Alzheimers, Dementia & Memory
Care Facilities in New York

Having to be the person to find memory care communities for a relative or loved one can be difficult when you are already dealing with seeing them suffer from their severe symptoms. Though it can often make you feel like you are alone in this, you’re not, and we are here to help make this transition easier on you.

Searching for New York memory care facilities for your family members can be easier than you think with the right information. So, with the state of New York offering a variety of great facilities and options for you to choose from, you can find a suitable home in no time.

Memory Care Costs in New York

Memory care is specialized care for individuals with Alzheimer's, dementia, and other memory-related conditions. The costs vary significantly depending on the location within New York. Below is a table that outlines the average monthly costs for memory care in 10 of the largest cities in New York, starting with the state average.

Memory care costs in New York are relatively high, particularly in major urban areas like New York City and Yonkers, where costs can exceed $7,000 per month. In contrast, cities like Buffalo, Rochester, and Syracuse offer more affordable rates, averaging between $5,400 and $5,600 monthly.

When compared to nearby cities in other states, New York's costs are on the higher end. For example, memory care in cities like Philadelphia, PA averages around $5,500 per month, while costs in Hartford, CT can range from $6,200 to $6,500. Overall, New York’s larger cities, especially New York City, have some of the most expensive memory care options in the region, while upstate areas tend to be more affordable.

Cost of Memory Care in Most and Least Expensive Zip Codes in New York

Below is a table comparing the most expensive and least expensive zip codes in New York for memory care, based on average monthly costs.

In this table, you can see the wide gap in memory care costs between the most expensive zip codes in New York City (which can reach up to $9,200 monthly) and the least expensive areas, with monthly costs averaging between $5,100 and $5,600 in cities like Buffalo, Rochester, Syracuse, Schenectady, and Huntington.

Comparison of Memory Care Costs to Other Types of Senior Living in New York

The table below compares the average monthly costs for memory care with other common types of senior living in New York.

Summary of Costs

Memory care in New York tends to be more expensive than other senior living options. It is more costly than assisted living ($4,500) and independent living ($3,200), but more affordable than skilled nursing care, which averages $10,500 per month. Adult day care is the most affordable option for seniors, at $1,800 per month, typically providing daytime care for individuals who do not require overnight support.

Who Are New York Dementia & Alzheimer's Care Facilities For?

New York dementia and Alzheimer's care homes are specially created to house those who require specialized care for their symptoms. Patients with some type of degenerative brain disease like dementia are plagued by a multitude of physical and psychological issues that can affect their everyday lives. These symptoms can include severe memory loss, loss of critical thinking abilities, loss of physical functions, and they can get easily frustrated or angry. 

New York dementia care facilities offer special training to the staff at these homes so that they can handle these symptoms when the patients get overwhelmed and need extra help to cope. This level of specialized care is not offered at other kinds of homes, because this involved care is not always needed, and so dementia patients get a personalized and individualized treatment that focuses on easing their symptoms and preventing their disease from progressing. 

Can you use Medicare to pay for memory care in New York?

Medicare, a federal health insurance program primarily for those aged 65 and older or individuals with certain disabilities, has specific guidelines regarding coverage for memory care services in New York. While Medicare does provide coverage for various healthcare services, it does not typically cover long-term memory care or custodial care, which is often needed for individuals with Alzheimer's disease or other forms of dementia. Here’s an overview of how Medicare works with memory care in New York:

Medicare Coverage for Memory Care in New York

Medicare does not cover the costs of long-term memory care or residential care provided in assisted living facilities in New York. These services generally include custodial care, which involves help with daily activities like bathing, dressing, or eating, and are typically not covered under Medicare.

However, there are some specific aspects of memory care that Medicare may help with, depending on the circumstances:

1. Skilled Nursing Care: Medicare Part A (Hospital Insurance) may cover short-term stays in a skilled nursing facility (SNF) if the individual has been hospitalized for at least three days before the stay and requires skilled care for recovery, rehabilitation, or therapy. This coverage typically does not last long (up to 100 days), and it is for skilled nursing services rather than custodial care.

2. Home Health Care: Medicare may cover home health care services if the individual is receiving care at home for memory-related conditions. This includes visits from skilled nurses or therapists to help with medical needs, such as monitoring health conditions, administering medications, and providing some rehabilitation therapies. However, custodial care in the home, like assistance with bathing or dressing, is not covered.

3. Hospice Care: For those with end-stage dementia or Alzheimer’s, Medicare Part A provides coverage for hospice care if the individual is expected to live six months or less. This care includes pain management, symptom control, and support for families but is only applicable if the individual opts for hospice care instead of curative treatment.

