Albany County is the heart of the Capital Region: the state capital, the small cities of Cohoes and Watervliet, suburban towns such as Colonie, Bethlehem and Guilderland, and the rural Helderberg hilltowns, with about 321,225 residents in 2025 Census estimates.
Most of the region's hospital capacity is here, including Albany Medical Center and St. Peter's Hospital, along with the largest number of licensed residences and nursing homes. The county's Department for Aging also runs a Senior Legal Services Program.
How many older residents and licensed care options does Albany County, NY have?
Albany County had about 63,718 residents aged 65 and older (19.8% of 321,225), 7,612 of them 85 or older, on July 1, 2025, and the New York State Department of Health licenses 13 adult care facility buildings and 14 nursing homes in the county.
| Found in Albany County | Not found in Albany County | |
|---|---|---|
| On the NYSDOH roster here | Licensed residences (adult homes & enriched housing): 13, Nursing homes: 14, Certified home health agencies: 2, Licensed home care agencies: 23, Hospices: 1, Adult day health care: 4 | — |
| Missing here | — | Every category is present |
| SNALR dementia beds | 7 residences | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
How fast is Albany County's 65-plus population growing?
The county's residents aged 65 and older went from about 55,716 in the 2020 estimates base to 63,718 in 2025, a 14% rise, while total population moved from 314,840 to 321,225.
The median age is 39.1. The 85-and-older group, the one most likely to need daily help, is growing alongside it.
Where is licensed senior care located within Albany County?
Of Albany County's 13 licensed residences, 3 are inside the City of Albany and the rest are in the suburban towns and small cities; the city has 4 of the county's 14 nursing homes.
| City or town | Licensed residences | Nursing homes |
|---|---|---|
| City of Albany | 3 | 4 |
| Colonie | 4 | 2 |
| Bethlehem & Delmar | 3 | 3 |
| Guilderland | 2 | 3 |
| Cohoes & Watervliet | 1 | 2 |
Which senior care facilities are licensed in Albany County?
Every adult care facility and nursing home the Department of Health lists in Albany County appears below, with certified beds, dementia beds and, for residences, the latest state inspection.
| Facility | License | Certified capacity | SNALR (memory care) beds | Town | Latest DOH inspection | Violations, 4-yr window |
|---|---|---|---|---|---|---|
| Albany Center for Independent Living 141 Rockefeller Road, Delmar 12054 | AH | 67 | 0 | Bethlehem | 06/18/2026 | 92 |
| Elderwood Village at Colonie 626 Watervliet-Shaker Road, Latham 12110 | AH | 94 | 23 | Colonie | 06/15/2026 | 68 |
| Loudonville Assisted Living Residence 298 Albany Shaker Rd, Loudonville 12211 | AH | 105 | 18 | Colonie | 05/06/2026 | 22 |
| Marjorie Doyle Rockwell Center 18 Pasinella Way, Cohoes 12047 | AH | 52 | 52 | Cohoes | 03/24/2026 | 32 |
| Massry Residence at Daughters of Sarah 182 Washington Ave. Extension, Albany 12203 | EHP | 70 | 0 | Albany | 04/20/2026 | 40 |
| Millview of Latham, LLC 514 Old Loudon Rd, Cohoes 12047 | AH | 55 | 0 | Colonie | 05/28/2026 | 41 |
| Peregrine Crossgate 140 Washington Avenue Extension, Albany 12203 | EHP | 83 | 0 | Albany | None in window | 0 |
| Peregrine Delmar Place 467 Delaware Ave, Delmar 12054 | EHP | 106 | 0 | Bethlehem | None in window | 0 |
| Peregrine Guilderland 300 Mill Rose Court, Slingerlands 12159 | AH | 120 | 21 | Guilderland | None in window | 0 |
| Peregrine Senior Living at Colonie 5 S Family Dr, Albany 12205 | AH | 68 | 68 | Colonie | None in window | 0 |
| Peregrine Shaker 345 Northern Boulevard, Albany 12204 | EHP | 171 | 35 | Albany | None in window | 0 |
| Promenade at University Place 1228 Western Avenue, Albany 12203 | AH | 200 | 32 | Guilderland | 06/29/2026 | 54 |
| Terrace at Beverwyck 41 Beverwyck Lane, Slingerlands 12159 | EHP | 48 | 0 | Bethlehem | 05/01/2026 | 14 |
| Daughters of Sarah Nursing Center 180 Washington Avenue Extension, Albany 12203 | NH | 210 | 0 | Albany | None in window | n/a |
| Delmar Center for Rehabilitation and Nursing 125 Rockefeller Road, Delmar 12054 | NH | 120 | 0 | Bethlehem | None in window | n/a |
| Eddy Village Green 421 W Columbia Street, Cohoes 12047 | NH | 192 | 0 | Cohoes | None in window | n/a |
| Eddy Village Green 421 W Columbia Street, Cohoes 12047 | NH | 192 | 0 | Cohoes | None in window | n/a |
| Eddy Village Green at Beverwyck 40 Autumn Drive, Slingerlands 12159 | NH | 24 | 0 | Bethlehem | None in window | n/a |
| Eddy Village Green at Beverwyck 40 Autumn Drive, Slingerlands 12159 | NH | 24 | 0 | Bethlehem | None in window | n/a |
| Hudson Park Rehabilitation and Nursing Center 325 Northern Boulevard, Albany 12204 | NH | 200 | 0 | Albany | None in window | n/a |
| Our Lady of Mercy Life Center 2 Mercycare Lane, Guilderland 12084 | NH | 160 | 0 | Guilderland | None in window | n/a |
| Our Lady of Mercy Life Center 2 Mercycare Lane, Guilderland 12084 | NH | 160 | 0 | Guilderland | None in window | n/a |
| Shaker Place Rehabilitation and Nursing Center 100 Heritage Lane, Albany 12211 | NH | 250 | 0 | Colonie | None in window | n/a |
| Shaker Place Rehabilitation and Nursing Center 100 Heritage Lane, Albany 12211 | NH | 250 | 0 | Colonie | None in window | n/a |
| St. Margaret's Center 27 Hackett Boulevard, Albany 12208 | NH | 92 | 0 | Albany | None in window | n/a |
| Teresian House Nursing Home Co Inc 200 Washington Ave Ext, Albany 12203 | NH | 300 | 0 | Albany | None in window | n/a |
| The Grand Rehabilitation and Nursing at Guilderland 428 State Route 146, Altamont 12009 | NH | 127 | 0 | Guilderland | None in window | n/a |
Which agencies serve older adults in Albany County?
Albany County Department for Aging, (518) 447-7198, is the county's Area Agency on Aging and the door to HIICAP Medicare counseling, home-delivered meals, caregiver respite and EISEP home care; Adult Protective Services answers at (518) 447-7177.
Residents of nursing homes and adult care facilities in the county can call Catholic Charities' Long Term Care Ombudsman Program in Schenectady, (518) 372-5667. Eddy SeniorCare's PACE program covers listed ZIP codes in Albany County; call (518) 539-4986 to check an address.
Which hospitals serve Albany County seniors?
Albany County's general hospitals are Albany Medical Center, the region's academic medical center, and St. Peter's Hospital and Samaritan's Albany Memorial campus, both part of St. Peter's Health Partners; most nursing home and assisted living searches in the county begin with a discharge from one of them.
- Albany Medical Center Hospital (Albany Med Health System, City of Albany)
- Samaritan Hospital - Albany Memorial Campus (St. Peter's Health Partners, City of Albany)
- St. Peter's Hospital (St. Peter's Health Partners, City of Albany)
