Adult homes and enriched housing around Albany

What is an adult home in New York?

An adult home provides room, board, housekeeping, personal care and 24-hour supervision for five or more adults in a congregate setting, licensed by the Department of Health under 18 NYCRR Part 487.

8 of the 49 licensed residences in the nine counties hold only a base adult home or enriched housing license, with no ALR, EALR, SNALR or ALP beds in the 2026 Q2 capacity report.

What is an enriched housing program?

An enriched housing program provides personal care and supervision fewer than 24 hours a day to residents, mostly 65 or older, in apartment-style units with at least one hot meal a day, under 18 NYCRR Part 488.

Many add ALR certification and become Assisted Living Residences.

Who pays for adult homes and enriched housing?

Most residents pay privately, but some residences accept SSI at the Congregate Care Level 3 rate of $1,688 a month in 2026, and some hold Medicaid Assisted Living Program beds.

Ask each residence directly.

How many Capital Region residences hold only a base license?

Several residences in the nine counties hold only an adult home or enriched housing license with no ALR, EALR, SNALR or ALP beds in the latest capacity report.

These buildings can be a good fit for someone who needs supervision and meals more than hands-on care, and some of them accept SSI. Ask what happens if needs grow.

Are adult homes inspected like nursing homes?

They are inspected by the same Department of Health but under different rules: adult care facilities have at least one unannounced state inspection a year under Social Services Law 461-a, and they carry no CMS rating.

Their inspection reports are on NYS Health Profiles, and our facility pages summarize them.

Who usually lives in an adult home?

Adult home residents range from older adults who need meals, medication reminders and supervision to younger adults with chronic conditions who cannot live alone; enriched housing residents are mostly 65 or older and more independent.

Tour at mealtime to see whether the residents' needs and interests match your parent's.

Where is adult homes & enriched housing licensed across the Capital Region?

This is how New York's roster spreads adult homes & enriched housing across the nine counties; agencies and hospices carry no bed count.