At The Hearth on James, the monthly costs for accommodations are structured competitively when compared to both Onondaga County and the broader New York state averages. For instance, residents opting for a studio apartment at The Hearth will find their monthly rate set at $3,113, which is significantly lower than the county average of $4,296 and the state average of $4,532. Similarly, those choosing a one-bedroom unit can expect to pay $3,408 per month - again more affordable than the county's $4,270 and New York's average of $4,307. This pricing structure not only highlights The Hearth on James as a cost-effective option but also underscores its commitment to providing value without compromising quality in senior living.
Floor plans
The Hearth on James
Onondaga County
New York
Studio
$3,113
$4,296
$4,532
1 Bedroom
$3,408
$4,270
$4,307
Assisted Living communities with a similar price nearby
Residents and families consistently highlight staff communication and follow-through.
Several reviews describe staff as responsive and attentive, including nurses checking in and keeping families informed when health concerns come up. Multiple people also mention clear two-way communication that makes stressful situations feel more manageable. A few reviewers specifically call out how friendly, knowledgeable staff are in everyday interactions and during visits. Across these comments, the common thread is that families feel supported by how the team communicates.
differentiator12 reviews mention this
Food and restaurant-style dining
Meals are a major focus, with restaurant-style service that residents notice.
Residents and family members repeatedly mention enjoying the menu, with praise for having multiple meal choices and meals that feel more like dining out than a cafeteria setup. Several reviews describe restaurant-style service where people are brought their food at the table, and others mention a dependable daily meal schedule. Diet-related preferences also come up in reviews, aligning with the community’s focus on meals and special options. Overall, dining quality and variety are one of the most consistent reasons people speak positively about the community.
common14 reviews mention this
Clean, well-kept community feel
Reviews frequently mention a clean, orderly, well-maintained building.
Many reviewers describe the facility as clean and orderly, including common areas and individual apartments. Several comments use strong cleanliness cues such as “pristine,” “very clean,” and a maintained, welcoming look. Some residents also point to upkeep details like freshly painted spaces and a well-kept courtyard feel. A small number of reviews note minor upkeep concerns, like areas needing attention outdoors or paint work, but the dominant impression is cleanliness.
common10 reviews mention this
Activities keep residents engaged
Activities and outings are a frequent part of daily life.
Reviews commonly describe a busy schedule of resident activities, including community events, group gatherings, and seasonal celebrations. Families also mention ongoing opportunities to get out, such as trips and outings, and residents describe having things to do through the week. Some reviewers specifically call out entertainment, games, and exercise-focused options as part of what helps residents stay social. Overall, the reviews portray engagement as something the community builds into the routine.
common3 reviews mention this
Price feels like a value
Multiple reviewers see the community as priced competitively for the room.
Some families describe the cost as a good value compared with other communities they toured, citing room size and the overall mix of activities and services. At the same time, at least one review suggests that needs for higher levels of help may affect whether it’s the right fit, which can influence cost expectations. The pricing range for studios and one-bedrooms is also positioned below both county and state benchmarks. Taken together, reviews largely frame affordability as a strength, while care level needs may change the overall decision.
caveat3 reviews mention this
Care level may not fit all needs
Some families felt the care level wasn’t enhanced enough for their loved one’s needs.
A few reviews indicate the community was viewed as a good fit for basic support, but not for higher or more specialized care needs that a loved one required. One reviewer specifically mentioned that enhanced care needs weren’t met for their situation, leading them to choose a different community. Another review raised questions about the highest nurse level available for assisted living, which contributed to concern about care coverage. If you anticipate increasing care needs, these comments suggest it’s important to confirm fit before moving forward.
caveat5 reviews mention this
Urban location can be a drawback
Several reviews flag the urban setting and related safety concerns.
Multiple reviewers describe the community as being in a city setting that felt like a mismatch, including concerns about noise or neighborhood quality. A few also mention safety-related worries, such as security concerns or uncertainty about safety in day-to-day conditions. One review also describes a concern with how easy it is to access or go outdoors from certain areas. While some residents like the community feel and social life, these location and safety comments are repeated often enough that they should be evaluated carefully during a visit.
