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Assisted Living in Syracuse, NY

The average cost of assisted living in the city is $4,815 a month. This guide is a starting point covering the cost of assisted living care in the city, as well as financing options to pay for it. You’ll find in-depth information on 3 assisted living facilities in Syracuse and 5 in surrounding areas.

The Cost of Senior Care in Syracuse, NY

  • Assisted Living: $4,815
  • Nursing Home Care $11,802
  • In-home Care: $5,329
  • Adult Day Health Services: $1,950

The Hearth on James

830 James Street
Syracuse, NY

Call 1-800-991-9257 for details

5 Reviews
Starting at XXXX per month

Call 1-800-991-9257 for details

5 Reviews
Starting at XXXX per month

The Hearth on James is a premier senior living and community and our staff create an environment where every resident can flourish and enjoy the best that life has to offer.

Brookdale Bellevue

4330 Onondaga Boulevard
Syracuse, NY

Call 1-800-991-9257 for details

2 Reviews

Call 1-800-991-9257 for details

2 Reviews

Brookdale Bellevue is a warm and welcoming retirement community that offers flexible care options and elegant apartment suites in southwest Syracuse.

The Heritage

750 East Brighton Avenue
Syracuse, NY

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Loretto's The Heritage is the first residential program in Central New York created specially to care for those with Alzheimer's disease or other dementia. Operating since 1992, The Heritage has the experience, the knowledge, and most importantly the commitment to…

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Reviews of Syracuse Assisted Living Facilities

The Hearth on James

Review by Visitor | Consumer

I visited The Hearth on James. The tour of the facility was good, and the person was very informative. I would say some of the rooms seemed small. They needed to update the wallpapers or change it, and some of the stuff needed to be refurbished. The bathroom cabinets and the countertops needed upgrading, too.

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The Hearth on James

Review by Visitor | Consumer

I visited The Hearth on James. Everything was excellent. I really enjoyed it. I talked to some of the people that lived there who really enjoyed it too. They had a multitude of activities on the calendar. I saw residents eating without complaints. The staff seemed engaging and friendly, and there was a lot more seniori...

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The Hearth on James

Review by Visitor | Consumer

The Hearth on James was a nice spot. It's a little small but more than adequate. They had all the amenities that you would need there and a lot of activities. Every hour there's something different to be done, like cards, walking, bingo nights, and buses that would take you anywhere you want to go, like shopping center...

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The Hearth on James

Review by Visitor | Consumer

The Hearth on James was very pleasant. There seemed to be a lot of old people there. The unit I saw was nice but smaller than what I would want. The dining area was decent. They had a salon and a library. They gave me a lot of information, so that was certainly good.

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The Hearth on James

Review by Chris | Consumer

I visited The Hearth on James a couple of times and I really liked it. They just didn't think my mother would be able to deal with having her own apartment again. It's a beautiful place and a very nice community. They have about 90 people who live there. It's very clean and the staff was very nice. I saw three differen...

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Brookdale Bellevue

Review by Victoria | Consumer

My father is being well cared for at Brookdale Bellevue. He has a very active, small unit with only about 20 people, and the staff is very involved with them. My dad's room has a step-in shower which is nice, very large windows and our cable for the TV is included. The facility location is very handy for where my mom s...

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Map of Syracuse Assisted Living Facilities

Assisted Living Costs in Syracuse

According to the Genworth 2018 Cost of Care study, average monthly assisted living costs in Syracuse are on par with the state average of $4,185. Other cities across the state vary greatly from this midrange cost. In both Utica ($2,625) and Glens Falls ($2,600), assisted living is far less than in Syracuse. However, in other areas, such as Albany ($5,050), Watertown ($5,509) and Elmira ($5,710), the average monthly cost is significantly higher. 

The Cost of Assisted Living in Surrounding Areas

Care Cost Comparison

In Syracuse and throughout New York, the average monthly cost of senior care varies depending on the level of care required. This is especially noticeable when comparing the average monthly cost of assisted living in Syracuse ($4,185) with other types of care. Home health aide services cost about $800 more and homemaker services almost $1,200 more. Nursing home care averages an astounding $7,500 more per month.

Senior Care Cost Comparison Chart

Financial Assistance for Assisted Living in Syracuse

Medicaid in New York

Medicaid provides health coverage to low-income individuals who would otherwise be unable to access affordable health care services. Under the New York Medicaid state plan, a variety of services and prescription medications are covered, including hospital services, medical care, dental treatment, preventative care, diagnostic tests, transportation and nursing home care. 

