Troy is the Rensselaer County seat, on the east bank of the Hudson across from Watervliet and Menands, home to Rensselaer Polytechnic Institute, Russell Sage College and Samaritan Hospital, part of St. Peter's Health Partners.
The city holds most of Rensselaer County's licensed care: several adult care facilities and a large share of the county's nursing home beds, from the downtown and south end neighborhoods to Lansingburgh in the north.
How much licensed senior care does Troy, NY have?
Census Bureau estimates put Troy at about 50,912 residents on July 1, 2025 (down from 51,261 in 2020), and the New York State Department of Health licenses 3 adult care facility buildings and 5 nursing homes there.
| Found in Troy | Not found in Troy | |
|---|---|---|
| On the NYSDOH roster here | Licensed residences (adult homes & enriched housing): 3, Nursing homes: 5, Certified home health agencies: 1, Licensed home care agencies: 6 | — |
| Missing here | — | Hospices, Adult day health care |
| SNALR dementia beds | — | No SNALR residence in Troy |
Which licensed assisted living residences are in Troy?
The state roster lists 3 adult care facility buildings in Troy with 310 certified beds and no SNALR dementia beds; the largest is The Eliot at Troy, LLC, certified for 155.
| Facility | License | Certified capacity | ALR certifications | SNALR (memory care) beds | Latest DOH inspection | Violations, 4-yr window |
|---|---|---|---|---|---|---|
| The Eliot at Troy, LLC 2902 Upper Tibbits Avenue, Troy 12180 | AH | 155 | ALP | 0 | 06/24/2026 | 67 |
| The Pines at Heartwood 2405 Fifteenth Street, Troy 12180 | AH | 86 | ALP | 0 | 06/25/2026 | 144 |
| The Terrace at The Eddy Memorial 2256 Burdett Avenue, Troy 12180 | EHP | 69 | ALR, EALR | 0 | 02/04/2026 | 26 |
Has the state taken enforcement action against any residence in Troy?
NYS Health Profiles shows enforcement actions for 3 residences in Troy; the latest is a Stipulation & Order involving The Eliot at Troy, LLC, dated November 17, 2025.
- The Eliot at Troy, LLC: 4 actions, most recent November 17, 2025
- The Pines at Heartwood: 2 actions, most recent March 6, 2025
- The Terrace at The Eddy Memorial: 1 action, most recent November 6, 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 Troy, and what are their CMS ratings?
Troy has 5 licensed nursing homes with 478 beds; of the 3 carrying a CMS overall rating, 1 have four or five stars.
| Facility | CMS overall rating | Certified capacity | Last CMS health inspection | Deficiencies cited | Nurse hrs/resident/day |
|---|---|---|---|---|---|
| Eddy Heritage House Nursing and Rehabilitation Center 2920 Tibbits Avenue, Troy 12180 | 1 of 5 | 120 | February 27, 2024 | 18 | 4.14 |
| Eddy Heritage House Nursing and Rehabilitation Center 2920 Tibbits Avenue, Troy 12180 | Not rated by CMS | 120 | not reported | n/a | n/a |
| Eddy Memorial Geriatric Center 2256 Burdett Avenue, Troy 12180 | 4 of 5 | 80 | August 9, 2024 | 9 | 4.63 |
| Eddy Memorial Geriatric Center 2256 Burdett Avenue, Troy 12180 | Not rated by CMS | 80 | not reported | n/a | n/a |
| Troy Center for Rehabilitation and Nursing 49 Marvin Avenue, Troy 12180 | 2 of 5 | 78 | February 12, 2024 | 12 | 3.84 |
Which home care agencies and hospices list an office in Troy?
The state roster shows 7 home care, hospice or adult day health licenses with an office address in Troy; most agencies travel well beyond the town their office is in.
- Eddy Visiting Nurse & Rehab Association — certified home health agency, licensed since 1999
- Adept Health Care Service Inc. — licensed home care services agency, licensed since 1987
- CareGivers — licensed home care services agency, licensed since 1993
- Fawn Ridge Home Care — licensed home care services agency, licensed since 2016
- Golden Care Licensed Home Care Services Agency — licensed home care services agency, licensed since 2024
- The Eliot At Troy, LLC — licensed home care services agency, licensed since 2019
- Troy Crossings, LLC — licensed home care services agency, licensed since 2013
Which hospitals are closest to Troy?
From the middle of Troy's licensed facilities, the nearest hospitals are Samaritan Hospital (St. Peter's Health Partners, about 0.3 miles) and Samaritan Hospital - Albany Memorial Campus (about 5.5 miles).
Albany Medical Center Hospital is about 7.4 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 Troy get free help?
Rensselaer County Department for the Aging ((518) 270-2730) is the free first stop for Troy 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 Rensselaer County Adult Protective Services at (518) 833-6181. Eddy SeniorCare's PACE program covers listed ZIP codes in Rensselaer County; call (518) 539-4986 to check an address.
