Skilled Nursing Near New York City

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New York City Skilled Nursing: Search Near You, How to Pay, Licensing, Local Resources, and Questions to Ask

As the center of world commerce and culture, New York City requires no introduction. One of the most famous and populous cities in the world, New York is a beautiful location for those looking at Skilled Nursing services. Skilled Nursing facilities in New York City could accept State Medicaid, private payers, and long-term care insurance which helps to relieve the financial burden of senior care, and could be more cost effective than home care.

Skilled Nursing and Senior Care in New York City, New York

About Skilled Nursing in New York City

In New York, Social security, Medicare, Supplemental Security Income, and the Senior rent increase exemption are added benefits of being an aging adult in New York. New York’s population is over 8 million, about 15% of which are seniors and retirees, making it a good place to move into an assisted living community. For an individual who requires physical or cognitive care, providing home care can be difficult and costly. Assisted living communities do an incredible job filling that need. Levels of senior care range from minimal, such as providing meals and housing, to advanced care, such as mobility assistance and medication administration. Assisted living facilities provide individualized health management in a comfortable setting and focus on maintaining independence, privacy, and dignity. Adult care homes relieve the burden of home caregivers and offer seniors a more enriching quality of life.

Considerations When Looking for Skilled Nursing in New York City

New York is home to some of the finest dining and entertainment anywhere in the world. Situated on one of the world’s largest harbors and extending into the Atlantic ocean, New York City comprises of five boroughs each with their own character and charm. Anyone interested in being in the hub of culture and life comes to New York to experience the richness of the city. These features and more have led to New York City becoming a preferred location for senior citizens to retire, so the need for senior care in Scottsdale is significant.

Cities Near New York City

  • Philadelphia, PA
  • Washington, D.C.,
  • Boston, MA,
  • Baltimore, MD,
  • Atlantic City, NJ,

The Cost of Skilled Nursing in New York City

The average monthly cost in New York City for assisted living is approximately $4,200 which is slightly more expensive than the national average of $4,000. Costs will vary because of the level of care a resident requires, and additional amenities, as well as the city in which you find a community or facility. Benefits of assisted living are being able to provide health services to those who may need assistance with the activities of daily living. Demand is on the rise, and so too is the cost of assisted living facilities. Accordingly, costs have risen an average of 4.65% since 2020, and the national average for a private, one-bedroom with round the clock care was reported to be $54,000 annually in 2021.

New York average cost for assisted living per month: $4,200
New York City: $6,000
Albany: $5,100
Ithaca: $5,000
Syracuse: $4,200
Rochester: $4,400

Paying for Senior Living and Care will vary depending on a few factors. For instance, the level of care needed; the income and savings of the resident; the state and location of the community; or if the resident is a veteran. In the United States there are over 400 programs that may offer some monetary relief for senior care, but often the majority of costs are covered by private funds and family assistance. These funds come from our Federal, State, and Local Governments. 

It is important to take your time when exploring payment and coverage options.

Private pay – YES:

  • Many families pay for assisted living with private funds.
  • Private pay can be a combination of retirement funds, personal savings, and pension payments.
  • Family members may contribute funds to pay for assisted living or other senior housing and care.

Medicare -MAYBE:

Medicare will TYPICALLY cover Skilled Nursing (SNF) care ONLY under these factors: 

  • People 65 years and older and individuals with end stage renal disease are eligible for Medicare benefits, no matter their income.
  • Coverage is meant for people in need of short-term care.
  • The person has Medicare Part A, and has available days left in their benefit period. The person has a qualified hospital stay. (3 consecutive midnights or more) 
  • The individual must enter SNF within 30 days of leaving the hospital. 
  • The person’s doctor has ordered inpatient services at a skilled nursing facility. 
  • The individual must need and receive the skilled care daily. The care provided must be care that the person can only receive in a SNF. 
  • The person needs skilled services because of an ongoing condition or a new condition that started while in a SNF for treatment of an ongoing condition. 
  • The skilled services must be reasonable and necessary for the treatment of the condition.  
  • You must receive the care in a Medicare certified SNF.

Medicaid – MAYBE:

Medicaid can be a payer source if the patient needs both care and has a financial hardship based on the individual state criteria. Eligible participants include: low-income adults, elderly adults and people with disabilities. The program is funded jointly by each state and the federal government; and national guidelines are in place do decipher how states must spend Medicaid money, but with allowances toward the guidelines. Every state has their own individual Medicaid assistance program. Each state determines what levels of care will be covered by Medicaid, who is eligible, and how much the state will reimburse the care community.

  • Skilled nursing falls under Medicaid’s Nursing Facility Services. 
  • People who are eligible for Medicaid must meet the state criteria for skilled nursing care. 
  • The state of residency must abide by federal law and regulations when setting their skilled nursing care requirements.  
  • The patient meets the state guidelines for income and asset limits.

