Countryside Adult Home
Warren County D.S.S


Address: 353 Schroon River Road, Warrensburg, NY 12885
Phone: (518) 623-3451

Countryside Adult Home (Facility# AF0131A) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.

Facility Overview

Facility ID AF0131A
Facility Name Countryside Adult Home
Operator Name Warren County D.S.S
Street Address 353 Schroon River Road
Warrensburg
NY 12885
County Warren
Phone Number (518) 623-3451
Fax Number (518) 623-5590
Certificate Number 750-N-006
Facility Type Adult Home (AH)
Facility Classification Public (PUBL)
Regional Office Capital District Regional Office (CDRO)

Bed Types

Total Number of Beds 48

Annual Survey

Year Capacity Residents Ages Payment Sources Admissions / Discharges Reported By
2016 48 36
(Male: 12, Female: 24, Serious Mental Illness: 6)
18-55: 1, 56-65: 7, 66-80: 10, 81+: 18 Private Pay: 6, Spend Down: 0, SSI (Supplemental Security Income): 0 17 / 10 Countryside Adult Home
2015 48 29
(Male: 9, Female: 20, Serious Mental Illness: 5)
18-55: 1, 56-65: 6, 66-80: 8, 81+: 14 Private Pay: 3, Spend Down: 0, SSI (Supplemental Security Income): 0 12 / 20 Countryside Adult Home
2014 48 37
(Male: 10, Female: 27, Serious Mental Illness: 9)
18-55: 2, 56-65: 2, 66-80: 10, 81+: 23 Private Pay: 8, Spend Down: 0, SSI (Supplemental Security Income): 0 10 / 14 Countryside Adult Home
2013 48 41
(Male: 14, Female: 27, Serious Mental Illness: 5)
18-55: 3, 56-65: 5, 66-80: 7, 81+: 26 Private Pay: 8, Spend Down: 0, SSI (Supplemental Security Income): 0 16 / 17 Countryside Adult Home
ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence.

Facility Location

Facility Name Countryside Adult Home
Street Address 353 Schroon River Road
City Warrensburg
County Warren
State NY
Zip Code 12885

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Dataset Information

Data Provider New York State Department of Health, Division of ACF/Assisted Living Surveillance
Jurisdiction New York State

This dataset includes 500 adult care facilities that are currently licensed in New York State, through the New York State Department of Health (NYSDOH), Division of ACF/Assisted Living Surveillance. NYSDOH licenses and supervises adult care facilities which provide temporary or long-term, non-medical residential care services to adults who are substantially unable to live independently. Each facility is registered with facility ID, facility name, operator name, locatioin, certificate number, number of beds, etc.