The Lake Shore Assisted Living Residence (Facility# AF0421A) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.
| Facility ID | AF0421A |
| Facility Name | The Lake Shore Assisted Living Residence |
| Operator Name | Lakehaven Equities, Inc. |
| Street Address |
211 Lake Shore Road Lake Ronkonkoma NY 11779 |
| County | Suffolk |
| Phone Number | (631) 585-8800 |
| Fax Number | (631) 585-0716 |
| Certificate Number | 700-F-893 |
| Facility Type | Adult Home (AH) |
| Facility Classification | Private Proprietary Home for Adults (PPHA) |
| Regional Office | Metropolitan Area Regional Office (MARO) |
| Total Number of Beds | 200 |
| Assisted Living Residence (ALR) Beds | 200 |
| Year | Capacity | Residents | Ages | Payment Sources | Admissions / Discharges | Reported By |
|---|---|---|---|---|---|---|
| 2016 |
200 (ALR: 200) |
117 (Male: 42, Female: 75, ALR: 117) |
18-55: 1, 56-65: 5, 66-80: 38, 81+: 73 | Private Pay: 116, Spend Down: 0, SSI (Supplemental Security Income): 1 | 62 / 73 | The Lake Shore Assisted Living Residense |
| 2015 | 200 |
128 (Male: 40, Female: 88) |
18-55: 1, 56-65: 12, 66-80: 44, 81+: 71 | Private Pay: 127, Spend Down: 0, SSI (Supplemental Security Income): 1 | 65 / 71 | The Lake Shore Adult Home |
| 2014 | 200 |
134 (Male: 46, Female: 88, Serious Mental Illness: 1) |
18-55: 1, 56-65: 9, 66-80: 49, 81+: 75 | Private Pay: 123, Spend Down: 0, SSI (Supplemental Security Income): 11 | 61 / 74 | The Lake Shore Adult Home |
| 2013 | 200 |
149 (Male: 59, Female: 90, Serious Mental Illness: 2) |
18-55: 3, 56-65: 7, 66-80: 56, 81+: 83 | Private Pay: 139, Spend Down: 0, SSI (Supplemental Security Income): 10 | 59 / 72 | The Lake Shore Adult Home |
| ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence. | ||||||
| Facility Name | The Lake Shore Assisted Living Residence |
| Street Address | 211 Lake Shore Road |
| City | Lake Ronkonkoma |
| County | Suffolk |
| State | NY |
| Zip Code | 11779 |
| Facility Name | Operator | Address | #Beds |
|---|---|---|---|
| Rodden Home | Patkowski, Matthew | 15 Wittridge Street, Lake Ronkonkoma, NY 11779 | 23 |
| Hidden Gem Home for Adults | Golden Homes Operating, Inc. | 11 Wittridge Street, Lake Ronkonkoma, NY 11779 | 18 |
| Olsen Rest | Olsen, George Jr. | P.o. Box 256 366 Gibbs Pond, Nesconset, NY 11767 | 40 |
| The Bristal at Lake Grove | Lake Grove Senior Care LLC | 2995 Middle Country Road, Lake Grove, NY 11755 | 155 |
| Amber Court of Smithtown | Amber Court @ Suffolk County LLC | 130-132 Lake Avenue, Nesconset, NY 11767 | 186 |
| Sachem Adult Home | Sachem Adult Home and ALP LLC | 1298 Coates Avenue, Holbrook, NY 11741 | 46 |
| The Arbors at Islandia West | Arcadia Management, Inc. | 1515 Veterans Memorial Highway, Islandia, NY 11749 | 200 |
| The Arbors at Islandia East | Arcadia Management, Inc. | 1515a Veterans Memorial Highway, Islandia, NY 11749 | 200 |
| The Arbors at Bohemia | Arcadia Management, Inc. | 1065 Smithtown Avenue, Bohemia, NY 11716 | 200 |
| Sunrise of Smithtown | SZR New York LH, Inc. | 30 Hauppauge, Route 111, Smithtown, NY 11787 | 104 |
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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.