Long Island assisted living communities range from smaller residential care homes to large senior living campuses offering multiple levels of care. The Long Island area costs a median of $9,450/month according to the CareScout 2025 Cost of Care Survey, placing it well above the New York statewide median of $7,110/month and among the higher-cost assisted living markets in the Northeast.
Long Island falls within the New York Metropolitan Statistical Area for CareScout pricing purposes. The $9,450/month median reflects New York MSA community pricing data collected July through November 2025. Nassau County communities generally reflect higher individual pricing than Suffolk County due to proximity to New York City and higher underlying real estate values.
For families comparing options across the state, see our full breakdown of assisted living costs in New York for a detailed statewide analysis including regional pricing differences and long-term planning considerations.
This guide covers costs, top communities, and what families should consider when comparing assisted living options on Long Island.
Long Island Assisted Living Costs (2026)
Assisted living on Long Island costs a median of $9,450/month (about $113,400 annually), according to the CareScout 2025 Cost of Care Survey. Long Island falls within the New York Metropolitan Statistical Area for CareScout pricing purposes, and this median reflects New York MSA community pricing data collected July through November 2025.
| Period | Estimated Cost |
|---|---|
| 1 Year | $113,400 |
| 3 Years | $340,200 |
| 5 Years | $567,000 |
These projections do not account for annual rate increases, which typically range between 3% and 7%.
For a deeper breakdown of regional pricing trends, cost drivers, and financial planning strategies, visit our full guide to assisted living costs in New York.
For a broader perspective on pricing across the country, see our guide to the national average cost of assisted living, which outlines typical monthly costs, regional differences, and long-term financial considerations.
How Long Island Compares to Nearby Areas
Long Island reflects the New York MSA pricing structure, with Nassau County generally commanding higher individual community pricing than Suffolk County due to proximity to New York City and higher underlying real estate values.
Families may also consider assisted living options in nearby areas:
- Nassau County communities — western Long Island generally reflects higher individual community pricing but offers closer proximity to New York City and Northwell Health’s flagship facilities at Long Island Jewish Medical Center and North Shore University Hospital.
- Suffolk County communities — eastern Long Island offers a broader geographic footprint with somewhat more moderate individual community pricing and a range of options from Huntington to the East End.
- New York City — the five boroughs share the same New York MSA median but individual community pricing varies significantly by borough, with Manhattan and Brooklyn typically reflecting the highest costs.
- Westchester County — suburban alternative north of the city for families comparing the broader New York metro area senior living landscape.
Families looking for top-rated providers across the state may also want to review our guide to the best assisted living communities in New York, which highlights high-performing communities based on care quality, amenities, and reputation across multiple cities.
Top Long Island Assisted Living Communities
The communities below represent a selection of well-regarded assisted living providers located throughout Nassau and Suffolk counties.
The Bristal Assisted Living at North Woodmere
📍 Location: North Woodmere, NY
💲 Estimated Monthly Cost: $8,800 – $12,200
Highlights
Assisted living and memory care • Upscale residential setting • Restaurant-style dining • Wellness and social programming
Why Families Choose This Community
The Bristal Assisted Living at North Woodmere offers assisted living and memory care on Long Island’s South Shore. Families often appreciate the community’s modern amenities, engaging activities calendar, and personalized care services designed to support residents as their needs evolve.
Island Assisted Living
📍 Location: Hempstead, NY
💲 Estimated Monthly Cost: $6,800 – $9,200
Highlights
Assisted living and memory care • Affordable Long Island option • Personalized care plans • Social and recreational programming
Why Families Choose This Community
Island Assisted Living provides assisted living and memory care services in central Nassau County. Families often appreciate the community’s welcoming atmosphere, attentive staff, and value-oriented pricing relative to many higher-cost communities throughout Long Island.
The Regency at Glen Cove
📍 Location: Glen Cove, NY
💲 Estimated Monthly Cost: $8,500 – $11,500
Highlights
Assisted living and memory care • Waterfront North Shore location • Wellness and enrichment programming • Personalized care services
Why Families Choose This Community
The Regency at Glen Cove offers assisted living and memory care on Long Island’s North Shore. Families often appreciate the community’s comfortable environment, attentive care team, and convenient location near healthcare providers and local amenities.
The Arbors Assisted Living at Westbury
📍 Location: Westbury, NY
💲 Estimated Monthly Cost: $8,200 – $11,200
Highlights
Assisted living and memory care • Established Long Island operator • Wellness and social activities • Convenient Nassau County location
Why Families Choose This Community
The Arbors Assisted Living at Westbury provides assisted living and memory care services in the heart of Nassau County. Families often appreciate the community’s supportive environment, engaging programming, and accessibility to shopping, dining, and healthcare services throughout Long Island.
