Adult homes and enriched housing in the Mid-Hudson

What is an adult home?

An adult home is a New York adult care facility licensed under 18 NYCRR Part 487 to provide room, board, housekeeping, personal care and supervision around the clock to five or more adults who do not need continual nursing.

5 of the 18 licensed residences in the two counties hold only a base adult home or enriched housing license, with no ALR, EALR, SNALR or ALP beds in the 2026 Q2 capacity report.

What is an enriched housing program?

An enriched housing program, licensed under Part 488, provides apartment-style living for five or more mostly older adults, with personal care and supervision available less than 24 hours a day and at least one hot meal daily.

Many enriched housing buildings staff overnight anyway; ask who is on site between midnight and morning.

Do adult homes accept SSI?

Some do: SSI's Congregate Care Level 3 rate of $1,688 a month in 2026, with a $262 personal needs allowance, applies to residents of adult homes and enriched housing programs, but each residence decides whether to accept it.

Ask before admission and get the answer in writing.

Why do so many Mid-Hudson residences hold ALP beds instead of ALR beds?

Because several of the region's larger adult homes and enriched housing programs built their model around Medicaid's Assisted Living Program, which pays for services for nursing-home-eligible residents, rather than around private-pay ALR certification.

The 2026 Q2 capacity report shows 9 of the 18 licensed residences in Dutchess and Orange holding Assisted Living Program beds, 931 of the 1,664 certified beds: Hedgewood Assisted Living (192), Promenade at Middletown (131), The Eliot at Erie Station ALP (120), The Sentinel of Port Jervis (109), Dutchess Care (92), Braemar Living at Wallkill (88), The Avalon Assisted Living and Wellness Center (75), Hyde Park Assisted Living Facility, Inc. (66), Promenade at Tuxedo Place (58).

Are adult homes inspected the same way as nursing homes?

They are inspected by the same Department of Health under different rules: at least one unannounced state inspection a year under Social Services Law 461-a, and no CMS rating.

Their reports are on NYS Health Profiles, and our facility pages summarize them.

How is adult homes & enriched housing licensed across Dutchess and Orange?

This is how New York's roster divides adult homes & enriched housing between the two counties; agencies and hospices carry no bed count.