About Assisted Living in New York

Many things are appealing about retiring in New York, including its natural beauty, cultural activities, and international airports. Parts of the state are free of the hustle and bustle of the big city, and are home to historic sites or cultural venues for the arts. The cost of living is significantly higher than the national average, and income and property taxes are high in many areas.

What Options are Available for Assisted Living?

An assisted living residence (ALR) provides a variety of services in a homelike setting for 5 or more adults, taking into account the resident’s dignity, autonomy, independence, and privacy, while also remaining consistent with the resident’s preferences and physical and mental status. Enhanced assisted living has been certified by the state to provide “aging in place” by retaining residents who wish to continue to live in the facility and who require physical assistance with mobility, depend on medical equipment or personnel, or have chronic unmanaged incontinence.

Assisted living programs (ALPs) are responsible for providing residents with long term residential care and are required to hold dual licenses/certifications as a home health or enriched housing program and as a licensed home care services agency (LHCSA), long term home health care program, or certified home health agency (CHHA).

The assisted living operator is required to disclose information along with any marketing materials. This information must include the resident’s licensure information and list of enhanced services, specific ownership information, services and arrangements, health care options, availability of public funds for payment and additional services, and toll free numbers for the Department of Health and state and local ombudsmen.

Adult care facilities (ACFs) provide supervision and personal care for individuals with functional and/or cognitive impairments.

Smoke detectors, fire alarms, and sprinkler systems must be used in accordance with state laws and International Building Codes. Fire protection systems must be connected directly to local fire departments or other centrally attended station.

What Training is Required for Assisted Staff?

Both enriched housing programs and adult homes must provide orientation and in-services training to meet the needs of the resident population, including resident rights, program rules and regulations, duties and responsibilities, and emergency procedures.

ACFs require additional training for Alzheimer’s and other cognitive impairments, including behavioral symptoms and mental and emotional changes.

Senior Assisted Living Details and Costs for Cities in New York

Listed below are some of the larger cities in New York. Each city page provides details on assisted living housing, independent living, senior group homes, and memory care. City pages may include details on costs, amenities, medical care, among other information.

Is an Assessment Required Before Move-In?

A resident assessment is required to develop an individualized service plan (ISP) to address medical, nutritional, rehabilitation, functional, cognitive, and other resident needs. The ISP must be reviewed and revised at least once every 6 months or if there is a change in the resident’s care needs.

What Care is Available in an Assisted Living Program?

  • 24-hour supervision.
  • Personal care, including assistance with activities of daily living (ADLs).
  • Housekeeping.
  • Case management.
  • Activities.
  • Food service.
  • Assistance with medication.

The facility may contract a 3rd party home health agency for long term health care.

How is Medication Managed?

Assistance with self-administration of medication is available if required, including prompting, storing and identifying medication, opening containers, positioning the resident, and disposing of used supplies.

What are the Bathroom Requirements for an Assisted Living Program?

Enriched housing programs must provide 1 toilet, sink, and shower or tub for every 3 residents, while adult homes must provide 1 toilet and sink for every 6 residents and 1 shower or tub for every 10.

What are the Move-In or Move-Out Requirements?

Adult homes and enriched housing can only admit residents whose needs can be met by the facility, and they may not admit or retain residents who:

  • Need continuous nursing care.
  • Are chronically bedfast or chairfast.
  • Are cognitively, physically, or mentally impaired to the point their safety and the safety of others is compromised.

In a certified enhanced assisted living residence a resident may continue residency if they require 24-hour skilled nursing, as long as they:

  • Personally hire appropriate nursing, medical, or hospice staff to meet their needs.
  • Receive approval from their personal physician and a home health care agency that their needs can be cared for safely within the residence.
  • Receive approval from the residence to remain at the facility, and allow the facility to coordinate provider care.

Is Assisted Living Covered by Medicaid in the State of New York?

ALPs may receive Medicaid reimbursement for health care services, with a capacity of 4,200 beds statewide. No reimbursement is available for individuals living in assisted living residences (ALRs).

Who can I contact for more information?

Department of Health
Contact DoH
(518) 408-1600