4. Medical Equipment and Supplies: Medicare may cover certain medical equipment, such as wheelchairs, oxygen, or other supplies that a person with memory loss might need as part of their care.

Paying for Memory Care Beyond Medicare

Since Medicare does not cover long-term memory care in New York, families often need to explore other options to pay for such care. These options may include:

• Medicaid: For individuals who meet the financial eligibility requirements, Medicaid in New York may help cover the cost of memory care in a nursing home or other long-term care settings. Medicaid in New York provides more extensive coverage than Medicare for long-term care and custodial services.

• Private Pay: Some families choose to pay out-of-pocket for memory care services. This can be expensive, particularly in New York where memory care costs can be high, especially in major cities like New York City and surrounding areas.

• Long-Term Care Insurance: For those who have purchased long-term care insurance prior to needing memory care, this type of insurance may cover some of the costs, depending on the policy.

• Veterans Benefits: Veterans or their spouses may be eligible for benefits through the Department of Veterans Affairs that can help cover memory care services, particularly in VA-supported nursing homes or other veteran-specific care facilities.

Questions to ask New York memory care facilities

Choosing the right memory care facility for a loved one is a crucial decision that requires thorough evaluation. It's important to ask the right questions to ensure the facility meets your expectations and provides the level of care needed. Below are some essential questions to ask New York memory care facilities:

1. What is your staff-to-resident ratio?

The ratio of staff to residents is important for ensuring that each person receives the individual attention they need. A higher ratio generally means more personalized care and better monitoring of residents.

2. What qualifications and training do your staff members have?

It’s essential to know that the staff is not only compassionate but also trained in memory care and dementia-related conditions. Ask about ongoing education and how they stay updated on best practices in memory care.

3. How do you personalize care plans?

Memory care should be tailored to the specific needs of each resident. Inquire how the facility develops and implements individualized care plans and whether family input is considered.

4. What is your approach to managing challenging behaviors?

Residents with memory impairments may exhibit wandering, aggression, or other challenging behaviors. Ask how the facility addresses these situations while maintaining a respectful and safe environment for all residents.

5. How do you manage medical care and medication?

Ask about how medical care is coordinated, including visits by physicians, nurses, and specialists. Additionally, inquire how medications are monitored, administered, and adjusted as needed.

6. What types of activities and therapies are available?

Social interaction and mental stimulation are key for memory care residents. Ask about the daily schedule of activities, including cognitive exercises, physical activities, social events, and creative pursuits.

7. What security measures are in place?

Ensuring the safety of residents is crucial. Ask about security protocols, such as locked doors, surveillance cameras, or secure outdoor spaces. Inquire about how the facility handles wandering, a common issue among those with dementia.

8. What is your policy on family involvement?

Many memory care facilities welcome family participation in care. Ask how families can engage with their loved ones, including visiting hours, communication with staff, and opportunities to participate in care planning meetings.

9. What is the cost structure and what does it include?

Memory care can be costly, and it's important to understand the facility's pricing model. Ask about the cost of services and whether there are additional fees for specialized care, activities, or transportation.

10. How do you handle emergencies and hospitalizations?

Inquire about the procedures for handling medical emergencies, transfers to hospitals, and the involvement of emergency services. Ask about the level of support the facility provides during hospital stays.

11. What is your policy on nutrition and dietary preferences?

Good nutrition is vital for memory care residents. Ask about meal planning, options for special dietary needs, and whether the facility can accommodate specific preferences or restrictions.

12. What are your visitation policies?

In addition to visiting hours, ask about policies regarding overnight visits, special family events, and any restrictions that might apply. It’s important to understand how flexible the facility is in allowing family members to engage with their loved ones.

13. What is the facility’s philosophy on memory care?

Ask about the facility’s overall approach to memory care. Are they focused on maintaining independence, enhancing quality of life, and supporting emotional well-being? A facility's philosophy can help guide its practices and care approach.

14. Do you provide transportation for medical appointments or outings?

Transportation services are an important consideration. Inquire whether the facility provides transportation for doctor’s appointments, community outings, or other personal needs, and if there are any additional costs involved.

15. Can you provide references from current or past families?

Speaking with other families who have used the facility’s services can provide valuable insights. Ask if the facility can provide references or testimonials from current or past residents and their families.

16. What is your discharge or transfer policy?

It’s important to understand under what circumstances a resident might be transferred or discharged from the facility. Ask about the process for this, whether it's due to a change in health condition or the inability of the facility to meet the resident’s evolving needs.

Amenities Offered in New York Memory Care Facilities

Alzheimer's care communities in New York offer patients the housing and medical care that they need, all in one place. With the addition of personal care services that are needed with live-in patients, there are several amenities that separate these facilities from others.

