Licensed assisted living in Dutchess and Orange counties

How many assisted living residences are licensed in Dutchess and Orange counties?

The state roster lists 18 licensed adult care facility buildings in the two counties with 1,664 certified beds (from 23 to 200 per building); 9 hold Medicaid Assisted Living Program beds, 7 are certified Assisted Living Residences and 2 have SNALR dementia beds.

Source: NYSDOH Adult Care Facility Quarterly Statistical Information Report, 2026 Q2.

Listed without a bed count: Fishkill Assisted Living. The state roster shows the license, but the quarterly capacity report and NYS Health Profiles had no matching record when we retrieved them, so the row has no facility page yet.

Where does each column come from?

Capacity and the ALR, EALR, SNALR and ALP bed counts come from the Department of Health's 2026 Q2 quarterly capacity report; the latest inspection date, the four-year violation total and enforcement actions come from each residence's NYS Health Profiles page, retrieved for this build.

3 of the 18 residences show at least one enforcement action in the window. The typical residence has 13 violations over 4 inspection reports. When adult home and enriched housing licenses share a street address we treat them as one building and show both certificates.

Why do so many residences here hold ALP beds?

Because several of the region's largest residences operate largely around Medicaid's Assisted Living Program, which pays for care services for nursing-home-eligible residents; that is why the ALP column outweighs the ALR column in this roster.

More in the Assisted Living Program guide and private pay vs. the ALP.