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Page Reviewed / Updated – September 03, 2020

The 10 Best Assisted Living Facilities in Rochester, NY

Rochester is an interesting area known for its high life expectancy rates and its cold winters, and it now also has the distinction of being the eighth most romantic city for baby boomers.

The city and surrounding suburbs are rich in arts and culture and home to many upscale golf courses and country clubs, as well as large museums such as the Memorial Art Gallery. This museum has collections from medieval to contemporary, and features works by Rembrandt and Monet. To the south, large parks welcome visitors and locals, including the historic Lamberton Conservatory.

As noted in the Genworth Cost of Care Survey 2019, Rochester’s assisted living costs are slightly higher than average for New York — $4,748 per month in the city and $4,630 in the state. Watertown has the most expensive communities, at an average of $7,290, and New York City is just marginally less costly, with an average rate of $6,950 per month.

View the top 10 communities for assisted living in Rochester and find out what the area has to offer. Additionally, find out more about the cost of assisted living in Rochester and what financial assistance programs are available.

The Village at Unity

The Village at Unity is a large community located 5 miles from downtown Rochester in Greece, next to Unity Hospital and adjacent to a wooded area and a pond. It provides independent and assisted living, as well as memory care in a separate wing. Scheduled transportation and care coordination with local health services is provided. Assisted living residents choose from studio, one- and two-bedroom apartments with kitchenettes — including a microwave and refrigerator — and all units are equipped with emergency alert systems. Small cats and dogs are also welcome in assisted and independent living suites.

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  • PrimeFit and BrainHQ fitness and wellness programs
  • Upscale spa with therapy tub

Atria Greece

Atria Greece sits between residential neighborhoods and a large shopping mall in Rochester's neighboring suburb of Greece. The community provides independent and assisted living in studio and suite options with a selection of floor plans. Concierge service is available, and transportation for appointments or other errands can be arranged by staff. Residents can also join the group outings to casinos, boat tours on local rivers and Lake Ontario and other events. We ranked Atria Greece highly for its natural outdoor areas and attractive, modern interior.

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  • Full calendar of varied activities
  • Two atriums with flower gardens and raised beds for residents

Legacy at Maiden Park

Legacy at Maiden Park offers memory care and two styles of assisted living in a large community located between housing and shopping areas of Rochester, New York. Seniors who require more hours of care may benefit from Legacy's enhanced assisted living program, which is designed as an in-between choice when the added cost of skilled nursing would be unnecessary. Residents with Alzheimer's or other memory disorders live in The Gardens — a separate neighborhood equipped with specialized staff and features — and this area provides safe and secure surroundings.

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  • Weekly housekeeping, laundry and linen services
  • Gourmet Bites and other signature programs also in memory care

The Landing of Brighton

The Landing of Brighton is a large, modern retirement community that provides assisted living and memory care. It's located in a relatively quiet area next to woodlands and large parks, just 3 miles south of downtown Rochester. Residents with Alzheimer's are cared for in a dedicated area with purpose-built, private studio apartments. The assisted living accommodations come with more choice and larger sizes — up to 670 square feet — and all residents have personal alert systems. This community earned its place in the top 10 for its serious dedication to hygiene and cleanliness, and for its bright and open common areas.

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The Village at Mill Landing

The Village at Mill Landing is surrounded by tall trees and green spaces in a residential area outside Rochester, roughly 3 miles from the shore of Lake Ontario. The community provides assisted living care with over a dozen floor plans — from studio apartments to large, two-bedroom and two-bathroom apartments — and the memory care neighborhood has private and semiprivate suites. Common areas are cheerful and filled with natural light during the day, thanks to the high ceilings and many windows, and multiple fireplaces give the residents a chance to gather and chat in the evening.

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Shire Senior Living

Shire Senior Living provides assisted living care and accommodation within a larger senior community northeast of Rochester. It's located just a few miles from Irondequoit Bay and Lake Ontario, as well as large nature preserves and a golf course. Trained staff are on duty 24/7 and the community offers more on-site therapeutic services than the nearby alternatives. We placed Shire in the top 10 for its dedication to aging in place, and specifically for the enhanced level of assisted living care available, which helps lower the chance that residents will require a nursing home.

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  • Can provide more medical care than usual for assisted living
  • On-site physician and podiatric services

GrandeVille Senior Living Community

GrandeVille is a large senior community that provides a continuum of care from adult day care and short stays to assisted living and memory care, as well as enhanced care packages. It's close to shops and has a bus stop just outside, which is convenient for family and visitors who don't drive. The community is set up to allow residents across all levels of care to take advantage of many of its services, such as medical, wellness and preventive care, as well as activities both at home and away on group outings.

