Best Assisted Living in USA

The Maples Adult Living Community is an 89-bed Adult Home located at 453 Park Street in Fulton, New York, in Oswego County. Administrated by co-owners Atom Avery and Dr. Michael Stephens (Associate Chief Medical Officer for Oswego Health) and owned by The Maples Adult Living Community, the facility is licensed as an Adult Home. The facility opened in 2024 on the former Michaud Residential Health Services site, which closed in 2017. Pets are not permitted. Medicaid is accepted alongside private pay.

Licensed nurses and certified nursing assistants provide 24-hour staffing. Private or semi-private accommodations are available. Confirmed amenities include a wellness center, barber and beauty salon, computer lab with Wi-Fi access, housekeeping and laundry services, in-room cable television, central bathing and spa facilities on each floor, and a movie theater. Rehabilitation services are available. The facility employs approximately 40 staff at full operation. Development was supported by Pathfinder Bank and the Oswego County Industrial Development Agency.

The New York State Department of Health, Office of Aging and Long Term Care, conducted one inspection on file, dated July 31, 2025, which identified no deficiencies. Zero complaints are on record against a New York state average of 79. No enforcement actions appear in available reports. The limited inspection history reflects the facility’s 2024 opening date.

The Maples Adult Living Community is suited for individuals seeking Adult Home care in Fulton with private or semi-private accommodations and Medicaid acceptance. Families should ask about specific rehabilitation program details, staffing ratios for activities of daily living assistance, meal service and dietary accommodations, and the facility’s protocols for managing residents with complex medical needs during the early operational phase.

New Windsor Country Inn is an 86-bed licensed Adult Home administrated by William R. Lockwood at 450 Temple Hill Road in New Windsor, New York, in Orange County. The facility is owned by William R. Lockwood, William A. Lockwood, Scott W. Lockwood, and Paul M. Lockwood. Licensed as an Adult Home, the facility has been operating since 1983 on four landscaped acres. Pets are not permitted. 24-hour staffing is provided. Emergency call systems are in each room, and a monitored security system is in place.

The facility operates on an all-inclusive monthly rate that covers all services, care, and amenities with no hidden fees, long-term leases, or security deposits. Personal care, case management, and ADL assistance including bathing, dressing, grooming, and incontinence management are provided. Rehabilitation services and physical therapy are available. A full-time recreation director is on staff. Three confirmed amenities include a beauty and barber salon, social activities, and manicured grounds. Activities include live entertainment, boat trips on the Hudson River, arts and crafts, and offsite outings to restaurants and parks. Private and semi-private accommodations are available.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted one inspection on file, dated December 17, 2021, which identified one deficiency related to civil penalties. A plan of correction was approved. A prior complaint investigation in September 2021 found no violations. Two complaints are on record at a rate of 2.3 per 100 occupied beds against a state average of 49.9. One enforcement action is on file: Stipulation and Order ACF-22-020, dated March 22, 2022. Both the inspection and enforcement action date from 2021 and 2022.

New Windsor Country Inn is suited for families seeking Adult Home care in New Windsor with family ownership and all-inclusive pricing. Families should verify the current status of the facility and whether a more recent inspection has been conducted, as available records date to 2021-2022. Ask about corrective actions taken following the 2021 deficiency and enforcement action before placement.

Quail Summit is a 55-bed Enriched Housing Program at 5102 Parrish Street Extension in Canandaigua, New York 14424, in Ontario County. Licensed as an Enriched Housing Program with license number 530-S-001, expiration date is not specified, the facility is owned by Quail Summit, Inc., a not-for-profit organization. The administrator is not named. The community operates three named residential neighborhoods as a continuum of care: The Estates provides independent living in 58 apartments ranging from 683 to 1,007 square feet; The Harbor offers enriched living with 28 apartments and activities of daily living support; The Village is a secured memory care neighborhood with three daily meals and snacks, all-day dining, weekly housekeeping and laundry, 24-hour staffing, emergency call systems, activities of daily living and medication assistance, and personalized service planning.

Short-term and respite stays are available across all three neighborhoods through the Grateful Stays trial program, allowing prospective residents to sample the community before committing to residency. Physicians and a nurse practitioner from UR Medicine Geriatrics Group provide on-site geriatric primary care; independent residents have 24-hour access to an on-call provider. UR Thompson Hospital is located nearby. Confirmed amenities include fresh meals prepared on site, transportation services, free Wi-Fi, and daily activities. The facility’s listing does not address pet policy; a third-party source indicates pets are allowed, requiring direct verification with the community.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted four inspections, all with citations, against a state average of nine with five carrying citations. Fourteen total deficiencies have been recorded against a state average of 22. The most recent inspection on April 24, 2025, a complaint investigation, identified three deficiencies related to admission and retention standards, resident protections, and resident services; a plan of correction was approved. Seven complaints are on record at a rate of 12.7 per 100 occupied beds against a state average of 49.9; complaint investigations were unsubstantiated. No enforcement actions are on file.

Quail Summit is suited for individuals seeking independent living, enriched living, or memory care in a not-for-profit continuing care model in Canandaigua. Families should ask about the Grateful Stays trial program, the transition protocols between the three neighborhoods as care needs change, and current pet policy before making a placement decision.

Horizons, a DePaul Senior Living Community, is a 76-bed licensed Adult Home administrated by DePaul Adult Care Communities, Inc. at 3132 State Route 21 South in Canandaigua, New York 13032, in Ontario County. The facility is owned by DePaul Adult Care Communities, Inc., a nonprofit organization operating senior living communities across Upstate New York. Licensed as an Adult Home with minimum residency age 55, the facility offers 24-hour staffing with an awake night shift. Horizons is located 0.8 miles from F F Thompson Hospital.

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.

Pet policy is not specified in the facility’s primary record; third-party sources indicate pets are permitted. Families should verify the current pet policy directly with the facility.

Horizons’ inspection history shows a pattern of deficiencies followed by improvement. The New York State Department of Health, Office of Aging and Long Term Care, has conducted 4 inspections on file. The most recent inspection on March 20, 2025, a complaint investigation, identified 1 deficiency related to medication management; a plan of correction was approved. A prior inspection in October 2024 found zero deficiencies. Earlier inspections documented deficiencies in medication management, admission standards, food service, environmental standards, and disaster planning. Horizons has recorded 11 total deficiencies against a state average of 22. Nine complaints are on record at a rate of 11.8 per 100 occupied beds, against a state average of 49.9; complaint investigations were unsubstantiated. No enforcement actions are on file.

Located in Canandaigua and operated by a nonprofit organization, Horizons provides Adult Home care with on-site therapeutic services and dementia-specific programming.

Horizons is suited for individuals seeking Adult Home care in Canandaigua with nonprofit sponsorship and on-site speech therapy and podiatry. Families should ask about the current pet policy, medication management protocols and staff training, specific wandering-prevention technology and dementia care protocols, and corrective actions taken following the March 2025 medication management deficiency before placement.

Ashton Place is a 60-bed Enriched Housing Program at 190 Ashton Court in Clifton Springs, New York, within Ontario County, owned by Clifton Park Associates, LLC and family-operated by the Christiano Family with over 60 years in senior care. The facility opened in 1998 and holds Enriched Housing Program licensure alongside Enhanced Assisted Living Residence certification. Pets are not permitted. No entrance or endowment fees are charged; residents pay monthly fees only. The facility is located 0.8 miles from Clifton Springs Hospital and Clinic.

Three named care tiers structure the community: Active Senior Living offers maintenance-free apartment living for residents with their own transportation; Independent Senior Living includes transportation, meals, and housekeeping; Enriched Senior Living provides the licensed EHP component with activities of daily living assistance and on-site nursing oversight. The Courtyard comprises a 16-suite secured memory care neighborhood with keypad and double-door entry, color-coded hallways, memory stations, a sensory garden, and family-style dining. Physical, occupational, and speech therapies are provided on campus through Clifton Springs Hospital therapists. Telehealth stations allow residents to attend follow-up appointments without leaving the building. Hospice, podiatry, audiology, and mobile X-ray services visit regularly. Amenities include a fireside library, billiards and card lounge, fitness studio, beauty salon and barber, interfaith chapel, and a 26-seat cinema with hearing-assist technology.

The New York State Department of Health, Office of Aging and Long Term Care, conducted one inspection on file dated December 4, 2024, which identified one deficiency related to resident services; a plan of correction was approved. A prior inspection on August 12, 2021 found no violations. One complaint is on record at a rate of 1.7 per 100 occupied beds against a state average of 49.9. One enforcement action is on file: Stipulation and Order ACF-22-055, dated October 24, 2022.

Located in Clifton Springs, Ashton Place operates an Enriched Housing Program with Enhanced Assisted Living Residence certification, offering three distinct care tiers and a secured memory care neighborhood within a single community.

Ashton Place is suited for individuals seeking enriched senior living with on-site nursing, secured memory care options, or independent living within a continuing care model in Clifton Springs. Families should ask about the specific nature of the October 2022 enforcement action, corrective measures related to the December 2024 deficiency finding, and staffing ratios within each care tier before placement.

The Terrace at Woodland is a 60-bed licensed Adult Home administrated by Mr. R.J. Whiteman at 8299 Turin Road in Rome, New York 13440, within Oneida County. Forest Hill Associates, Inc. owns the facility, which operates under the Nova Senior Living brand alongside The Mansion at South Union, The Cambridge, Sachem Adult Home, Danforth Adult Care Center, and other communities across New York State. Licensed nurses and CNAs provide 24-hour staffing. Pets are not permitted. Rehabilitation and respite care services are confirmed.

