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 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) |
Total Number of Beds | 27 |
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 Name | The New Swan Lake Adult Home LLC |
Street Address | Route 55 Box 247 |
City | Swan Lake |
County | Sullivan |
State | NY |
Zip Code | 12783 |
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 |
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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.