Pricing ranges from
    $4,669 – 5,602/month

    Sachem Adult Home

    1298 Coates Ave N, Holbrook, NY 11741
    • Assisted Living

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    1.81·(16)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      1.5
    • Staff

      3.4
    • Meals

      2.0
    • Amenities

      1.7
    • Value

      1.8

    Pros

    • Welcoming front-line staff
    • Caring caregiving team
    • Engaged facility administrator
    • Homelike atmosphere
    • Convenient location
    • Dedicated kitchen staff
    • Friendly resident community
    • Access to on-site or affiliated physicians

    Cons

    • Inconsistent medication-management and informed-consent practices
    • Insufficient staffing levels
    • Staff conduct and communication tone
    • Sanitation and odor-control deficiencies in common and resident areas
    • Pest-control concerns
    • Unreliable equipment maintenance and laundry services
    • Repetitive and underseasoned meal quality
    • Activity programming not consistently delivered
    • Outdated building and poor facility upkeep
    • Significant private-pay financial burden

    Summary of reviews

    Reviewer feedback presents a mixed picture. Several reviewers praised the interpersonal aspects of the setting — front-line staff are frequently described as welcoming and caring, an engaged administrator received positive mention, and some families noted a homelike atmosphere and convenient location. Kitchen staff and specific cooks were highlighted for positive meal preparation in some accounts, and an accessible community of residents was identified as a social asset.

    Care quality is variable. Positive comments about attentive caregivers and available physicians sit alongside substantive concerns about clinical consistency. Notable issues include inconsistent medication-management practices and questions about informed-consent procedures. Understaffing was cited as a recurring operational constraint that can affect responsiveness and routine care tasks. In addition, there are concerns about staff conduct and communication tone in some instances; while some reviewers emphasize caring interactions, others describe conduct that families find inappropriate or insufficiently attentive.

    Dining and activities show a similar pattern of variability. Kitchen personnel receive praise in some accounts, but meal quality is described as repetitive and lacking in seasoning by others. Activity programming is advertised but not always observed; several reviewers indicated that scheduled recreation or engagement offerings were not consistently delivered to residents.

    Facility condition and environmental management are key areas of concern. Multiple reviewers described outdated building infrastructure and uneven upkeep. Sanitation and odor-control deficiencies were cited for common and resident areas, and separate comments raised pest-control concerns. Operational supports such as laundry and other equipment maintenance were reported as unreliable, which contributes to the perception of inconsistent facility maintenance.

    Management and overarching patterns are mixed. Some reviewers specifically complimented the administrator and noted improvements, while others advised avoiding the facility due to the combination of cleanliness, operational, and clinical concerns. Financially, the cost burden for private-pay residents was identified as significant. Overall, experiences appear to vary considerably between observers: prospective residents and families should arrange an in-person visit, ask for current staffing ratios, infection- and pest-control protocols, documentation of medication and consent practices, examples of activity schedules, and details on contract/fee structure before making decisions.

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    Location

    Sachem Adult Home is located at 1298 Coates Ave N, Holbrook, NY, 11741.

    About Sachem Adult Home

    Sachem Adult Home is nestled in the peaceful community of Holbrook, New York, offering residents a unique combination of exceptional care and a warm, home-like environment. The setting at Sachem Adult Home is designed to promote both comfort and independence, with cozy, thoughtfully appointed spaces that help residents feel at ease from the moment they arrive. The location also provides residents with tranquility while still allowing easy access to local parks, shops, and community landmarks, making it convenient for both residents and their loved ones to enjoy nearby amenities.

    The team at Sachem Adult Home is composed of compassionate professionals dedicated to creating a nurturing atmosphere. Available around the clock, they provide both scheduled assistance and responsive support for unscheduled needs, ensuring every resident receives attentive care tailored specifically to their requirements. This close-knit environment fosters strong, personal relationships between residents and staff, enabling truly personalized services that address each individual’s unique needs and preferences.

    Residents at Sachem Adult Home benefit from a diverse array of activity programs crafted to encourage mental and physical engagement. These programs are designed to keep residents stimulated, involved with others, and enjoying an active social life, all while receiving the support they need. Whether assistance is needed with daily activities or with healthcare, residents can feel confident and secure knowing the team is always there to offer their help in a safe and friendly setting.