Dementia care communities are designed to take into account all needs, so amenities like laundry service, assistance with feeding and bathing, as well as cleaning services and medical waste disposal are all available at the facility. Residents who can’t take care of daily tasks like brushing their teeth, or going to the bathroom, will also receive special care to ensure that they are fully taken care of.

Medical and residential care are both big parts of New York memory care homes, so offering patients emergency call services for when they fall or are in pain, and 24/7 medical supervision for proper medication distribution and monitoring keeps them safe at all times and ensures that there will be staff available whenever a patient needs help.

Other amenities that are a priority at these Alzheimer's care facilities focus on resident interaction for community building among patients. Although residents live together, patients with dementia and Alzheimer’s can often feel alone. So, it is important to make them feel a part of the social climate so that they don’t begin to isolate themselves and risk worsening their symptoms. Activities that focus on group interaction and participation are offered as a way to incorporate these practices.

Memory Care Admission Requirements in New York

Admission to New York's memory care facilities involves a set of specific requirements, both for the individual seeking care and for their caregivers. Below are the key considerations for admission to memory care in New York:

1. Diagnosis of a Memory Impairing Condition

A primary requirement for admission to memory care facilities is a formal diagnosis of a memory-related condition, such as Alzheimer’s disease, dementia, or another cognitive disorder. This diagnosis must typically be provided by a licensed physician, neurologist, or geriatric specialist. Facilities may require recent medical records to confirm the diagnosis and determine the level of care needed.

2. Assessment of Care Needs

Once a diagnosis is confirmed, memory care facilities conduct a thorough assessment of the prospective resident’s physical, emotional, and cognitive needs. This evaluation ensures that the facility can provide the appropriate level of care, such as assistance with activities of daily living (ADLs), medication management, and supervision to prevent wandering or unsafe behaviors. Some facilities may require additional tests or evaluations to assess the degree of memory impairment.

3. Functional Level and Safety Concerns

Admission to memory care also depends on the individual's functional level. Facilities evaluate whether a person is still able to perform basic activities, such as bathing, dressing, eating, and walking, independently. Residents who need 24-hour supervision due to safety concerns, such as wandering or confusion, are generally appropriate candidates for memory care. If a person’s medical or behavioral needs are too complex or require a higher level of care than what a facility can provide, they may not be admitted.

4. Medical History and Health Conditions

Memory care facilities in New York typically require a comprehensive medical history. This includes information about other health conditions such as heart disease, diabetes, or hypertension, which might impact the person’s care needs. Facilities will assess if they are equipped to handle these conditions alongside the memory impairment. In some cases, the individual may need to manage specific health concerns before admission.

5. Financial Considerations

Payment for memory care in New York is an important factor to consider. Many facilities accept private pay (self-funding) from individuals or their families. Long-term care insurance or veterans’ benefits may also cover costs, depending on the policy. Medicaid can cover the cost of memory care in some cases, but eligibility requirements for Medicaid in New York are strict. To qualify, the individual must meet income and asset limits, and the facility must be Medicaid-certified.

6. Behavioral and Psychiatric Evaluation

Memory care facilities in New York assess whether individuals exhibit behavioral or psychiatric symptoms, such as aggression, extreme agitation, or severe depression. Facilities need to ensure they can provide the necessary therapeutic interventions. If the prospective resident has significant behavioral health issues, such as a history of violence or self-harm, the facility may require additional evaluations or may refer the individual to a specialized facility.

7. Admission Documents and Agreements

Upon deciding to admit a resident, memory care facilities typically require several documents, including the individual’s medical records, legal documentation (such as power of attorney or guardianship papers), and consent forms. Families or legal representatives may be required to sign agreements related to the terms of care, including fees, services provided, and the facility's rules and policies.

8. Trial Stay or Transition Period

Some memory care facilities in New York offer trial stays or transition periods to ensure the facility is a good fit for the individual’s needs. During this time, the staff closely monitors how well the resident adapts to the environment and whether any adjustments are needed in care.

9. Legal and Regulatory Compliance

New York State has specific regulations for assisted living and memory care facilities to ensure that residents receive safe and appropriate care. Memory care units are subject to oversight by the New York State Department of Health, and they must comply with state laws regarding resident rights, care standards, and staffing requirements. Prospective residents and their families should ensure that the facility is licensed and complies with all state regulations.

Memory Care Regulations in New York

Memory care facilities in New York are regulated under a comprehensive framework designed to ensure the safety, well-being, and dignity of individuals with Alzheimer's disease, dementia, and other cognitive impairments. The state's regulations cover a range of aspects, from facility licensing to staffing requirements and patient care practices, to ensure that these specialized care units provide the highest standard of care.

