Lilisity

Assisted Living

Sachem Adult Home

1298 Coates Avenue, Holbrook, NY 11741 · Map
Licensed for 46 residents · Sachem Adult Home And Alp Llc

State license active
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Sachem Adult Home is a state-licensed assisted living community in Holbrook, New York. It is licensed for 46 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.

Assisted LivingCare offered
46 residentsLicensed capacity
State licensedAdult home
$4,800 to $7,950/moTypical assisted living start in New York, from 80 communities that publish prices

Prices

This community does not publish its prices.

Area costs

Assisted Living in New York typically starts at $4,800 to $7,950 a month. Based on 80 communities that publish prices. These are area figures, not this community's price.

Care and services

From the community’s website

What Sachem Adult Home says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Apartment types named: private room, semi-private room. Choose from comfortable, private rooms or semi-private options designed to meet the needs of every individual. (page, checked Oct 15, 2026)

Lilisity’s independent report

What the public record shows

Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.

State inspections

8Inspections
17Violations cited

Last inspection report: Feb 23, 2026. See the record

License

Active, 46 residents

Adult Home 700-F-935, current license dated Nov 8, 1978. Licensee Sachem Adult Home And Alp Llc.

Nearest emergency room

5.5 miles

Long Island Community Hospital, rated 4 of 5 stars by CMS.

Side by side with nearby communities

The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.

CommunityDistanceLicensed capacityPublished starting priceLicenseInspection citations
Sachem Adult Home this community46Not publishedActive17 violations, 0 enforcement actions
Sunrise of Holbrook1.9 mi109$4,300/moActive0 violations, 0 enforcement actions
Hidden Gem Home for Adults2.1 mi18Not publishedActive0 violations, 0 enforcement actions
Rodden Home2.1 mi23Not publishedActive5 violations, 0 enforcement actions
Brightview Sayville2.3 mi92Not publishedActive12 violations, 0 enforcement actions
State inspection record17 violations, 0 enforcement actions
Last inspection report
February 23, 2026
Inspections
8, 17 violations cited
Complaint inspections
8, 17 violations cited
Enforcement actions
0

Inspection reports

  • February 23, 2026, relicensure, complaint survey: 11 violations (Food service, General requirements, Resident records, Electrical systems, Safety procedures, Housekeeping, Maintenance) Plan/Notice of Correction Under Review
  • July 16, 2025, complaint survey: 1 violation (Housekeeping) Plan/Notice of Correction Approved
  • March 26, 2025, complaint survey: 0 violations Plan/Notice of Correction Not Required
  • February 3, 2025, complaint survey: 0 violations Plan/Notice of Correction Not Required
  • September 20, 2024, complaint survey: 1 violation (Case management) Plan/Notice of Correction Approved
Show all 8
  • September 13, 2024, complaint survey: 0 violations Plan/Notice of Correction Not Required
  • July 30, 2024, relicensure, complaint survey: 4 violations (Resident records, Records and reports, Safety procedures, Maintenance) Plan/Notice of Correction Approved
  • May 13, 2022, complaint survey: 0 violations Plan/Notice of Correction Not Required

Read the full record on the state’s site →

DOH: “The Department conducts inspections for certification purposes every 12 to 18 months at each ACF, as well as follow-up inspections to ensure that any previously cited deficiencies are corrected. Additional investigations are conducted as a result of complaints and incident reports received by the Department.” DOH: “Violations under dispute through the Inspection Review Process (IRP) are not displayed.” Under 18 NYCRR Part 486, DOH may assess civil penalties against an adult care facility for violating its regulations. This community is certified for 46 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Inspection reports themselves are not online; you can request copies from DOH (how to request reports), and each facility must post its most recent report in a public area. Source: New York State Department of Health, Division of Adult Care Facilities and Assisted Living Surveillance, NYS Health Profiles, data as of October 15, 2026, covering April 1, 2022 through March 31, 2026. Always visit in person and ask the community about anything listed here.

