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What Senior Care Costs

Published New York State median costs for assisted living, nursing homes, in-home care and adult day care, with the caveats that matter.

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What senior care costs in your metro

CareScout's 2025 Cost of Care Survey -- the most widely cited source -- publishes New York state medians only. There is no Nassau County, Suffolk County or Long Island-specific figure from any primary source. Local Long Island pricing likely runs at or above the state median given the region's cost of living, but this site cites the state figure and says so rather than inventing a local number.

Care typeMonthly medianBasis
Assisted living community (private, one bedroom)$7,110/monthper month, New York State median
Nursing home, semi-private room$15,528/monthper month, New York State median
Nursing home, private room$16,729/monthper month, New York State median
Non-medical caregiver (homemaker/home health aide)$6,673/monthper month at 44 hrs/week, New York State median ($35/hour)
Adult day health care$3,120/monthper month, New York State median ($144/day)

New York State medians, 2025 CareScout Cost of Care Survey (survey period July-November 2025; published ~March 2026).

Source: 2025 CareScout Cost of Care Survey (survey period July-November 2025; published ~March 2026)

There is no published memory-care median anywhere — CareScout does not survey it as a category. Never invent one.

Questions families ask

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.

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

Suffolk County's Area Agency on Aging is its Office for the Aging, explicitly designated the Area Agency on Aging under the Older Americans Act, located at the H. Lee Dennison Building, 100 Veterans Memorial Highway, Hauppauge, NY 11788, phone 631-853-8200. The office has administered federal, state, and county aging programs for nearly 50 years.

Which has a bigger senior population - Nassau County or Suffolk County?

Suffolk County has slightly more seniors in raw numbers, about 291,400 residents age 65 and older versus Nassau's roughly 273,100, but Nassau has a slightly higher senior share of its total population, 19.6 percent versus roughly 19 percent in Suffolk. Both figures come from 2024 USAFacts/Census Bureau estimates, and both exceed the New York State average senior share of 18.9 percent.

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