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ElderCareCosts
Updated August 2026

Assisted Living in Rochester, New York

Rochester, NY has 18 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $6,425/mo. That's below the New York state median by about 10%.

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Median monthly price, Rochester

$6,425/mo

Estimated range $6,291 – $6,968

● Rochester $6,425 ○ National median $6,230

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Rochester

2025 figures

Assisted Living cost comparison (2025)
Assisted LivingRochesterNew YorkNational
25th percentile$6,291/mo$6,787/mo$5,488/mo
Median$6,425/mo$7,110/mo$6,230/mo
75th percentile$6,968/mo$7,728/mo$7,083/mo

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Staying home instead

Home care in Rochester runs about $32 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$2,741
44 hrs/weekMost of every weekday$6,030
24/7 (168 hrs/week)Round-the-clock coverage~$23,024

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

Nearby cities: Pittsford · Fairport

What can you afford?

Here is what different monthly budgets cover in Rochester.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Rochester runs about $2,819 a month. Income-restricted affordable senior housing is the other common choice, and Rochester has 34 such properties. The county aging agency at (585) 753-6280 can help you sort through options for free. If money is very tight, ask about Medicaid waivers.
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $6,030 a month. The local assisted living median is $6,425 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Rochester assisted living median of $6,425 a month with room to spare. It also covers close to full-time home care, about $6,030 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Rochester run about $14,032 a month at the median. Around-the-clock home care usually costs more.
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18 assisted living communities in Rochester

What assisted living looks like in Rochester

The typical licensed assisted living provider in Rochester has 82 beds. They range from 28 to 200.

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Free local help worth saving

Rochester, in Monroe County, has about 208,772 residents. About 27,393 of them (13%) are 65 or older. The median household income is $47,213.

Source: US Census Bureau

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →

Questions families ask

Is assisted living in Rochester more expensive than the rest of New York?

Rochester's median assisted living cost is about 10% lower than the New York state median.

Find Rochester care options

Tell us what you need and your budget, and we will email you licensed options right away.

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Reading up first? Assisted Living across New York → · Assisted Living cost across New York → · Adult Day Care vs Assisted Living →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

Assisted Living in Rochester: 2026 Costs & Licensed Providers