The Plaza at Clover Lake
Clover Lake Management, LLC


Address: 838 Fair Street, Carmel, NY 10512
Phone: (845) 878-4111

The Plaza at Clover Lake (Facility# AF0696A) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.

Facility Overview

Facility ID AF0696A
Facility Name The Plaza at Clover Lake
Operator Name Clover Lake Management, LLC
Street Address 838 Fair Street
Carmel
NY 10512
County Putnam
Phone Number (845) 878-4111
Fax Number (845) 878-4333
Certificate Number 580-F-001
Facility Type Adult Home (AH)
Assisted Living Program (ALP)
Facility Classification Private Proprietary Home for Adults (PPHA)
Regional Office Metropolitan Area Regional Office (MARO)

Bed Types

Total Number of Beds 175
Assisted Living Program Beds 135
Assisted Living Residence (ALR) Beds 40

Annual Survey

Year Capacity Residents Ages Payment Sources Admissions / Discharges Reported By
2016 175
(Operational 142, ALP: 108, ALR: 40)
123
(Male: 39, Female: 84, Serious Mental Illness: 5, ALP: 77, ALR: 39)
18-55: 0, 56-65: 4, 66-80: 38, 81+: 81 Private Pay: 46, Spend Down: 26, SSI (Supplemental Security Income): 24 69 / 47 The Plaza at Clover Lake
2015 175
(Operational 134, ALP: 135, ALR: 40)
100
(Male: 31, Female: 69, Serious Mental Illness: 4, ALP: 61, ALR: 39)
18-55: 0, 56-65: 2, 66-80: 22, 81+: 76 Private Pay: 39, Spend Down: 19, SSI (Supplemental Security Income): 22 43 / 38 The Plaza at Clover Lake
2014 175
(Operational 134, ALP: 65, ALR: 110)
96
(Male: 30, Female: 66, Serious Mental Illness: 3, ALP: 56, ALR: 40)
18-55: 0, 56-65: 3, 66-80: 17, 81+: 76 Private Pay: 40, Spend Down: 15, SSI (Supplemental Security Income): 20 66 / 34 The Plaza at Clover Lake
2013 175
(Operational 138, ALP: 65, ALR: 110)
63
(Male: 17, Female: 46, Serious Mental Illness: 2, ALP: 32, ALR: 31)
18-55: 0, 56-65: 2, 66-80: 10, 81+: 51 Private Pay: 31, Spend Down: 12, SSI (Supplemental Security Income): 13 82 / 16 The Plaza at Clover Lake
ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence.

Facility Location

Facility Name The Plaza at Clover Lake
Street Address 838 Fair Street
City Carmel
County Putnam
State NY
Zip Code 10512

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Facilities in the same county

Facility Name Operator Address #Beds
Gallagher Home Lake Mahopac Heights, LLC 517 North Lake Boulevard, Mahopac, NY 10541 16

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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.