How many licensed assisted living communities are on Long Island?
NYSDOH lists 97 licensed adult care facility communities in Nassau and Suffolk counties (105 operating certificates, 11,685 certified beds) as of October 24, 2026: 37 in Nassau and 60 in Suffolk.
61 of them hold Assisted Living Residence licensure, 53 are certified Enhanced (EALR), 53 are certified Special Needs (SNALR) for dementia, and 13 hold Medicaid Assisted Living Program beds. The rest are Adult Homes or Enriched Housing Programs without ALR licensure. We also list 77 NYSDOH-licensed nursing homes.
Assisted living
97 licensed communities, 11,685 certified beds
Browse →Memory care (SNALR)
53 communities, 2,123 dementia beds
Browse →Nursing homes
77 licensed nursing homes
Browse →Independent living
4 verified campuses
Browse →Home care
1 verified agency
Browse →Hospice
4 verified providers
Browse →What does each Long Island listing show?
Every listing shows the community's name, city, address, phone, certified bed count, NYSDOH operating certificate number and which assisted living certifications it holds, taken from state records rather than from the operator.
36 featured communities also get a full profile: first-licensed date, operator of record, every inspection on NYS Health Profiles since July 2022, and any enforcement action. Across all 97 communities, 10 had no violations cited in that window and 9 had a formal enforcement action.
Is assisted living the same as memory care in New York?
No. Assisted living is an ALR-licensed adult care facility; memory care is the separate SNALR certification for dementia, and a community can hold one without the other.
| Assisted living (ACF with ALR / EALR) | Memory care (SNALR) | |
|---|---|---|
| What it is | An Adult Home or Enriched Housing Program licensed by NYSDOH that adds Assisted Living Residence licensure; EALR lets residents stay as medical needs grow. | A Special Needs Assisted Living Residence certification for residents with dementia, layered on top of an ALR license. |
| What it isn't | Not a nursing home: no 24-hour licensed nursing under 10 NYCRR Part 415. | Not a separate license, and not proven by a brochure saying "memory care" — the SNALR certification is the proof. |
| Who it fits | Someone who needs help with bathing, dressing, medications and meals but is medically stable. | Someone whose dementia makes wandering, exit-seeking or unsafe judgment a daily concern. |
| How to check it | The ALR and EALR bed counts in the NYSDOH quarterly report (shown in our tables). | The SNALR bed count. A community with zero SNALR beds is not certified for memory care. |
Who licenses and inspects these communities?
The New York State Department of Health licenses and inspects adult care facilities and nursing homes; on Long Island that is done through its Metropolitan Area Regional Office – Long Island.
NYSDOH inspects each adult care facility every 12 to 18 months for relicensure, investigates complaints, and posts the results on NYS Health Profiles. Our pages link to each facility's state record so you can read it yourself.
Related questions
- How do I check if a Long Island assisted living facility has a clean inspection record?
- What's the difference between an Adult Home, Enriched Housing and an ALR?
- Who regulates assisted living facilities on Long Island?
- Assisted living vs memory care
- How to verify a facility license
Last verified: October 2026.