    The focus on a nurturing, supportive environment is at the heart of Sachem Adult Home’s approach to care. Personal comfort, dignity, and well-being are prioritized to ensure that each individual feels valued and truly at home. From the peaceful surroundings to the attentive, personalized care, every element of Sachem Adult Home is designed with residents’ happiness and fulfillment in mind, helping them lead enriched and rewarding lives.

    People often ask...

    Sachem Adult Home offers competitive pricing, with rates starting at a cost of $4,669 per month.

    Sachem Adult Home offers assisted living and board and care.

    There are 5 photos of Sachem Adult Home on Mirador.

    The full address for this community is 1298 Coates Ave N, Holbrook, NY 11741.

    No, Sachem Adult Home does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In New York, the State Department of Health licenses adult care facilities and assisted living programs, posting relicensure surveys, complaint investigations, and inspections.

    License number15060
    StatusActive
    Facility typeAdult Home
    Capacity46 residents
    LicenseeSachem Adult Home And Alp Llc
    EffectiveNovember 8th, 1978
    View the official license record

    Inspection Reports

    18

    Reports

    31

    Citations

    17

    Complaints

    5

    Years

    04 Jun 2026Complaint
    Identified three violations related to resident protections, resident services, and environmental standards.
    • 487.5 (f) (16)Resident protections
    • 487.7 (f) (11) (i-v)Resident services
    • 487.11 (k) (1-3)Environmental standards
    20 May 2026Complaint
    Investigated the complaint and found no deficiencies.
    07 Apr 2026Complaint
    Found no deficiencies.
    23 Feb 2026Complaint
    Cited 11 deficiencies; plan for correction approved.
    • 487.8 (c)Food service
    • 487.8 (e) (1)Food service
    • 487.9 (a) (4)Personnel
    • 487.9 (j) (3-4)Personnel
    • 487.10 (c) (1-3)Records and reports
    • 487.11 (g)Environmental standards
    • 487.11 (h) (11)Environmental standards
    • 487.11 (j) (5)Environmental standards
    • 487.11 (k) (8)Environmental standards
    • 487.11 (k) (13)Environmental standards
    • 487.11 (k) (15)Environmental standards
    16 Jul 2025Complaint
    Investigated a complaint and found one violation of environmental standards.
    • 487.11 (j) (1-3)Environmental standards
    07 Jul 2025Complaint
    Investigated a complaint and identified one environmental standards deficiency; a plan of correction was approved.
    • 487.11 (j) (1-3)Environmental standards
    26 Mar 2025Complaint
    Found no deficiencies.
    05 Mar 2025Complaint
    Found no deficiencies. No violations were cited.
    03 Feb 2025Complaint
    Found no deficiencies.
    08 Jan 2025Complaint
    Found no deficiencies. No violations were cited.
    20 Sept 2024Complaint
    Investigated a complaint and identified one deficiency related to resident services.
    • 487.7 (g) (1) (ii-xiv)Resident services
    16 Sept 2024Complaint
    Investigated a complaint, identified a deficiency related to resident services, and approved a plan of correction.
    • 487.7 (g) (1) (ii-xiv)Resident services
    13 Sept 2024Complaint
    Found no deficiencies.
    05 Sept 2024Complaint
    Investigated the complaint survey and found no deficiencies.
    30 Jul 2024Complaint
    Identified four violations and approved a plan/notice of correction.
    • 487.10 (c) (1-3)Records and reports
    • 487.10 (g)Records and reports
    • 487.11 (h) (11)Environmental standards
    • 487.11 (k) (1-3)Environmental standards
    14 Dec 2023Complaint
    Investigated a complaint and cited four violations related to records and environmental standards.
    • 487.10 (c) (1-3)Records and reports
    • 487.10 (g)Records and reports
    • 487.11 (h) (11)Environmental standards
    • 487.11 (k) (1-3)Environmental standards
    22 Apr 2022Complaint
    Found no deficiencies.
    27 Oct 2021Licensure
    Cited five violations and approved a plan for correction.
    • 402.4(b)(2)(i)General requirements
    • 487.7 (f) (5)Resident services
    • 487.7 (g) (1) (ii-xiv)Resident services
    • 487.7 (h) (3-4)Resident services
    • 487.10 (g)Records and reports

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Sachem Adult Home. The information above has not been verified or approved by the owner or operator. For exact information, please contact Sachem Adult Home directly. There is no cost for this service. We are compensated by the community you select.

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