The facility offers three named programs: assisted living, memory care, and engaging activities. Dining and recreational programming are available to residents.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted five inspections, all with citations, against a state average of nine inspections with five carrying citations. Twenty-four total deficiencies have been recorded against a state average of 22. The most recent inspection, a follow-up survey on June 17, 2025, identified one deficiency related to abuse reporting documentation, with a plan of correction under review at time of report. Earlier inspections showed recurring patterns in resident funds, environmental standards, medication management, records, and disaster planning, with multiple plans of correction approved. No fines or enforcement actions are on file. Eight complaints are on record at a rate of 13.3 per 100 occupied beds against a state average of 49.9; complaint investigations were mostly unsubstantiated, with no substantiated complaints noted. No immediate jeopardy findings or license suspensions appear in available reports. The inspection history reflects mixed compliance with some periods free of deficiencies alongside recurring issues across multiple categories.

The Terrace at Woodland is suited for families evaluating assisted living or memory care in Rome. Families should ask directly about the current status of the June 2025 abuse reporting documentation plan of correction, specific protocols for incident documentation and reporting, and compliance measures taken following the pattern of deficiencies in resident funds management and environmental standards before placement.

Champlain Valley Senior Community is an 81-bed Adult Home at 10 Gilliland Lane in Willsboro, New York 12996, in Essex County. Its administrator is not named. Licensed as an Adult Home with an Enhanced Assisted Living Residence designation, the facility is owned by Stonebrook Properties, LLC and has operated since 2013. The EALR license is the only such designation in the Adirondacks and greater Plattsburgh area. The facility occupies the former Willsboro grade school building with an oak arch entryway and tall windows. The building is locally owned and family-run.

Nursing services, skilled nursing, licensed nurses and certified nursing assistants, and 24-hour staffing are confirmed. The Enhanced Assisted Living Residence designation authorizes diabetic care, oxygen management, incontinence management, catheter and colostomy care, feeding assistance, wound care, and nursing assessments. A secure memory care unit serves residents with Alzheimer’s disease and dementia at all stages. Five confirmed amenities include chef-prepared meals, daily events, daily exercise, housekeeping and laundry, and transportation. On-site amenities include an ice cream parlor, movie theater, beauty salon, on-site physician’s office, and chapel. The community is approximately 30 minutes from Plattsburgh and five minutes from the Vermont ferry. Pet policy conflict appears between sources; families should verify directly.

The New York State Department of Health, Office of Aging and Long Term Care has conducted six inspections, all with citations, against a state average of nine with five carrying citations. Forty-two total deficiencies have been recorded against a state average of 22. The most recent inspection on June 12, 2025, a complaint investigation, found zero deficiencies. Earlier inspections showed patterns involving resident protections, admission standards, environmental conditions, records and reports, service plan reviews, food service, and provider responsibilities. Seven complaints are on record at 8.6 per 100 occupied beds against a state average of 49.9; most were unsubstantiated. No enforcement actions appear in available reports.

Champlain Valley Senior Community is suited for individuals or families seeking adult home care with Enhanced Assisted Living Residence services, memory care, and specialized nursing services in Willsboro. Families should ask about corrective actions taken following prior deficiencies in resident protections, admission standards, environmental conditions, records and reporting, service plan reviews, and food service compliance before placement.

Briarwood Manor is a 160-bed licensed Adult Home with Assisted Living Program designation administrated by ownership at 1001 Lincoln Avenue in Lockport, New York 14094, in Niagara County. The facility is owned by Salvatore Ferreri and operated as a third-generation family-owned business since 1982. Briarwood Manor holds an Assisted Living Program (ALP) designation and is described as the only ALP-licensed facility in Lockport. The ALP authorization requires 24-hour registered nurse supervision. Licensed nurses and CNAs are on staff. Pets are not permitted.

Briarwood Manor offers assisted living and memory care programs. Eight confirmed amenities include a fire protection system connected to the local fire department, landscaped grounds, porch, patio, walking areas, private gardening area, lounge areas, and a theater screen. Private and semi-private rooms are furnished with private baths, cable television, and air conditioning. Residents’ artwork is displayed throughout the facility. Eastern Niagara Hospital is located approximately 1.54 miles away.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted 12 inspections, all with citations, compared to a state average of 9 inspections with 5 carrying citations. Fifty-eight total deficiencies have been recorded against a state average of 22 deficiencies. The most recent inspection on April 28, 2025, a complaint investigation, identified 2 deficiencies related to general provisions and environmental standards; a plan of correction was approved. Earlier inspections showed recurring patterns involving resident services, admission and retention standards, records, environmental standards, and inspection procedures, with some relicensure inspections noting multiple violations across many areas. Twelve complaints are on record at a rate of 7.5 per 100 occupied beds compared to a state average of 49.9 per 100 occupied beds; complaint investigations were unsubstantiated. No enforcement actions are on file. The inspection summary notes no clear trend of consistent improvement or worsening over time.

