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Long Island Senior Advisor

About Long Island Senior Advisor

HomeAbout Long Island Senior Advisor

What we do

We help families across Nassau and Suffolk counties find senior care, and we publish what we can verify about how senior care works in New York State. That is the whole business.

How we are paid, stated plainly

Our service is free to families because senior living communities pay us a referral fee when a family we introduce moves in. We think you should know that on the first page you read rather than find it in a footer, because it is the thing most likely to bias a referral service.

Two consequences worth naming. First, we have a financial interest in you choosing a community that pays referral fees, and not every good option does. Ask us about those anyway; we will tell you what we know. Second, the fee does not vary by community in a way that should steer a recommendation, and if an advisor ever pushes a specific building without a reason that makes sense to you, push back.

Our editorial standard

We publish figures we can trace to a primary source. Where a widely-repeated number cannot be traced — metro-specific cost of care data is the clearest example — we say that instead of repeating it. Where a source is disputed, we flag the dispute.

What we are not

  • We are not affiliated with any state health department, department of aging, Area Agency on Aging, or any government agency.
  • We do not provide medical, legal or financial advice.
  • We do not operate, own or manage any senior living community.
  • We do not publish paid reviews or rankings.

Questions families ask

Who regulates assisted living facilities on Long Island?

New York State Department of Health (NYSDOH) licenses and regulates assisted living as part of its Adult Care Facility (ACF) program, which covers Adult Homes, Enriched Housing Programs, and Assisted Living Residences (ALR). Long Island facilities are overseen locally through NYSDOH's Metropolitan Area Regional Office - Long Island (MARO-LI) in Central Islip. Nursing homes are licensed separately by NYSDOH under a different set of regulations (10 NYCRR Part 415).

What's the difference between an Adult Home, Enriched Housing Program, and Assisted Living Residence in NY?

Adult Homes and Enriched Housing Programs (EHP) are New York's two base licensed categories providing room, board, housekeeping, and personal care to five or more unrelated adults, with EHP generally serving residents 65+ in more independent, apartment-style settings. An Assisted Living Residence (ALR) is an additional certification layered on top of an existing Adult Home or EHP license - it cannot exist as a standalone building type. Adult Homes and EHPs are regulated under 18 NYCRR Parts 487 and 488; ALRs are regulated under 10 NYCRR Part 1001.

How do I check if a Long Island assisted living facility has a clean inspection record?

New York State publishes licensing status and inspection history for every Adult Care Facility, including Assisted Living Residences, on the NYS Health Profiles website (profiles.health.ny.gov/acf), searchable by county, name, or facility type. Each facility's profile page includes an Inspections tab showing survey results. NYSDOH also publishes a statewide Consumer Information Guide: Assisted Living Residence that explains how to read these records.

Is memory care a licensed category in New York, or just a marketing term?

New York does not have a separate memory care license. Dementia and cognitive-impairment care is addressed through the Special Needs Assisted Living Residence (SNALR) certification, an additional certification layered onto an existing Assisted Living Residence license under 10 NYCRR Part 1001. Families should verify a facility's actual SNALR certification on NYS Health Profiles rather than relying on a memory care sign or brochure.

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