Albany Senior AdvisorRensselaer County lies on the east bank of the Hudson, from Troy and the City of Rensselaer east through the Greenbush towns to the Taconic hills and the Vermont and Massachusetts borders; about 160,510 people lived there on July 1, 2025.
Troy holds most of its licensed care. Samaritan Hospital in Troy, part of St. Peter's Health Partners, is the county's hospital, and Eddy SeniorCare's PACE program serves several Rensselaer County ZIP codes.
How many older residents and licensed care options does Rensselaer County, NY have?
Rensselaer County had about 32,036 residents aged 65 and older (20.0% of 160,510), 3,160 of them 85 or older, on July 1, 2025, and the New York State Department of Health licenses 5 adult care facility buildings and 11 nursing homes in the county.
| Found in Rensselaer County | Not found in Rensselaer County | |
|---|---|---|
| On the NYSDOH roster here | Licensed residences (adult homes & enriched housing): 5, Nursing homes: 11, Certified home health agencies: 1, Licensed home care agencies: 9 | — |
| Missing here | — | Hospices, Adult day health care |
| SNALR dementia beds | 1 residence | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
How fast is Rensselaer County's 65-plus population growing?
The county's residents aged 65 and older went from about 28,460 in the 2020 estimates base to 32,036 in 2025, a 13% rise, while total population moved from 161,126 to 160,510.
The median age is 40.4. The 85-and-older group, the one most likely to need daily help, is growing alongside it.
Which senior care facilities are licensed in Rensselaer County?
Every adult care facility and nursing home the Department of Health lists in Rensselaer 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 |
|---|---|---|---|---|---|---|
| Danforth Adult Care Center 19 Danforth Street, Hoosick Falls 12090 | AH | 80 | 0 | Hoosick | 02/10/2026 | 24 |
| Hawthorne Ridge, Inc. 30 Community Way, East Greenbush 12061 | AH | 66 | 54 | East Greenbush | 05/05/2026 | 12 |
| The Eliot at Troy, LLC 2902 Upper Tibbits Avenue, Troy 12180 | AH | 155 | 0 | Troy | 06/24/2026 | 67 |
| The Pines at Heartwood 2405 Fifteenth Street, Troy 12180 | AH | 86 | 0 | Troy | 06/25/2026 | 144 |
| The Terrace at The Eddy Memorial 2256 Burdett Avenue, Troy 12180 | EHP | 69 | 0 | Troy | 02/04/2026 | 26 |
| Eddy Heritage House Nursing and Rehabilitation Center 2920 Tibbits Avenue, Troy 12180 | NH | 120 | 0 | Troy | None in window | n/a |
| Eddy Heritage House Nursing and Rehabilitation Center 2920 Tibbits Avenue, Troy 12180 | NH | 120 | 0 | Troy | None in window | n/a |
| Eddy Memorial Geriatric Center 2256 Burdett Avenue, Troy 12180 | NH | 80 | 0 | Troy | None in window | n/a |
| Eddy Memorial Geriatric Center 2256 Burdett Avenue, Troy 12180 | NH | 80 | 0 | Troy | None in window | n/a |
| Evergreen Commons Rehabilitation and Nursing Center 1070 Luther Road, East Greenbush 12061 | NH | 240 | 0 | East Greenbush | None in window | n/a |
| Riverside Center for Rehabilitation and Nursing 90 No Main Street, Castleton-On-Hudson 12033 | NH | 80 | 0 | Schodack | None in window | n/a |
| Rosewood Rehabilitation and Nursing Center 284 Troy Road, Rensselaer 12144 | NH | 80 | 0 | East Greenbush | None in window | n/a |
| The Center for Nursing and Rehabilitation at Hoosick Falls 21 Danforth Street, Hoosick Falls 12090 | NH | 82 | 0 | Hoosick | None in window | n/a |
| Troy Center for Rehabilitation and Nursing 49 Marvin Avenue, Troy 12180 | NH | 78 | 0 | Troy | None in window | n/a |
| Troy Victorian Rehabilitation & Nursing Care Center 100 New Turnpike Road, Troy 12182 | NH | 120 | 0 | Schaghticoke | None in window | n/a |
| Van Rensselaer Manor 85 Bloomingrove Drive, Troy 12180 | NH | 362 | 0 | North Greenbush | None in window | n/a |
Which home care agencies and hospices are based in Rensselaer County?
The state roster shows 10 home care, hospice or adult day health licenses with Rensselaer County offices; agencies based in Albany County serve many addresses here too.
- Eddy Visiting Nurse & Rehab Association, Troy — certified home health agency
- Adept Health Care Service Inc., Troy — licensed home care services agency
- C. N. S. Home Care, Inc., Melrose — licensed home care services agency
- CareGivers, Troy — licensed home care services agency
- Community Home Health Care, East Greenbush — licensed home care services agency
- Danforth Home Care Services Agency, Hoosick Falls — licensed home care services agency
- Fawn Ridge Home Care, Troy — licensed home care services agency
- Golden Care Licensed Home Care Services Agency, Troy — licensed home care services agency
- The Eliot At Troy, LLC, Troy — licensed home care services agency
- Troy Crossings, LLC, Troy — licensed home care services agency
Which agencies serve older adults in Rensselaer County?
Rensselaer County Department for the Aging, (518) 270-2730, 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) 833-6181.
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 Rensselaer County; call (518) 539-4986 to check an address.
Which hospitals are closest to Troy, NY?
From Troy, the nearest hospital is Samaritan Hospital (St. Peter's Health Partners), about 3.8 miles away in a straight line, and downtown Albany is about 10 miles away.
Next come Samaritan Hospital - Albany Memorial Campus (about 9 miles) and Albany Medical Center Hospital (about 11 miles). These are straight-line distances from the ZIP-code center, not road miles.
