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Residential care

Horizons

Residential care in Canandaigua, New York

Checked November 4, 2026

Provider details
Address3132 State Route 21 South
CityCanandaigua
StateNew York
ZIP code14424
CountyOntario
Phone585-396-3390
Websitewww.depaul.org#http://www.depaul.org#
OwnershipNot for Profit Corporation
License number530-E-051
License typeAdult Care Facility — Adult Home (Article 7, New York Social Services Law)
Licensing statusLicensed — New York State Department of Health, Adult Care Facility
Capacity76
Care typesresidential care, assisted living
Services offered24-hour supervision and personal care, assistance with activities of daily living, Assisted Living Program (Medicaid) services, respite stays
CMS quality noteLicensed by the New York State Department of Health.

Horizons is in 3132 State Route 21 South, Canandaigua, NY 14424. Phone: 585-396-3390. It holds New York Adult Care Facility operating certificate 530-E-051 (Adult Home; licensed capacity 76), issued by the New York State Department of Health.

Who pays for residential care?

What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:

Residential care guide · Paying for care

Other residential care in Ontario County

Common questions about Horizons

Where is Horizons located?

Horizons is at 3132 State Route 21 South, Canandaigua, New York 14424.

What care and services does Horizons offer?

Horizons offers residential care, assisted living, 24-hour supervision and personal care, assistance with activities of daily living, Assisted Living Program (Medicaid) services, respite stays.

How do I contact Horizons?

Call Horizons at 585-396-3390.

How much does assisted living cost?

The national median cost of assisted living is $6,200 a month (CareScout Cost of Care Survey, 2025). Costs in New York can be higher or lower. The price goes up when a person needs more help with daily tasks. See our guide to assisted living costs and who pays for the full picture.

Does Medicare pay for assisted living?

No. Medicare does not pay for the rent or the day-to-day help in assisted living. That help is called custodial care, and Medicare does not cover it. Medicare still pays for your medical care while you live there, like doctor visits, hospital care, and home health visits.

What is the difference between assisted living and a nursing home?

Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. Staff are on hand day and night, but it does not give round-the-clock nursing care. A nursing home gives skilled nursing care and rehab around the clock. People who need help but not daily medical care often pick assisted living. People who need daily medical care often need a nursing home.

Who else pays for assisted living besides Medicare?

Most people pay out of pocket. Medicaid pays for care services in assisted living in many states through waiver programs, but it does not pay the rent. A VA pension called Aid and Attendance can add money each month for veterans who need help with daily tasks. Long-term care insurance can pay for part of the cost.

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