How many adult care facilities are there in New York?

Our New York directory lists 531 licensed adult care facilities across 266 cities. The largest concentrations are in Suffolk County, Nassau County, Westchester County.

What is an adult care facility in New York?

"Adult Care Facility" is the New York licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Family-type homes serve up to 4 residents; adult homes and enriched housing programs are larger. New York also licenses homes under the terms "adult home", "enriched housing program", and "family-type home".

How much does assisted living cost in New York?

The median assisted living rate in New York is $7,110 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.

Who licenses adult care facilities in New York?

New York State Department of Health licenses and inspects every adult care facility in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Does Medicaid pay for adult care facilities in New York?

New York Medicaid pays for care in designated Assisted Living Program beds; room and board are paid separately. Eligibility rules and waitlists vary, so confirm current terms with the state before you count on coverage.

Adult Care Facilities in New York

New York Adult Care Facilities Directory

531 licensed adult care facilities across 266 cities.

New York licenses Adult Care Facilities through the Department of Health, including Adult Homes and Enriched Housing Programs. The state has more than 500 licensed adult care settings, concentrated in New York City, the Hudson Valley, and upstate metro areas like Rochester and Syracuse.

See what care costs here, or learn how adult care facilities work.

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39 counties

Cities in New York

266 cities

New York care costs at a glance

Median monthly figures for New York. Small residential homes often price below the assisted living median because they carry lower overhead, though rates rise with care needs. Ask any home for its rate sheet in writing.

Type of care	Median per month
Assisted living Monthly median, one resident	$7,110
In-home care Non-medical caregiver, 44 hours a week	$6,673
Nursing home Semi-private room	$15,528

Home care median is CareScout's non-medical caregiver rate at 44 hours per week.

Source: CareScout (formerly Genworth) Cost of Care Survey, 2025.

Full cost breakdown for New York adult care facilities →

Talk through your shortlist with an advisor

A Place For Mom connects families with local senior living advisors. The guidance is free for families; advisors are paid by the communities that participate in their network. An advisor can help you build a shortlist and schedule tours. The judging stays with you: verify any home you are considering against the state license database, whoever recommended it.

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What small care homes are called in New York

Licensing term: adult care facility (ACF)
Related license types: adult home, enriched housing program, family-type home
Size and capacity: Family-type homes serve up to 4 residents; adult homes and enriched housing programs are larger.
Licensed and inspected by: New York State Department of Health

Check any home you are considering against the state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Search the New York license database → What "Adult care home" means →

Does Medicaid pay in New York?

New York Medicaid pays for care in designated Assisted Living Program beds; room and board are paid separately.

How Medicaid covers residential care →

Common questions about adult care facilities in New York

How many adult care facilities are there in New York?: Our New York directory lists 531 licensed adult care facilities across 266 cities. The largest concentrations are in Suffolk County, Nassau County, Westchester County.
What is an adult care facility in New York?: "Adult Care Facility" is the New York licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Family-type homes serve up to 4 residents; adult homes and enriched housing programs are larger. New York also licenses homes under the terms "adult home", "enriched housing program", and "family-type home".
How much does assisted living cost in New York?: The median assisted living rate in New York is $7,110 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.
Who licenses adult care facilities in New York?: New York State Department of Health licenses and inspects every adult care facility in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.
Does Medicaid pay for adult care facilities in New York?: New York Medicaid pays for care in designated Assisted Living Program beds; room and board are paid separately. Eligibility rules and waitlists vary, so confirm current terms with the state before you count on coverage.

Keep looking

Largest New York city directories

Neighboring states

Estimate monthly costs → What adult care facilities are → Read the New York guide → All state directories →