Saratoga County stretches north from the Mohawk to the Adirondack foothills, from Clifton Park and Halfmoon through Ballston Spa, Malta and Saratoga Springs to Moreau and the Great Sacandaga Lake; about 241,343 people lived there on July 1, 2025.
22.5% of residents are 65 or older and the median age is 44.3. Saratoga Hospital serves the center of the county, while the southern towns use Albany and Schenectady hospitals.
How many older residents and licensed care options does Saratoga County, NY have?
Saratoga County had about 54,201 residents aged 65 and older (22.5% of 241,343), 5,378 of them 85 or older, on July 1, 2025, and the New York State Department of Health licenses 9 adult care facility buildings and 3 nursing homes in the county.
| Found in Saratoga County | Not found in Saratoga County | |
|---|---|---|
| On the NYSDOH roster here | Licensed residences (adult homes & enriched housing): 9, Nursing homes: 3, Certified home health agencies: 1, Licensed home care agencies: 2 | — |
| Missing here | — | Hospices, Adult day health care |
| SNALR dementia beds | 3 residences | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
How fast is Saratoga County's 65-plus population growing?
The county's residents aged 65 and older went from about 44,860 in the 2020 estimates base to 54,201 in 2025, a 21% rise, while total population moved from 235,501 to 241,343.
The median age is 44.3. The 85-and-older group, the one most likely to need daily help, is growing alongside it.
Which senior care facilities are licensed in Saratoga County?
Every adult care facility and nursing home the Department of Health lists in Saratoga 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 |
|---|---|---|---|---|---|---|
| Ahana House 31 6th St, Waterford 12188 | AH | 17 | 0 | Waterford | None in window | 0 |
| Home of the Good Shepherd 390 Church St, Saratoga Springs 12866 | AH | 42 | 42 | Saratoga Springs | 06/15/2026 | 16 |
| Home of the Good Shepherd Moreau 186-200 Bluebird Road, Moreau 12803 | AH | 72 | 0 | Moreau | 04/16/2026 | 15 |
| Home of the Good Shepherd Saratoga 394-402 Church St, Saratoga Springs 12866 | AH | 105 | 0 | Saratoga Springs | 06/24/2026 | 10 |
| Home of the Good Shepherd Wilton 60 Waller Rd, Wilton 12831 | AH | 54 | 0 | Wilton | 06/18/2026 | 24 |
| Home of the Good Shepherd at Highpointe 26 Rockrose Way, Malta 12020 | AH | 86 | 16 | Malta | 02/11/2026 | 25 |
| Peregrine Senior Living at Clifton Park 1 Emma Ln, Clifton Park 12065 | AH | 64 | 64 | Clifton Park | None in window | 0 |
| Willow Ridge Pointe 1 Prospect St, Mechanicville 12118 | AH | 13 | 0 | Halfmoon | 12/11/2025 | 36 |
| Woodlawn Commons 156 Lawrence St, Saratoga Springs 12866 | EHP | 42 | 0 | Saratoga Springs | 06/05/2026 | 13 |
| Seton Health at Schuyler Ridge Residential Healthcare 1 Abele Boulevard, Clifton Park 12065 | NH | 120 | 0 | Clifton Park | None in window | n/a |
| Seton Health at Schuyler Ridge Residential Healthcare 1 Abele Boulevard, Clifton Park 12065 | NH | 120 | 0 | Clifton Park | None in window | n/a |
| Wesley Health Care Center Inc 131 Lawrence Street, Saratoga Springs 12866 | NH | 342 | 0 | Saratoga Springs | None in window | n/a |
Which home care agencies and hospices are based in Saratoga County?
The state roster shows 3 home care, hospice or adult day health licenses with Saratoga County offices; agencies based in Albany County serve many addresses here too.
- CenterWell Home Health, Ballston Lake — certified home health agency
- Concepts Of Health Care, Inc., Ballston Spa — licensed home care services agency
- Wesley Senior Solutions, Saratoga Springs — licensed home care services agency
Which agencies serve older adults in Saratoga County?
Saratoga County Office for the Aging, (518) 884-4100, 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) 884-4159.
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. No PACE program serves Saratoga County; Eddy SeniorCare covers parts of Albany, Schenectady and Rensselaer counties only.
How far do Saratoga County residents travel for hospital care?
From Ballston Spa, the nearest hospital is Saratoga Hospital (Albany Med Health System), about 6.8 miles away in a straight line, and downtown Albany is about 25 miles away.
Next come Ellis Hospital (about 13 miles) and Samaritan Hospital (about 21 miles). These are straight-line distances from the ZIP-code center, not road miles.
