Best Assisted Living in USA

Amber Court of Westbury is a 64-bed licensed Adult Home administrated by the Amber Court Family of Care at 3400 Brush Hollow Road in Westbury, New York, in Nassau County. Owned by Amber Court of Westbury II, LLC, the facility is part of a family-owned network operating locations across New York and New Jersey with more than 48 years of eldercare experience. The facility holds an Assisted Living Program designation for Medicaid-eligible residents. A doctor is on staff five days per week. Nursing services and 24-hour staffing are provided. The facility is wheelchair accessible.

The Alcove is a private and secure memory care neighborhood with Special Needs Assisted Living Residence and Enhanced Assisted Living Residence certifications. Lighting was designed in collaboration with engineers from Rensselaer Polytechnic Institute. Eighteen confirmed amenities include private and semi-private furnished and air-conditioned rooms, front desk concierge, restaurant-style dining, outdoor patio and garden, indoor patio with panoramic gardens, fitness center, library lounge, cinema and game room, on-site beautician and barber, and 24-hour supervision and security. Named programs include physical therapy, occupational therapy, speech therapy, religious services, housekeeping, laundry, medication supervision, personal care assistance, live entertainment, outings, gardening clubs, and cooking classes. Pet policy is not specified in the primary facility record; third-party sources indicate pets are permitted and should be confirmed directly with the facility.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted 11 inspections on file, all with citations, against a state average of nine inspections with five carrying citations. Eight total deficiencies have been recorded against a state average of 22. The most recent inspection on February 13, 2025, identified one deficiency related to records and reports; a plan of correction was approved. Earlier inspections showed a recurring pattern in records and reports, resident services, food service, personnel, and admission standards. Complaint investigations were not substantiated. One enforcement action is on file: Stipulation and Order ACF-21-073, dated August 12, 2021. Nassau University Medical Center is approximately 3.4 miles away.

Amber Court of Westbury is suited for individuals seeking assisted living or memory care in Nassau County with the ALP designation, Alcove memory care with RPI-engineered lighting design, and 18 confirmed amenities. Families should ask about the specific corrective actions taken following the recurring deficiencies in records and reports, food service, and personnel before placement, and verify the current pet policy directly.

Hillcrest Spring Residential is an 80-bed Adult Home administrated by Paul F. Wolfe at 5052 Route 30, Upper Market Street, Amsterdam, New York 12010, in Montgomery County. Licensed as an Adult Home with license number 380-F-043, the facility does not allow pets. Skilled nursing, nursing services, and 24-hour staffing are provided. Call lights are present in all rooms and bathrooms.

Eighteen confirmed amenities include a resident recreation kitchen, screened-in porch, outdoor patio, entertainment room, newly remodeled dining rooms, library, laundry facilities, beautician services, religious services, case management, medication management, physical and occupational therapy, lab services, pharmacy services, coordination of and transportation to local medical appointments, and special diet accommodations. Three meals are served daily in two dining rooms at set times: breakfast 7:30 to 9 a.m., lunch 12:30 p.m., dinner 5 p.m. Activities are planned daily and include crafts, cooking, and games. Rehabilitation services are available.

The New York State Department of Health, Office of Aging and Long Term Care, conducted eight inspections, all with citations, compared to a state average of nine inspections with five carrying citations. Thirty-eight total deficiencies were recorded against a state average of 22. The most recent inspection on June 12, 2025, a complaint investigation, identified deficiencies with an approved plan of correction. Earlier inspections documented recurring patterns in resident services, environmental standards, food service, medication management, and disaster planning. Five complaints were recorded at a rate of 6.3 per 100 occupied beds, compared to the state average of 49.9 per 100 occupied beds. Complaint investigations were unsubstantiated. No enforcement actions or license suspensions appear in available reports. The inspection record shows repeated citations in certain areas without a documented trend of improvement or decline.

Hillcrest Spring Residential is suited for families seeking skilled nursing and daily activities within an Adult Home in Amsterdam. Families should ask about specific corrective actions taken following June 2025 deficiencies in resident services and food service, current medication management protocols, and how the facility ensures disaster planning and response readiness before placement.

Laurelwood at the Highlands is a 75-bed Enriched Housing Program administrated by Highland Community Development Corp. at 300 Hahnemann Trail in Pittsford, New York 14534, in Monroe County. Licensed as an Enriched Housing Program with license number 370-S-835 and expiration date active, the facility is affiliated with the University of Rochester as the only university-based retirement community in Rochester. Affiliations include the University of Rochester Medical Center, Highland Hospital, Eastman School of Music, Memorial Art Gallery, and Visiting Nurse Service. The campus occupies 52 acres in Pittsford. Pets are not permitted. Nursing services, licensed nurses and CNAs, and rehabilitation services are available.

