Assisted living in the Rochester area

What is assisted living in New York?

In New York, assisted living is an adult home or enriched housing program that also holds Assisted Living Residence (ALR) licensure, which adds a residency agreement, an individualized service plan and assisted living consumer protections to the base license.

The Department of Health's roster lists 46 licensed adult care facility buildings in Monroe, Ontario, Wayne, Livingston and Orleans counties, with 3,632 certified beds: 31 hold an adult home license and 16 an enriched housing license (a few hold both), and 31 are certified as Assisted Living Residences.

What services does an assisted living residence provide?

An assisted living residence provides an apartment or room, meals, housekeeping, 24-hour on-site monitoring, help with bathing, dressing and other daily activities, medication assistance, case management and activities, under a written service plan.

Nursing services, when needed, come through a licensed home care agency, often one affiliated with the residence.

What does assisted living cost around Rochester?

CareScout's 2025 New York median is $7,110 a month for an assisted living community; no Rochester-specific median is published, so families should collect written quotes including level-of-care charges.

Medicare does not pay. Medicaid pays only for services in Assisted Living Program beds. VA Aid and Attendance and long-term care insurance help some families.

What should Rochester families ask an assisted living residence first?

Ask which certifications the apartment you are offered carries (ALR, EALR or SNALR), what the base rate includes, how level-of-care charges are set, and what happens if your parent's needs outgrow the certification.

Then read the residence's inspection reports on NYS Health Profiles and bring the cited topics to the tour. A residence that answers those questions plainly is usually one that will communicate well later.

How do Rochester-area residences differ from one another?

They differ most in size, which certifications they hold and in what numbers, whether they run Assisted Living Program beds, and their inspection records, all of which the state publishes.

Some are small converted houses with under 20 residents; others are campuses with 150 apartments and a nursing home next door. Neither is better in itself. The right size depends on whether a parent wants quiet or activity.

Where is assisted living licensed across the Rochester area?

Here is how the Department of Health's roster distributes assisted living across the five counties; agencies and hospices have no bed count.