How we summarize
Counts show how many written reviews mention each theme; a review can touch several themes, and only frequently mentioned themes are displayed.
Features
Housing
60 resident community capacity
1-bedroom apartments
2-bedroom apartments
Types of Care
Assisted Living
Independent Living
Respite Care
Pets
Dogs allowed
Amenities
Activities off-site
Activities on-site
Air-conditioning
Bath tubs
Beautician on-site
Beauty salon
Cable or satellite TV
Computer center
Devotional services off-site
Devotional services on-site
Dining room
Fitness room
Full kitchen
Fully furnished
Gaming room
Garden
Ground floor units
Handicap accessible
Housekeeping services
Indoor common areas
Kitchenette
Move-in coordination
Outdoor common areas
Outdoor space
Private bathrooms
Respite or short term stays offered
Restaurant-style dining
Small library
Telephone
Wellness center
Wi-Fi/high-speed internet available
Transportation
Syracuse-Hancock International (4 miles away)
Community operated transportation
Transportation & parking
Transportation arrangement
Transportation arrangement (non-medical)
Transportation to doctors appointments
Care Services
12-16 hour nursing
24-hour call system
24-hour supervision
Activities of daily living assistance
Ambulatory care
Assistance with bathing
Assistance with dressing
Assistance with transfers
Diabetes diet
Diabetic care
Incontinence care
Meal preparation and service
Medication management
Mental wellness program
Physical therapy
Special dietary restrictions
Dining
Diabetes diet
Gluten-free
Guest meals
International cuisine
Kosher
Low / no sodium
Meals provided
No Sugar
Professional chef
Restaurant style dining
Room service
Special dietary restrictions
Vegetarian
Activities
Activities off-site
Art classes
Catholic services
Community-sponsored activities
Concierge services
Cooking classes
Day trips and outings
Devotional activities offsite
Devotional activities on-site
Educational speakers / life long learning
Fitness programs
Jewish services
Karaoke
Live well programs
Other religious services
Planned day trips
Protestant services
Religious services
Resident-run activities
Scheduled daily activities
Languages Spoken
English
Nearby Places of Interest
This part of Syracuse, New York, offers a diverse range of amenities and services that cater to the needs of seniors. With multiple physicians' offices and healthcare facilities nearby, including St. Joseph's Hospital Health Center and University Hematology/Oncology, residents can easily access medical care. The area also boasts a variety of dining options such as Strong Hearts Cafe and Francesca's Cucina, as well as pharmacies like Walgreens for convenient medication needs. Additionally, there are parks like Clinton Square for leisurely walks and cafes such as Original Grain for social gatherings. For transportation, Centro Transit Hub is located within a short distance for easy access to public transportation. Overall, this neighborhood provides a convenient and welcoming environment for seniors looking to settle in Syracuse.
