Home Care Services Across Westchester County.
City Choice brings skilled nursing, home health aides, personal care, and pediatric care to families across Westchester County — built around house-based living and a rapidly growing senior population.
Home Care in Westchester
Westchester County is home to more than 967,000 people, and nearly 1 in 5 residents is already 65 or older — a share projected to grow to roughly 1 in 4 by 2030. That growth means more Westchester families than ever are facing the home care conversation for the first time, often while also managing careers, children, and the logistics of a county that looks and functions differently than the dense NYC boroughs just to the south.
Westchester offers some of the best healthcare access in the region, with 18 hospitals serving the county, including high-performing facilities like White Plains Hospital and Westchester Medical Center. But healthcare access alone doesn't solve the day-to-day challenge many families face: helping an aging parent stay safely and comfortably in a house — often the same house they raised their own children in — rather than moving to a facility before it's truly necessary.
City Choice built our Westchester approach around that reality. Unlike the dense, apartment-heavy housing stock of the NYC boroughs, Westchester care is largely house-based care — stairs, yards, garages, and larger properties that call for a different kind of planning than a walk-up apartment or high-rise unit.
Westchester also draws a different demographic mix than the city boroughs — many residents have deep roots in their communities, having raised families and built careers locally, while others are recent transplants from the city seeking more space. Either way, the goal families bring to us tends to be the same: help a parent or loved one stay safely in the home and community they know, for as long as that remains realistic and safe.
Neighborhoods & Hospitals We Serve
We serve families across Westchester County, including communities in and around White Plains, Yonkers, Mount Vernon, New Rochelle, Scarsdale, and the county's many smaller towns and villages.
Families frequently reach out to us in coordination with White Plains Hospital and Westchester Medical Center, two of the county's leading facilities, as well as other hospitals within the broader Westchester Medical Center Health Network, which combines local, community-level care with access to specialists and advanced treatment when needed.
Westchester's senior services are also more robust than many counties its size — the Westchester County Department of Senior Programs and Services runs an award-winning Livable Communities Initiative aimed at helping seniors remain in their homes with independence and dignity as they age, and we see our role as complementing that broader county infrastructure, not operating separately from it.
Care We Provide in Westchester
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Skilled Nursing Care
City Choice's skilled nursing services bring licensed, registered nurses directly into Westchester homes, from single-family houses to condominiums across the county. Our nurses manage medication administration, wound care, chronic disease monitoring, and post-hospital or post-surgical recovery, coordinating with the physicians and specialists many families already work with at White Plains Hospital or Westchester Medical Center.
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Home Health Aides
Our Home Health Aides provide hands-on daily support: personal hygiene, mobility assistance, safety supervision, and help with healthcare tasks that keep a recovery or chronic condition on track. Westchester's senior population is growing quickly, and with a housing mix that leans heavily toward single-family homes rather than apartments, our aides are trained for the different logistics that come with house-based care — stairs, larger properties, and sometimes more isolated settings than a dense city block.
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Personal Care Aides
Personal Care Aides support the daily tasks that let someone stay independent at home — bathing, dressing, feeding, light housekeeping, and companionship. For many Westchester families, especially those with adult children who commute into the city or live further away, a PCA is often the steady, dependable presence that provides real peace of mind between visits.
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Pediatric Care
City Choice also provides specialized in-home pediatric care for children managing complex or chronic conditions, supporting the whole family — not just the child — whether that means coordinating with a child's care team at a Westchester hospital or simply making home the safest, most comfortable place for treatment and recovery.
Accepted ways to pay
- Medicaid via MLTC
- Private pay
- Long-term care insurance
Why Westchester Families Choose City Choice
Westchester families come to City Choice because we don't apply a dense-city care model to a county that works fundamentally differently. House-based logistics, driving distances between visits, and coordinating care across a larger, more spread-out county are all part of how we plan Westchester cases from day one.
We also see a higher proportion of families combining private pay with long-term care insurance in Westchester than in the NYC boroughs, and our care coordinators are well-versed in helping families navigate insurance claims and reimbursement alongside Medicaid and MLTC options.
For Westchester's growing senior population — projected to make up a quarter of the county by 2030 — proactive planning matters. We work with families not just in moments of crisis, but as a resource for thinking ahead about what care needs might look like as a loved one ages, so decisions don't have to be made under pressure.
We also recognize that many Westchester families have adult children commuting into Manhattan or living further away entirely, which can make day-to-day monitoring difficult. Our caregivers are trained to notice and flag changes early — a shift in appetite, mood, or mobility — and communicate them promptly, so families staying connected remotely aren't left in the dark between visits.
How Care Begins in Westchester
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Getting started with City Choice begins with a simple call or a free in-home consultation. One of our care coordinators will visit your loved one's home, understand their needs and living situation — including the specific layout and logistics of a house-based property — and help you understand what level of care makes sense and how it can be funded.
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From there, we handle caregiver matching, scheduling, and ongoing supervision, planned around Westchester's geography and housing stock from the very first visit.
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As needs evolve over time, we work with your family to adjust the care plan — more hours, a different type of support, or a transition to skilled nursing — rather than treating the initial plan as fixed.
Questions Westchester Families Ask
Do you provide care for single-family homes, or mainly apartments?
The large majority of our Westchester clients live in single-family homes, and our caregivers are trained and equipped for the different logistics that come with house-based care.
Do you work with long-term care insurance?
Yes — many Westchester families combine private pay with a long-term care insurance policy, and our care coordinators can help you understand how that fits alongside Medicaid or MLTC options.
How quickly can care start after a hospital discharge?
We prioritize fast turnaround for hospital discharges and can often have care in place within a day or two, especially when a family reaches out before discharge.
Which parts of Westchester County do you serve?
We serve communities across the county, including White Plains, Yonkers, Mount Vernon, New Rochelle, Scarsdale, and the surrounding towns and villages.
Can we start planning before care is urgently needed?
Absolutely — we're happy to talk with families who are thinking ahead, not just those facing an immediate need. Proactive planning often leads to smoother transitions later.
Ready to Bring Care Home?
One of our care coordinators will visit your loved one's Westchester home, answer your questions, and help you figure out the right plan — with no cost and no obligation.
