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Assisted Living vs. Memory Care

New York requires a Special Needs Assisted Living Residence (SNALR) certification for memory care -- an add-on to an ALR license, not a separate license category.

HomeComparisonsAssisted Living vs. Memory Care
Short answer

New York does not require a separate memory-care license distinct from assisted living. Dementia-specific care is delivered through a Special Needs Assisted Living Residence (SNALR) certification, an add-on to an existing ALR license under 10 NYCRR Part 1001 -- not a standalone category.

What physically differs

SNALR-certified neighborhoods are secured -- controlled or alarmed exits -- and staff receive dementia-specific training the base ALR license does not require. Ask specifically about wandering response: how exits are secured, what happens when a resident tries a door, and when an elopement last occurred at that specific community.

No state-published memory-care cost median exists in New York or any other state -- CareScout does not survey it as a category. Get quotes in writing at your parent's actual assessed care level rather than relying on an advertised “starting at” price.

Questions families ask

What does adult day care cost in New York, and could it help delay a move to assisted living?

CareScout's 2025 Cost of Care Survey puts New York State's Adult Day Health Care median at $144 per day, or about $3,120 per month based on five days a week, $37,440 per year. That's up from $113 per day in the 2024 survey, an increase of roughly 27 percent year over year, the largest percentage jump among CareScout's surveyed New York categories.

Is there a separate published cost for memory care in New York?

No. CareScout's Cost of Care Survey, the primary published cost benchmark used on this site, does not survey or publish a distinct memory care cost category in either its 2024 or 2025 New York State data tables. CareScout only publishes figures for Assisted Living Community, Nursing Home (semi-private and private), Adult Day Health Care, and in-home care categories.

Is there a Long Island-specific senior care cost figure, or only a statewide number?

Only a statewide figure is published. CareScout confirms that its publicly downloadable National and State Data Tables report, the source for the cost figures cited throughout this site, provides state-level and national medians only. CareScout's underlying survey does collect metro-area (MSA-level) data that feeds its separate interactive online cost calculator, but that breakout is not included in the downloadable state tables.

Who is the Long-Term Care Ombudsman for Suffolk County, and what do they do?

Suffolk County's regional Long-Term Care Ombudsman Coordinator is Elizabeth Maxim, sponsored by Family Service League (FSL), 1444 Fifth Ave., Bay Shore, NY 11706, phone 631-470-6755. The Ombudsman Program advocates for residents in Suffolk County skilled nursing homes, assisted living, adult homes, and family-type homes for adults, and operates as part of the statewide Long Term Care Ombudsman Program housed within the NY State Office for the Aging.

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