Assisted Living in New York
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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.
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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.
2 Empire State Plaza, Albany, NY 12223-1251
Every county in New York State has a local office for the aging where seniors and their families can get information and assistance on local ALR and local elder care services.
162 Washington Ave, Albany, NY 12210
6085 Route 19 N, Belmont, NY 14813
Broome County Office Building, 60 Hawley Street, 4th Floor, PO Box 1766, Binghamton, NY 13902-1766
One Leo Moss Drive, Suite 7610, Olean, NY 14760-1101
160 Genesee Street, Auburn, NY 13021-3483
7 North Erie Street, Mayville, NY 14757-1027
P.O. Box 588, 425 Pennsylvania Avenue, Elmira, NY 14902-0588
County Office Bldg., 5 Court St., Norwich, NY 13815-1794
135 Margaret Street, Suite 105, Plattsburgh, NY 12901-2966
325 Columbia Street, Hudson, NY 12534
County Office Building, 60 Central Avenue, Cortland, NY 13045-2746
97 Main Street, Suite 2, Delhi, NY 13753-1066
27 High Street, Poughkeepsie, NY 12601-1962
95 Franklin Street, Rm, 1329, Buffalo, NY 14202-3985
P.O. Box 217 - 100 Court Street, Elizabethtown, NY 12932-0217
355 West Main Street, Suite 447, Malone, NY 12953-1826
19 N. William Street, Johnstown, NY 12095-2534
Batavia=Genesee Senior Center, 2 Bank Street, Batavia, NY 14020-2299
411 Main Street, Catskill, NY 12414
Hamilton County ** see Warren/Hamilton
109 Mary Street, Suite 1101, Herkimer, NY 13350-2924
175 Arsenal Street 2nd Floor, Watertown, NY 13601
7660 N. State Street, Lowville, NY 13367-0408
3 Murray Hill Drive, Mt. Morris, NY 14510-1601
138 Dominick Bruno Blvd., Canastota, NY 13032
Monroe Community Hospital, 435 East Henrietta Road, Room 3rd Floor; West (Faith Wing), Rochester, NY 14620
135 Guy Park Avenue, Amsterdam, NY 12010
(518) 843-2300 ext. 229
60 Charles Lindbergh Boulevard, Suite #260, Uniondale, NY 11553-3691
2 Lafayette Street, 7th Floor, New York, NY 10007-1392
Within five buroughs of NYC - 311; Outside of buroughs - (212) 639-9675 or TTY (212) 504-4115
111 Main STreet, Suite 101, Lockport, NY 14094-3718
120 Airline Street - Suite 201, Oriskany, NY 13424
Civic Center - 10th Floor, 421 Montgomery Street, Syracuse, NY 13202
3019 County Complex Drive, Canandaigua, NY 14424-9502
18 Seward Avenue, Middletown, NY 10940
County Administration Building, 14016 Route 31 West, Albion, NY 14411-9382
County Office Complex, 70 Bunner St., PO Box 3080, Oswego, NY 13126-3080
Meadows Office Complex - Suite 5, 140 Co Hwy 33W, Cooperstown, NY 13326
110 Old Route 6, Bldg. A, Carmel, NY 10512-2196
(845) 808-1700 Ext. 47105
Department for the Aging, 1600 Seventh Avenue, Troy, NY 12180-3798
Robert L. Yeager Health Center, Bldg. B, 50 Sanatorium Road, Pomona, NY 10970-0350
80 State Highway 310, Suite 7, Canton, NY 13617-1497
152 West High Street, Ballston Spa, NY 12020-3828
107 Nott Terrace, Suite 202, Schaffer Heights, Schenectady, NY 12308-3170
(518) 382-8481 x9-313
113 Park Place, Suite 3, Schoharie, NY 12157
323 Owego Street, Unit 7, Suite 165, Montour Falls, NY 14865-9625
2465 Bonadent Drive, Suite 4, Waterloo, NY 13165-1681
Seneca Nation of Indians
Office for the Aging, 28 Thomas Indian School Drive, Irving, NY 14081
29 Business Park Road, Hogansburg, NY 13655
Mailing Address: 412 State Route 37, Akwesasne, NY 13655
3 E. Pulteney Square, Bath, NY 14810-1510
H. Lee Dennison Building, 3rd Floor, 100 Veterans Memorial Highway, P.O. Box 6100, Hauppauge, NY 12701
100 North Street, P.O. Box 5012, Sullivan County Government Center, Monticello, NY 12701
Department of Aging Services, Countryside Community Center, 9 Sheldon Guile Blvd., Owego, NY 13827
214 W. Martin Luther King Jr./State St./Ithaca, NY 14850
1003 Development Court, Kingston, NY 12401
Human Services Building, 1340 State Route 9, Lake George, NY 12845
Office for Aging and Disability Resource Center
1519 Nye Road, Suite 300, Lyons, NY 14489-9111
9 South First Avenue, 10th Floor, Mt. Vernon, NY 10550-3414
8 Perry Avenue, Warsaw, NY 14569
417 Liberty Street, Suite 1116, Penn Yan, NY 14527
If you're looking for information and assistance on long-term services and supports that can be provided in an ALR, NY Connects is a valuable resource.