If you are unsure whether you qualify for Medicaid, you should apply. You may be eligible depending on your household income, family size, age, disability and other factors.For a clearer understanding on coverage contact your State Health Insurance Assistance Program.

Long-term Care Insurance – MAYBE:

Long term care insurance is a great way to pay for assisted living, and planning ahead is important when considering how to pay for senior housing and care. Nearly 75% of people over the age of 65 will require long-term care and services at some point. Buying into long-term care insurance when a person is in their 50s and 60s is the most common time to do so.

  • Long-term care insurance helps cover the costs of chronic medical conditions.
  • Individuals and couples with the ability to pay into long-term care insurance have the advantage of a head start in allocating funds for senior care.

Veteran Aid and Assistance – MAYBE:

This benefit is available to some military veterans and surviving spouses who live in an assisted living community and those who have in-home care.

  • There are specific guidelines, but a veteran may qualify for as much as $2,050 each month.
  • A veteran with a sick spouse may be eligible for $1,600 per month.
  • If a veteran has passed, their surviving spouse can qualify for $1,300 per month.

Questions to ask a skilled nursing facility

  • Is the facility licensed?
  • Has the facility’s license ever been revoked?
  • Is the facility Medicare/Medicaid certified?
  • What types of insurance is accepted?
  • Are all specific medical needs able to be met?
  • What services are offered?
  • What is the rate for basic care?
  • Are any reviews available to be seen by the public?
  • Are protocols in place to ensure healthy, balanced meals?
  • What if an individual has specific dietary restrictions, can they be met at the facility?

Additional questions and inquiries to ask skilled nursing facilities

  • What should a new resident (patient) bring with them?
  • What is the difference between skilled nursing and assisted living?
  • What happens in case of an emergency?
  • Can the family pet visit the resident?
  • What is the level of privacy?
  • What are the available social activities?
  • What is the hours for family visits?
  • Can patients request special meals for dietary needs?
  • Are skilled nursing facilities connected to hospitals?
  • How big are the rooms?
  • What are the training requirements of skilled nurses?

Local Hospital and Healthcare Providers in New York City

NYC Health + Hospitals/Metropolitan.

1901 1st Ave.

Open 24 hours · (212) 423-6262

Medicare/Medicaid accepted

New York Presbyterian Hospital

520 E 70th St

Open 24 hours · (212) 746-5454

Medicaid accepted

The Mount Sinai Hospital

1468 Madison Ave

Open 24 hours · (212) 241-6500

Medicare/Medicaid accepted

New York Presbyterian Hospital

21 Audubon Ave

(212) 305-2500

Medicaid accepted

NY-Presbyterian Hospital

1305 York Ave

(646) 962-4000

Medicare/Medicaid accepted

Adult Protective Services The New York State Office for the Aging’s (NYSOFA’s) home and community-based programs provide older adults with access to a well-planned, coordinated package of in-home and other supportive services designed to support and supplement informal care. NYSOFA’s overall goal is to improve access to, and availability of, appropriate and cost-effective non-medical support services for older individuals to maximize their ability to age in their community and avoid higher levels of care and publicly financed care. NYSOFA achieves this through our network of 59 area agencies on aging. This network provides the following core services in coordination with local partners

New York State Office of Children and Family Services Bureau of Adult Services We accomplish these goals by partnering with hundreds of community-based organizations to provide services through older adult centers, naturally occurring retirement communities, case-management and home-care agencies, home-delivered meal programs, mental health and friendly visiting programs, and much more in each borough.

Legal Services NYC Legal Services NYC fights poverty and seeks racial, social, and economic justice for low-income New Yorkers.

Health Insurance Information Counseling and Assistance Program (HIICAP) HIICAP counselors help seniors and their caregivers to understand Medicare and other health insurance options and benefits.

Eldercare Locator This is a great resource to search for specific care in specific counties and cities. This database is a nationwide resource that connects older Americans and their caregivers with trustworthy local support resources. Connect with services such as meals, home care or transportation, or a caregiver education or respite from caregiving responsibilities. The Eldercare Locator is a public service of the Administration on Aging (AoA), an agency of the U.S. Administration for Community Living.

Medicare provides a search feature to find & compare providers near you, most senior housing and care providers are included on CareAvailability.com. Find & compare plans in your area. Determine if you qualify for premium savings

Medicaid offers information on how to apply for Medicaid, eligibility criteria, links to local state offices, and additional resources

The Alzheimer’s Association is the leading voluntary health organization in Alzheimer’s care, support, and research. Whether you are living with Alzheimer’s or caring for someone with the disease, information and resources are available.

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Written by The Care Availability Team
Experts in the senior care & retirement living industries

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