Albany Senior AdvisorColumbia County lies south of Rensselaer County along the east bank of the Hudson, from Kinderhook and Chatham to the City of Hudson and the Taconic hills; about 60,168 people lived there on July 1, 2025.
29.1% of its residents are 65 or older and the median age is 50.3. Columbia Memorial Hospital in Hudson, part of the Albany Med Health System, is the county's hospital.
How many older residents and licensed care options does Columbia County, NY have?
Columbia County had about 17,512 residents aged 65 and older (29.1% of 60,168), 1,893 of them 85 or older, on July 1, 2025, and the New York State Department of Health licenses 2 adult care facility buildings and 5 nursing homes in the county.
| Found in Columbia County | Not found in Columbia County | |
|---|---|---|
| On the NYSDOH roster here | Licensed residences (adult homes & enriched housing): 2, Nursing homes: 5, Licensed home care agencies: 4 | — |
| Missing here | — | Certified home health agencies, Hospices, Adult day health care |
| SNALR dementia beds | — | No SNALR residence in Columbia County |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
How fast is Columbia County's 65-plus population growing?
The county's residents aged 65 and older went from about 15,241 in the 2020 estimates base to 17,512 in 2025, a 15% rise, while total population moved from 61,576 to 60,168.
The median age is 50.3. No county in the region has an older population.
Which senior care facilities are licensed in Columbia County?
Every adult care facility and nursing home the Department of Health lists in Columbia 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 |
|---|---|---|---|---|---|---|
| Camphill Ghent, Inc. 2542 Route 66, Chatham 12037 | AH | 31 | 0 | Ghent | 10/08/2025 | 5 |
| Ghent Assisted Living 30 Whittier Way, Ghent 12075 | AH | 80 | 0 | Ghent | 04/02/2026 | 36 |
| FASNY Firefighter's Home 125 Harry-Howard Avenue, Hudson 12534 | NH | — | 0 | Hudson | None in window | n/a |
| Ghent Rehabilitation & Nursing Center 1 Whittier Way, Ghent 12075 | NH | 120 | 0 | Ghent | None in window | n/a |
| Livingston Hills Nursing and Rehabilitation Center 2781 Route 9, Livingston 12541 | NH | 120 | 0 | Livingston | None in window | n/a |
| Pine Haven Home NY Route 217, Philmont 12565 | NH | 116 | 0 | Claverack | None in window | n/a |
| The Grand Rehabilitation and Nursing at Barnwell 3230 Church Street, Valatie 12184 | NH | 236 | 0 | Kinderhook | None in window | n/a |
Which home care agencies and hospices are based in Columbia County?
The state roster shows 4 home care, hospice or adult day health licenses with Columbia County offices; agencies based in Albany County serve many addresses here too.
- Any-Time Home Care, Inc., Hudson — licensed home care services agency
- Camphill Ghent, Inc., Chatham — licensed home care services agency
- Ghent Assisted Living, Ghent — licensed home care services agency
- Unlimited Care Inc., Hudson — licensed home care services agency
Who helps seniors and caregivers in Columbia County, NY?
Columbia County Office for the Aging, (518) 828-4258, 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) 828-9411.
Residents of nursing homes and adult care facilities in the county can call the Hudson Valley Long Term Care Ombudsman Program, (845) 229-4680. No PACE program serves Columbia County; Eddy SeniorCare covers parts of Albany, Schenectady and Rensselaer counties only.
How far is Hudson from hospitals and from Albany?
From Hudson, the nearest hospital is Columbia Memorial Hospital (Albany Med Health System), about 1.8 miles away in a straight line, and downtown Albany is about 30 miles away.
Next come Albany Medical Center Hospital (about 30 miles) and St. Peter's Hospital (about 30 miles). These are straight-line distances from the ZIP-code center, not road miles.