Military veterans and their spouses who would like information on finding and financing residential or home-based senior care or understanding their benefits can contact their local VA center.
17 Computer Drive, West Albany, NY 12205
100 West Main STreet, Babylon, NY 11702
(631) 661-3930; (631) 661-3930
53 Chenango Street, Binghamton, NY 13901
2471 Morris Ave., Suite 1A, Bronx, NY 10468
25 Chape; St. Suite 604, Brooklyn, NY 11201
2372 Sweet Home Road, Amherst, NY 14228
2279 - 3rd Avenue, 2nd Floor, New York, NY 10035
32 Broadway 2nd Floor - Suite 200, New York, NY 10004
726 East Main Street, Suite 203, Middletown, NY 10940
970 South Broadway, Hicksville, NY 11801
75-10B 91 Avenue, Woodhaven, NY 11421
2000 S. Winton Road, Bldg 5, Ste. 201, Rochester, NY 14618
60 Bay Street, Staten Island, NY 10301
109 Pine Street, Suite 101, Syracuse, NY 13210
210 Court Street, Suite 20, Watertown, NY 13601
300 Hamilton Ave. Suite C, White Plains, NY 10601
Seniors who would like assistance understanding their Social Security benefits, including the SSI benefit, which some state residents can use to help pay for assisted living, can contact their local Social Security office.
11 Clinton Avenue, Albany, NY 12207
571 East Main STreet, Batavia, NY 14020
2 Court Street, Binghamton, NY 13901
1829 Southern Boulevard, Bronx, NY 10460
1029 East 163rd Street, Bronx, NY 10459
1380 Parker Street, Bronx, NY 10462
3247 Laconia Avenue, Bronx, NY 10469
820 Concourse Village West, Bronx, NY 10451
2501 Grand Concourse, Bronx, NY 10468
154 Pierrepont Street, Brooklyn, NY 11201
195 Montague Street, Brooklyn, NY 11201
2250 Nostrand Avenue, Brooklyn, NY 11210
7714 17th Avenue, Brooklyn, NY 11214
1111 Myrtle Avenue, Brooklyn, NY 11206
3386 Fulton Street, Brooklyn, NY 11208
1871 Rockaway Parkway, Brookly, NY 11236
1540 Fulton Street, Brooklyn, NY 11216
186 Exchange Street, Buffalo, NY 14204
200 Nasser Civic Center, Corning, NY 14830
437 Main Street, Dunkirk, NY 14048
100 West Church Street, Elmira, NY 14901
138-50 Barclay Avenue, Flushing, NY 11355
84 North Main Street, Freeport, NY 11520
15 Lewis Street, Geneva, NY 14456
13 North Arlington Avenue, Gloversville, NY 12078
747 Warren Street, Hudson, NY 12534
127 West State Street, Ithaca, NY 14850
155-10 Jamaica Avenue, Jamaica, NY 11432
321 Hazeltine Avenue, Jamestown, NY 14701
31-08 37th Avenue, Long Island City, NY 11101
1121 Walt Whitman Road, Melville, NY 11747
211 Station Road, Mineola, NY 11501
60 Jefferson Street Suite 4, Monticello, NY 12701
85 Harrison Street, New Rochelle, NY 10801
237 West 48th Street, New York, NY 10036
650 East 12th Street, New York, NY 10009
123 William Street, New York, NY 10038
302 West 126th Street, New York, NY 10027
345 East 102nd Street, New York, NY 10029
4292 Broadway, New York, NY 10033
175 North Union Street, Olean, NY 14760
31 Main Street, Oneonta, NY 13820
17 Fourth Avenue, Oswego, NY 13126
75 Oak Street, Patchogue, NY 11772
One Park Place, Peekskill, NY 10566
14 Durkee Street, Plattsburgh, NY 12901
332 Main Street, Poughkeepsie, NY 12601
17 Cronin Road, Queensbury, NY 12804
6344 Austin Street, Rego Park, NY 11374
526 East Main Street, Riverhead, NY 119014
4050 West Ridge Road, Rochester, NY 14626
100 Chestnut Street, Rochester, NY 14604
11306 Rockaway Beach Boulevard, Rockaway Park, NY 11694
One Broadway Center, Schenectady, NY 12305
240 West Nyack Road, West Nyack, NY 10994
1900 Ridge Road, West Seneca, NY 14224
297 Knollwood Road, White Plains, NY 10607
20 South Broadway, Yonkers, NY 10701
The NYS Ombudsman Program provides advocates to educate seniors of their rights and to investigate and resolve any problems that seniors may have while living in an ALR. Conversations with an ombudsman are confidential and complaints can even be made anonymously.
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.
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
Caring.com’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
The Bristal Assisted Living at Lynbrook
Lynbrook, NY Cost Levels
The Bristal at Sayville
Sayville, NY Cost Levels
The Fountains at Rivervue
Tuckahoe, NY Cost Levels
The Bristal Assisted Living at North Hills
North Hills, NY Cost Levels
Sunrise at Sheepshead Bay
Brooklyn, NY $$$
Liverpool, NY $$
Cortland, NY $$$
The Bristal at Lake Grove
Lake Grove, NY Cost Levels
The Hearth at Castle Gardens
Vestal, NY $$$