Laurelwood connects to Hahnemann Square, the central hub of the campus, which provides access to two restaurants, Cupcakes Corner Bakery, a Wellness Center, and a salon. Residents have priority access to The Living Center, an on-campus skilled nursing and short-term rehabilitation facility staffed by board-certified faculty from the University of Rochester Medical Center. Laurel Way Memory Care, an eight-apartment secured memory care neighborhood with two registered nurses and 24-hour professional staff, is also on campus. Named programs include Independent Living, Assisted Living, and Memory Care. Activities include drawing, painting, crafts, baking, travelogue presentations, exercise, games, and museum and theater outings. The Village of Pittsford, the Erie Canal, and the Pittsford Library are within walking distance via campus paths.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted 2 inspections, both with citations, compared to a state average of 9 inspections with 5 carrying citations. Eight total deficiencies have been recorded against a state average of 22. The most recent inspection on August 14, 2024, identified seven deficiencies related to resident services, environmental standards, medication management, and personnel with a plan of correction approved. An earlier November 1, 2022 inspection found one deficiency in records and reports. A September 21, 2022 complaint investigation found no violations. One complaint is on record at 1.3 per 100 occupied beds against a state average of 49.9. No enforcement actions are on file.

Laurelwood at the Highlands is suited for individuals seeking assisted living with University of Rochester affiliations and on-campus access to skilled nursing and memory care. Families should ask about the specific corrective actions implemented following the August 2024 inspection deficiencies in medication management, environmental standards, and personnel practices before placement.

Hilton East Assisted Living is a 205-bed adult home located at 231 East Avenue in Hilton, New York 14468, in Monroe County, owned by Hilton East Assisted Living LLC. The facility is family owned and operated for over 40 years and holds the designation of the largest adult home in Monroe County. Licensed with status active and license number 370-F-208, Hilton East Assisted Living provides nursing services and skilled care.

All rooms are fully furnished with en-suite bathrooms. Eight confirmed amenities include comfortable rooms, activity areas, life assistance services (laundry, food preparation, hair salon, housekeeping), daily activities and entertainment, and an on-site beauty and barber shop. Services include medication management, personal care assistance, transportation to medical appointments, housekeeping, laundry for bed linens and personal clothing, and a coordinated activities program. Three restaurant-style meals are served daily. A volunteer program is in place. Medicaid is accepted alongside private pay and long-term care insurance. Pets are not permitted. The facility reports staffing provided at nearly double the state-mandated level. A 24-hour aide care assistance program and 24-hour emergency call system are in place. A Wander Guard system is confirmed.

The New York Department of Health, Office of Aging and Long Term Care has conducted 17 inspections on file, all with citations, against a state average of 9 with 5 carrying citations. Fourteen total deficiencies were recorded against a state average of 22. The most recent inspection on July 15, 2025, a complaint investigation, found no deficiencies. Earlier inspections documented a recurring pattern involving resident services, environmental standards, disaster planning, personnel, and records and reports. Complaint investigations during this period were unsubstantiated. One enforcement action is on file: Stipulation and Order ACF-23-014, dated November 8, 2023. The inspection history shows recent improvement.

Hilton East Assisted Living is suited for individuals seeking assisted living in Monroe County with long-standing family ownership and above-average bed capacity. Families should ask about the specific corrective measures taken following the November 2023 enforcement action, current staffing protocols, and documentation of the Wander Guard system before placement.

Home Sweet Home on the Hudson is a 60-bed licensed Adult Home administrated by the Nova Senior Living organization at 38 Prospect Avenue in Catskill, New York, within Greene County. The facility is owned by The W Group at Catskill, LLC. Located on eight acres on the western bank of the Hudson River, the facility does not permit pets. Nursing services, licensed nurses and certified nursing assistants, and 24-hour staffing are confirmed.

