Hudson Valley Senior AdvisorHow much licensed assisted living does the Poughkeepsie-Newburgh metro have?
The Department of Health licenses 18 adult care facility buildings in Dutchess and Orange counties with 1,664 certified beds (median 86 per building); 9 have Medicaid Assisted Living Program beds, 7 are certified Assisted Living Residences and 7 have enhanced (EALR) beds.
| Area | Licensed residences | Beds | ALP beds | EALR beds | Largest |
|---|---|---|---|---|---|
| Poughkeepsie | 2 | 213 | 92 | 44 | The Landing of Poughkeepsie |
| Hyde Park, Rhinebeck & Red Hook | 2 | 107 | 66 | 29 | Hyde Park Assisted Living Facility, Inc. |
| Beacon, Fishkill & East Fishkill | 3 | 267 | 192 | 0 | Hedgewood Assisted Living |
| Wappinger, LaGrange & Pleasant Valley | 1 | 76 | 75 | 0 | The Avalon Assisted Living and Wellness Center |
| Millbrook, Dover, Pawling & the Harlem Valley | 2 | 79 | 0 | 40 | The Inn at Millbrook |
| Newburgh & New Windsor | 1 | 86 | 0 | 0 | New Windsor Country Inn |
| Middletown & Wallkill | 3 | 536 | 339 | 76 | Braemar Living at Wallkill |
| Goshen, Hamptonburgh & Montgomery | 1 | 28 | 0 | 0 | Glen Arden, Inc. |
| Port Jervis, Deerpark & Greenville | 2 | 183 | 109 | 59 | The Sentinel of Port Jervis |
| Monroe, Chester, Warwick & Tuxedo | 1 | 89 | 58 | 0 | Promenade at Tuxedo Place |
Why does Middletown & Wallkill have the most assisted living beds?
Middletown & Wallkill leads by bed count because a few large residences there were built around Medicaid's Assisted Living Program, while much of the rest of the metro is served by small buildings or none at all.
For a family in a town without a licensed residence, the practical comparison is usually one of those large buildings against a smaller private-pay residence farther away. The full roster sorts by town, beds and certification.
What does assisted living cost in the Mid-Hudson?
No Dutchess or Orange figure is published; CareScout's 2025 New York assisted living median is $85,320 a year (about $7,110 a month), and quotes vary with apartment size and level of care.
Medicaid does not pay rent in ordinary assisted living, but the Assisted Living Program pays for services in approved beds for nursing-home-eligible residents, and those beds are relatively common here. VA Aid and Attendance helps eligible veterans and surviving spouses.
Assisted living in the Mid-Hudson, side by side
| Assisted living here is | Assisted living here is not | |
|---|---|---|
| License | NYSDOH adult home or enriched housing, often with ALP beds | A word on a sign |
| Location | Concentrated in Middletown & Wallkill and a few other areas | Spread evenly across both counties |
| Price data | A New York statewide median (assisted living only) | A published Hudson Valley figure |
| Medicaid | Services in Assisted Living Program beds | Rent in ordinary assisted living |
