Financial Info & FAQs

Assisted Living for Seniors


Vista on 5th is an assisted living program approved by the New York State Department of Health that will enable seniors, aged 65 and older, who require some personal care services, medical attention and assistance with daily activities to continue living independently in private studio apartments within the bridged, independent and attentive home environment.

There are 127 studio apartments on 12 resident floors.

Must be age 65 or older

Must exhibit need for assistance with Personal care and Activities of Daily Living (ADL) such as bathing, dressing, grooming, etc.

Must be self-directing and able to take action sufficient to assure self-preservation in an emergency

Voluntarily choose to participate in an Assisted Living Program after being provided with sufficient information to make an informed choice

Submit a completed medical evaluation (state mandated form) signed by a physician conducted no more than 30 days prior to date of admission

Applicant must attend a pre-assessment screening with Vista on 5th’s Admission Committee where a comprehensive nursing and social assessment are completed based upon state Department of Health guidelines

Submit a mental health evaluation if the applicant has a known history of chronic mental disability or if medical evaluation or interview or any assessment suggests that such a disability exists

Complete and submit an Application for Admission questionnaire provided by Vista on 5th. Supporting documentation is also needed per the application packet

Yes. The documentation requirement is applicable to both Medicaid recipients and Self-Pay residents.

Vista on 5th can accept residents with mild dementia. There is no designated dementia program or unit at Vista on 5th. A resident can remain at Vista on 5th for as long as he or she is able to remain self-directing and is not in need of constant supervision and is not a safety risk to himself or herself.

Residents will come in a few days before admission to sign the Admission Agreement and make final financial arrangements.

If the incontinence is managed then a person may be eligible for residency at Vista on 5th. A person with chronic unmanaged incontinence is not eligible for admission to Vista on 5th..

Personal Care Assistants (PCAs) routinely check residents throughout the day and overnight to ensure that the resident is safe and to assist with his or her needs.

If a resident’s condition changes such that he or she requires constant medical or nursing attention and/or supervision then Case Management would work with the resident and family to locate a facility that is better able to meet the care needs of the resident.

Vista on 5th is not a locked facility, therefore residents can leave the facility at will.
The only requirement is that the resident informs the Concierge where he or she is going and the approximate time of return. All residents leaving the facility are provided with an identification card in the event of emergency. All residents must return to the facility by 11pm.

Medicaid limits the number of reimbursable overnight leaves of absence a resident can take. A resident can be away from Vista on 5th no more than 10 overnight visits a year taken no more than 2 nights at a time.

Vista on 5th is a SMOKE-FREE facility. All smoking must be done outside of the building, not within 100 feet of the front door. Non-compliance with this regulation will result in discharge.

The vast majority of our applicants are actively covered by Medicaid. A limited number of studio apartments are available to non-Medicaid eligible applicants at a competitively priced self-pay rent rate. Medicaid-eligible residents pay a substantially lower monthly rent as set annually by the NY State Department of Health, under which our facility is licensed. If the resident/applicant does not have sufficient personal income (for instance from pension, social security or other government benefits) to afford the lower, Medicaid-eligible rent, Vista on 5th will assist in applying for additional benefits designed to cover the rent and provide the resident a monthly allowance for personal items.

After our prescreen conversation, our Finance and Admissions departments can assist you with an initial Medicaid application or your transition, if applicable, from a managed care insurance plan to Medicaid. During this discussion, we will assess together whether an assisted living facility such as Vista on 5th seems the best fit for your senior living needs and financial situation.

Depending upon your finances, monthly spend-downs will likely continue and become part of your monthly rent payment to Vista on 5th. We can help verify the amount of your spend-down and assist you in applying to Medicaid for a spend-down reduction or possible elimination if your financial situation has changed. Please speak with our Patient Accounts Manager if you need assistance in this area.

Once an apartment becomes available the new resident must accept occupancy within one week of notification of its availability. We try an accommodate preferential move in dates but unfortunately, Vista on 5th cannot hold apartments.

At Vista on 5th we have staff LPNs from 7am – 11pm to assist residents with their medication needs. Upon admission all resident are assessed for their ability to self-medicate.

Yes. Wellness staff orders all resident medications through a pharmacy that has been contracted by Vista on 5th.

Residents are free to choose their own doctor. Vista on 5th has a doctor on premises, a geriatrician with more than 20 years in the field of geriatrics and assisted living. This doctor acts as the Primary Care Physician (PCP) for most Vista on 5th residents and refers to mutually acceptable specialists if needed.

Vista on 5th is not a medical facility, but we are required to maintain as accurate of a medical record as possible. We request that all residents seeking care from providers outside of our onsite physician bring us discharge and visit notes to maintain an accurate medical history, treatment plan and medication list.

Medicare Parts A, B, and D are sufficient to pay for all medical care and services.
A resident who has a managed care plan under Medicaid must cancel all managed care plans prior to admission.

Vista on 5th does not provide escort service outside of the facility with the exception of sponsored trips.
Escort service must be provided by the resident’s family and/or friends.

Vista on 5th staff is available to assist residents with managing medical appointments.