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Assisted living, with the state's own inspection record

States license assisted living, not Medicare, so there is no federal rating. We load each state's official roster and show what its inspectors found, home by home. 9,131 licensed homes so far.

States with an official roster loaded

StateLicensed homesBedsCity pagesMemory care certifiedSource and date
California8,604213,411356 Not in the rosterCalifornia Department of Social Services, Community Care Licensing Division, October 8, 2026
New York52751,28752 214New York State Department of Health, October 8, 2026

More states follow as their official lists become available to us. Several states publish theirs only through a search form, block automated downloads, or have not answered a records request yet; we do not copy lists from other websites.

Assisted living or a nursing home?

Assisted living is for people who need help with daily care, but not as much help as a nursing home provides.nia.nih.gov

Nursing homes, also called skilled nursing facilities, focus more on medical care than most assisted living facilities, with nursing care, 24-hour supervision, meals and help with everyday activities.nia.nih.gov

Most people pay the full cost of assisted living themselves. Medicare does not pay for assisted living; Medicaid may cover some parts of it, depending on the state and the person's eligibility.nia.nih.gov

Medicare does not pay for long-term care. Non-medical long-term care can be given at home, in the community, in an assisted living facility or in a nursing home.Medicare.gov

Every certified nursing home has a federal record on this site: nursing homes by state.

Memory care

Some assisted living facilities have special Alzheimer's units whose staff check on and care for people with dementia. Residents pay for the room or apartment and may pay extra for special care.nia.nih.gov

Some nursing homes have special Alzheimer's care units, often in a separate section of the building, where staff have special training in dementia care.nia.nih.gov

Many long-term care facilities offer special programs for people with Alzheimer's or other types of dementia.nia.nih.gov

New York certifies dementia care on the operating certificate (special needs assisted living, SNALR); California does not mark it in its roster. Memory care, state by state.

How these pages are built

  • Every home, licence, bed count, visit, citation and complaint finding comes from the state's own file, downloaded on the date shown on each page. Pending and closed licences are left out.
  • California: the Department of Social Services' weekly download of residential care facilities for the elderly (RCFE). New York: the Department of Health's adult care facility roster and bed certifications on health.data.ny.gov, joined by operating certificate number to each home's inspection tab on NYS Health Profiles, and the Department's Assisted Living Residence Quality page.
  • Homes licensed for 6 or fewer residents are often private houses. We show their city and ZIP code, never the street, and place them at the centre of their ZIP code for distances. Names of administrators and of people who hold a licence are never shown.
  • A home's page is indexed by search engines only when it has 7 or more beds and an inspection record or certification on file. A city page needs at least 5 licensed homes within 15 miles and 3 in the city.
  • Prices: California publishes none. New York requires each licensed assisted living residence to file a Consumer Summary with its starting rent, which the Department of Health posts; we show that text with a link to the filing. Where no summary was posted, a rate appears only when we read it on the home's own website that day, with the date and the link. We never estimate a price.
  • We take no fee from any home and do not refer or place residents. No home can pay for its place on a list.

Help for residents and families

Every state's long-term care ombudsman program works to resolve problems for people living in nursing homes, board and care and assisted living facilities, and other residential care communities.acl.gov

Nationally, the five most frequent ombudsman complaints in board and care and assisted living were about discharge or eviction, medications, food services, physical abuse and staffing.acl.gov

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