Assisted Living in New York

Get the insights you need to find the right city.

Families looking for assisted living in New York (NY) have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 523 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 15.9 percent of the population. A resident in an assisted living community in New York will pay $4,439 per month on average.

Average Monthly Costs

States near New York

$6,004.00 Massachusetts
$5,135.00 Connecticut
$4,573.00 New York
$4,000.00 US
Genworth lists the average cost of a private, one bedroom unit in an assisted living community in New York as $4,573. This places New York on the higher end of the scale at about $600 over the national average, and about $300 lower than the median cost of assisted living in nearby states.

Compare Monthly Care Costs

When it comes to care options, assisted living is just one of several choices available to seniors. Some care options, like part-time in-home care or independent living, may cost less, while others like memory care or skilled nursing are likely to cost significantly more. Seniors can speak with their medical practitioners to receive guidance on what level of care will best suit their needs and abilities.

Nursing Home Care


In-Home Care


Assisted Living

Average Monthly Costs

Cities in New York

$6,464.00 New York, Newark, Jersey City
$6,239.00 Elmira
$6,019.00 Watertown, Fort Drum
$5,758.00 Binghamton
$5,518.00 Albany, Schenectady, Troy
$5,463.00 Ithaca
$4,803.00 Rochester
$4,573.00 Syracuse
$4,480.00 Kingston
$4,256.00 Buffalo, Cheektowaga, Niagara Falls
$3,671.00 Rest Of State
$2,868.00 Utica Rome
$2,841.00 Glens Falls
When estimating the cost of assisted living, it's important to know that average prices can differ significantly between various parts of New York. For example, assisted living rates in areas such as Elmira are at least $1,600 more than the state average of $4,573, but in areas like Utica-Rome, you're saving on average $1,700. The most affordable region in New York for assisted living is Glens Falls at $2,841.

What You Should Know About Assisted Living in New York

Assisted living falls under the category of adult care in New York State. While not all adult homes in NY offer an Assisted Living Program (ALP), the majority do. The type of ALP in an adult home depends on the level of supervision and care the adult home offers. There are three types of ALR licensing in New York, all of which are regulated by the New York State Department of Health:

  • Assisted Living Residence (ALR): ALRs are located within a licensed adult home or enriched housing program. Staff monitor residents day and night, provide food daily and make sure each resident's individualized service plan is implemented.
  • Enhanced Assisted Living Residence (EALR): Residents who need extra care as determined by their individualized service plan may choose to live in an EALR. These communities provide services to residents who need ongoing assistance walking, climbing and descending stairs, managing medical equipment or urinary or bowel incontinence.
  • Special Needs Assisted Living Residence (SNALR): Residents with special needs are cared for by staff who are trained to meet their specialized needs, according to their individualized service plan.

Memory care and other forms of care are available throughout New York. For more information on these, please visit our New York memory care page.

Financial Assistance for Assisted Living in New York

CNYS does not have a state program to provide assistance paying for assisted living. However, Supplemental Security Income (SSI), a federal program, is available and accepted at most ALRs.

Supplemental Security Income Program (SSI)

In New York, low-income seniors can apply for assistance to pay for assisted living from the Supplemental Security Income (SSI) program. This federal program provides supplementary income to those who qualify, and once approved NYS contributes a small amount to it, called the State Supplement Program or SSP.

Who Is Eligible?

If you're 65 or older, blind or disabled (of any age) you may be eligible.

Typically, your total assets must be below $2,000 if single or $3,000 if you are married. While your own residence and the land that it's on do not count, any other residences you own do count. In addition, you can have a single vehicle and have life insurance policies with a face value of less than $1,500.

However, dependent children and other dependents can increase the value of assets you can have, and other factors apply.

The amount you receive depends on your income, the type of care you need and whether you are a couple or not. The maximum amount of SSI and SSP combined for an individual is $1,444, and the maximum amount for a couple is $2,888, as of 2018.

How to Apply

To receive SSI benefits in New York, seniors must first be enrolled in the federal Supplemental Security Income program. Call the Social Security Administration at 1-800-772-1213 or check requirements via its website.

IMPORTANT NOTE: Remember to check with each assisted living residences you visit to see what form of payment they accept and if they offer reduced rates for lower-income residents.

More Ways to Finance Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Visit our 9 Ways to Pay for Assisted Living page for more information.

Free Assisted Living Resources in New York

Several government-funded agencies and nonprofit organizations in New York offer free assistance for older adults and their loved ones searching for long-term senior care. If you're looking for free advice about ALRs, including how to pay for an ALR, these organizations can be a good place to start.

New York State Office for the Aging

The New York State Office for the Aging aims to empower and support aging New Yorkers and their families. They offer a wealth of resources such as information about long-term care insurance, housing resources, and elder abuse.