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  • On-site medical clinic, lab service, physical therapy and podiatry care
  • Case managers available to help with financial and personal needs

The Homestead Rochester

The Homestead provides assisted living in its North Hall residence — a separate and secure part of the larger community — and it's one of the few senior long-term care homes located near Rochester's city center. Residents can learn how to get online and stay connected with family, or simply for entertainment, and take advantage of other on-site features such as free ice creams and sundaes. The Homestead has its own chaplain and over 100 volunteers who stop by to help with activities, put on a show or tell a few stories.

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Wolk Manor

Wolk Manor is a midsize assisted living neighborhood set within the beautiful, sprawling senior community of The Summit at Brighton. This separate community is self-contained and secure, and still benefits from the larger community via access to certain amenities and care staff, including 24/7 nurses, aides and on-site care from physicians. Regular activities include group exercise classes to get people moving and more artistic and intellectual pursuits to keep the mind active. Scheduled transportation is also available, as well as valet service.

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  • Licensed to provide enhanced assisted living
  • Highly trained staff on duty at all times

Sage Harbor at Baywinde

Sage Harbor at Baywinde sits just under a mile from Irondequoit Bay in an attractive, green area of Webster, New York. Assisted living and memory care services are available, each in separate wings that are staffed by appropriate caregivers and other staff, including nurses. Residents in assisted living can choose from eight floor plans with optional kitchenettes and multiple bedrooms in many units. Outside of the apartments, residents can get creative in the art center, visit the greenhouse and pond, or play shuffle board and other games.

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  • Natural surroundings close to shopping and major roads
  • Pet-friendly community with pet-friendly activities

The Cost of Senior Living and Care in Rochester

According to the Genworth 2018 Cost of Care Study, the cost of senior care in Rochester is a little higher than the state averages for most types of care. Assisted living, home care and nursing home care all have costs that are slightly above the national average, while the cost of adult day care is on par with the average cost throughout the state. When compared with other major cities throughout New York, the cost of senior care in Rochester is mid-range. While costs in cities like Utica and Glens Falls are much lower than in Rochester, cities like New York and Albany have considerably higher average costs. 

How much does Assisted Living Cost in Rochester?

The average cost of assisted living in Rochester is only about $200 higher than the state average, which is $4,185. Although the cost of assisted living in Rochester is higher than the state average, it’s much lower than in other major cities throughout New York, such as New York City, where the average monthly cost of assisted living is $5,916 and Ithaca, where the average cost is $5,000. Senior care is much less expensive in smaller cities in New York, such as Glens Falls, where the average monthly cost of assisted living is only $2,600. 

How much does Home Care Cost in Rochester?

The average monthly cost of home care in Rochester is $4,767, which is among the highest in the state. Rochester’s costs fall just behind Ithaca, where the average monthly cost of home care is $5,100, and Syracuse, where the average monthly cost is $5,329. In cities such as New York City and Albany, the cost of home care is a couple hundred dollars less per month.

How much does Adult Day Care Cost in Rochester?

The average monthly cost of adult day care in Rochester is fairly reasonable when compared with many other cities in New York. The cost is on par with the state average and is several hundred dollars less than in New York City and Syracuse, where the average monthly cost of assisted living is $1,950. In smaller cities, such as Albany and Buffalo, adult day care costs are substantially lower at $1,083, and in Glens Falls, the cost is nearly double at $2,833. 

How much does Nursing Home Care Cost in Rochester?

Nursing home costs in Rochester are higher than the state average, which is $11,756 per month and are almost the highest in the state. The only city with higher nursing home costs is Albany, where the average monthly cost of nursing home care is $12,517. Most cities throughout New York have costs ranging from $11,000 to about $12,000 per month, except Ithaca and Utica, where average costs are about $9,580 per month.

Financial Assistance Programs in Rochester

Medicaid Program in Rochester

Seniors living in Rochester can access financial assistance through the state Medicaid program, which is funded by the state of New York with assistance from the federal government. The state’s Medicaid program pays for the cost of nursing care and home care for eligible seniors.

Seniors who participate in New York’s Medicaid program can access financial assistance under the Community First Choice Option (CFCO), which offers seniors access to assistance with activities of daily living, nurse visits, medical equipment and personal emergency response systems. The program exists to provide a nursing level of care to seniors who prefer to continue living at home. Under the CFCO, seniors can choose to direct their own care, which includes hiring family members or friends as caregivers.

To be eligible for Medicaid in New York, individual applicants must have an income less than $842 per month and couples must earn less than $1,233 per month. Asset value is limited to $15,150 for individuals and $22,200 for couples, not including the value of the applicant’s home, which must be worth less than $858,000. Exempt assets include household items and one vehicle. New York offers residents a Medicaid spend-down program that’s called Medicaid Excess Income. Under this program, seniors may still be eligible for financial assistance if their income or assets exceed the limits provided their medical expenses are above average.

