Rochester Senior AdvisorMonroe County is the urban center of the region: the City of Rochester and 19 surrounding towns from Hamlin and Webster on Lake Ontario to Wheatland and Mendon in the south, with about 750,506 residents in 2025 Census estimates.
Most of the region's hospitals, licensed residences and nursing homes are here. Because the county is large, we break it down by town; the links below go to each town page. Monroe County's Office for the Aging contracts much of its work to local nonprofits such as Lifespan and Catholic Charities.
How many seniors and licensed care options are in Monroe County, New York?
Monroe County had about 158,814 residents 65 and older (21.2% of 750,506) and 19,453 aged 85 and older on July 1, 2025, and the New York State Department of Health licenses 34 adult care facility buildings and 32 nursing homes there.
| Available in Monroe County | Not available in Monroe County | |
|---|---|---|
| Licensed here (NYSDOH roster) | Licensed residences (adult homes & enriched housing): 34, Nursing homes: 32, Certified home health agencies: 3, Licensed home care agencies: 37, Hospices: 2, Adult day health care: 1 | — |
| Not licensed here | — | Every category is represented |
| SNALR memory care | 22 residences | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
How fast is Monroe County's older population growing?
Residents 65 and older rose from about 140,331 in the 2020 estimates base to 158,814 in 2025, a 13% increase, while the county's total population went from 759,385 to 750,506.
The county's median age is 40.4. Older residents now make up 21.2% of the population, and the 85-and-older group is the one that drives demand for daily help.
Where is licensed senior care located within Monroe County?
Of Monroe County's 34 licensed residences, 2 are in the City of Rochester and the rest in the towns; the city holds 10 of the county's 32 nursing homes.
| City or town | Licensed residences | Nursing homes |
|---|---|---|
| City of Rochester | 2 | 10 |
| Greece | 8 | 5 |
| Irondequoit | 2 | 1 |
| Brighton | 3 | 6 |
| Pittsford | 3 | 1 |
| Penfield | 4 | 1 |
| Webster | 1 | 2 |
| Perinton & Fairport | 4 | 3 |
| Henrietta | 2 | 0 |
| Gates | 1 | 1 |
| Chili | 2 | 0 |
| Brockport, Sweden & Clarkson | 1 | 1 |
Other towns with licensed facilities: Ogden (1), Parma (1).
Who helps seniors and caregivers in Monroe County, NY?
Monroe County Office for the Aging at (585) 753-6280 is the county's Area Agency on Aging and the place to start for NY Connects, HIICAP, home-delivered meals and in-home services; Adult Protective Services is reached at (585) 753-6532.
Lifespan of Greater Rochester's long-term care ombudsman program, 585-244-8400 ext. 114, covers residents of nursing homes and adult care facilities in this county. ElderONE, the area's PACE program, serves the county.
Which hospitals serve Monroe County seniors?
The state roster lists 6 hospitals in Monroe County, run by UR Medicine (Strong Memorial, Highland and Strong West) and Rochester Regional Health (Rochester General, Unity and Unity Specialty), and most nursing home and assisted living referrals begin with a discharge from one of them.
- Highland Hospital (UR Medicine, City of Rochester)
- Rochester General Hospital (Rochester Regional Health, City of Rochester)
- Strong Memorial Hospital (UR Medicine, City of Rochester)
- The Unity Hospital of Rochester (Rochester Regional Health, Town of Greece)
- URMC Strong West (UR Medicine, Town of Clarkson)
- Unity Specialty Hospital (Rochester Regional Health, City of Rochester)
