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Staten Island Senior Advisor

Senior care on Staten Island, explained by people who know the buildings

Free guidance for families across Staten Island. Compare licensed assisted living, memory care, nursing and in-home care -- and find out what New York Medicaid actually pays for.

15 verified communities
17 cities covered
Free to your family
Quick answer

Staten Island Senior Advisor is a free senior care referral service. We help you compare licensed communities, verify licensing through New York's regulator, and understand what Medicaid, Medicare and VA benefits actually cover.

Free to families — paid by communities, not by you
Local advisors who know these communities
Every license verified against state health department records
No obligation and no pressure to tour

Staten Island is one county -- Richmond -- but its senior-care landscape is anything but simple. New York layers Adult Care Facility licensing with optional ALR, EALR and SNALR certifications on top, Medicaid long-term care runs through Managed Long Term Care and several differently-named programs, and the borough's own hospital discharge planners rarely have time to explain any of it while a family is standing in a hallway at Staten Island University Hospital or Richmond University Medical Center.

That is what this site is for. We publish what New York's regulators actually require, what the published CareScout cost data actually says (and does not say about Staten Island specifically), and which communities on Staten Island we have verified — then a local advisor helps you narrow it down. The service is free to your family because communities pay us when a family moves in. You should know that going in, which is why we say it here rather than in the footer.

Short answer

Staten Island Senior Advisor is a free senior care referral service for families across Staten Island (Richmond County). We help you compare licensed assisted living, memory care, nursing and in-home care options, verify licensing through NYSDOH, and understand what Medicaid, Medicare and VA benefits will and will not pay for.

What senior care costs. The 2025 CareScout Survey puts New York's assisted living median at $7,110/month and a private nursing home room at $16,729/month -- state figures, not Staten Island-specific. Read the full explanation →
How New York licenses assisted living. New York licenses assisted living as an Adult Care Facility, with optional additional ALR/EALR/SNALR licensure layered on top -- not a single license type. Read the full explanation →

Types of senior care

Cities we cover

Questions families ask

What does NYSDOH actually license when a Staten Island community calls itself "assisted living"?

New York State Department of Health licenses a base Adult Care Facility (Adult Home, Enriched Housing Program, or Residence for Adults), then permits an optional Assisted Living Residence (ALR) certification under 10 NYCRR Part 1001 on top of that. A community can only market itself as assisted living if it actually holds the ALR certification, not just the base ACF license.

What is a Special Needs Assisted Living Residence (SNALR), and does it matter for memory care?

SNALR is New York's actual memory-care certification -- a certification layered on an existing Assisted Living Residence (ALR) license under 10 NYCRR Part 1001, requiring an Individualized Service Plan for each resident with dementia or cognitive impairment. It matters because "memory care" itself is just a marketing phrase; SNALR is the regulated credential behind it.

How is a nursing home licensed differently from assisted living in New York?

Nursing homes are licensed under a completely separate rule chapter, 10 NYCRR Part 415, distinct from the Adult Care Facility and ALR/EALR/SNALR framework that governs assisted living and memory care. Nursing homes provide 24-hour licensed nursing care; assisted living provides personal care and supervision but not ongoing skilled nursing.

What is an Enhanced Assisted Living Residence (EALR), and why would it matter for aging in place?

EALR is an optional New York certification, layered on an existing ALR license under 10 NYCRR Part 1001, that allows a resident to age in place even after developing needs an ordinary ALR is not licensed to keep serving -- specifically physical assistance walking or using stairs, medical-equipment dependency, or chronic incontinence.

How do I check a Staten Island facility's inspection history myself?

NYS Health Profiles publishes free license status and inspection history for every Adult Care Facility at profiles.health.ny.gov/acf, and for every nursing home at profiles.health.ny.gov/nursing_home. Search by region, county, facility name, or service type; nursing home records also include the federal CMS star rating.

What's the difference between an Adult Home and an Enriched Housing Program in New York?

Both are base-level Adult Care Facility license types under NYSDOH, but Enriched Housing Programs are generally structured around apartment-style independent units with supportive services, while Adult Homes are typically more institutional in layout. Either can add ALR certification on top to become licensed for assisted-living-level care.

Does New York rate assisted living communities the way it rates nursing homes?

No. Federal CMS star ratings apply only to Medicare/Medicaid-certified nursing homes, published at profiles.health.ny.gov/nursing_home and on CMS Care Compare. Assisted living and memory care communities in New York do not carry CMS star ratings -- the only public quality record for them is the NYS Health Profiles inspection history.

What is Managed Long Term Care (MLTC), and is it mandatory on Staten Island?

MLTC is New York's Medicaid managed-care delivery system for long-term care -- either PACE (age 55+) or MLTC Partial Capitation/Medicaid Advantage Plus. Enrollment has been mandatory in New York City, including Richmond County/Staten Island, since 2012 under Medicaid Redesign Team Initiative #90, approved August 31, 2012.

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