Three named care programs are offered: assisted living, respite care, and memory care. Memory care is housed in a separate wing per third-party sources. All resident rooms are private with individual bathrooms. Eight confirmed amenities include an on-site hairdresser, vending machines, flexible television and phone options, freshly prepared meals, social events, intellectual programs, and cultural activities. Respite and short-term stays are available. Columbia Memorial Hospital is approximately 4.54 miles away.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted seven inspections, all with citations, against a state average of nine with five carrying citations. Thirty-two total deficiencies have been recorded against a state average of 22. The most recent inspection on July 15, 2025, a complaint investigation, found zero deficiencies. Earlier inspections showed a recurring pattern involving medication management, case management, and environmental standards; all issues were addressed with approved plans of correction. Twenty complaints are on record at a rate of 33.3 per 100 occupied beds against a state average of 49.9. Complaint investigations were unsubstantiated. One enforcement action is on file: Stipulation and Order ACF-25-015, dated February 11, 2025.

Home Sweet Home on the Hudson is suited for families seeking assisted living or memory care in Catskill. Families should ask about corrective actions and ongoing protocols for medication management and case management before placement, and should verify current status of compliance with the February 2025 enforcement action.

Pineview Commons H.F.A. is a 94-bed Adult Home licensed under New York’s H.F.A. designation at 201 South Melcher Street in Johnstown, New York 12095, in Fulton County. Administrated by the facility operator and owned by Pineview Commons, LLC, the community operates under the Nova Senior Living brand. Pineview Commons H.F.A. provides nursing services with 24-hour staffing.

Five confirmed amenities include an in-house beauty parlor, housekeeping and laundry, transportation, regular visits from physicians and specialists, and continuous supervision. Meals are home-cooked and prepared in consultation with a registered dietician. Pets are not permitted.

The New York State Department of Health, Office of Aging and Long Term Care has conducted five inspections, all with citations. Forty-seven total deficiencies have been recorded against a state average of 22. The most recent inspection on July 1, 2025, a complaint investigation, identified one deficiency related to safety procedures for access to medication storage and hazardous materials; a plan of correction was approved. A renewal inspection on May 22, 2025 recorded a particularly large number of violations. The broader pattern across inspections involves environmental standards, medication management, food service, personnel training, fire drill participation, and facility maintenance. Four complaints are on record at a rate of 4.3 per 100 occupied beds against a state average of 49.9; complaint investigations were unsubstantiated. No enforcement actions are on file. The inspection summary notes a slight reduction in deficiencies in the most recent survey compared to prior ones.

Pineview Commons H.F.A. is suited for families in Fulton County seeking Adult Home care under the Nova Senior Living banner. Families should ask directly about the specific deficiency counts and corrective actions from the May 2025 renewal inspection, current medication storage security and access protocols, environmental safety compliance measures, and food service quality assurance before placement.

The Farrar Home is a 30-bed adult home at 46 Constable Street in Malone, New York, in Franklin County. It’s administrator is not named. Licensed as an Adult Home with capacity for 30 residents, the facility is owned by Farrar Home For Deserving Old Ladies, a not-for-profit organization governed by a Board of Directors and an active Auxiliary. The Farrar Home was established in 1900 by Isaac Farrar, who bequeathed his property for the purpose of serving older adults. Originally incorporated as a women-only facility, the home now serves both men and women. The facility is a Victorian-era structure located in a quiet residential neighborhood.

The facility does not permit pets. Respite care is offered. Round-the-clock nursing staff provide care. Daily activities are available. Laundry service is provided. Some vegetables are grown on-site for meal preparation. The facility is situated close to churches, shopping, and medical facilities.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted five inspections on file, all with citations. Nine total deficiencies have been recorded against a state average of 22. The most recent inspection, a relicensure survey on November 12, 2024, identified one deficiency related to food service; a plan of correction was approved. The broader pattern involves food service, environmental standards, and resident services, each addressed with approved corrective plans. Two complaints are on record at a rate of 6.7 per 100 occupied beds against a state average of 49.9. Complaint investigations were unsubstantiated. No enforcement actions are on file.

The Farrar Home is suited for individuals and families seeking adult home care in Malone with established not-for-profit governance and respite care options. Families should ask about corrective measures taken following the food service deficiency cited in November 2024, current food sourcing practices, and meal preparation protocols before placement.

The Courtyards LLC is a 133-bed licensed Adult Home administrated by family ownership at 5285 South Park Avenue in Hamburg, New York 14075, in Erie County. Owned by The Courtyards LLC and family-operated for more than 30 years, the facility is licensed as an Adult Home with active status. Pets are not permitted. Nursing services, 24-hour staffing, and rehabilitation services are confirmed. Visiting hours are 9:30 a.m. to 3 p.m. daily.