License and ownershipActive license, licensee Sachem Adult Home And Alp Llc
License type
Adult Home
License number
700-F-935
License status
Active
Current license dated
1978-11-08
Licensed capacity
46
Licensee
Sachem Adult Home And Alp Llc

Source: New York state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.

Paying with Medicaid and other programsOn the New York list of Medicaid providers (2026)

On the New York list of Medicaid providers. Listed as Sachem Adult Home under Assisted Living Program (ALP). Assisted Living Program beds certified: 35 (2026 Q2). (state list, as of Jun 30, 2026)

Being on the list means the community has taken part in the program. Ask whether it has a Medicaid opening now, and how many residents it serves on Medicaid.

How Medicaid pays for care in New York

  • Assisted Living Program (ALP). Medicaid can pay for services through the Assisted Living Program (ALP), which is only for people who qualify for nursing home care. Medicaid recipients must have ALP services approved ahead of time by the local social services district. (state page)
Location and nearby careNearest hospital 5.5 mi, nursing home 2.5 mi, pharmacy 0.9 mi
Nearest hospital with an emergency room
Long Island Community Hospital, Patchogue. 5.5 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Luxor Nursing and Rehabilitation at Sayville, Sayville. 2.5 miles away, straight line.
Nearest home health agency office
Tender Loving Care, An Amedisys Company, Medford. 5.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
CVS Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 11741 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Medford Kidney Center, Medford, 3.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Long Island Community Hospital - West Main St, Patchogue, 4.0 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Fmc Coram Dialysis Center, Centereach, 4.5 miles away, straight line (CMS rating 4 of 5 stars)
Hospice
5 Medicare hospices tell CMS they serve ZIP code 11741.
Nyu Langone Hospital - Suffolk Hospice, office in Patchogue, 4.0 miles away, straight line
Vns And Hospice Of Suffolk, Inc, office in East Northport, 14.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
Good Shepherd Hospice, office in Farmingdale, 19.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Nearest geriatric medicine practice
North Shore Hematology Oncology Associates PC, Patchogue. 4.6 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard riskFEMA overall risk very low; outside FEMA's high-risk flood areas

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: very low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire very low, tornado very low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

Questions to ask on a tour10 questions picked for this community from its record

Picked for this community from its record. Ask them in person and write down the answers.

  1. The state recorded a finding in February 2026. What was it, and how was it fixed?
  2. What does the base rate include, and when did rates last go up?
  3. How many caregivers are on duty during the day and at night?
  4. What happens if care needs increase? When would someone need to move?
  5. What fees are charged at move-in?
  6. How do you tell families about falls, illness or changes?
  7. How long have the executive director and the head of care been here?
  8. Who gives medications, and what training do they have?
  9. For what reasons can a resident be asked to leave?
  10. Is the apartment held during a hospital stay, and at what cost?
What we checked14 public sources we searched, with dates

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
New York State Department of Health, Division of Adult Care Facilities and Assisted Living Surveillance inspection recordsOct 15, 2026See above
New York Medicaid provider listJun 30, 2026See above
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above
Common questionsAnswers to 4 questions families ask
What type of care does Sachem Adult Home provide?

Sachem Adult Home is licensed by the state of New York for assisted living in Holbrook, New York. Its licensed capacity is 46 residents.

Does Lilisity rate Sachem Adult Home?

No. We publish state licensing details for Sachem Adult Home but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.

How much does Sachem Adult Home cost?

Assisted Living in New York typically starts at $4,800 to $7,950 a month. Based on 80 communities that publish prices. These are area figures, not this community's price. Sachem Adult Home does not publish its prices.

How do I contact Sachem Adult Home?

Use Sachem Adult Home's website, sachemadulthome.com/contact-us, or visit at 1298 Coates Avenue, Holbrook, NY 11741.

Choosing assisted livingOur care guide: what to look for, what it costs, how families pay, and more questions to ask (PDF)

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How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid