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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

What's the difference between a CCRC or Life Plan Community and a standalone assisted living or nursing facility on Long Island?

A Continuing Care Retirement Community (CCRC), also called a Life Plan Community, offers a full continuum of care, independent living, assisted living, memory care, and skilled nursing, on one campus, so a resident can move between levels of care as needs change without relocating to a different facility or provider. Long Island examples include Jefferson's Ferry in South Setauket, which describes itself as Long Island's first Life Plan Community, and Peconic Landing in Greenport, which describes itself as New York's only equity-based CCRC; a standalone assisted living or nursing facility, by contrast, offers only one level of care and requires a resident to move elsewhere if their needs change.

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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