To apply for Medicaid in New York or to learn more about the application process, seniors can call the Monroe County District Social Services office at (585) 753-2750.

Medicaid Waivers in Rochester

Assisted Living Program

The Assisted Living Program (ALP) is a Medicaid waiver program that is jointly funded by the state’s Medicaid program and the New York State Department of Health. It provides seniors and disabled individuals with access to care in licensed assisted living residences in New York. The waiver pays for the cost of care services provided in assisted living residences and was created to reduce the stress on the state’s Medicaid system, which is often the result of the high cost of nursing home care in the state. In some cases, this program will pay for both the cost of care and room and board expenses.

This program is open to both Medicaid participants and those who meet the program’s eligibility guidelines. Financial eligibility requirements for this waiver are the same as those for the state Medicaid program. Additionally, applicants must require a nursing level of care, yet be able to function safely within an assisted living residence. Applicants are required to submit to a functional assessment to determine their level of need. Only 4,200 applicants are accepted into this program at one time, which means it’s not uncommon for the waiting list to get rather lengthy.

To apply for this program or to inquire about the program’s waitlist and application process, seniors can contact the Monroe County District Social Services office at (585) 753-2750.

Consumer Directed Personal Assistance Program

The Consumer Directed Personal Assistance Program (CDPAP) allows Medicaid participants who require daily assistance or nursing care to participate in directing their own care. Under this waiver, participants may choose to hire their own adult children or another family member or friend to provide home care services. The program does not allow for the hiring of spouses.

In order to participate in the CDPAP, seniors living in Rochester must have their doctor send a completed physician’s order to the Monroe County District Social Services Office. Upon receipt, Social Services will initiate an assessment to determine if the applicant may participate in the program. Seniors must be capable of hiring and directing their own care or have a legal representative who is willing to make choices on their behalf. Financial requirements for this program are the same as for the state Medicaid program.

To apply for the CDPAP, seniors can contact the Monroe County District Social Services office at (585) 753-2750.

Other Financial Assistance Programs in Rochester

New York State Supplement Program

The state of New York provides a cash benefit to eligible seniors and disabled individuals who are receiving Supplemental Security Income. This benefit was created to provide those receiving long-term care with additional financial assistance to pay for the cost of services or room and board. The maximum payout of this benefit depends on the age, disability and income of the applicant, but for some, it may be as high as $694 per month.

Seniors who are eligible for the State Supplement Program automatically qualify for Medicaid. To be eligible for the program, seniors must be 65 years of age or older, reside in New York State and have limited income and assets.

To apply for this program, seniors can call (800) 772-1213.

Community Services for the Elderly

The Community Services for the Elderly (CSE) program is provided by the New York State Office for the Aging. It was created to provide financial assistance and support services to seniors who require daily support or nursing care but wish to continue living at home. The program was created to reduce the level of stress that institutionalization creates for the state’s Medicaid system. Services provided under this program are funded by the state’s network of Area Agencies on Aging. Participants of this program may receive funding for, or access to, services that include adult day care, home health care, personal care, respite care, meal delivery, case management and transportation assistance.

To be eligible for the CSE, seniors must be at least 60 years of age and legal residents of New York. They must also be assessed and determined to require daily support services. Financial eligibility requirements stipulate that individual applicants must not have an income that exceeds $1,518 per month and couples may not have an income that exceeds $2,058 per month.

Seniors who wish to apply for this program can contact the Monroe County Aging Office at (585) 753-6280.

Expanded In-Home Services for the Elderly

The Expanded In-Home Services for the Elderly program is provided by the state of New York and offers non-medical services that include personal care, senior companion services, meal delivery, adult day care and transportation assistance. The program is available to elderly residents who live at home and require regular support services.

To be eligible, seniors must be 60 years of age or older and may not qualify for the state’s Medicaid program. They must also be assessed and determined to require assistance with their activities of daily living. There are no income limitations in place for this program.  For more information, please call (585) 753-6280 or contact your local Office for the Aging.

More Senior Living Resources in Rochester


Phone Number


Rochester Housing Authority

(585) 697-7180

The RHA has public housing available for seniors over 50 years old who have limited income. Rent is subsidized by HUD so income requirements do apply.

New York RESTORE Program

(866) 275-3427

The RESTORE program provides low-income seniors with access to low-cost home repairs and necessary home modifications. Funding is available to seniors aged 60 and older.

Home Energy Assistance Program

(585) 753-6477

This program provides assistance with the cost of home heating to low-income seniors and other individuals living in Monroe County.

For additional information and planning, please read our comprehensive guide to paying for senior care in New York.