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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.

HomeServicesAssisted Living

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 34 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 34 verified assisted living providers across your metro. The full table with addresses and counties lives in the directory.

See all 34 in the directory →

Assisted Living by city

Questions families ask

I'm exhausted from caring for my spouse or parent - what support exists for caregivers on Long Island?

Both the Nassau County Office for the Aging (516-227-8900) and Suffolk County Office for the Aging (631-853-8200) serve as local NY Connects access points and can help connect exhausted family caregivers to respite options, including adult day health care, at a New York State median of $144 per day, and in-home caregiver support, at a state median of $35 per hour, which can relieve some of the daily burden without requiring a full residential placement.

We're running out of money to pay privately for my parent's care - what are our options?

Once private funds are running low, the relevant path for most Nassau and Suffolk families is long-term-care Medicaid, a separate, asset-tested eligibility pathway from general ACA Medicaid, which can cover nursing home care, Managed Long Term Care (MLTC)-coordinated home care, the Assisted Living Program (ALP), or NHTD waiver services, depending on the level of need. The county Office for the Aging (Nassau: 516-227-8900; Suffolk: 631-853-8200) is a starting point for understanding which of these pathways may apply.

How do we know it's actually time to move my parent out of their home?

There's no single trigger, but common signals include a recent fall or hospitalization, a new or worsening dementia diagnosis, the primary family caregiver reaching burnout, or private funds running low relative to ongoing care costs, any of which typically prompts a first call to the Nassau (516-227-8900) or Suffolk (631-853-8200) County Office for the Aging to understand available options before deciding.

What is Nassau County's Area Agency on Aging, and how do I reach them?

Nassau County's Area Agency on Aging is its Office for the Aging, part of the Department of Human Services, located at 60 Charles Lindbergh Blvd., Uniondale, NY 11553, phone 516-227-8900. Nassau was the first county government in the nation to establish a dedicated agency for its 60-plus population.

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