Representing not-for-profit, community-based senior care providers throughout Western New York.

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Options & Services

There are many options from which to choose to meet the specific needs and preferences of each senior. LeadingAge WNY urges you to determine the features you or your loved one require and visit the facilities that most closely match your preferences.

Click on the Member Facilities page for options and services offered through member senior care facilities and organizations.

Services Overview

Click on any of the following Options or Special Services that are often offered through senior care facilities and organizations for a brief overview:

Independent Housing/Senior Housing Assisted Living/Adult Care Nursing Facility/Nursing Home Home Care/Community-Based Services
Continuing Care Retirement Community (CCRC) Managed Long Term Care (MLTC) Adult Day Care Memory Care
Hospice Care
Rehabilitation Respite

Independent Housing/Senior Housing: Designed for independent seniors who no longer want to maintain their homes, or wish to live in a setting designed for seniors. This type of housing includes apartments -- affordable (government rent assisted) and conventional (no rental assistance) -- and retirement communities with activities and amenities geared for seniors. Some senior housing providers also serve as nutrition sites, where meals are provided to seniors.

Assisted Living/Adult Care Facility:   Housing that enables seniors to remain as independent as possible while receiving help with personal care, meals, medications, housekeeping and activities. Adult care facility, adult home and enriched housing are other terms used to describe types of assisted living.  

Some assisted living facilities have been designated an assisted living residence (ALR) through the New York State Department of Health. An ALR may also be licensed for an Enhanced ALR for people who require assistance to get out of a chair, need the assistance of another to walk or use stairs, need assistance with medical equipment, and/or need assistance to manage chronic urinary or bowel incontinence. Some ALRs may be approved as a Special Needs ALR to serve people with special needs, for example Alzheimer’s disease or other types of dementia. 

In New York state, there is also an Assisted Living Program (ALP) that allows individuals in assisted living to remain in that setting and "age in place" with additional services provided by a home health care agency. The ALP differs from the ALR because it was designed mainly for people who are Medicaid-eligible, although it will accept individuals who can pay for this service privately.


Nursing Facility/Nursing HomeFacilities that offer a complete range of medical, housing and social services 24 hours day. Stays may be long term, or short term (as in the case of post-hospital rehabilitation care). Dietary, social activities and therapy services are often provided in addition to skilled nursing. A special care plan is set up for each individual. 

Home Care/Community-Based ServicesPrograms that provide medical, personal care and social services in an individual's home.

New York State licensed home care service agencies provide home health aides, medical supplies, medical supplies, equipment and appliances, personal care aides, homemaker and housekeeper services and other therapeutic services. Medicare certified home health care agencies provide skilled nursing and therapy services of a curative or restorative nature.

The Program of All-Inclusive Care for the Elderly (PACE) is a community-based program that serves individuals who are aged 55 or older with chronic care needs and who require nursing home level care. The program is focused on allowing those individuals to remain as independent as possible in their homes and provides services ranging from nursing care and various medical services to assistance with personal care.

A Continuing Care Retirement Community (CCRC): A Continuing Care Retirement Community (CCRC) offers a variety of services for older adults all in one location. It provides the individual with the opportunity to remain in one place as he or she ages and includes access to other levels of senior care such as assisted living, skilled nursing and other health services if needed.

CCRCs usually offer a wide range of services – meals, housekeeping, transportation, emergency assistance and social and educational activities. CCRCs are often referred to as lifecare communities, meaning that they provide housing and services for life. Most communities require a one-time entrance fee and a monthly service fee.  In New York state, CCRCs are regulated by the Department of Health and the Department of Insurance.


Managed Long Term Care (MLTC):  A plan for individuals who need long-term care services and who have Medicaid or are eligible. This is a mandatory program for those dually eligible for Medicare and Medicaid over the age of 21 needing home and community based long-term care services. The program is voluntary for those who need long term care services and are not eligible for Medicare but are eligible for Medicaid. The program is designed to keep participants living safely, and independently in the comfort of their own home with medically necessary long term care services which may include personal care, home health care, dental services, transportation, medical equipment and supplies, rehabilitation therapies, social support and more.

Adult Day Care: Programs that offer individuals living at home the opportunity to spend the day in a supervised, supportive setting.

Adult day health care (medical model) programs provide health care services, personal care services including nursing care, therapies (physical, occupational and speech) and care management. Social adult day care programs serve individuals who may be socially isolated or who would benefit from supervision. They may also provide a meal, activities and other services.

Memory Care:   Some assisted living facilities and nursing homes offer memory care services. Memory care provides individuals one-to-one attention they need when suffering with the physical, psychological and emotional issues that accompany cognitive disorders, such as dementia and Alzheimer’s disease. Services can include special activities, medication management, personal care assistance, and more.

Hospice Care: Services designed to meet the needs and perferences of terminally ill individuals and their families. A hospice organization is licensed by the Department of Health and services can be administered in the home, a hospice facility or in a nursing home.

Rehabilitation: Also called subacute care, this service is usually provided in a nursing home setting for patients who a making the transition between hospital and home. Commonly used by patients of all ages following hip and knee replacements and cardiac care.

Respite: A program that provides seniors in need of care and supervision with a short-term stay at a senior care facility in order to give caregivers a break from their duties. 


For more in-depth information on these services and more, click below to access the consumer publication from our New York State partner: