Hudson Valley Senior AdvisorThe Mid-Hudson metro straddles the river: Dutchess on the east bank, with Poughkeepsie, Beacon and the river towns, and Orange on the west, with Newburgh, Middletown, Goshen and Port Jervis. The Newburgh-Beacon and Mid-Hudson bridges tie the two together, and families routinely cross them for hospitals, residences and visits.
We divide the two counties into ten areas, each with its own page, and place every licensed facility in its true town with the Census Bureau's geocoder, since mailing addresses such as Poughkeepsie or Middletown spill well beyond the city lines.
How much licensed senior care does the Mid-Hudson have?
The Poughkeepsie-Newburgh-Kiryas Joel metro, Dutchess and Orange counties, had about 718,377 residents in Census Bureau estimates for July 1, 2025, and the Department of Health licenses 18 adult care facilities and 22 nursing homes across it.
| In the two counties | Not in the two counties | |
|---|---|---|
| Licensed here (state roster) | Licensed residences (adult homes & enriched housing): 18, Nursing homes: 22, Certified home health agencies: 4, Licensed home care agencies: 33, Hospices: 2, Adult day health care: 1 | — |
| Not licensed here | — | Every category is present |
| Medicaid ALP beds | 9 residences | — |
| SNALR dementia beds | 2 residences | — |
Which parts of the Mid-Hudson have the most licensed care?
Licensed assisted living is concentrated in a few places, chiefly the Middletown area, Beacon and Fishkill, and Poughkeepsie and Hyde Park, while nursing homes are more evenly spread from Rhinebeck to Warwick.
| Area | Licensed residences | Residence beds | with ALP beds | Nursing homes |
|---|---|---|---|---|
| Poughkeepsie | 2 | 213 | 1 | 3 |
| Hyde Park, Rhinebeck & Red Hook | 2 | 107 | 1 | 4 |
| Beacon, Fishkill & East Fishkill | 3 | 267 | 1 | 3 |
| Wappinger, LaGrange & Pleasant Valley | 1 | 76 | 1 | 1 |
| Millbrook, Dover, Pawling & the Harlem Valley | 2 | 79 | 0 | 1 |
| Newburgh & New Windsor | 1 | 86 | 0 | 1 |
| Middletown & Wallkill | 3 | 536 | 3 | 2 |
| Goshen, Hamptonburgh & Montgomery | 1 | 28 | 0 | 5 |
| Port Jervis, Deerpark & Greenville | 2 | 183 | 1 | 1 |
| Monroe, Chester, Warwick & Tuxedo | 1 | 89 | 1 | 1 |
Which hospitals anchor senior care in the two counties?
Seven general hospitals serve the metro: Vassar Brothers and MidHudson Regional in Poughkeepsie, Northern Dutchess in Rhinebeck, Montefiore St. Luke's Cornwall in Newburgh, Garnet Health in Middletown, and the WMCHealth hospitals in Port Jervis and Warwick.
- Bon Secours Community Hospital (Port Jervis) (WMCHealth (Bon Secours Charity Health System), City of Port Jervis)
- Garnet Health Medical Center (Garnet Health, Town of Wallkill)
- MidHudson Regional Hospital (WMCHealth (MidHudson Regional Hospital), Town of Poughkeepsie)
- Montefiore St. Luke's Cornwall (Newburgh) (Montefiore Health System, City of Newburgh)
- Northern Dutchess Hospital (Northwell Health (formerly Nuvance Health), Town of Rhinebeck)
- St. Anthony Community Hospital (Warwick) (WMCHealth (Bon Secours Charity Health System), Town of Warwick)
- Vassar Brothers Medical Center (Northwell Health (formerly Nuvance Health), City of Poughkeepsie)
Where do Mid-Hudson families get free help?
The Dutchess County Office for the Aging ((845) 486-2555) and Orange County Office for the Aging ((845) 615-3700) are the starting points for NY Connects, HIICAP, meals and caregiver services, and the Hudson Valley Long Term Care Ombudsman Program, (845) 229-4680, advocates for residents of nursing homes and adult care facilities in both counties.
Adult Protective Services: Dutchess (845) 486-3000 (24-hour elder abuse hotline (845) 485-9700), Orange (845) 291-2800. 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.
Care types across the metro
Assisted living in the Mid-Hudson
See it area by area →Memory care in the Mid-Hudson
See it area by area →Nursing homes in the Mid-Hudson
See it area by area →Home care & hospice in the Mid-Hudson
See it area by area →The Mid-Hudson at a glance
| Senior care here is | Senior care here is not | |
|---|---|---|
| Licensing | The New York State Department of Health for every facility type | Licensed by a county or town |
| Assisted living | Heavy on Medicaid Assisted Living Program beds | Mostly private-pay luxury buildings |
| Memory care | Limited to a small number of SNALR beds | Easy to find on short notice |
| Programs | Two Offices for the Aging, NY Connects, MLTC plans | Served by a local PACE program |
