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What Senior Care Costs

Published New York State median costs for assisted living, nursing homes, in-home care and adult day care, with the caveats that matter.

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What senior care costs in your metro

CareScout's 2025 Cost of Care Survey -- the most widely cited source -- publishes New York state medians only. There is no Nassau County, Suffolk County or Long Island-specific figure from any primary source. Local Long Island pricing likely runs at or above the state median given the region's cost of living, but this site cites the state figure and says so rather than inventing a local number.

Care typeMonthly medianBasis
Assisted living community (private, one bedroom)$7,110/monthper month, New York State median
Nursing home, semi-private room$15,528/monthper month, New York State median
Nursing home, private room$16,729/monthper month, New York State median
Non-medical caregiver (homemaker/home health aide)$6,673/monthper month at 44 hrs/week, New York State median ($35/hour)
Adult day health care$3,120/monthper month, New York State median ($144/day)

New York State medians, 2025 CareScout Cost of Care Survey (survey period July-November 2025; published ~March 2026).

Source: 2025 CareScout Cost of Care Survey (survey period July-November 2025; published ~March 2026)

There is no published memory-care median anywhere — CareScout does not survey it as a category. Never invent one.

Questions families ask

How much spending money is a Medicaid nursing home resident allowed to keep each month in New York?

New York's Nursing Home Resident Personal Needs Allowance is $50 per month - the amount a Medicaid-funded nursing home resident is permitted to keep from their own income for personal expenses, with the rest going toward the cost of their care. According to the NY State Office for the Aging (NYSOFA), this figure has been unchanged since the 1980s, and NYSOFA notes that 33 other states currently pay a higher PNA, ranging from $52 to $200.

What is the MLTC special income standard for Long Island and why does it matter for Medicaid home care?

The special income standard for housing expenses, available to certain individuals enrolled in a Managed Long Term Care plan, varies by NYSDOH region - for the Long Island region specifically, it is $1,701.00. This regional figure is higher than most upstate regions (for comparison, the Central New York region's is $426 and the Western region's is $341), reflecting Long Island's higher housing costs, and remains in effect until updated federal poverty levels are published.

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.

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