Randolph Manor
Randolph Manor Home for Adults, LLC


Address: 40 East Main Street, Randolph, NY 14772
Phone: (716) 358-4041

Randolph Manor (Facility# AF0546A) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.

Facility Overview

Facility ID AF0546A
Facility Name Randolph Manor
Operator Name Randolph Manor Home for Adults, LLC
Street Address 40 East Main Street
Randolph
NY 14772
County Cattaraugus
Phone Number (716) 358-4041
Fax Number (716) 358-4041
Certificate Number 040-F-026
Facility Type Adult Home (AH)
Facility Classification Private Proprietary Home for Adults (PPHA)
Regional Office Western Regional Office (WRO)

Bed Types

Total Number of Beds 50

Annual Survey

Year Capacity Residents Ages Payment Sources Admissions / Discharges Reported By
2016 50 32
(Male: 9, Female: 23)
18-55: 0, 56-65: 1, 66-80: 9, 81+: 22 Private Pay: 21, Spend Down: 0, SSI (Supplemental Security Income): 11 11 / 14 Randolph Manor
2015 50
(Operational 45)
35
(Male: 9, Female: 26)
18-55: 0, 56-65: 1, 66-80: 9, 81+: 25 Private Pay: 21, Spend Down: 1, SSI (Supplemental Security Income): 13 13 / 16 Randolph Manor
2014 50
(Operational 45)
38
(Male: 11, Female: 27)
18-55: 1, 56-65: 0, 66-80: 14, 81+: 23 Private Pay: 24, Spend Down: 2, SSI (Supplemental Security Income): 12 17 / 13 Randolph Manor
2013 50
(Operational 45)
34
(Male: 9, Female: 25)
18-55: 0, 56-65: 0, 66-80: 11, 81+: 14 Private Pay: 18, Spend Down: 1, SSI (Supplemental Security Income): 15 11 / 11 Randolph Manor
ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence.

Facility Location

Facility Name Randolph Manor
Street Address 40 East Main Street
City Randolph
County Cattaraugus
State NY
Zip Code 14772

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Underwood Manor Johnson, Ronald 4460 Union Hill Road, R.d. #1, Hinsdale, NY 14743 32

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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.