Hudson Valley Senior AdvisorOrange County lies on the west bank of the Hudson, from Newburgh, New Windsor and Cornwall through Goshen and Middletown to Port Jervis on the Delaware, and south to Monroe, Warwick and Tuxedo; about 417,669 people lived there on July 1, 2025.
Its median age is 37.2 and 15.9% of residents are 65 or older, younger than Dutchess largely because of fast-growing communities such as Kiryas Joel. Garnet Health Medical Center in Middletown and Montefiore St. Luke's Cornwall in Newburgh are its main hospitals.
How many older residents and licensed care options does Orange County, NY have?
Orange County had about 66,341 residents aged 65 or older (15.9% of 417,669), including 6,554 aged 85 or older, on July 1, 2025, and the Department of Health licenses 8 adult care facilities and 10 nursing homes in the county.
| In Orange County | Not in Orange County | |
|---|---|---|
| Licensed here (state roster) | Licensed residences (adult homes & enriched housing): 8, Nursing homes: 10, Certified home health agencies: 3, Licensed home care agencies: 18, Hospices: 1 | — |
| Not licensed here | — | Adult day health care |
| Medicaid ALP beds | 5 residences | — |
| SNALR dementia beds | 1 residence | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
How quickly is Orange County's 65-plus population growing?
Residents aged 65 and older grew from about 57,370 in the 2020 estimates base to 66,341 in 2025, a 16% rise, while the total population went from 401,312 to 417,669.
The median age is 37.2. Orange is younger overall, but its older population is growing just as fast in absolute numbers.
Where is licensed senior care located within Orange County?
Orange County's 8 licensed residences and 10 nursing homes are spread across the areas below; several towns have none, so families there compare options a short drive away.
| Area | Licensed residences | Residence beds | Nursing homes |
|---|---|---|---|
| Newburgh & New Windsor | 1 | 86 | 1 |
| Middletown & Wallkill | 3 | 536 | 2 |
| Goshen, Hamptonburgh & Montgomery | 1 | 28 | 5 |
| Port Jervis, Deerpark & Greenville | 2 | 183 | 1 |
| Monroe, Chester, Warwick & Tuxedo | 1 | 89 | 1 |
Which senior care facilities are licensed in Orange County?
Every adult care facility and nursing home the Department of Health lists in Orange County appears below, with certified beds, Medicaid ALP beds and, for residences, the latest state inspection.
| Facility | License | Certified capacity | ALP (Medicaid) beds | Town | Latest DOH inspection | Violations, 4-yr window |
|---|---|---|---|---|---|---|
| Braemar Living at Wallkill 21 Riverside Drive, Middletown 10941 | AH | 200 | 88 | Wallkill | 06/09/2026 | 18 |
| Carlucci Homes, Inc. 516 Mullock Road, Port Jervis 12771 | AH | 23 | 0 | Greenville | 05/07/2026 | 5 |
| Glen Arden, Inc. 214 Harriman Drive, Goshen 10924 | EHP | 28 | 0 | Goshen | 11/13/2025 | 12 |
| New Windsor Country Inn 450 Temple Hill Road P.O. Box 4328, New Windsor 12553 | AH | 86 | 0 | New Windsor | None in window | 0 |
| Promenade at Middletown 70 Fulton Street, Middletown 10940 | AH | 200 | 131 | Middletown | 06/11/2026 | 1 |
| Promenade at Tuxedo Place 40 Hospital Road, Tuxedo 10987 | AH | 89 | 58 | Tuxedo | 11/27/2024 | 0 |
| The Eliot at Erie Station ALP 10 - 18 John St, Middletown 10940 | AH | 136 | 120 | Middletown | 03/03/2026 | 8 |
| The Sentinel of Port Jervis 2247 Greenville Turnpike, Port Jervis 12771 | AH | 160 | 109 | Deerpark | 04/17/2026 | 45 |
| Campbell Hall Rehabilitation Center Inc 23 Kiernan Rd, Campbell Hall 10916 | NH | 134 | 0 | Hamptonburgh | None in window | n/a |
| Glen Arden Inc 214 Harriman Drive, Goshen 10924 | NH | 40 | 0 | Goshen | None in window | n/a |
| Highland Rehabilitation and Nursing Center 120 Highland Avenue, Middletown 10940 | NH | 98 | 0 | Middletown | None in window | n/a |
| Middletown Park Rehabilitation & Health Care Center 121 Dunning Road, Middletown 10940 | NH | 230 | 0 | Wallkill | None in window | n/a |
