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Memory Care: SNALR Certification in New York

New York requires a Special Needs Assisted Living Residence (SNALR) certification for dementia-specific care -- an add-on to an ALR license, not a separate disclosure requirement.

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Memory care in New York: SNALR, not a separate license

New York does not issue a wholly separate “memory care license.” Dementia-specific care is regulated through the Special Needs Assisted Living Residence (SNALR) certification — an add-on certification layered onto an existing Assisted Living Residence (ALR) license, under 10 NYCRR Part 1001. A community can legally use the words “memory care” in its marketing without holding SNALR certification, so the certification itself is what to verify, not the marketing language.

What to actually ask for on a Long Island tour

Ask to see the SNALR certification specifically, by name — not a brochure that uses the words “memory care” or “memory neighborhood.” You can also independently verify SNALR status before the tour, free, by searching the community on NYS Health Profiles’ Adult Care Facilities tool (profiles.health.ny.gov/acf) and filtering by facility type.

Questions families ask

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.

Is there a separate published cost for memory care in New York?

No. CareScout's Cost of Care Survey, the primary published cost benchmark used on this site, does not survey or publish a distinct memory care cost category in either its 2024 or 2025 New York State data tables. CareScout only publishes figures for Assisted Living Community, Nursing Home (semi-private and private), Adult Day Health Care, and in-home care categories.

Is there a Long Island-specific senior care cost figure, or only a statewide number?

Only a statewide figure is published. CareScout confirms that its publicly downloadable National and State Data Tables report, the source for the cost figures cited throughout this site, provides state-level and national medians only. CareScout's underlying survey does collect metro-area (MSA-level) data that feeds its separate interactive online cost calculator, but that breakout is not included in the downloadable state tables.

Who is the Long-Term Care Ombudsman for Suffolk County, and what do they do?

Suffolk County's regional Long-Term Care Ombudsman Coordinator is Elizabeth Maxim, sponsored by Family Service League (FSL), 1444 Fifth Ave., Bay Shore, NY 11706, phone 631-470-6755. The Ombudsman Program advocates for residents in Suffolk County skilled nursing homes, assisted living, adult homes, and family-type homes for adults, and operates as part of the statewide Long Term Care Ombudsman Program housed within the NY State Office for the Aging.

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