Rochester Senior AdvisorOrleans County lies west of Monroe County between Lake Ontario and the Erie Canal, with Albion as its county seat and Medina as its largest village; about 39,825 people lived there on July 1, 2025.
It is the smallest of the five counties and the only one in Medicaid's Western region for transfer-penalty purposes. Medina Memorial Hospital, run by Orleans Community Health, is the county's hospital, and Orleans has no PACE program.
How many seniors and licensed care options are in Orleans County, New York?
Orleans County had about 8,935 residents 65 and older (22.4% of 39,825) and 839 aged 85 and older on July 1, 2025, and the New York State Department of Health licenses 1 adult care facility building and 3 nursing homes there.
| Available in Orleans County | Not available in Orleans County | |
|---|---|---|
| Licensed here (NYSDOH roster) | Licensed residences (adult homes & enriched housing): 1, Nursing homes: 3, Hospices: 1 | — |
| Not licensed here | — | Certified home health agencies, Licensed home care agencies, Adult day health care |
| SNALR memory care | — | No SNALR residence in Orleans County |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
How fast is Orleans County's older population growing?
Residents 65 and older rose from about 7,574 in the 2020 estimates base to 8,935 in 2025, a 18% increase, while the county's total population went from 40,412 to 39,825.
The county's median age is 43.5. Older residents now make up 22.4% of the population, and the 85-and-older group is the one that drives demand for daily help.
Which senior care facilities are licensed in Orleans County?
Every licensed adult care facility and nursing home in Orleans 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 |
|---|---|---|---|---|---|---|
| The Willows 459 East Oak Orchard Street, Medina 14103 | AH | 24 | 0 | Shelby | None in window | 0 |
| Medina Memorial Hospital SNF 200 Ohio Street, Medina 14103 | NH | 30 | 0 | Ridgeway | None in window | n/a |
| Orchard Rehabilitation & Nursing Center 600 Bates Road, Medina 14103 | NH | 160 | 0 | Shelby | None in window | n/a |
| The Villages of Orleans Health and Rehabilitation Center 14012 Route 31, Albion 14411 | NH | 120 | 0 | Albion | None in window | n/a |
Which home care agencies and hospices are based in Orleans County?
The state roster shows 1 home care, hospice or adult day health license with Orleans County offices; agencies based in Monroe County also serve many addresses here.
- Supportive Care of Orleans, Albion — hospice
Who helps seniors and caregivers in Orleans County, NY?
Orleans County Office for the Aging at (585) 589-3191 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) 589-7000 (Department of Social Services).
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's PACE program does not serve this county.
How far do Orleans County residents travel for hospital care?
From Albion, the county seat, the closest hospital is Medina Memorial Hospital (Orleans Community Health), about 9.1 miles away in a straight line, and downtown Rochester is about 31 miles away.
The next closest are URMC Strong West (about 14 miles) and The Unity Hospital of Rochester (about 26 miles). Distances are straight lines from the ZIP-code center, not driving routes.