| Montgomery Nursing and Rehabilitation Center 2817 Albany Post Road, Box 158, Montgomery 12549 | NH | 100 | 0 | Montgomery | None in window | n/a |
| Sapphire Nursing and Rehab at Goshen 46 Harriman Drive, Goshen 10924 | NH | 120 | 0 | Goshen | None in window | n/a |
| Sapphire Nursing at Meadow Hill 172 Meadow Hill Road, Newburgh 12550 | NH | 182 | 0 | Newburgh | None in window | n/a |
| Schervier Pavilion 22 Van Duzer Place, Warwick 10990 | NH | 120 | 0 | Warwick | None in window | n/a |
| St. Josephs Place 160 East Main Street, Port Jervis 12771 | NH | 42 | 0 | Port Jervis | None in window | n/a |
| The Valley View Center for Nursing Care and Rehabilitation 2 Glenmere Cove Road, Goshen 10924 | NH | 360 | 0 | Goshen | None in window | n/a |
Which home care agencies and hospices are based in Orange County?
The state roster shows 22 home care, hospice or adult day health licenses with Orange County offices; agencies based in the neighboring county often serve addresses here too.
- EverCare at Home, Newburgh — certified home health agency
- The Valley View Certified Home Health Agency, Goshen — certified home health agency
- Willcare, Newburgh — certified home health agency
- Hospice of Orange & Sullivan Counties Inc, Newburgh — hospice
- A&T Healthcare, LLC, Newburgh — licensed home care services agency
- Always Compassionate Home Care, Inc., Newburgh — licensed home care services agency
- Any-Time Home Care, Inc., Newburgh — licensed home care services agency
- Any-Time Home Care, Inc., Middletown — licensed home care services agency
- Balanced Care Licensed Home Care Agency, Tuxedo Park — licensed home care services agency
- Comforcare Senior Services South Orange, Monroe — licensed home care services agency
- Firstlight Homecare Hudson Valley, Montgomery — licensed home care services agency
- Heartstrings LLC, Central Valley — licensed home care services agency
- Hudson Valley Home Health Care, LLC, Middletown — licensed home care services agency
- Kabafusion HH, New Windsor — licensed home care services agency
- Mid-Hudson Managed Home Care, Inc., Newburgh — licensed home care services agency
- New York Health Care, Inc., Newburgh — licensed home care services agency
- Option Care, Goshen — licensed home care services agency
- The Eliot At Erie Station Lhcsa, Port Jervis — licensed home care services agency
- The Eliot At Erie Station Lhcsa, Middletown — licensed home care services agency
- Unlimited Care Inc., Middletown — licensed home care services agency
- Unlimited Care Inc., Newburgh — licensed home care services agency
- Willcare, Middletown — licensed home care services agency
Which agencies help older adults in Orange County?
The Orange County Office for the Aging, (845) 615-3700, is the county's Area Agency on Aging, the door to NY Connects, HIICAP Medicare counseling, home-delivered meals, caregiver respite and EISEP home care; Adult Protective Services answers at (845) 291-2800.
Residents of nursing homes and adult care facilities in the county can call the Hudson Valley Long Term Care Ombudsman Program, (845) 229-4680. No PACE program lists Dutchess or Orange in its service area as of November 2026, so Medicaid home care here runs through Managed Long Term Care plans; NY Connects (1-800-342-9871) can confirm whether that has changed.
Which hospitals serve Orange County seniors?
Orange County's general hospitals are Bon Secours Community Hospital (Port Jervis) (WMCHealth (Bon Secours Charity Health System)), Garnet Health Medical Center (Garnet Health), Montefiore St. Luke's Cornwall (Newburgh) (Montefiore Health System), St. Anthony Community Hospital (Warwick) (WMCHealth (Bon Secours Charity Health System)); most nursing home and rehab searches in the county begin with a discharge from one of them.
Hospital discharge planners keep lists of rehab homes with open beds. Our discharge guide covers the first 48 hours.
