Albany Senior AdvisorGuilderland is the town west of Albany along Western Avenue (Route 20) and Route 155, including McKownville, Westmere, Guilderland Center and Altamont near the Helderberg escarpment.
Western Avenue is home to licensed assisted living and several nursing homes, and the town sits between the Albany hospitals and the rural hilltowns, so it often serves families from Berne, Knox and Voorheesville as well as its own residents.
How much licensed senior care does Guilderland, NY have?
Census Bureau estimates put Guilderland at about 38,216 residents on July 1, 2025 (up from 36,909 in 2020), and the New York State Department of Health licenses 2 adult care facility buildings and 3 nursing homes there.
| Found in Guilderland | Not found in Guilderland | |
|---|---|---|
| On the NYSDOH roster here | Licensed residences (adult homes & enriched housing): 2, Nursing homes: 3, Licensed home care agencies: 2 | — |
| Missing here | — | Certified home health agencies, Hospices, Adult day health care |
| SNALR dementia beds | 2 residences | — |
Which licensed assisted living residences are in Guilderland?
The state roster lists 2 adult care facility buildings in Guilderland with 320 certified beds, 2 of them with SNALR dementia beds; the largest is Promenade at University Place, certified for 200.
| Facility | License | Certified capacity | ALR certifications | SNALR (memory care) beds | Latest DOH inspection | Violations, 4-yr window |
|---|---|---|---|---|---|---|
| Promenade at University Place 1228 Western Avenue, Albany 12203 | AH | 200 | ALR, EALR, SNALR, ALP | 32 | 06/29/2026 | 54 |
| Peregrine Guilderland 300 Mill Rose Court, Slingerlands 12159 | AH | 120 | ALR, EALR, SNALR | 21 | None in window | 0 |
Has the state taken enforcement action against any residence in Guilderland?
NYS Health Profiles shows enforcement actions for 1 residence in Guilderland; the latest is a Stipulation & Order involving Promenade at University Place, dated March 17, 2025.
- Promenade at University Place: 2 actions, most recent March 17, 2025
Order numbers and the related inspection reports are on each residence's page. An old order does not prove a problem today, but it is a fair thing to ask about on a tour.
Which nursing homes are in Guilderland, and what are their CMS ratings?
Guilderland has 3 licensed nursing homes with 447 beds; of the 2 carrying a CMS overall rating, 0 have four or five stars.
| Facility | CMS overall rating | Certified capacity | Last CMS health inspection | Deficiencies cited | Nurse hrs/resident/day |
|---|---|---|---|---|---|
| Our Lady of Mercy Life Center 2 Mercycare Lane, Guilderland 12084 | 2 of 5 | 160 | October 15, 2024 | 15 | 3.85 |
| Our Lady of Mercy Life Center 2 Mercycare Lane, Guilderland 12084 | Not rated by CMS | 160 | not reported | n/a | n/a |
| The Grand Rehabilitation and Nursing at Guilderland 428 State Route 146, Altamont 12009 | 1 of 5 | 127 | March 7, 2025 | 26 | 2.70 |
Which home care agencies and hospices list an office in Guilderland?
The state roster shows 2 home care, hospice or adult day health licenses with an office address in Guilderland; most agencies travel well beyond the town their office is in.
- At Home Solutions, LLC — licensed home care services agency, licensed since 2023
- Balanced Care Licensed Home Care Agency — licensed home care services agency, licensed since 2018
Which hospitals are closest to Guilderland?
From the middle of Guilderland's licensed facilities, the nearest hospitals are St. Peter's Hospital (St. Peter's Health Partners, about 5.5 miles) and Albany Medical Center Hospital (about 7.0 miles).
Samaritan Hospital - Albany Memorial Campus is about 7.8 miles out. Distances are measured in a straight line, which is fine for comparing but not a driving time, especially in winter.
Where can families in Guilderland get free help?
Albany County Department for Aging ((518) 447-7198) is the free first stop for Guilderland families, with NY Connects statewide at 1-800-342-9871, and Catholic Charities' Long Term Care Ombudsman Program in Schenectady, (518) 372-5667, advocates for anyone living in a licensed residence or nursing home.
Suspected abuse of an adult living at home goes to Albany County Adult Protective Services at (518) 447-7177. Eddy SeniorCare's PACE program covers listed ZIP codes in Albany County; call (518) 539-4986 to check an address.
