Rochester Senior AdvisorOntario County lies southeast of Monroe County, from Victor and Farmington at the Monroe line down to Canandaigua Lake and the city of Geneva on Seneca Lake, with Canandaigua as its county seat; about 113,130 people lived there on July 1, 2025.
It is the oldest of the five counties by age: Census estimates put 25.1% of its residents at 65 or older and its median age at 45.1. Its hospitals are F.F. Thompson in Canandaigua, Clifton Springs Hospital and Clinic, and Geneva General.
How many seniors and licensed care options are in Ontario County, New York?
Ontario County had about 28,437 residents 65 and older (25.1% of 113,130) and 3,190 aged 85 and older on July 1, 2025, and the New York State Department of Health licenses 7 adult care facility buildings and 6 nursing homes there.
| Available in Ontario County | Not available in Ontario County | |
|---|---|---|
| Licensed here (NYSDOH roster) | Licensed residences (adult homes & enriched housing): 7, Nursing homes: 6, Licensed home care agencies: 5, Adult day health care: 1 | — |
| Not licensed here | — | Certified home health agencies, Hospices |
| SNALR memory care | 3 residences | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
How fast is Ontario County's older population growing?
Residents 65 and older rose from about 24,183 in the 2020 estimates base to 28,437 in 2025, a 18% increase, while the county's total population went from 112,476 to 113,130.
The county's median age is 45.1. Older residents now make up 25.1% of the population, the highest share of the five counties.
Which senior care facilities are licensed in Ontario County?
Every licensed adult care facility and nursing home in Ontario County on the Department of Health's roster is listed below, with certified beds, memory care beds and the latest state inspection for residences.
| Facility | License | Certified capacity | SNALR (memory care) beds | Town | Latest DOH inspection | Violations, 4-yr window |
|---|---|---|---|---|---|---|
| Ashton Place 190 Ashton Court, Clifton Springs 14432 | EHP | 60 | 0 | Manchester | 01/21/2026 | 1 |
| Clark Meadows at Ferris Hills 1 Clark Mdws, Canandaigua 14424 | EHP | 59 | 14 | Canandaigua | 01/24/2025 | 1 |
| Horizons 3132 State Route 21 South, Canandaigua 14424 | AH | 76 | 0 | Canandaigua | 05/29/2026 | 19 |
| Quail Summit 5102 Parrish Street Ext., Canandaigua 14424 | EHP | 55 | 22 | Canandaigua | 03/11/2026 | 14 |
| Seneca Lake Terrace Assisted Living Center 3670 Pre Emption Rd, Geneva 14456 | AH | 66 | 12 | Geneva | 06/03/2026 | 55 |
| The Clark Manor House 318 Fort Hill Avenue, Canandaigua 14424 | AH | 17 | 0 | Canandaigua | 02/05/2026 | 8 |
| Victor Views Assisted Living 1440 State Route 444, Victor 14564 | AH | 12 | 0 | Victor | 10/17/2025 | 15 |
| Clifton Springs Hospital and Clinic Extended Care 2 Coulter Road, Clifton Springs 14432 | NH | 108 | 0 | Manchester | None in window | n/a |
| Elm Manor Nursing and Rehabilitation Center 210 N Main Street, Canandaigua 14424 | NH | 46 | 0 | Canandaigua | None in window | n/a |
| Living Center at Geneva - North 196-198 North Street, Geneva 14456 | NH | 80 | 0 | Geneva | None in window | n/a |
| Living Center at Geneva - South 196-198 North Street, Geneva 14456 | NH | 103 | 0 | Geneva | None in window | n/a |
| M.M. Ewing Continuing Care Center 350 Parrish Street, Canandaigua 14424 | NH | 178 | 0 | Canandaigua | None in window | n/a |
| Ontario Center for Rehabilitation and Healthcare 3062 County Complex Drive, Canandaigua 14424 | NH | 98 | 0 | Hopewell | None in window | n/a |
Which home care agencies and hospices are based in Ontario County?
The state roster shows 6 home care, hospice or adult day health licenses with Ontario County offices; agencies based in Monroe County also serve many addresses here.
- Geneva General Hospital Adult Day Care Center, Geneva — adult day health care
- Caregivers, Canandaigua — licensed home care services agency
- Depaul Home Care, Canandaigua — licensed home care services agency
- Finger Lakes Home Care, Inc., Geneva — licensed home care services agency
- Happiness House-Finger Lakes Cerebral Palsy Associ, Canandaigua — licensed home care services agency
- Horizons at Canandaigua LLC, Canandaigua — licensed home care services agency
Who helps seniors and caregivers in Ontario County, NY?
Ontario County Office for the Aging at (585) 396-4040 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) 396-4111.
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.
How far do Ontario County residents travel for hospital care?
From Canandaigua, the county seat, the closest hospital is F.F. Thompson Hospital (UR Medicine), about 1.5 miles away in a straight line, and downtown Rochester is about 26 miles away.
The next closest are Clifton Springs Hospital and Clinic (about 11 miles) and Geneva General Hospital (about 16 miles). Distances are straight lines from the ZIP-code center, not driving routes.