Briarwood Manor is suited for families seeking assisted living or memory care in Lockport who prioritize the ALP designation and third-generation family ownership. Families should ask about the plan of correction implementation following the April 2025 environmental standards deficiency, current compliance with general provisions standards, staffing levels during all shifts, and detailed protocols for admission and retention procedures before placement.

Oyster Bay Manor is a 72-bed licensed Adult Home administrated by the facility at 150 South Street in Oyster Bay, New York 11771, in Nassau County. Owned by Oyster Bay Manor Senior Residence, Inc. and family operated since 1995, the facility is part of the Oyster Bay Senior Campus, which includes Harbor House, a separately licensed memory care residence, and Brookville Home Care. Three named programs are confirmed: assisted living, memory care, and respite care.

On-site nursing includes a nurse, medication technicians, and licensed aides; registered nurses and licensed practical nurses specialize in memory care. Services include 24-hour housekeeping with daily room cleaning and laundry, restaurant-quality dining with gluten-free, kosher, low-sodium, and diabetic accommodations, on-site dental, vision, podiatry, audiology, mental wellness, and hospice care. The facility features a pool table, library, two four-season sunrooms, and outdoor patios. Daily activities include fitness programs, arts and crafts, live entertainment, lectures, cooking, bingo, trivia, and weekly offsite outings along the North Shore Gold Coast. Pet policy is not specified in primary licensing records; third-party sources indicate pets are permitted. Families should verify directly. Syosset Hospital is approximately 4.3 miles away.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted two inspections, both with citations, against a state average of nine inspections with five carrying citations. Seven total deficiencies have been recorded against a state average of 22. The most recent inspection, a complaint investigation on July 16, 2025, identified no deficiencies. A renewal inspection on July 17, 2024, identified six deficiencies across resident services, food service, environmental standards, and admission and retention standards. A prior renewal inspection in March 2022 identified one food service deficiency. Five complaints are on record at a rate of 6.9 per 100 occupied beds against a state average of 49.9; complaint investigations were unsubstantiated. No enforcement actions appear on file.

Oyster Bay Manor is suited for families seeking assisted living, memory care, or respite services in Nassau County. Families should ask about corrective measures taken following the six deficiencies cited in July 2024, current pet policies and procedures, and how the facility accommodates residents transitioning between care levels within the campus.

Helen Keller National Center is a 52-bed adult home administrated by Helen Keller Services for the Blind at 111 Middle Neck Road in Sands Point, New York, in Nassau County. Licensed as an Adult Home, the facility serves as headquarters of the Helen Keller National Center for DeafBlind Youths and Adults (HKNC), the only national program in the United States dedicated exclusively to vocational rehabilitation services for people who are DeafBlind. HKNC was established by federal legislation signed in 1967 under amendments to the Vocational Rehabilitation Act. The campus occupies approximately 25 acres near Sands Point Preserve. Pets are not permitted.

The facility’s adult home license covers the residential component of HKNC’s Comprehensive Vocational Rehabilitation Program, which provides intensive, person-centered training to participants referred through state vocational rehabilitation agencies. Thirteen confirmed programs are on record: Comprehensive Vocational Rehabilitation Program, Adaptive Technology Training, Audiology Services, Communications Training, Creative Arts, Independent Living Training, Low Vision Services, Medical Services, Mental Health Services, Orientation and Mobility Training, Rehabilitation Counseling, Residential Services, and Vocational Training. HKNC operates 11 regional offices nationwide and maintains a national registry of individuals who are DeafBlind. Access to services is through state vocational rehabilitation agencies rather than standard assisted living placement channels.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted 2 inspections on file, both with citations, against a state average of 9 with 5 carrying citations. Seven total deficiencies have been recorded against a state average of 22. The most recent inspection, a renewal on November 7, 2024, identified 5 deficiencies related to food service and personnel training. An earlier renewal on April 2022 found 2 deficiencies also in food service. Zero complaints are on record against a state average of 79. No enforcement actions appear in available reports. The recurring pattern in food service and personnel training has persisted across both inspection cycles.

Helen Keller National Center is suited for individuals who are DeafBlind seeking vocational rehabilitation services through state referral. Families should ask about the specific corrective actions taken following the recurring deficiencies in food service and personnel training, current protocols for both areas, and the referral process through state vocational rehabilitation agencies before pursuing services.