LGBTQIA+-affirming senior living & care in New York

Huntington Hills Center for Health and Rehabilitation is a skilled nursing and post-acute rehabilitation center in Melville, New York, on Long Island. It provides short-term rehabilitation and long-term care, with around-the-clock support for people living with chronic illness and disability. Services include medical and therapy care, telehealth, diagnostics, access to home care and hospice services, alongside a daily activities and events program. The center holds a five-star overall rating from the Centers for Medicare and Medicaid Services and appeared in the US News 2024 Best Nursing Homes listings in both categories. CMS ratings move, so check the current one on Medicare's Care Compare before deciding. Pricing is not published. Skilled nursing is usually funded through Medicare for a rehabilitation stay and Medicaid or private pay for a long one.

Lower Adirondack Pride serves the LGBTQIA+ community of Warren, Washington and northern Saratoga counties in upstate New York, producing events, running advocacy and offering direct programs. Its services include mental health counseling, case management, advocacy and support for people who are unhoused. Case management in particular is worth knowing about for an older adult trying to navigate benefits, housing or care in a rural county with few affirming options. Nothing on the organization's site is aimed specifically at older adults, so contact them and ask. Services are free. The organization operates from a post office box in Glens Falls rather than a walk-in office, so contact is by phone or email.

Henry J. Carter Specialty Hospital and Nursing Facility is a public facility in East Harlem, part of NYC Health + Hospitals, with roughly 365 beds. It combines long-term acute care with skilled nursing, which is an unusual pairing and means it takes people whose needs are too complex for an ordinary nursing home. It is publicly listed as a 2025 Long-Term Care Equality Index Leader by the Human Rights Campaign Foundation. That designation reflects documented policies and staff training on LGBTQIA+ residents, and it is the reason this listing appears in our directory. It is not a rating of clinical quality. NYC Health + Hospitals is the public health system, so admission and cost work differently from a private facility. Medicaid, Medicare and the system's own financial assistance all come into play, and nobody is turned away for inability to pay. Bed availability, services and admission routes change. Confirm directly, and check the facility's current inspection record on Medicare's Care Compare.

Coler Specialty Hospital and Nursing Facility sits on Roosevelt Island in the East River and is part of NYC Health + Hospitals. It is large, with roughly 1,025 beds, and specializes in chronic care, physical rehabilitation, geriatrics, HIV and AIDS care, and Alzheimer's care. The HIV and AIDS specialism matters directly to this directory. A significant number of long-term survivors are now aging with the virus, often with complex comorbidities, and very few long-term care facilities have real depth in that combination. Coler is publicly listed as a 2025 Long-Term Care Equality Index Leader by the Human Rights Campaign Foundation, reflecting documented LGBTQIA+ policies and staff training. That is a policy designation, not a clinical quality rating. As a public facility, Medicaid, Medicare and system financial assistance apply. Confirm services and admission directly, and check the current inspection record on Medicare's Care Compare.

NYC Health + Hospitals/Gouverneur runs a 295-bed skilled nursing facility on Madison Street on the Lower East Side of Manhattan, providing both short-term rehabilitation and long-term skilled nursing care. The wider Gouverneur site has served the neighborhood for more than 140 years. It is publicly listed as a 2025 Long-Term Care Equality Index Leader by the Human Rights Campaign Foundation, reflecting documented LGBTQIA+ policies and staff training rather than a clinical quality rating. As part of the public system, Medicaid, Medicare and financial assistance all apply, and nobody is turned away for inability to pay. The Lower East Side location also means a genuinely multilingual service area. Confirm admission routes and current bed availability directly, and check the facility's inspection record on Medicare's Care Compare before deciding.

Rainbow Lounge is the older-adult program of the Hudson Valley LGBTQ+ Community Center in Kingston, New York. It is described as a relaxed meetup for LGBTQIA+ adults aged 50 and over to connect with peers. The group runs in partnership with SAGE, the national LGBTQIA+ elder organization, and its conversations cover aging, mentorship, relationships and the specific challenges facing older LGBTQIA+ people. The meeting schedule is not published on the center's site, so call or email before making the trip to Wall Street.

The LOFT is the LGBTQ+ community center serving Westchester County and the wider Hudson Valley from White Plains, New York. It runs support groups, social activities, health services and advocacy. Its older-adult programming is Silver Connections, for people 55 and over. Alongside it the center runs programming for Black and Brown LGBTQ+ communities, trans support and wellness services. Hours and costs are not published on the center's site. Call before traveling, particularly if you are coming for a specific group.