What state regulations govern nursing homes on Long Island?

Nursing homes in New York are licensed and regulated by NYSDOH under 10 NYCRR Part 415, Nursing Homes - Minimum Standards, a completely separate rule set from the Adult Care Facility regulations that govern assisted living. Families can search and compare Nassau and Suffolk nursing homes through the NYS Health Profiles Nursing Home Profiles tool. Note that as of mid-2025, CMS's migration to a new federal inspection database (iQIES) temporarily affected how current some posted inspection data is, so it's worth confirming a record's date.

What is an Enhanced Assisted Living Residence (EALR) and when would my parent need one?

An Enhanced Assisted Living Residence (EALR) is an additional certification an Assisted Living Residence can obtain to let residents age in place despite higher physical needs, specifically those who chronically need physical help walking or using stairs, depend on medical equipment requiring frequent professional assistance, or have chronic, unmanaged bowel or bladder incontinence. EALR care is delivered per an Individualized Service Plan and is regulated under the same 10 NYCRR Part 1001 rules as standard ALR and SNALR certifications.

Is there a local New York State office that oversees senior care facilities specifically on Long Island?

Yes. Long Island Adult Care Facilities fall under NYSDOH's Metropolitan Area Regional Office - Long Island (MARO-LI), located at 320 Carleton Avenue, Suite 5000, Central Islip, NY 11722, phone 631-851-3098. This regional office handles licensing oversight and inspections for Nassau and Suffolk County facilities rather than families needing to go through a statewide-only office.

Do I have to enroll in an MLTC plan for home care in Nassau or Suffolk County?

Yes - Managed Long Term Care (MLTC) enrollment is mandatory in both Nassau and Suffolk counties for dual-eligible Medicaid recipients age 21 and older who need community-based long-term care services for more than 120 days. NYSDOH extended mandatory MLTC enrollment to Nassau, Suffolk, and Westchester counties beginning in the 2013 transition period, and that mandatory enrollment structure remains in effect. MLTC plans coordinate home care, adult day care, nursing home care, and related services through a single managed care plan rather than fee-for-service Medicaid.

Nursing Homes | What It Costs and How Your State Licenses It

A skilled nursing facility provides 24-hour licensed nursing, regulated under a separate rule chapter from assisted living: 10 NYCRR Part 415 in New York. Two different populations often live under the same roof: short-term rehab patients and long-term residents.

Short answer

We list 48 verified nursing homes providers across your metro. A skilled nursing facility provides 24-hour licensed nursing, regulated under a separate rule chapter from assisted living: 10 NYCRR Part 415 in New York.

Three things worth knowing first

Medicare may cover a short rehab stay after a qualifying inpatient hospital admission, but it does not pay for long-term custodial nursing care.
Nursing facilities are the one senior care category with federal CMS star ratings.
Get your state's semi-private and private-room medians from CareScout, and note that semi-private is often Medicaid-weighted and lower than a private-pay quote.

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 nursing homes across the region

We list 48 verified nursing homes providers across your metro. The full table with addresses and counties lives in the directory.

Gurwin Jewish Nursing & Rehabilitation Center — Commack
Island Nursing and Rehab Center — Holtsville
Jefferson's Ferry — South Setauket
Peconic Landing — Greenport
San Simeon by the Sound Center for Nursing and Rehabilitation — Greenport
The Hamptons Center for Rehabilitation and Nursing — Southampton

See all 48 in the directory →

Nursing Homes in your area

Three things worth knowing first

Verified nursing homes across the region

Nursing Homes by city

Nursing Homes in Huntington

Nursing Homes in Hempstead

Nursing Homes in Garden City

Nursing Homes in Levittown

Nursing Homes in Freeport

Nursing Homes in Long Beach

Nursing Homes in Massapequa

Nursing Homes in Great Neck

Nursing Homes in Mineola

Nursing Homes in Rockville Centre

Nursing Homes in Babylon

Nursing Homes in Islip

Nursing Homes in Bay Shore

Nursing Homes in Patchogue

Nursing Homes in Smithtown

Nursing Homes in Riverhead

Nursing Homes in Port Jefferson

Nursing Homes in Commack

Nursing Homes in Brentwood

Nursing Homes in Oyster Bay

Nursing Homes in Glen Cove

Nursing Homes in Plainview

Nursing Homes in Syosset

Nursing Homes in Farmingdale

Nursing Homes in Wantagh

Nursing Homes in Seaford

Nursing Homes in Bethpage

Nursing Homes in Merrick

Nursing Homes in Bellmore

Nursing Homes in Oceanside

Nursing Homes in Deer Park

Nursing Homes in Lindenhurst

Nursing Homes in Amityville

Nursing Homes in Ronkonkoma

Nursing Homes in Selden

Nursing Homes in Centereach

Nursing Homes in Kings Park

Nursing Homes in St. James

Nursing Homes in Sayville

Nursing Homes in Southampton

Nursing Homes in Stony Brook

Nursing Homes in New Hyde Park

Nursing Homes in Uniondale

Nursing Homes in Hauppauge

Nursing Homes in West Babylon

Nursing Homes in Westbury

Nursing Homes in Valley Stream

Nursing Homes in Port Washington

Nursing Homes in Franklin Square

Nursing Homes in Woodmere

Questions families ask

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