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Senior care in St. James

Free help comparing assisted living, memory care, nursing and in-home care in St. James and the surrounding Suffolk County area.

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Suffolk County
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Quick answer

St. James is in Suffolk County. New York's Department of Health licenses assisted living through the ACF/ALR system, with SNALR certification for memory care.

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Home›Cities›St. James

A North Shore Smithtown hamlet on the LIRR Port Jefferson Branch, centered on the historic Saint James District and the 1845 Deepwells Farm estate, one of the area's oldest preserved homesteads.

Short answer

St. James is in Suffolk County. Senior care here is regulated by the New York State Department of Health (NYSDOH). We list 2 licensed or verified providers in St. James, and an advisor can cover the surrounding area at no cost to your family.

Verified communities in St. James

Assisted living and nursing homes below come from New York State Department of Health licensing records, with the state operating certificate number for each; open any community for its bed count and inspection record. We do not publish pricing we cannot source.

CommunityCare typeAddressPhoneNYSDOH license #
Luxor at Mills Pond Rehabilitation and Nursing CenterNursing Home273 Moriches Road
St. James, NY 11780		(631) 862-89905157319N
St. James Rehabilitation & Healthcare CenterNursing Home275 Moriches Road
St. James, NY 11780		(631) 862-80005157317N
How New York licenses assisted living. New York layers Adult Care Facility, ALR, EALR and SNALR certifications rather than issuing one flat license. Read the full explanation →
What to ask on a tour. Ask to see the state inspection report, the memory-care disclosure/certification if marketed, the all-in cost at your parent's care level, the three-year rate increase history, and the overnight staffing ratio. Read the full explanation →

Care options in St. James

Assisted Living in St. James

Help with daily activities in a New York State Adult Care Facility with Assisted Living Residence (ALR) certification, with meals, housekeeping and medication assistance included.

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Memory Care in St. James

Secured, dementia-specific care delivered through a Special Needs Assisted Living Residence (SNALR) certification -- New York's add-on certification for memory care, layered onto an ALR license.

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Nursing Homes in St. James

Skilled nursing facilities licensed under 10 NYCRR Part 415, a separate rule chapter from assisted living, providing 24-hour licensed nursing care and short-term rehabilitation.

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In-Home Care in St. James

Caregivers and skilled clinicians who come to the home, from a few hours a week to around-the-clock support.

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Independent Living in St. James

Age-restricted apartments and campuses with dining, activities and light services, for adults who do not need daily hands-on care.

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Hospice Care in St. James

Comfort-focused care for a life-limiting illness, delivered at home, in a facility, or in a dedicated inpatient unit.

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Questions families ask

What does a nursing home cost per day in New York?

CareScout's 2025 Cost of Care Survey puts the New York State median at $511 per day ($15,528/month, $186,333/year) for a semi-private room and $550 per day ($16,729/month, $200,750/year) for a private room, both based on 365 days of care. These are statewide figures; CareScout does not publish a separate Long Island-specific nursing home rate.

How much does hourly in-home caregiving cost in New York?

CareScout's 2025 Cost of Care Survey reports a New York State median of $35 per hour for what it now calls non-medical caregiver services, a category that merged the formerly separate homemaker services and home health aide categories in 2025 due to price convergence. Based on a 44-hour week, that works out to roughly $6,673 per month or $80,080 per year. Private duty nursing, a higher-acuity service, runs a New York State median of $120 per hour.

What does adult day care cost in New York, and could it help delay a move to assisted living?

CareScout's 2025 Cost of Care Survey puts New York State's Adult Day Health Care median at $144 per day, or about $3,120 per month based on five days a week, $37,440 per year. That's up from $113 per day in the 2024 survey, an increase of roughly 27 percent year over year, the largest percentage jump among CareScout's surveyed New York categories.

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