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Assisted Living in your area

Help with daily activities in a NYSDOH-licensed Adult Care Facility that also holds Assisted Living Residence (ALR) licensure, with meals, housekeeping and medication assistance included.

Quick answer

NYSDOH regulates assisted living in New York, and publishes each provider's inspection record free.

HomeServicesAssisted Living

Assisted living is for someone who is largely independent but needs a reliable hand with the everyday things — bathing, dressing, medications, meals, getting to appointments. In New York this is an Adult Care Facility that also holds Assisted Living Residence (ALR) licensure under 10 NYCRR Part 1001.

Short answer

We list 4 verified assisted living providers across Staten Island. Assisted living is for someone who is largely independent but needs a reliable hand with the everyday things — bathing, dressing, medications, meals, getting to appointments.

Three things worth knowing first

  • Ask which services are included in the base rate versus billed as a separate care level.
  • Ask whether the community holds a Medicaid Assisted Living Program (ALP) agreement and how many current residents use it.
  • Ask what happens if your parent's needs exceed the community's admission/retention limits, or whether the community also holds EALR aging-in-place certification.
How New York licenses assisted living. New York licenses assisted living as an Adult Care Facility, with optional additional ALR/EALR/SNALR licensure layered on top -- not a single license type. Read the full explanation →

Verified assisted living across the region

We list 4 verified assisted living providers across Staten Island. The full table with addresses and counties lives in the directory.

See all 4 in the directory →

Assisted Living by city

Questions families ask

Does New York rate assisted living communities the way it rates nursing homes?

No. Federal CMS star ratings apply only to Medicare/Medicaid-certified nursing homes, published at profiles.health.ny.gov/nursing_home and on CMS Care Compare. Assisted living and memory care communities in New York do not carry CMS star ratings -- the only public quality record for them is the NYS Health Profiles inspection history.

What is Managed Long Term Care (MLTC), and is it mandatory on Staten Island?

MLTC is New York's Medicaid managed-care delivery system for long-term care -- either PACE (age 55+) or MLTC Partial Capitation/Medicaid Advantage Plus. Enrollment has been mandatory in New York City, including Richmond County/Staten Island, since 2012 under Medicaid Redesign Team Initiative #90, approved August 31, 2012.

What is the NHTD waiver, and how is it different from MLTC?

The Nursing Home Transition and Diversion (NHTD) waiver is a Medicaid 1915(c) home- and community-based services waiver, administered through NYSDOH Regional Resource Development Centers, for Medicaid-eligible people 65+ (or younger with a disability) assessed as needing nursing-home-level care who want to receive services in the community instead. MLTC is a managed-care delivery system; NHTD is a specific waiver program.

What is New York's Assisted Living Program (ALP), and does it pay room and board?

The Assisted Living Program (ALP), under 18 NYCRR Part 494, is Medicaid-funded care delivered inside a qualifying Adult Home or Enriched Housing Program setting -- covering personal care, home health aides, nursing, therapy, medical supplies, adult day health care and RN case management. It folds room and board into its rate structure differently than a pure HCBS waiver, so the exact private-pay portion varies by community.

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