Licensing and Certification

In New York, memory care units are typically part of licensed adult care facilities, including Assisted Living Residences (ALRs) and Special Needs Assisted Living Residences (SNALRs). These units must comply with the New York State Department of Health (DOH) regulations. Facilities offering memory care must obtain specific licensing and certification from the DOH, demonstrating their ability to meet the specialized needs of residents with cognitive impairments.

The licensing process involves an application, inspections, and compliance with all applicable regulations, which include requirements for building safety, staffing qualifications, and resident services. The Department of Health monitors these facilities to ensure they continue to meet these standards.

Staffing Requirements

New York regulations outline specific staffing requirements for memory care facilities to ensure that residents receive the attention they need. These include minimum staff-to-resident ratios, as well as the qualifications of staff members. Facilities are required to employ trained staff who have expertise in dementia care. This includes personal care aides, nurses, and other specialists who are trained in managing the behavioral and physical challenges associated with memory disorders.

In addition, direct care staff must receive ongoing training in topics such as resident safety, communication strategies for those with memory loss, and techniques to manage aggression or anxiety. The training must be updated regularly to ensure staff are equipped with the most current approaches in memory care.

Physical Environment

Memory care units must be designed to accommodate the special needs of residents with memory impairments. New York's regulations address the physical layout of these facilities to ensure safety and comfort. Memory care units are often required to have secure entry and exit points to prevent residents from wandering. The layout must be intuitive, with clear signage, well-lit areas, and a homelike atmosphere that reduces confusion and promotes a sense of security.

Additionally, the environment should offer spaces for residents to engage in therapeutic activities that support cognitive function, and areas where they can socialize or relax. The regulations emphasize minimizing the risk of accidents, such as falls, through features like non-slip floors, handrails, and safety features in bathrooms.

Care Planning and Services

New York’s regulations stipulate that memory care facilities must develop individualized care plans for each resident, addressing their specific medical, social, and psychological needs. These care plans are created in collaboration with healthcare providers, the resident, and their family. The facility is required to regularly reassess the care plan to adapt to any changes in the resident’s condition, ensuring that their care is always appropriate.

Memory care services must include assistance with daily activities such as eating, bathing, dressing, and toileting, as well as specialized therapies, including physical, occupational, and speech therapy when necessary. Facilities are also encouraged to offer enrichment activities, such as art therapy, music therapy, and exercises designed to maintain cognitive function, all of which must be tailored to the residents’ capabilities and interests.

Medication Management

Memory care facilities in New York must have strict protocols in place for the management and administration of medications. This includes ensuring that medications are stored securely, administering them according to prescribed schedules, and tracking their effects on residents. Staff must be trained in identifying side effects or adverse reactions, especially in patients with cognitive impairments who may have difficulty communicating symptoms.

The regulations also require that medication errors be documented and reported. Facilities must have a pharmacist or other qualified healthcare professional overseeing medication practices to ensure compliance with both state and federal regulations.

Family and Resident Rights

New York state law mandates that memory care facilities respect the rights of residents and their families. These rights include the right to be treated with dignity, to have their medical and personal information kept confidential, and to be involved in decisions regarding their care. Residents and their families must be provided with clear and detailed information about the services offered, the cost of care, and the facility's policies.

Furthermore, facilities are required to allow family members to visit residents at reasonable times, and they must have mechanisms in place to address grievances or complaints. This ensures that family members can advocate for their loved ones and hold the facility accountable if issues arise.

Regulatory Oversight and Enforcement

The New York State Department of Health (DOH) is responsible for overseeing memory care facilities through regular inspections, both announced and unannounced. These inspections ensure that facilities comply with the state’s standards for staffing, safety, care, and services. If a facility is found to be non-compliant, the DOH has the authority to issue fines, mandate corrective actions, or even revoke the facility’s license if necessary.

Additionally, residents, family members, or staff may file complaints with the DOH if they believe regulations are not being followed. The department investigates complaints and can impose penalties on facilities found to be in violation of state laws.

Memory Care Facilities in New York vs Assisted Living and Nursing Homes

Not all residential facilities are alike, and each one has its own uses and goals. Assisted living homes, for example, focus on assisting the elderly who can still remain fairly independent with the little bit of help they need to stay healthy.

Nursing homes provide medical and residential care to those of advanced age who are no longer able to live on their own in their home. These patients may have physical and psychological limitations, but they don’t have a degenerative brain disorder.

Patients at New York dementia care homes, however, need the specialized care that was mentioned earlier to help combat their severe symptoms. The residents at Alzheimer's care homes often have trouble remembering important pieces of information that they need to know, like medical information, medications and prescriptions, and personal information. So, to help the patients receive the best care, the medical staff provide all other staff members with the necessary information so that patients don’t have to. There is also more available staff at any given time to ensure that every patient is taken care of.