Free senior care guidance for Albany and Capital Region families, at no cost to you.
Call (585) 558-3205
Albany Senior Advisor(585) 558-3205

Assisted living in the Albany metro

Licensed assisted living across Albany, Schenectady, Rensselaer and Saratoga counties, town by town.

Quick answer

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.

Home›Albany›Assisted living

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 townLicensed residencesBedsEALR bedsSNALR bedsLargest
City of Albany33247235Peregrine Shaker
Colonie432295109Loudonville Assisted Living Residence
Bethlehem & Delmar322100Peregrine Delmar Place
Guilderland23205753Promenade at University Place
Cohoes & Watervliet152052Marjorie Doyle Rockwell Center
Schenectady21765020Kingsway Manor, LLC
Niskayuna430618469Brookdale Niskayuna
Glenville & Scotia180700Judson Meadows
Troy3310690The Eliot at Troy, LLC
East Greenbush, North Greenbush & Schodack166054Hawthorne Ridge, Inc.
Saratoga Springs, Wilton & Malta532930258Home of the Good Shepherd Saratoga
Clifton Park, Halfmoon & Waterford3942064Peregrine 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.

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 isAssisted living around Albany is not
LicenseNYSDOH adult home or enriched housing with ALR bedsA word on a sign
LocationClustered in Saratoga Springs, Wilton & Malta and other suburbsSpread evenly across the metro
Price dataA New York median (assisted living only)A published Albany figure
MedicaidServices in Assisted Living Program bedsRent in ordinary assisted living
Source: NYSDOH Health Facility General Information roster and Adult Care Facility Quarterly Statistical Report (2026 Q2 capacity), retrieved November 6, 2026 (health.data.ny.gov); NYS Health Profiles inspection and enforcement records, retrieved November 6, 2026 (profiles.health.ny.gov). Star ratings are CMS's own; we do not rate facilities.

Not sure where to start?

Answer five questions and a local advisor will come back with senior care options in the Capital Region that fit your situation and budget. It is free, and there is no obligation.

Find care options
Find Facilities Near You