Eleven confirmed amenities include supportive assistance with daily living activities, visiting primary physician, podiatry, physical and occupational therapy, blood work and X-rays, mental health counseling, housekeeping and laundry services, salon services, religious services, and activities and events scheduled each morning and afternoon. Special diets are accommodated.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted 7 inspections on file, all with citations, against a state average of 9 inspections with 5 carrying citations. Thirteen total deficiencies have been recorded against a state average of 22. The most recent inspection on June 26, 2025, a complaint investigation, found zero deficiencies. Earlier inspections documented recurring patterns in environmental standards, resident services, food service, records and reports, and resident protections. No immediate jeopardy findings or license actions occurred. Ten complaints are on record at a rate of 7.5 per 100 occupied beds against a state average of 49.9 per 100 occupied beds. Complaint investigations were generally unsubstantiated. No enforcement actions are on file. The inspection summary indicates some fluctuation in compliance with recent improvement.

Located in Hamburg, The Courtyards LLC provides Adult Home services with 11 confirmed amenities and deficiency counts significantly below the state average.

The Courtyards LLC is suited for families seeking Adult Home placement in Hamburg with on-site physician and mental health services. Families should ask about the specific corrective actions taken following earlier deficiencies in environmental standards, food service practices, and record-keeping procedures, and verify current compliance with resident protection protocols before placement.

St. Francis Park is a 36-bed Enriched Housing Program administrated at 5229 South Park Avenue in Hamburg, New York 14075, in Erie County. Licensed as an Enriched Housing Program with minimum admission age 65, the facility is owned by St. Francis Geriatric and Healthcare Services, Inc., a member of the Catholic Health System of Buffalo. Pets are not permitted. Housekeeping and linen service are confirmed.

Seven confirmed amenities include transportation to medical appointments, group activities and happy hours, housekeeping and laundry, an indoor pool, an on-site salon, and massage therapy. Extended services include a fitness room, full kitchens, wellness programs, catering, dry cleaning, in-suite meal delivery, monthly trips and outings, home monitoring while away, and guest room accommodations. Two dining formats are available: buffet-style self-service or restaurant-style waited service in on-site dining rooms.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted 4 inspections, all with citations against a state average of 9 inspections with 5 carrying citations. Seven total deficiencies are recorded against a state average of 22. The most recent inspection on July 18, 2025, a complaint investigation, found zero deficiencies. A separate complaint investigation in June 2025 identified 1 deficiency related to resident services, which was corrected. The pattern across inspections involves resident services, records and reports, operating certificates, and environmental standards. Two complaints are on record at a rate of 5.6 per 100 occupied beds against a state average of 49.9. Complaint investigations were generally unsubstantiated. One enforcement action is on file: Stipulation and Order ACF-21-112, dated November 30, 2021.

St. Francis Park is suited for individuals age 65 and older seeking housing with extensive amenities and Catholic Health System affiliation in Erie County. Families should ask about the nature and status of the November 2021 enforcement action, corrective measures taken following the June 2025 deficiency, and current protocols for the resident services deficiency category before placement.

Glenwell, a DePaul Senior Living Community, is a 120-bed licensed Adult Home administrated at 2248 Old Union Road in Cheektowaga, New York, in Erie County. Owned by DePaul Adult Care Communities, Inc., a nonprofit organization operating senior living communities across Upstate New York, the facility maintains an Assisted Living Program and a Memory Care Unit. License number 240-E-146 is active.

Pets are permitted. Housekeeping, linen service, and utilities are included in the monthly fee. Licensed nurses and certified nursing assistants provide 24-hour staffing. Respite care is confirmed. Eleven amenities are on file: 24-hour staff access, three registered-dietitian-approved daily meals plus evening snack, medication assistance, assistance with daily living activities, life-enriching activities, emergency call system, housekeeping, laundry and linen services, case management services, beauty and barbershop services, and mail delivery.

The New York State Department of Health, Office of Aging and Long Term Care, has conducted seven inspections on file against a state average of nine. The most recent inspection on May 29, 2025, a complaint investigation, found no deficiencies. Earlier inspections consistently found no violations or deficiencies. Six complaints are on record at a rate of 5.0 per 100 occupied beds against a state average of 49.9. Complaint investigations were unsubstantiated. No enforcement actions, fines, or license suspensions appear in available reports.

Located in Cheektowaga, Glenwell is a nonprofit-operated adult home with separate Assisted Living and Memory Care programs, pet-friendly accommodations, and a consistently deficiency-free inspection record across seven surveys.

Glenwell is suited for individuals seeking assisted living or memory care in a nonprofit setting with included utilities and pet accommodation. Families should ask about transition protocols between the Assisted Living Program and Memory Care Unit when care needs change.