How many assisted living residences are licensed in the Albany metro area?
The Department of Health licenses 34 adult care facility buildings in Albany, Schenectady, Rensselaer and Saratoga counties with 2,752 certified beds (median 71 per building); 24 are certified Assisted Living Residences, 20 have enhanced (EALR) beds and 6 have Medicaid Assisted Living Program beds.
| City or town | Licensed residences | Beds | EALR beds | SNALR beds | Largest |
|---|---|---|---|---|---|
| City of Albany | 3 | 324 | 72 | 35 | Peregrine Shaker |
| Colonie | 4 | 322 | 95 | 109 | Loudonville Assisted Living Residence |
| Bethlehem & Delmar | 3 | 221 | 0 | 0 | Peregrine Delmar Place |
| Guilderland | 2 | 320 | 57 | 53 | Promenade at University Place |
| Cohoes & Watervliet | 1 | 52 | 0 | 52 | Marjorie Doyle Rockwell Center |
| Schenectady | 2 | 176 | 50 | 20 | Kingsway Manor, LLC |
| Niskayuna | 4 | 306 | 184 | 69 | Brookdale Niskayuna |
| Glenville & Scotia | 1 | 80 | 70 | 0 | Judson Meadows |
| Troy | 3 | 310 | 69 | 0 | The Eliot at Troy, LLC |
| East Greenbush, North Greenbush & Schodack | 1 | 66 | 0 | 54 | Hawthorne Ridge, Inc. |
| Saratoga Springs, Wilton & Malta | 5 | 329 | 302 | 58 | Home of the Good Shepherd Saratoga |
| Clifton Park, Halfmoon & Waterford | 3 | 94 | 20 | 64 | Peregrine Senior Living at Clifton Park |
Why does Saratoga Springs, Wilton & Malta have so many licensed residences?
Saratoga Springs, Wilton & Malta leads the four core counties because purpose-built assisted living in the Capital Region went up mostly in suburban towns with larger lots and quick access to the Northway and the Albany hospitals, while the older cities rely more on nursing homes and long-established adult homes.
For a parent in Albany, Troy or Schenectady, that often means weighing a nursing home close by against assisted living a short drive out. The full roster sorts by town, beds and certification.
Are there assisted living options in the outer Capital Region counties?
Yes: Schoharie, Warren, Washington, Columbia and Greene counties add 15 licensed residences, with the largest cluster around Glens Falls and Queensbury.
- Camphill Ghent, Inc., Ghent (Columbia) — 31 beds, 0 SNALR
- Ghent Assisted Living, Ghent (Columbia) — 80 beds, 0 SNALR
- Home Sweet Home of Athens, Athens (Greene) — 24 beds, 0 SNALR
- Home Sweet Home on the Hudson, Catskill (Greene) — 60 beds, 0 SNALR
- The Eliot at Catskill, Catskill (Greene) — 118 beds, 0 SNALR
- Marchand at Sharon Springs, Sharon (Schoharie) — 36 beds, 0 SNALR
- Adirondack Manor HFA D.B.A Adirondack Manor HFA ALP, Queensbury (Warren) — 60 beds, 0 SNALR
- Countryside Adult Home, Warrensburg (Warren) — 48 beds, 0 SNALR
- Memory Care at The Glen at Hiland Meadows, Queensbury (Warren) — 30 beds, 30 SNALR
- The Landing at Queensbury, Assisted Living and Memory Care, Queensbury (Warren) — 88 beds, 21 SNALR
- The Terrace at the Glen at Hiland Meadows, Queensbury (Warren) — 52 beds, 0 SNALR
- Argyle Center for Independent Living, Argyle (Washington) — 35 beds, 0 SNALR
- Holbrook Adult Home, Granville (Washington) — 33 beds, 0 SNALR
- The Cambridge, White Creek (Washington) — 40 beds, 0 SNALR
- The Mansion at South Union, White Creek (Washington) — 44 beds, 10 SNALR
What does assisted living cost around Albany?
There is no Albany-specific published figure; CareScout's 2025 New York assisted living median is $85,320 a year (about $7,110 a month), and actual quotes depend on apartment size and care level.
Medicaid does not pay rent in ordinary assisted living; the Assisted Living Program pays for services in approved beds for people with nursing-home-level needs, and VA Aid and Attendance helps eligible veterans.
Assisted living around Albany, side by side
| Assisted living around Albany is | Assisted living around Albany is not | |
|---|---|---|
| License | NYSDOH adult home or enriched housing with ALR beds | A word on a sign |
| Location | Clustered in Saratoga Springs, Wilton & Malta and other suburbs | Spread evenly across the metro |
| Price data | A New York median (assisted living only) | A published Albany figure |
| Medicaid | Services in Assisted Living Program beds | Rent in ordinary assisted living |