New York State Office for the Aging

2 Empire State Plaza, Albany, NY 12223-1251
(844) 697-6321

Assisted Living Laws and Regulations in New York

New York State has comprehensive laws and regulations that assisted living communities must follow to keep their licenses. The full list of laws and regulations is published on the New York State Department of Health website. The following laws and regulations are helpful to know:

Assisted Living Individualized Service Plan Requirements

ALRs are required to develop an individualized service plan (ISP) for each resident with input from the resident (and/or his or her representative), a home care agency (if the resident's physician deems it necessary) and the resident’s physician. The plan, which is reviewed and revised every six months (or sooner if needed), must include the resident’s medical, nutritional, physical and mental needs.

Assisted Living Admission Requirements

Adults who are over 55 may apply to live in an ALR if they need some supervision and assistance with personal care, housekeeping, medication and coordination of activities. Residents must be able to take direction in case of emergency and must not be a danger to themselves or others.

ALRs do not accept adults who require continual nursing or specialized medical care, who are bedfast or chairfast, who are incontinent or who cannot walk up or down stairs on their own. An adult in need of 24-hour nursing or specialized care should look into a residence licensed as an EALR or SNALR.

Assisted Living Scope of Care

A resident living in an ALR in NYS can expect to receive some assistance with personal care, such as toileting, bathing, grooming, dressing, or eating; housekeeping, such as cleaning and laundry; medication assistance, such as reading labels and opening bottles; coordination of activities, such as social events; and case management to periodically review and revise a resident’s ISP. An ALR must provide residents with three meals per day and a snack in the evening - all of which comply with the dietary allowances set forth by the National Academy of Science’s Food and Nutrition Board.

Assisted Living Medicaid Policy

ALRs in NYS do not accept Medicaid as payment for living in an ALR, but certain types of therapy or nursing that residents require may be covered by Medicaid and may be performed in the ALR.

Assisted Living Facility Requirements

The New York State Department of Health inspects ALRs every 12 to 18 months and renews ALRs licenses every two years — if they follow ALR laws and regulations. If they have repeated instances of violating NYS AL laws and regulations, the facility is placed on a do not refer list.

ALR residents have rights and protections under New York State law that include 16 points such as rights to privacy, rights to respectful treatment and rights to manage their finances. The law requires ALRs to adopt a statement of rights and responsibilities and to treat residents accordingly.

Medication Management Regulations

In an ALR, residents are required to take their medication themselves; however, staff may assist residents who need help remembering to take their medication, identifying their medication, retrieving and storing their medication, opening their medication bottles, disposing of supplies related to their medication, and getting in position to take their medication.

Staffing Requirements

ALRs must have an administrator, a case manager, and resident aides on staff. The administrator runs the ALR and make sure it is in compliance with NYS ALR laws and regulations. Case managers must be available 20 - 40 hours per week, depending on the number of residents living in the community, to work with residents on issues related to housing, local services and activities and emergency care. Resident aides must be on premises 24 hours a day to assist residents with all their personal care needs. NYS does not require a specific number of resident aids per ALR, but rather expects the number to be sufficient to meet residents’ needs. EALRs are required to also have licensed practical nurses (LPNs), registered nurses (RNs), and home health aides on staff.

Staff Training Requirements

Staff in ALRs are trained in the facility's policies and procedures, in the needs and rights of the residents they serve and in emergency procedures. They are also required to take continuing education classes. Administrators who do not have a nursing home administrator's license are required to complete 60 hours of continuing education every two years. Resident aids spend 12 hours per year on continuing education, following 40 hours of initial training.

Background Checks for Assisted Living

The Division of Criminal Justice Services conducts a criminal history records check, including fingerprinting, of all non-licensed, prospective employees of an ALR.

Requirements for Reporting Abuse

Elder abuse is instances of physical, sexual or emotional abuse, caregiver neglect or financial abuse. New York is one of the few states that does not have mandatory reporting laws for misconduct towards seniors. When cases are reported, though, there are two laws to protect seniors: New York Penal Law 240.32 and 260.24, which increase penalties to caregivers found guilty of elder abuse.

Assisted Living Facilities in New York



Top-Rated Caring Stars Winners in New York’s Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.


The Bristal Assisted Living at East Northport

East Northport, NY Cost Levels

30 reviews


The Bristal Assisted Living at Lynbrook

Lynbrook, NY Cost Levels

28 reviews


The Bristal at Sayville

Sayville, NY Cost Levels

21 reviews


The Fountains at Rivervue

Tuckahoe, NY Cost Levels

16 reviews


The Bristal Assisted Living at North Hills

North Hills, NY Cost Levels

25 reviews


Sunrise at Sheepshead Bay

Brooklyn, NY $$$

28 reviews


Brookdale Liverpool

Liverpool, NY $$

26 reviews


Walden Place

Cortland, NY $$$

14 reviews


The Bristal at Lake Grove

Lake Grove, NY Cost Levels

16 reviews

The Arbors Hauppauge

Hauppauge, NY Cost Levels

19 reviews