Rochester Senior AdvisorThe City of Rochester runs from Charlotte and the Lake Ontario shore south along the Genesee River through downtown, the High Falls district and the South Wedge to the University of Rochester's River Campus and the Strong Memorial medical campus, with neighborhoods such as the Park Avenue area, Highland Park, North Winton Village and the 19th Ward. Strong Memorial, Highland and Rochester General hospitals are all inside the city.
Many addresses that read “Rochester, NY” are actually in Greece, Irondequoit, Brighton, Gates or another town, because the Rochester post office serves them. We place each facility in its real town using the Census Bureau's geocoder, which is why the city's own count of licensed residences is smaller than a mailing-address search suggests, while its nursing home count is the largest of any single municipality in the region.
How much licensed senior care is inside the City of Rochester?
The City of Rochester had about 206,108 residents in Census Bureau estimates for July 1, 2025, down from 211,221 in 2020, and the New York State Department of Health licenses 2 adult care facility buildings and 10 nursing homes at addresses inside the city.
| Available in the City of Rochester | Not available in the City of Rochester | |
|---|---|---|
| Licensed here (NYSDOH roster) | Licensed residences (adult homes & enriched housing): 2, Nursing homes: 10, Certified home health agencies: 1, Licensed home care agencies: 10, Hospices: 1 | — |
| Not licensed here | — | Adult day health care |
| SNALR memory care | 1 residence | — |
Which assisted living residences are licensed in the City of Rochester?
the City of Rochester has 2 licensed adult care facility buildings on the state's current roster with 229 certified beds, 1 with SNALR memory care beds; the largest is Cobbs Hill Manor with 127 beds.
| Facility | License | Certified capacity | ALR certifications | SNALR (memory care) beds | Latest DOH inspection | Violations, 4-yr window |
|---|---|---|---|---|---|---|
| Cobbs Hill Manor 1175 Monroe Avenue, Rochester 14620 | AH | 127 | ALP | 0 | 06/22/2026 | 120 |
| The Homestead 256 Thurston Rd, Rochester 14619 | AH | 102 | ALR, EALR, SNALR | 65 | 05/20/2026 | 15 |
Have any the City of Rochester residences faced state enforcement?
Yes: NYS Health Profiles lists enforcement actions for 1 residence in the City of Rochester, the most recent a Stipulation & Order with The Homestead dated February 9, 2026.
- The Homestead: 1 action, latest February 9, 2026
Each facility page lists the order numbers and the inspection reports behind them. An order from years ago is not proof of a current problem; ask what changed.
What nursing homes are in the City of Rochester, and how does CMS rate them?
10 licensed nursing homes are in the City of Rochester, with 2097 beds; 0 of the 9 with a CMS overall rating hold four or five stars.
| Facility | CMS overall rating | Certified capacity | Last CMS health inspection | Deficiencies cited | Nurse hrs/resident/day |
|---|---|---|---|---|---|
| Astoria at Rochester Nursing and Rehabilitation Center 1335 Portland Avenue, Rochester 14621 | 1 of 5 | 120 | June 28, 2024 | 13 | 2.99 |
| Blossom Health Care Center Inc 989 Blossom Road, Rochester 14610 | 1 of 5 | 80 | October 1, 2024 | 10 | 3.39 |
| Church Home of the Protestant Episcopal Church 505 Mt Hope Avenue, Rochester 14620 | 3 of 5 | 152 | January 9, 2024 | 5 | 4.21 |
| Kirkhaven Nursing & Rehab 254 Alexander Street, Rochester 14607 | 1 of 5 | 147 | December 9, 2024 | 21 | 2.99 |
| Lilac Manor Rehabilitation and Nursing Center 3 Upton Park, Rochester 14607 | 1 of 5 | 200 | June 6, 2024 | 23 | 3.73 |
| Monroe Community Hospital 435 East Henrietta Road, Rochester 14620 | 1 of 5 | 566 | December 20, 2024 | 5 | 3.92 |
| St Johns Health Care Corporation 150 Highland Avenue, Rochester 14620 | 1 of 5 | 455 | June 9, 2025 | 14 | 4.28 |
| The Brook at High Falls Nursing Home and Rehabilitation Center 2150 St. Paul Street, Rochester 14621 | 2 of 5 | 28 | January 16, 2026 | 5 | 4.16 |
| Unity Living Center 89 Genesee St, Rochester 14611 | 2 of 5 | 120 | July 25, 2024 | 3 | 4.39 |
| Waterview Heights Rehabilitation and Nursing Center 135 Meriden Street, Rochester 14612 | Not rated by CMS | 229 | December 22, 2025 | 28 | 3.95 |
Which home care agencies and hospices have offices in the City of Rochester?
