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Assisted Living in your area

Help with daily activities in a New York State Adult Care Facility with Assisted Living Residence (ALR) certification, with meals, housekeeping and medication assistance included.

Quick answer

New York's Department of Health regulates assisted living through the state's Adult Care Facility and Assisted Living Residence system.

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Assisted living is for someone who is largely independent but needs a reliable hand with the everyday things — bathing, dressing, medications, meals, getting to appointments. In New York, this means an Adult Care Facility license with Assisted Living Residence (ALR) certification under 10 NYCRR Part 1001.

Short answer

We list 58 verified assisted living providers across your metro. Assisted living is for someone who is largely independent but needs a reliable hand with the everyday things — bathing, dressing, medications, meals, getting to appointments.

Three things worth knowing first

  • Ask which services are included in the base rate versus billed as a separate care level.
  • Ask whether the community participates in the Assisted Living Program (ALP) and how many current residents use it.
  • Ask what happens if your parent's needs exceed the community's admission/retention limits under its ALR/EALR certification.
How New York licenses assisted living. New York layers Adult Care Facility, ALR, EALR and SNALR certifications rather than issuing one flat license. Read the full explanation →

Verified assisted living across the region

We list 58 verified assisted living providers across your metro. The full table with addresses and counties lives in the directory.

See all 58 in the directory →

Assisted Living by city

Assisted Living in Huntington

1 verified · Suffolk County

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Assisted Living in Hempstead

0 verified · Nassau County

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Assisted Living in Garden City

1 verified · Nassau County

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Assisted Living in Levittown

1 verified · Nassau County

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Assisted Living in Freeport

0 verified · Nassau County

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Assisted Living in Long Beach

0 verified · Nassau County

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Assisted Living in Massapequa

1 verified · Nassau County

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Assisted Living in Great Neck

2 verified · Nassau County

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Assisted Living in Mineola

0 verified · Nassau County

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Assisted Living in Rockville Centre

1 verified · Nassau County

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Assisted Living in Babylon

0 verified · Suffolk County

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Assisted Living in Islip

0 verified · Suffolk County

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Assisted Living in Bay Shore

2 verified · Suffolk County

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Assisted Living in Patchogue

1 verified · Suffolk County

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Assisted Living in Smithtown

1 verified · Suffolk County

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Assisted Living in Riverhead

0 verified · Suffolk County

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Assisted Living in Port Jefferson

0 verified · Suffolk County

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Assisted Living in Commack

1 verified · Suffolk County

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Assisted Living in Brentwood

0 verified · Suffolk County

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Assisted Living in Oyster Bay

1 verified · Nassau County

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Assisted Living in Glen Cove

3 verified · Nassau County

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Assisted Living in Plainview

2 verified · Nassau County

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Assisted Living in Syosset

0 verified · Nassau County

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Assisted Living in Farmingdale

0 verified · Nassau County

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Assisted Living in Wantagh

0 verified · Nassau County

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Assisted Living in Seaford

0 verified · Nassau County

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Assisted Living in Bethpage

1 verified · Nassau County

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Assisted Living in Merrick

0 verified · Nassau County

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Assisted Living in Bellmore

1 verified · Nassau County

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Assisted Living in Oceanside

0 verified · Nassau County

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Assisted Living in Deer Park

0 verified · Suffolk County

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Assisted Living in Lindenhurst

0 verified · Suffolk County

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Assisted Living in Amityville

0 verified · Suffolk County

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Assisted Living in Ronkonkoma

0 verified · Suffolk County

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Assisted Living in Selden

0 verified · Suffolk County

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Assisted Living in Centereach

0 verified · Suffolk County

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Assisted Living in Kings Park

1 verified · Suffolk County

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Assisted Living in St. James

0 verified · Suffolk County

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Assisted Living in Sayville

2 verified · Suffolk County

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Assisted Living in Southampton

0 verified · Suffolk County

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Assisted Living in Stony Brook

0 verified · Suffolk County

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Assisted Living in New Hyde Park

0 verified · Nassau County

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Assisted Living in Uniondale

0 verified · Nassau County

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Assisted Living in Hauppauge

1 verified · Suffolk County

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Assisted Living in West Babylon

1 verified · Suffolk County

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Assisted Living in Westbury

2 verified · Nassau County

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Assisted Living in Valley Stream

0 verified · Nassau County

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Assisted Living in Port Washington

0 verified · Nassau County

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Assisted Living in Franklin Square

1 verified · Nassau County

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Assisted Living in Woodmere

0 verified · Nassau County

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Questions families ask

What is New York's Assisted Living Program (ALP) and how is it different from private-pay assisted living?

The Assisted Living Program (ALP) is New York's Medicaid-funded alternative to nursing home placement, operating inside licensed Adult Homes or Enriched Housing Programs rather than as a separate building type. It serves people who are medically eligible for nursing home care but can safely be served in a less medically intensive, lower-cost setting, covering personal care, room and board, housekeeping, home health aides, nursing, therapy, medical equipment, adult day health care, and RN case management. ALP is regulated under 18 NYCRR Part 494.

My mom is 68 with a low income - does New York's ACA Medicaid expansion cover her nursing home or home care costs?

No. New York's 2014 ACA Medicaid expansion covers a different population: adults ages 19-64 without dependent children, up to 138% of the federal poverty level, with no asset test. Long-term care Medicaid for seniors is a completely separate eligibility pathway - it is asset and resource-tested, applies to people 65 and older or those needing institutional-level care, and is what actually covers nursing home care, MLTC, the ALP, and NHTD waiver services.

How much money can my spouse keep if I go on Medicaid for nursing home care in New York in 2026?

For 2026, the community spouse may generally keep the greater of the state minimum Community Spouse Resource Allowance ($74,820) or half of the couple's countable resources, up to the federal maximum of $162,660. The community spouse is also entitled to a Minimum Monthly Maintenance Needs Allowance of $4,066.50 per month from the institutionalized spouse's income. These figures come from NYSDOH's GIS 26 MA/03 guidance, effective January 1, 2026.

How much spending money is a Medicaid nursing home resident allowed to keep each month in New York?

New York's Nursing Home Resident Personal Needs Allowance is $50 per month - the amount a Medicaid-funded nursing home resident is permitted to keep from their own income for personal expenses, with the rest going toward the cost of their care. According to the NY State Office for the Aging (NYSOFA), this figure has been unchanged since the 1980s, and NYSOFA notes that 33 other states currently pay a higher PNA, ranging from $52 to $200.

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