Rochester Senior AdvisorHow many assisted living residences are licensed in the Rochester area?
The Department of Health licenses 34 adult care facility buildings in Monroe County with 3,024 certified beds (a median of 85 each); 24 are certified Assisted Living Residences, 21 hold enhanced (EALR) beds and 5 hold Medicaid Assisted Living Program beds.
| City or town | Licensed residences | Beds | EALR beds | SNALR beds | Largest |
|---|---|---|---|---|---|
| City of Rochester | 2 | 229 | 22 | 65 | Cobbs Hill Manor |
| Greece | 8 | 684 | 196 | 217 | The Village at Mill Landing |
| Irondequoit | 2 | 278 | 26 | 19 | Cirrus Manor Residential Center |
| Brighton | 3 | 248 | 106 | 52 | The Landing of Brighton |
| Pittsford | 3 | 272 | 139 | 51 | Heather Heights of Pittsford |
| Penfield | 4 | 437 | 33 | 78 | Heathwood Assisted Living at Penfield |
| Webster | 1 | 87 | 15 | 26 | Rainier Grove at Cherry Ridge |
| Perinton & Fairport | 4 | 238 | 33 | 88 | Elderwood Village at Fairport |
| Henrietta | 2 | 180 | 0 | 0 | Woodcrest Commons |
| Gates | 1 | 85 | 8 | 24 | Seabury Woods |
| Chili | 2 | 172 | 19 | 52 | Westwood Commons Adult Home |
| Brockport, Sweden & Clarkson | 1 | 114 | 80 | 34 | Evergreen Place, Enhanced, Assisted Living & Memory Care |
Why is so much assisted living in Greece?
Greece holds the largest share of Monroe County's licensed residences because that is where most purpose-built assisted living campuses were developed in recent decades, on larger parcels near main roads and hospitals, while the city and the older inner-ring towns rely more on nursing homes and established buildings.
For a parent in the city or Irondequoit, that can mean choosing between a nursing home close to home and assisted living a few miles out. The full roster sorts by town, beds and certifications.
Are there assisted living options outside Monroe County?
Yes: Ontario, Wayne, Livingston and Orleans counties add 12 licensed residences, most of them in Canandaigua, Geneva and Newark.
- Alpine Manor, Lima (Livingston) — 41 beds, 0 SNALR
- Morgan Estates, Geneseo (Livingston) — 78 beds, 27 SNALR
- Ashton Place, Manchester (Ontario) — 60 beds, 0 SNALR
- Clark Meadows at Ferris Hills, Canandaigua (Ontario) — 59 beds, 14 SNALR
- Horizons, Canandaigua (Ontario) — 76 beds, 0 SNALR
- Quail Summit, Canandaigua (Ontario) — 55 beds, 22 SNALR
- Seneca Lake Terrace Assisted Living Center, Geneva (Ontario) — 66 beds, 12 SNALR
- The Clark Manor House, Canandaigua (Ontario) — 17 beds, 0 SNALR
- Victor Views Assisted Living, Victor (Ontario) — 12 beds, 0 SNALR
- The Willows, Shelby (Orleans) — 24 beds, 0 SNALR
- Parkwood Heights Senior Living Community, Macedon (Wayne) — 49 beds, 0 SNALR
- The Terrace at Newark, Arcadia (Wayne) — 71 beds, 12 SNALR
What does assisted living cost around Rochester?
No Rochester-specific figure is published; CareScout's 2025 New York median for assisted living is $85,320 a year, about $7,110 a month, and local quotes vary with care level and apartment size.
Medicaid does not pay rent in ordinary assisted living; the Assisted Living Program pays for services in approved beds for people who qualify for nursing home care, and VA Aid and Attendance helps eligible veterans.
Assisted living around Rochester at a glance
| Assisted living around Rochester is | Assisted living around Rochester is not | |
|---|---|---|
| License | NYSDOH adult home or enriched housing with ALR beds | A marketing label |
| Where | Concentrated in Greece | Evenly spread across the county |
| Price data | A New York median (assisted living only) | A published Rochester figure |
| Medicaid | Services in Assisted Living Program beds | Room and board in ordinary assisted living |