The state roster shows 12 home care, hospice or adult day health licenses with an office in the City of Rochester; agencies usually serve clients well beyond their office's town.
- Rochester Regional Health Home Care — certified home health agency, opened 1979
- Rochester Regional Health Hospice Care — hospice, opened 1981
- All Metro Health Care — licensed home care services agency, opened 2011
- Always Compassionate Home Care, Inc. — licensed home care services agency, opened 2019
- CCOR — licensed home care services agency, opened 2008
- Cobbs Hill Manor, Inc. — licensed home care services agency, opened 2017
- Elite Home Health Care — licensed home care services agency, opened 2026
- Home Care Preferred — licensed home care services agency, opened 2001
- Maxim Of New York, LLC — licensed home care services agency, opened 2004
- Monroe County Health Department Maternal And Child Health Services — licensed home care services agency, opened 1997
- Priority Cares Home Services LLC DBA Priority Cares — licensed home care services agency, opened 2025
- Venture Forthe Inc. — licensed home care services agency, opened 2011
Which hospitals are closest to the City of Rochester?
Measured from the center of the area's licensed facilities, the closest hospitals are Highland Hospital (UR Medicine, about 1.6 miles) and Rochester General Hospital (about 2.5 miles).
Strong Memorial Hospital is about 2.7 miles away. These are straight-line distances, useful for comparison but not drive times.
How does the city compare with the surrounding towns?
Most of Monroe County's assisted living is in the towns, especially Greece, Penfield, Pittsford and Perinton, while the city and Brighton hold the largest concentration of nursing home beds.
| City or town | Licensed residences | with SNALR beds | Nursing homes |
|---|---|---|---|
| City of Rochester | 2 | 1 | 10 |
| Greece | 8 | 6 | 5 |
| Irondequoit | 2 | 1 | 1 |
| Brighton | 3 | 2 | 6 |
| Pittsford | 3 | 3 | 1 |
| Penfield | 4 | 3 | 1 |
| Webster | 1 | 1 | 2 |
| Perinton & Fairport | 4 | 2 | 3 |
| Henrietta | 2 | 0 | 0 |
| Gates | 1 | 1 | 1 |
| Chili | 2 | 1 | 0 |
| Brockport, Sweden & Clarkson | 1 | 1 | 1 |
Where do Rochester families get free help?
NY Connects at (585) 325-2800 and the Monroe County Office for the Aging at (585) 753-6280 are the starting points, Lifespan of Greater Rochester at (585) 244-8400 runs caregiver, elder abuse and ombudsman programs, and HIICAP gives free Medicare counseling at (585) 287-6413.
Suspected abuse of an adult living at home goes to Monroe County Adult Protective Services at (585) 753-6532. ElderONE, the region's PACE program, serves the city.
Care types around Rochester
Assisted living around Rochester
See by town →Memory care around Rochester
See by town →Nursing homes around Rochester
See by town →Home care & hospice around Rochester
See by town →Rochester at a glance
| Senior care in Rochester is | Senior care in Rochester is not | |
|---|---|---|
| Licensing | The New York State Department of Health for every facility type | Licensed by the City or Monroe County |
| Geography | Nursing homes in the city, assisted living mostly in the towns | Defined by the Rochester mailing address |
| Programs | Office for the Aging, NY Connects, Lifespan, ElderONE PACE | Without a PACE option |
| Hospitals | UR Medicine and Rochester Regional Health | A single system |
