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RAL MARKET SCOUT Top assisted livingmarkets in New York 554 licensed homes · Sullivan County is #1 ralmarketscout.com
New York · RAL Market Report

Best places to open an assisted living home in New York

The top markets for residential assisted living in New York, ranked by demand versus supply — plus the cities where the homes are.

Updated July 2026
The top markets for assisted living in New York right now are Sullivan, Saratoga, Rensselaer counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 554 licensed assisted living homes serving 1,500,535 residents aged 75+, at a median cost of about $7,110/mo.
Licensed homes
554
state roster
Population 75+
1,500,535
ACS
Median AL cost
$7,110/mo
above the national median
Bed supply
23.7/1k
tight supply

Top 10 markets for assisted living in New York

RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.

  1. Sullivan County — opportunity 9.5/10 (Strong); 5,975 seniors 75+, growing 10.8%, with 4 licensed homes.
  2. Saratoga County — opportunity 9.4/10 (Strong); 19,249 seniors 75+, growing 21.4%, with 9 licensed homes.
  3. Rensselaer County — opportunity 9.4/10 (Strong); 11,300 seniors 75+, growing 5.6%, with 5 licensed homes.
  4. Putnam County — opportunity 9.3/10 (Strong); 7,469 seniors 75+, growing 13.9%, with 2 licensed homes.
  5. Ontario County — opportunity 9.3/10 (Strong); 10,340 seniors 75+, growing 19.2%, with 7 licensed homes.
  6. Columbia County — opportunity 9.2/10 (Strong); 6,597 seniors 75+, growing 12.6%, with 2 licensed homes.
  7. Wayne County — opportunity 9.2/10 (Strong); 7,556 seniors 75+, growing 13.1%, with 3 licensed homes.
  8. Clinton County — opportunity 9.2/10 (Strong); 5,903 seniors 75+, growing 5.9%, with 3 licensed homes.
  9. Warren County — opportunity 9.2/10 (Strong); 6,351 seniors 75+, growing 11.1%, with 4 licensed homes.
  10. Cayuga County — opportunity 9.2/10 (Strong); 6,464 seniors 75+, growing 8.1%, with 4 licensed homes.

All New York counties by market opportunity

CountyPop 75+DemandHomesMarketBand
Sullivan5,9754.749.5Strong
Saratoga19,2496.099.4Strong
Rensselaer11,3004.859.4Strong
Putnam7,4695.129.3Strong
Ontario10,3406.779.3Strong
Columbia6,5975.429.2Strong
Wayne7,5565.139.2Strong
Clinton5,9034.439.2Strong
Warren6,3515.449.2Strong
Cayuga6,4644.149.2Strong
Oswego8,0244.139.2Strong
Richmond34,2065.179.2Strong
Cattaraugus6,1863.349.1Strong
St. Lawrence8,0313.129.1Strong
Niagara17,2354.299.1Strong
Schenectady11,9154.489.1Strong
Jefferson7,0544.739.1Strong
Ulster16,0035.769.0Strong
Orange23,9775.1109.0Strong
Steuben7,8793.479.0Strong
Tompkins6,8945.369.0Strong
Albany24,1066.0139.0Strong
Chautauqua10,8173.2118.9Strong
Kings171,2065.8228.9Strong
Monroe59,4125.3418.9Strong
Herkimer5,4433.838.9Strong
Livingston4,9423.728.9Strong
Suffolk116,5655.4598.9Strong
Otsego5,3114.058.9Strong
Onondaga36,4825.1248.8Strong
Erie75,3014.8378.8Strong
Delaware4,9624.608.8Strong
Queens173,1406.5258.8Strong
Greene4,8025.138.8Strong
Madison5,3783.418.8Strong
Oneida19,5114.1128.8Strong
Dutchess23,8935.1118.8Strong
Nassau110,4864.8428.8Strong
Bronx87,1465.3128.7Strong
Washington5,3004.448.7Strong
Chemung6,8933.428.7Strong
Rockland24,3795.1188.6Strong
New York136,3996.3178.6Strong
Westchester80,7996.1378.5Strong
Orleans2,9292.338.5Strong
Broome17,9925.2138.5Strong
Franklin3,6603.428.5Strong
Fulton4,4473.128.5Strong
Wyoming3,1604.918.5Strong
Tioga4,4593.118.3Strong
Allegany3,8733.318.2Strong
Montgomery4,0714.348.2Strong
Essex4,0074.248.1Strong
Cortland3,1932.428.0Strong
Yates2,1663.118.0Strong
Schoharie2,9443.428.0Strong
Chenango4,2824.138.0Strong
Seneca2,8243.718.0Strong
Genesee4,9113.437.9Strong
Lewis2,1603.417.7Strong
Schuyler1,5513.317.6Strong
Hamilton6256.20——

Top cities for assisted living in New York

Where the homes actually are. Each linked city has its own page with local supply and market context.

CityCountyHomesBedsAvg size
BrooklynKings223,340151.8
RochesterMonroe201,65983.0
New YorkNew York171,69599.7
BronxBronx111,277116.1
SyracuseOnondaga1086086.0
WilliamsvilleErie8819102.4
Staten IslandRichmond71,347192.4
YonkersWestchester6601100.2
IthacaTompkins624540.8
Far RockawayQueens6973162.2
VestalBroome532765.4
BinghamtonBroome519138.2
PenfieldMonroe5519103.8

Frequently asked questions

What are the top markets for assisted living in New York?
The strongest New York markets on RAL Market Scout's opportunity scoring are Sullivan, Saratoga, Rensselaer, Putnam, Ontario counties — based on 75+ demand and projected senior growth versus current bed supply.
Which New York city has the most assisted living homes?
Brooklyn has the most, with 22 licensed assisted living homes (about 3,340 beds).
How much does assisted living cost in New York?
The median assisted living cost in New York is about $7,110 per month — above the national median.
How many assisted living homes are in New York?
New York has approximately 554 licensed assisted living homes serving 1,500,535 residents aged 75 and older.

See the full New York picture

RAL Market Scout scores every county and ZIP in New York on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.

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Sources: Licensed-home and city counts from New York state licensing rosters (RAL Market Scout data pipeline). 75+ population and growth from U.S. Census ACS. Bed supply from NIC MAP / state surveys. Cost figures are market medians. Data snapshot: 2026-07. Informational only — not legal, financial, or investment advice.