Champlain Valley Senior Community (Facility# AF0707A) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.
Facility ID | AF0707A |
Facility Name | Champlain Valley Senior Community |
Operator Name | Stonebrook Properties, LLC |
Street Address |
10 Gilliland Lane Willsboro NY 12996 |
County | Essex |
Phone Number | (888) 963-1110 |
Fax Number | (888) 963-1110 |
Certificate Number | 260-F-018 |
Facility Type | Adult Home (AH) |
Facility Classification | Private Proprietary Home for Adults (PPHA) |
Regional Office | Capital District Regional Office (CDRO) |
Total Number of Beds | 81 |
Assisted Living Residence (ALR) Beds | 81 |
Enhanced ALR Beds | 29 |
Special Needs ALR Beds | 21 |
Year | Capacity | Residents | Ages | Payment Sources | Admissions / Discharges | Reported By |
---|---|---|---|---|---|---|
2016 |
81 (ALR: 60, EALR: 29, SNALR: 21) |
69 (Male: 24, Female: 45, ALR: 48, EALR: 29, SNALR: 20) |
18-55: 0, 56-65: 1, 66-80: 8, 81+: 60 | Private Pay: 69, Spend Down: 0, SSI (Supplemental Security Income): 0 | 32 / 32 | Champlain Valley Senior Community |
2015 |
81 (ALR: 60, EALR: 29, SNALR: 25) |
67 (Male: 24, Female: 43, ALR: 23, EALR: 23, SNALR: 21) |
18-55: 0, 56-65: 3, 66-80: 11, 81+: 53 | Private Pay: 67, Spend Down: 0, SSI (Supplemental Security Income): 0 | 46 / 33 | Champlain Valley Senior Community |
2014 |
81 (ALR: 60, EALR: 25, SNALR: 25) |
57 (Male: 22, Female: 35, ALR: 29, EALR: 13, SNALR: 15) |
18-55: 0, 56-65: 3, 66-80: 15, 81+: 39 | Private Pay: 57, Spend Down: 0, SSI (Supplemental Security Income): 0 | 57 / 31 | Champlain Valley Senior Community |
2013 |
81 (ALR: 60, EALR: 25, SNALR: 21) |
32 (Male: 17, Female: 15, Serious Mental Illness: 1, ALR: 12, EALR: 14, SNALR: 15) |
18-55: 0, 56-65: 5, 66-80: 7, 81+: 20 | Private Pay: 28, Spend Down: 0, SSI (Supplemental Security Income): 1 | 42 / 10 | Champlain Valley Senior Community |
ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence. |
Facility Name | Champlain Valley Senior Community |
Street Address | 10 Gilliland Lane |
City | Willsboro |
County | Essex |
State | NY |
Zip Code | 12996 |
Facility Name | Operator | Address | #Beds |
---|---|---|---|
Keene Valley Neighborhood House | Keene Valley Neighborhood Services, Inc. | 1782 Route 73, Keene Valley, NY 12943 | 50 |
Adirondack Manor HFA D.B.A Montcalm Manor HFA | Kane, James E. | 45 Montcalm Street, Ticonderoga, NY 12883 | 40 |
Elderwood Village at Ticonderoga | 1019 Wicker Street AL Operating Company, LLC | 1019 Wicker Street, Ticonderoga, NY 12883 | 23 |
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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.