Atria on Roslyn Harbor
📍 Location: Roslyn Harbor, NY
💲 Estimated Monthly Cost: $9,000 – $12,500
Highlights
Assisted living and memory care • Scenic North Shore setting • Active lifestyle programming • Restaurant-style dining
Why Families Choose This Community
Atria on Roslyn Harbor offers assisted living and memory care in one of Long Island’s most desirable North Shore communities. Families often appreciate the beautiful campus setting, robust activities calendar, and personalized approach to resident care and wellness.
Sunrise of East Setauket
📍 Location: East Setauket, NY
💲 Estimated Monthly Cost: $8,500 – $11,500
Highlights
Assisted living and memory care • Personalized care plans • Wellness and activity programming • Convenient Suffolk County location
Why Families Choose This Community
Sunrise of East Setauket offers assisted living and memory care services in Suffolk County. Families often appreciate the community’s individualized care approach, experienced staff, and convenient location serving residents throughout eastern Long Island.
Editorial Disclaimer
Communities listed in this guide were selected based on publicly available information and are presented for informational purposes only. Inclusion does not constitute a formal endorsement. Families should visit communities in person, review licensing information, and speak directly with staff when evaluating assisted living options.
How to Choose a Long Island Assisted Living Community
Selecting an assisted living community requires evaluating several important factors.
Care Needs Different communities offer different levels of care. Families should ensure the facility can support both current and future care requirements.
Cost Structure Some communities offer all-inclusive pricing while others charge additional fees for care services.
Location Proximity to family members, hospitals, and familiar neighborhoods can significantly impact quality of life.
Contract Terms Families should carefully review contracts, fee structures, and policies related to care level changes.
Visit Communities in Person Whenever possible, families should tour communities and observe staff interactions, cleanliness and safety practices, dining services, activity programming, and overall resident engagement.
Nearby Cities to Consider
Families searching for assisted living on Long Island may also want to explore communities in nearby areas:
- Nassau County communities — western Long Island generally reflects higher individual community pricing but offers closer proximity to New York City and Northwell Health’s flagship facilities.
- Suffolk County communities — eastern Long Island offers a broader geographic footprint with somewhat more moderate individual community pricing and a range of options across a larger area.
- New York City — families whose loved ones prefer an urban setting with walkability and immediate access to major medical centers may find NYC borough communities worth comparing alongside Long Island options.
- Westchester County — suburban alternative north of New York City for families comparing the broader metro area senior living landscape.
Comparing nearby communities can help identify the right balance of cost, care quality, and geographic convenience across the greater Long Island and New York metro region.
Families comparing options beyond Long Island should also review our guide to the best assisted living communities in New York.
Frequently Asked Questions
What is the average cost of assisted living on Long Island?
Assisted living on Long Island costs a median of $9,450 per month, or about $113,400 annually, according to the CareScout 2025 Cost of Care Survey. Long Island falls within the New York Metropolitan Statistical Area for CareScout pricing purposes. Pricing varies depending on community type, county, and level of care required, with Nassau County communities generally reflecting higher individual pricing than Suffolk County.
How many assisted living communities are on Long Island?
Long Island has numerous assisted living communities across Nassau and Suffolk counties offering different levels of support, including standard assisted living and memory care. Options range from smaller residential care homes to larger senior living campuses throughout both counties, with over 50 licensed communities across the region.
How do I compare assisted living communities on Long Island?
Families should evaluate communities based on care services offered, resident and family reviews, staffing levels and ratios, amenities, pricing transparency, and proximity to hospitals and family members. Visiting communities in person and requesting a written breakdown of all fees is strongly recommended before making a final decision. Note that some Long Island communities use all-inclusive single-fee pricing while others charge separately for base rent and care services.
Are assisted living costs on Long Island negotiable?
Some communities may offer move-in incentives, reduced community fees, or promotional pricing depending on occupancy levels and availability. Families should ask directly about current promotions and confirm all fee structures in writing before signing any agreements.
Is Nassau County more expensive than Suffolk County for assisted living?
Generally yes. Nassau County communities tend to reflect higher individual pricing than Suffolk County due to closer proximity to New York City, higher underlying real estate values, and above-average household incomes throughout the county. Both counties share the New York MSA median of $9,450/month for CareScout pricing purposes, but individual community pricing varies meaningfully within that range. Sunrise of East Setauket in Suffolk County, for example, reflects pricing starting around $7,400/month compared to Nassau County communities typically starting at $8,700 or more.
Does Medicaid cover assisted living on Long Island?
New York Medicaid may provide limited assistance through Home and Community-Based Services (HCBS) waiver programs administered by the New York State Department of Health. Coverage is service-based and does not typically include full room and board costs. Eligibility depends on income, assets, functional care needs, and program availability. Families should confirm current program details directly with NY State Department of Health or consult a qualified elder law advisor.
Last reviewed: June 2026.