medicaid cover memory care?

New York Medicaid does not directly pay room-and-board for memory care, 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.

Memory care is a specialized form of assisted living for residents living with Alzheimer's disease or other forms of dementia, with secured environments, dementia-trained staff, and routines built to reduce confusion and wandering.

How many memory care communities are listed on this page?

This page features 13 memory care communities in Long Island, NY. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right memory care community in Long Island, 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 Long Island, 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 memory care communities in Long Island, 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.

Page 2 of the Best Memory Care in Long Island, NY: 13 Communities (2026)


Gurwin Jewish – Fay J. Lindner Residences	MC ADC AL HC HOS IL NH PC SNF	Commack	200 Facility 200 NY AVG 138 Rank #24 / 206	No	24 Facility 24 NY AVG 53 Rank #208 / 258	Gurwin Jewish - Fay J. Lindner Residences, Inc	B+	7	57% Facility 57% NY AVG 55% Rank #145 / 192	4 Facility 4 NY AVG 6 Rank #85 / 192	7 Facility 7 NY AVG 14.5 Rank #89 / 192	1.0 Facility 1.0 NY AVG 2.3 Rank #90 / 192
Brightview Sayville	MC AL IL	Sayville	92 Facility 92 NY AVG 138 Rank #136 / 206	Yes	37 Facility 37 NY AVG 53 Rank #170 / 258	Bv Sayville Operator, LLC	C+	9	78% Facility 78% NY AVG 55% Rank #175 / 192	6 Facility 6 NY AVG 6 Rank #106 / 192	12 Facility 12 NY AVG 14.5 Rank #117 / 192	1.3 Facility 1.3 NY AVG 2.3 Rank #109 / 192
Highfield Gardens Care Center	MC HOS NH RC SNF	Great Neck (Spinney Hill Homes)	200 Facility 200 NY AVG 138 Rank #146 / 429	No	55 Facility 55 NY AVG 53 Rank #303 / 457	Wedgewood Care Center, Inc. (For Profit)	B-	9	44%	13	23	2.6

Gurwin Jewish – Fay J. Lindner Residences

ADC

HOS

SNF

Commack

200

Gurwin Jewish - Fay J. Lindner Residences, Inc

B+

57%

1.0

Brightview Sayville

Sayville

Yes

Bv Sayville Operator, LLC

C+

78%

1.3

Highfield Gardens Care Center

HOS

SNF

Great Neck (Spinney Hill Homes)

200

Wedgewood Care Center, Inc. (For Profit)

B-

44%

2.6

Overview of Gurwin Jewish – Fay J. Lindner Residences

Gurwin’s Assisted Living on Long Island aims for an elegant, independent lifestyle with added support. Their assisted living community fosters personalized relationships, creating a social, engaging, and supportive environment. Residents enjoy enriched lives through friendships, fine dining, and various activities.

As part of the Gurwin Healthcare System’s Life Plan Community, residents have priority access to additional assisted living levels of care, ensuring comprehensive support for Long Island’s older adults. The residences within the community offer worry-free living with well-equipped apartments, weekly housekeeping, linen services, and 24-hour security. Transportation services and an onsite beauty salon and barber shop add convenience and luxury, anticipating and meeting residents’ diverse needs for a harmonious and comfortable living experience.

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Overview of Brightview Sayville

Overlooking the vibrant neighborhood of Sayville, NY, Brightview Sayville is a dynamic senior living community that offers resort-style independent living in a welcoming and secure setting. Residents enjoy the comfort and privacy of well-curated apartments that provide easy access to the community’s many amenities. The community offers interior and exterior maintenance, housekeeping, and linen laundry services to free residents from the burden of tedious chores and tasks.

Residents find plenty of opportunities for making new connections, exploring new hobbies, or reliving old ones, just right outside their door with convenient amenities and regularly conducted activities. The community provides chef-prepared meals to save residents from the hassle of preparing their own meals while making sure they get the nourishment and energy they need for a bright and active day. With transportation assistance, emergency assistance, and high-quality care options when needed, residents can comfortably retire, knowing that they have access to necessary services and amenities for a fulfilling way of life.

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Overview of Highfield Gardens Care Center

Situated in Great Neck, New York, Highfield Gardens Care Center rises as a meticulously maintained facility offering top-notch rehabilitation and subacute services. With a focus on holistic care, they boast a team of dedicated therapists proficient in physical, occupational, and speech therapies. Beyond the exceptional healthcare services, Highfield Gardens takes pride in its delectable cuisine, ensuring residents enjoy not only nourishing meals but also a delightful dining experience.

Residents can engage in various recreational activities, and the availability of concierge services adds an extra layer of convenience to their daily lives. With 200 beds and participation in Medicare and Medicaid programs, Highfield Gardens Care Center provides a comfortable, supportive, and caring environment for individuals in need of rehabilitation and subacute care.

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How we rank these memory care communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials. Rank badges compare each community against other memory care communities in the same state — never against a different care type.