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Long-Term Care Options in NYC

In the bustling city of New York, finding the ideal long-term care option for yourself or a loved one can feel daunting. This article aims to simplify the process by providing a comprehensive overview of the available long-term care choices, including home-based care, assisted living facilities, and nursing homes. 

We will also cover the costs associated with these options and discuss financial assistance programs.

Key Takeaways

  • The cost of long-term care in NYC can be high. Still, financial assistance options, such as Medicaid, Medicare, and long-term care insurance, are available.
  • When choosing a long-term care option, consider factors like location, services offered, cost, quality of care, and personal preferences.
  • Utilize resources like the New York State Department of Health, New York City Department for the Aging, and Eldercare Locator to find and evaluate long-term care options in NYC.

Long-Term Care Options

Home-Based Care

Home-based care refers to various health care and supportive services provided within an individual’s residence. This type of care can include personal care, nursing care, therapy, and assistance with daily activities, tailored to the person receiving help.

Pros of home-based care:

  • Allows individuals to remain in a familiar and comfortable environment
  • Offers personalized and flexible care plans
  • Encourages independence and maintains privacy

Cons of home-based care:

  • May require home modifications for accessibility and safety
  • Can be isolating, with limited opportunities for interaction
  • May become inadequate as care needs increase

Numerous home care service providers in NYC cater to various needs and preferences.  Luckily, you can find some great home care options here and be guided through the whole process also.

Assisted Living Facilities

These residential communities offer housing, personal care, and support services to seniors and disabled people. They provide meals, housekeeping, transportation, and assistance with daily living activities while promoting social interaction through recreational programs.

Pros of assisted living facilities:

  • Encourages socialization through communal living and planned activities
  • Provides a safe and secure environment with 24-hour staff
  • Offers various levels of care, depending on individual needs

Cons of assisted living facilities:

  • Can be expensive, and costs vary depending on services and location
  • May require adjusting to a new living environment and community
  • Limited privacy compared to home-based care

Several assisted living facilities in NYC are available for different preferences and budgets. Some well-regarded options include Sunrise Senior Living, Atria West 86, and Kittay Senior Apartments.

Nursing Homes

Nursing homes provide 24/7 medical care and assistance to individuals with complex medical needs or significant disabilities. These facilities offer 24-hour nursing care, rehabilitation services, and help with daily activities in a highly structured and supervised environment.

Pros of nursing homes:

  • Provides comprehensive medical care and support for complex health needs
  • Offers specialized rehabilitation and therapy services
  • Ensures a safe and supervised environment

Cons of nursing homes:

  • Can be costly with expenses dependent on the level of care needed
  • May involve a significant loss of independence and privacy
  • Adjustment to a highly structured routine and environment may be challenging

In NYC, various nursing homes cater to different needs and wants. Some reputable options include Isabella Center for Rehabilitation and Nursing Care, The New Jewish Home, and ArchCare at Terence Cardinal Cooke Health Care Center.

Cost of Long-Term Care in NYC

The Basic Expenses

The cost of long-term care in NYC can vary greatly depending on the type of care and the specific services required. Here is an overview of the costs associated with each long-term care option:

  • Home-Based Care: The cost of home health care in NYC can range from $20 to $30 per hour for a home health aide, with more specialized nursing care services being more expensive. The overall cost will depend on the level of care needed and the number of hours required per week.
  • Assisted Living Facilities: The monthly cost of assisted living in NYC typically ranges from $4,000 to $7,000 or more, depending on location, room size, and the level of care provided. This cost usually includes rent, meals, housekeeping, and essential care services.
  • Nursing Homes: Nursing home costs in NYC can range from $10,000 to $15,000 per month or more, depending on the facility and the complexity of the care needed. These costs cover 24-hour nursing care, room and board, meals, and other support services.

Financial Assistance Options for Long-Term Care in NYC

There are numerous financial assistance options available to help manage the cost of long-term care in NYC:

  • Medicaid: This option is a federal- and state-funded health insurance program that can help eligible low-income individuals and families cover the cost of long-term care services. In New York, the Managed Long-Term Care (MLTC) program assists Medicaid-eligible individuals in accessing and coordinating long-term care services. Additionally, CDPAP falls under MLTC and assists with long-term service cost, and is also simple to work with.
  • Medicare: Medicare is another federal health insurance program for individuals aged 65 and older and certain younger individuals with disabilities. Although Medicare does not typically cover long-term care costs, it may provide coverage for short-term skilled nursing care or home health care under specific circumstances.
  • Long-Term Care Insurance: This is a private insurance policy that can help cover the costs of long-term care services such as home care, assisted living, and nursing homes. Premiums and coverage vary depending on the insurance company and the policy selected.
  • Veterans Benefits: Veterans and their spouses may be eligible for financial assistance through the VA’s Aid and Attendance (A&A) program, which can help cover the cost of long-term care services.

Choosing a Long-Term Care Option in NYC

Factors to Consider

When selecting a long-term care option in NYC, it is essential to consider various factors to ensure the best care for yourself or your loved one. These factors include:


The location of the long-term care facility or service is crucial, as it impacts not only the convenience of access for family members and friends but also the individual’s overall well-being. Consider proximity to medical facilities, public transportation, and other amenities such as parks, shopping centers, and cultural attractions.

Services Offered

Different long-term care options provide varying levels of care and services. Ensure the selected option offers essential services, including medication management, personal care assistance, therapy, and recreational activities, to cater to the individual’s needs.


The cost of long-term care in NYC can be high, so it’s essential to evaluate the affordability of each option and explore financial assistance programs, such as Medicaid, Medicare, long-term care insurance, or veterans’ benefits.

Quality of Care

The long-term care facility or service provides critical care. Look for facilities with good staff-to-patient ratios, a history of positive reviews, and accreditation by reputable organizations and associations, including The Joint Commission or the Commission on Accreditation of Rehabilitation Facilities.

Personal Preferences

Personal preferences and values play a significant role in determining the best long-term care option. When deciding, consider cultural and religious compatibility, dietary needs, and personal care preferences.

Resources for Finding Long-Term Care Options in NYC

Several resources can help you find and evaluate long-term care options in NYC:

  1. New York State Department of Health: This department provides a search tool for locating long-term care facilities in New York State, including nursing homes and assisted living facilities.
  2. Eldercare Locator: A public service provided by the U.S. Administration on Aging, Eldercare Locator connects individuals to services for older adults and their families, including long-term care options.
  3. Family, friends, and healthcare professionals: Seeking recommendations from trusted individuals, such as family members, friends, and healthcare professionals, can provide valuable insights and personal experiences to help guide your decision-making process.
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