Rochester Senior AdvisorWhat does assisted living cost in New York?
CareScout's 2025 Cost of Care Survey puts New York's median for an assisted living community at $7,110 a month, $85,320 a year, against a national median of $74,400 a year.
| Care type (New York, 2025) | Annual median | About per month | Rate | U.S. annual median |
|---|---|---|---|---|
| Assisted living community | $85,320 | $7,110 | $225 | $74,400 |
| Nursing home, semi-private room | $186,333 | $15,528 | $511 | $114,975 |
| Nursing home, private room | $200,750 | $16,729 | $550 | $129,575 |
| Non-medical caregiver, 44 hrs/week | $80,080 | $6,673 | $35/hour | $80,080 |
| Adult day health care, 5 days/week | $37,440 | $3,120 | $144/day | $24,700 |
CareScout Cost of Care Survey 2025, Median Cost Data Tables (survey July-November 2025, published March 2, 2026). CareScout publishes New York statewide medians only; it publishes no Rochester, metro or memory care figure.
That is a statewide figure that blends New York City and Long Island prices with upstate ones. CareScout publishes no Rochester-area figure in its data tables, so we do not print one. Treat the state median as a ceiling check rather than a local price, and get written quotes from the residences on your list.
What does a nursing home cost in New York?
A semi-private nursing home room has a 2025 New York median of $15,528 a month ($511 a day) and a private room $16,729 a month ($550 a day), well above the national semi-private median of $114,975 a year.
Medicaid uses its own figure for the Rochester region when it calculates transfer penalties: $15,675 a month for 2026 in Monroe, Ontario, Wayne and Livingston counties, and $13,765 for the Western region that includes Orleans County. Those regional rates are an official benchmark of what a month of nursing home care costs locally.
What does in-home care cost per hour in New York?
CareScout's 2025 New York median for a non-medical caregiver is $35 an hour, which works out to about $6,673 a month at 44 hours a week.
Agencies around Rochester often set minimum shift lengths, and overnight or live-in care is priced differently. The hourly math shows where paying by the hour overtakes a monthly assisted living rate.
What does adult day health care cost in New York?
The 2025 New York median for adult day health care is $144 a day, about $3,120 a month for five days a week.
Medical adult day health care programs are licensed by the Department of Health and some are Medicaid-funded; social adult day programs, like those listed by the Monroe County Office for the Aging, are separate and often cost less.
Is there a published price for memory care in Rochester?
No; CareScout does not survey memory care at all, and no state agency publishes a Rochester memory care price, so any figure you see online for local memory care is an estimate, not a survey result.
SNALR beds usually cost more than standard assisted living in the same building. Ask each residence for its SNALR monthly rate and its level-of-care charges in writing, then compare like with like.
At a glance
| These figures are | These figures are not | |
|---|---|---|
| Source | CareScout's 2025 New York medians | A Rochester-only survey |
| Memory care | Not surveyed by anyone we can cite | Estimated by us |
| Nursing homes | State medians plus Medicaid's regional rate | A quote from a specific home |
| Use | A budget starting point | A price you will be charged |
Sources include the N.Y. Social Services Law and Public Health Law, 18 NYCRR Parts 487-494, 10 NYCRR Parts 415 and 1001, Department of Health GIS messages, CMS, the VA and CareScout, as cited above; see our editorial standards.