Physicians
Advocates For Womens Health (0.1 miles)
Heller Kishani H MD-Saint Joseph's Healthcare Network (0.5 miles)
Orthopedic Appliances-Cny (0.6 miles)
AMP Urology (0.6 miles)
Madissoo Andres M MD Associated Medical Professional Urology (0.6 miles)
St Joseph's Hospital Health Center (0.6 miles)
University Gastroenterology at the Philip G. Holtzapple Endoscopy Center (0.7 miles)
Restaurants
Burger King (0.5 miles)
XO Taco (0.5 miles)
Strong Hearts Cafe (0.6 miles)
Francesca's Cucina (0.7 miles)
Trexx (0.8 miles)
A Mano (0.8 miles)
Apizza Regionale (0.8 miles)
Parks
Clinton Square (0.8 miles)
Burnet Park (2.5 miles)
Pharmacies
Walgreens (0.8 miles)
Gifford & West Pharmacy (1.3 miles)
Syracuse Community Pharmacy (1.3 miles)
Walgreens (1.5 miles)
Kinney Drugs (2.4 miles)
Bristol-Myers Squibb (2.7 miles)
Wegmans (2.8 miles)
Cafes
Original Grain (0.9 miles)
Cafe Kubal (0.9 miles)
Tous Les Jours (2.2 miles)
Cafe Kubal (2.3 miles)
Hospitals
Bio Essex & Humanities (0.9 miles)
University Hematology/Oncology (0.9 miles)
Crouse Hospital: Human Resources (1 miles)
Crouse Promptcare (1.1 miles)
Suny Upstate Medical University University Hospital (1.2 miles)
Syracuse VA Medical Center (1.2 miles)
St Joseph's Hospital Health Center (1.9 miles)
Transportation
Centro Transit Hub (1.1 miles)
Enterprise Rent-A-Car (1.1 miles)
Amtrak (2.1 miles)
U-Haul Moving & Storage (2.9 miles)
Places of Worship
Islamic Society of Central New York Mosque (1.7 miles)
May Memorial Unitarian Universalist Society (3.1 miles)
At The Hearth on James, the monthly costs for accommodations are structured competitively when compared to both Onondaga County and the broader New York state averages. For instance, residents opting for a studio apartment at The Hearth will find their monthly rate set at $3,113, which is significantly lower than the county average of $4,296 and the state average of $4,532. Similarly, those choosing a one-bedroom unit can expect to pay $3,408 per month - again more affordable than the county's $4,270 and New York's average of $4,307. This pricing structure not only highlights The Hearth on James as a cost-effective option but also underscores its commitment to providing value without compromising quality in senior living.
The Hearth on James on seniors.fyi includes 32 photos including images showing interior, floor plan, decor, living room, windows, architecture, conference room, laundry room, and more.
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Medicaid coverage for assisted living varies by state and is primarily available to low-income individuals, with eligibility dependent on strict income and asset limits. Some states offer HCBS waivers for specific services in assisted living, but families must generally cover room and board costs, and should verify facility acceptance of Medicaid while considering potential waiting lists.
Medicaid waivers for assisted living services provide vital support for seniors and individuals with disabilities in need of long-term care, with varying state-specific eligibility criteria and benefits. These waivers cover personal care and case management but often do not fully cover room and board, leading to waiting lists for many applicants.
The article examines the complexities of assisted living for individuals with disabilities, emphasizing the need for tailored care solutions that enhance quality of life and social inclusion, while addressing financial challenges and advocating for community integration. It discusses various housing options, the importance of financial assistance through public benefits, and highlights trends towards integrated and technology-driven solutions in disability-focused housing.
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60 resident community capacity
1-bedroom apartments
Assisted Living
Independent Living
Respite Care
Dogs allowed
Activities off-site
Air-conditioning
Bath tubs
Beautician on-site
Cable or satellite TV
Computer center
Devotional services off-site
Dining room
Fitness room
Full kitchen
Fully furnished
Gaming room
Garden
Ground floor units
Handicap accessible
Housekeeping services
Indoor common areas
Move-in coordination
Outdoor common areas
Private bathrooms
Restaurant-style dining
Small library
Telephone
Wellness center
Wi-Fi/high-speed internet available
Syracuse-Hancock International (4 miles away)
Community operated transportation
12-16 hour nursing
24-hour call system
Ambulatory care
Assistance with bathing
Assistance with dressing
Assistance with transfers
Diabetes diet
Diabetic care
Incontinence care
Medication management
Mental wellness program
Physical therapy
Special dietary restrictions
Art classes
Catholic services
Concierge services
Cooking classes
Day trips and outings
Educational speakers / life long learning
Jewish services
Karaoke
English
Vibrant neighborhood with extensive nearby amenities (healthcare, dining, parks, and transit).
How and When Medicaid May Cover Assisted Living Costs
A Detailed Exploration of Assisted Living Medicaid Waivers Across the United States
Comprehensive Residential Support and Assisted Living Solutions for Individuals with Disabilities
