Albany Senior AdvisorWhich New York counties does Albany Senior Advisor cover?
We cover nine Capital Region counties: the metro core of Albany, Schenectady, Rensselaer and Saratoga, plus Schoharie, Warren, Washington, Columbia and Greene, all of which fall in Medicaid's Northeastern region.
| County | Population | 65+ | 85+ | Median age | Licensed residences | Nursing homes |
|---|---|---|---|---|---|---|
| Albany County | 321,225 | 63,718 | 7,612 | 39.1 | 13 | 14 |
| Schenectady County | 162,581 | 31,193 | 3,849 | 39.4 | 7 | 5 |
| Rensselaer County | 160,510 | 32,036 | 3,160 | 40.4 | 5 | 11 |
| Saratoga County | 241,343 | 54,201 | 5,378 | 44.3 | 9 | 3 |
| Schoharie County | 30,176 | 7,761 | 750 | 45.3 | 1 | 0 |
| Warren County | 65,020 | 17,753 | 1,923 | 48.4 | 5 | 4 |
| Washington County | 59,353 | 14,025 | 1,427 | 45.3 | 4 | 4 |
| Columbia County | 60,168 | 17,512 | 1,893 | 50.3 | 2 | 5 |
| Greene County | 47,238 | 12,049 | 1,277 | 46.8 | 3 | 2 |
U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025); NYSDOH roster, 2026 Q2.
Why treat these nine counties as one region?
Because families cross county lines all the time: Greene and Columbia residents use Albany hospitals, Schoharie families tour residences in Schenectady County, and Warren and Washington share Glens Falls Hospital, while one Medicaid regional rate applies to all nine.
Each county still runs its own Office for the Aging, Department of Social Services and Adult Protective Services, and Columbia and Greene have a different long-term care ombudsman program from the other seven.
Which Capital Region county has the oldest population?
Columbia County: 29.1% of residents were 65 or older in 2025 Census estimates, with a median age of 50.3, against 19.8% in Albany County.
Albany and Saratoga counties hold the most older residents by number, but the rural counties have higher shares and far fewer licensed beds, so many of their families end up comparing local options with residences closer to Albany.
Where is most of the region's licensed senior care?
Mostly in the four core counties, led by Albany County, with a second cluster around Glens Falls and Queensbury in Warren County, and only a few licensed residences in Schoharie, Washington, Columbia and Greene.
Each county page lists every licensed facility, the county's aging services and the straight-line distance from the county seat to the nearest hospitals and to downtown Albany.
How fast is the 65-plus population growing across the nine counties?
Census Bureau estimates count 250,248 residents aged 65 and older in the nine counties on July 1, 2025, up from 217,347 in 2020, including 27,269 aged 85 and older.
Every county's older population grew by double digits in five years while several counties lost total population, so demand for care is rising faster than the region itself.
Side by side
| The same in all nine counties | Different from county to county | |
|---|---|---|
| Rules | New York State licensing and Medicaid rules | Office for the Aging and APS phone numbers |
| Medicaid rate | Northeastern region, $14,783/month in 2026 | Which Department of Social Services handles the case |
| Ombudsman | Free resident advocacy | Catholic Charities for seven counties; Hudson Valley program for Columbia and Greene |
| PACE | A Medicaid managed care option | Eddy SeniorCare only in parts of Albany, Schenectady and Rensselaer |
