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CCRC vs. Standalone Assisted Living

A Continuing Care Retirement Community keeps a couple together across care levels. A standalone community is usually simpler and less expensive to enter.

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Short answer

Two Long Island campuses operate as full Continuing Care Retirement Communities (Life Plan Communities): Jefferson's Ferry in South Setauket and Peconic Landing in Greenport. Both combine independent living with priority access to assisted living, memory care and skilled nursing on one campus, so a couple can stay together even if their care needs diverge.

Entry-fee structures differ between the two

Jefferson's Ferry uses a Life Care contract model, pricing the full continuum of health services at predictable rates with little to no increase beyond the independent living cost. Peconic Landing is structured differently: New York's only equity-based CCRC, where members purchase shares in a housing cooperative rather than paying a standard entrance fee. Neither currently offers rental or affordable-housing options -- both are structured around their specific entry model.

When standalone assisted living is more flexible

A standalone community -- most of the assisted living options in this directory -- is usually simpler and less expensive to enter, with no large entry fee or share purchase required. It is the more flexible choice for a family that is not ready to commit to a full continuum-of-care contract, or that wants to compare multiple operators rather than committing to one campus.

Questions families ask

How much does assisted living cost in New York State?

According to CareScout's 2025 Cost of Care Survey, the median cost of an assisted living community (private one-bedroom) in New York State is $225 per day, or about $7,110 per month and $85,320 per year. This is a statewide median - CareScout's published state-level data tables do not break out a separate Long Island or metro New York figure.

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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