The New Swan Lake Adult Home LLC
The New Swan Lake Adult Home LLC


Address: Route 55 Box 247, Swan Lake, NY 12783
Phone: (845) 292-6298

The New Swan Lake Adult Home LLC (Facility# AF0411B) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.

Facility Overview

Facility ID AF0411B
Facility Name The New Swan Lake Adult Home LLC
Operator Name The New Swan Lake Adult Home LLC
Street Address Route 55 Box 247
Swan Lake
NY 12783
County Sullivan
Phone Number (845) 292-6298
Fax Number (845) 292-6298
Certificate Number 710-F-058
Facility Type Adult Home (AH)
Facility Classification Private Proprietary Home for Adults (PPHA)
Regional Office Metropolitan Area Regional Office (MARO)

Bed Types

Total Number of Beds 27

Annual Survey

Year Capacity Residents Ages Payment Sources Admissions / Discharges Reported By
2016 27 22
(Male: 19, Female: 3, Serious Mental Illness: 21)
18-55: 5, 56-65: 8, 66-80: 4, 81+: 1 Private Pay: 3, Spend Down: 0, SSI (Supplemental Security Income): 18 5 / 3 The New Swan Lake Adult Home LLC
2015 27 22
(Male: 18, Female: 4, Serious Mental Illness: 16)
18-55: 5, 56-65: 7, 66-80: 7, 81+: 3 Private Pay: 5, Spend Down: 0, SSI (Supplemental Security Income): 16 5 / 6 The New Swan Lake Adult Home LLC
2014 27 23
(Male: 19, Female: 4, Serious Mental Illness: 22)
18-55: 7, 56-65: 6, 66-80: 8, 81+: 2 Private Pay: 3, Spend Down: 0, SSI (Supplemental Security Income): 20 5 / 3 The New Swan Lake Adult Home LLC
2013 27 22
(Male: 18, Female: 4, Serious Mental Illness: 21)
18-55: 5, 56-65: 7, 66-80: 8, 81+: 2 Private Pay: 4, Spend Down: 0, SSI (Supplemental Security Income): 22 5 / 6 The New Swan Lake Adult Home LLC
ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence.

Facility Location

Facility Name The New Swan Lake Adult Home LLC
Street Address Route 55 Box 247
City Swan Lake
County Sullivan
State NY
Zip Code 12783

Search nearby facilities on maps

Facilities in the same county

Facility Name Operator Address #Beds
Arcadia Residence Greater Adult Neighbors, Inc. 25 Carrier Street, Liberty, NY 12754 114
Jeffersonville Senior Living JJJ Yabut, LLC 4806 Route 52, Jeffersonville, NY 12748 49
Jeff Senior Living JJJ Yabut, LLC 4804 Route 52- East Main Street, Jeffersonville, NY 12748 11

Competitor

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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.