Countryside Adult Home (Facility# AF0131A) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.
Facility ID | AF0131A |
Facility Name | Countryside Adult Home |
Operator Name | Warren County D.S.S |
Street Address |
353 Schroon River Road Warrensburg NY 12885 |
County | Warren |
Phone Number | (518) 623-3451 |
Fax Number | (518) 623-5590 |
Certificate Number | 750-N-006 |
Facility Type | Adult Home (AH) |
Facility Classification | Public (PUBL) |
Regional Office | Capital District Regional Office (CDRO) |
Total Number of Beds | 48 |
Year | Capacity | Residents | Ages | Payment Sources | Admissions / Discharges | Reported By |
---|---|---|---|---|---|---|
2016 | 48 |
36 (Male: 12, Female: 24, Serious Mental Illness: 6) |
18-55: 1, 56-65: 7, 66-80: 10, 81+: 18 | Private Pay: 6, Spend Down: 0, SSI (Supplemental Security Income): 0 | 17 / 10 | Countryside Adult Home |
2015 | 48 |
29 (Male: 9, Female: 20, Serious Mental Illness: 5) |
18-55: 1, 56-65: 6, 66-80: 8, 81+: 14 | Private Pay: 3, Spend Down: 0, SSI (Supplemental Security Income): 0 | 12 / 20 | Countryside Adult Home |
2014 | 48 |
37 (Male: 10, Female: 27, Serious Mental Illness: 9) |
18-55: 2, 56-65: 2, 66-80: 10, 81+: 23 | Private Pay: 8, Spend Down: 0, SSI (Supplemental Security Income): 0 | 10 / 14 | Countryside Adult Home |
2013 | 48 |
41 (Male: 14, Female: 27, Serious Mental Illness: 5) |
18-55: 3, 56-65: 5, 66-80: 7, 81+: 26 | Private Pay: 8, Spend Down: 0, SSI (Supplemental Security Income): 0 | 16 / 17 | Countryside Adult Home |
ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence. |
Facility Name | Countryside Adult Home |
Street Address | 353 Schroon River Road |
City | Warrensburg |
County | Warren |
State | NY |
Zip Code | 12885 |
Facility Name | Operator | Address | #Beds |
---|---|---|---|
Emeritus at the Landing of Queensbury | Wegman Family (Glens Falls) LLC V | 27 Woodvale Road, Queensbury, NY 12804 | 88 |
Adirondack Manor HFA D.B.A Adirondack Manor HFA ALP | Kane, James E. | 653 Bay Road, Queensbury, NY 12804 | 60 |
The Terrace at the Glen | The Glen at Hiland Meadows Inc. | 71 Longview Drive, Queensbury, NY 12804 | 52 |
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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.