To qualify for the Medicaid state plan as an elderly person, applicants must be 65 years of age or older with a monthly income that doesn’t exceed $859. Applicants are limited to $15,450 in countable resources, not including a home, a single vehicle and personal property. When applying together, married applicants are allowed an income of $1,267 per month and $22,800 in countable resources. 

To apply for the Medicaid state plan, seniors can contact the Onondaga County Department of Social Services at (315) 435-2700.

In New York, there are two Medicaid waiver programs that may provide services or financial assistance to seniors in an assisted living setting. 

Managed Care Long-Term Care Waiver

The Managed Care Long-Term Care waiver program is available to seniors who require a nursing level of care yet choose to remain in an assisted living facility or at home. The program allows participants to choose a primary care provider who is responsible for directing all aspects of their care, including assisted living or home care services. The program covers all personal care and assisted living costs. 

To qualify for the program, applicants must be 65 years of age, have a chronic illness or be legally disabled and meet the financial requirements of the state Medicaid plan. 

To apply, seniors living in the Syracuse area can contact Nascentia Health at (315) 477-9500.

Assisted Living Program Waiver

The Assisted Living program waiver provides care for seniors who are medically eligible for nursing home care yet choose to continue living in an assisted living facility. The program covers the cost of assisted living room and board, personal care, physical and occupational therapy, nurse visits and medical supplies and equipment. 

To qualify, seniors must be age 65 or older, financially eligible for Medicaid and not bedridden or in need of continual nursing care. The program is limited to 4,200 participants statewide, so those who qualify may have to wait until an opening becomes available.

To apply for this program, seniors can contact the Onondaga County DSS Medicaid Community Unit at (315) 435-2928. 

Other Financial Assistance Programs for Assisted Living


PACE CNY provides a consolidated program of health care services for qualified elderly individuals. Covered services include assisted living, medical care, dental care and transportation. Those who are Medicaid eligible aren’t required to pay for their care, while those with higher incomes may be required to pay privately for services. 

To enroll in PACE CNY, seniors must be 55 years of age or older, a resident of Onondaga County and eligible for nursing home care. Participants must require more than 120 days of long-term care services and be assessed as able to safely reside in their community with support.

For more information about the program or to apply, call PACE CNY at (315) 452-5800. 

New York State Supplement Program

The SSP program provides a state-funded cash benefit to aged, blind and disabled New York residents. It’s added to a Supplemental Security Income recipient’s monthly benefit to help pay for costs that aren’t typically covered by Medicaid, such as room-and-board expenses in long-term care facilities.  

Eligible applicants must be at least 65 or legally disabled and have limited income and resources. Monthly benefits can be as high as $694, depending on an individual’s living situation.  

To apply for SSI and the state supplement, seniors can visit the Syracuse Social Security Office or call (800) 772-1213. 

Assisted Living Resources in Syracuse

Senior Centers and Community Programs

Syracuse senior and community centers help older residents thrive by providing opportunities to socialize and participate in an assortment of activities and classes. Most of these programs are free of charge or low-cost. Programs offered at different centers can include nutritious weekday lunches, seminars, art and fitness classes, coffee talks and game nights. 

Frank DeFrancisco Eastwood Community Center
401 S Midler Ave., Syracuse, NY 13206
(315) 437-4011

Onondaga Parks and Recreation
4834 Velasko Rd., Syracuse, NY 13215
(315) 469-3464

Bob Cecile Community Center
174 W Seneca Turnpike, Syracuse, NY 13205
(315) 473-2678
Magnarelli Community Center at McChesney Park
2308 Grant Blvd., Syracuse, NY 13208
(315) 473-2673

Area Agency on Aging

In Syracuse, the Onondaga County Office for Aging operates as the local Area Agency on Aging. It provides a range of services to enhance the quality of life and preserve the dignity of elderly persons, including benefit assistance, Medicaid planning, case management and service coordination. 

Onondaga County Aging Office
421 Montgomery St. 10th Floor, Syracuse, NY 13202
(315) 435-2362

Veterans Services

Veterans can access a range of benefits and services at no cost through Veterans Affairs. The benefits provided by VA include financial assistance for long-term care and health care, which is free for eligible
veterans at the Syracuse VA Medical Center. 

Veterans Affairs Division
333 E Washington St. #430, Syracuse, NY 13202
(315) 428-4046

Syracuse VA Medical Center
800 Irving Avenue, Syracuse, NY 13210
(315) 425-4400

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