Rochester Senior AdvisorWhat do Rochester Senior Advisor's guides cover?
Our 12 guides cover New York's adult home and assisted living certifications, SNALR memory care, inspection records, costs and Medicaid, the Assisted Living Program, hospital discharge in Rochester, and county-by-county help across the five counties, each sourced to New York rules, state agencies or federal data.
New guides publish on a regular schedule; the newest appears in the footer of every page. Each guide opens with a short answer, includes at least one data table, and ends with the questions families ask about it.
How are the guides different from the rest of the site?
The rules, costs and directory pages are reference material; the guides take one situation or decision at a time and walk through it the way a family would face it, linking back to the reference pages for the full rules.
If a guide and a reference page ever disagree, the reference page is updated first and the guide is corrected.
A Rochester Winter Checklist for Families With an Aging Parent at Home
Lake-effect snow, ice and short days are a real health risk for older adults living alone. Here is what to set up before the first storm.
Read the guide →October 21, 2026ElderONE and PACE in Rochester: How It Works and Who It Fits
PACE combines all medical care, a day center and home care under one team. ElderONE is the only PACE program in the Rochester area. Here is how it compares with a regular Medicaid plan.
Read the guide →October 19, 2026Senior Care in Wayne, Livingston and Orleans Counties: Fewer Choices, Closer Ties
The three rural counties around Rochester have few assisted living residences and rely on county-run nursing homes and home care. Here is what exists and how families plan.
Read the guide →October 14, 2026Senior Care in Ontario County: Canandaigua, Geneva, Victor and Clifton Springs
Ontario County has the oldest population of our five counties and a compact set of licensed care. Here is every residence and nursing home, and how families there choose.
Read the guide →October 12, 2026Leaving Strong, Highland, Rochester General or Unity: A Discharge Checklist for Families
Most senior care decisions in Rochester start in a hospital room with a discharge date already set. This checklist puts the steps in order.
Read the guide →October 7, 2026Stipulations and Orders: The Enforcement Actions on Rochester Assisted Living Records
A handful of Rochester-area residences have settled civil penalties with the Department of Health in the last four years. Here is the full list and how to read it.
Read the guide →October 5, 2026Rochester Nursing Homes and New York's 3.5-Hour Staffing Rule: What CMS's Numbers Show
New York requires 3.5 hours of nursing care per resident per day. CMS's payroll data lets families check every Rochester-area home against it.
Read the guide →September 30, 2026New York Medicaid's 2026 Numbers, Explained for Rochester Families
The Department of Health published the 2026 Medicaid levels in January and February. Here is what each number means for a Rochester family planning long-term care.
Read the guide →September 23, 2026The Assisted Living Program Around Rochester: Where the Medicaid Beds Are and How the Money Works
New York's Assisted Living Program is the only way Medicaid pays for care in an assisted living setting. Rochester has a limited number of these beds.
Read the guide →September 16, 2026Enhanced Assisted Living in Rochester: What an EALR Bed Lets a Parent Do
The EALR certification is what lets a resident stay when walking, transfers or incontinence get harder. Here is how many Rochester-area beds there are and what to ask.
Read the guide →September 9, 2026Rochester Memory Care by the Numbers: Where New York Says the SNALR Beds Are
New York counts memory care beds in assisted living every quarter. Here is where they are across Monroe County and the four counties around it.
Read the guide →September 2, 2026How to Read a Rochester Assisted Living Residence's Inspection Record on NYS Health Profiles
Every licensed adult home and assisted living residence near Rochester has a public inspection record. Here is how to read one in ten minutes.
Read the guide →