Bergquist Adult Home (Facility# AF0448A) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.
| Facility ID | AF0448A |
| Facility Name | Bergquist Adult Home |
| Operator Name | Gerry Homes |
| Street Address |
4600 Route 60, P.o. Box 350 Gerry NY 14740 |
| County | Chautauqua |
| Phone Number | (716) 985-4612 |
| Fax Number | (716) 985-4197 |
| Certificate Number | 060-E-036 |
| Facility Type | Adult Home (AH) |
| Facility Classification | Not for Profit (NFP) |
| Regional Office | Western Regional Office (WRO) |
| Total Number of Beds | 32 |
| Assisted Living Residence (ALR) Beds | 32 |
| Year | Capacity | Residents | Ages | Payment Sources | Admissions / Discharges | Reported By |
|---|---|---|---|---|---|---|
| 2016 |
32 (ALR: 32) |
32 (Male: 4, Female: 28, ALR: 32) |
18-55: 0, 56-65: 0, 66-80: 3, 81+: 29 | Private Pay: 27, Spend Down: 1, SSI (Supplemental Security Income): 4 | 10 / 7 | Bergquist Adult Home |
| 2015 |
32 (ALR: 32) |
30 (Male: 4, Female: 26, ALR: 30) |
18-55: 0, 56-65: 0, 66-80: 4, 81+: 26 | Private Pay: 22, Spend Down: 6, SSI (Supplemental Security Income): 2 | 10 / 12 | Bergquist Adult Home |
| 2014 |
32 (ALR: 32) |
32 (Male: 6, Female: 26, ALR: 32) |
18-55: 0, 56-65: 0, 66-80: 4, 81+: 28 | Private Pay: 23, Spend Down: 6, SSI (Supplemental Security Income): 3 | 13 / 14 | Bergquist Adult Home |
| 2013 |
32 (ALR: 32) |
31 (Male: 6, Female: 25, ALR: 31) |
18-55: 0, 56-65: 0, 66-80: 2, 81+: 29 | Private Pay: 29, Spend Down: 0, SSI (Supplemental Security Income): 2 | 18 / 12 | Bergquist Adult Home |
| ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence. | ||||||
| Facility Name | Bergquist Adult Home |
| Street Address | 4600 Route 60, P.O. Box 350 |
| City | Gerry |
| County | Chautauqua |
| State | NY |
| Zip Code | 14740 |
| Facility Name | Operator | Address | #Beds |
|---|---|---|---|
| Hultquist Place | Lutheran Housing Realty, Inc. | 715 Falconer Street, Jamestown, NY 14701 | 96 |
| Facility Name | Operator | Address | #Beds |
|---|---|---|---|
| Tanglewood Manor, Inc. | Tanglewood Manor, Inc. | 560 Fairmount Avenue, Jamestown, NY 14701 | 158 |
| Brookdale Lakewood | Painted Post Properties, Inc. | 220 Southwestern Drive, Lakewood, NY 14750 | 100 |
| Fredonia Place | Water/Howard Associates, LLC | 50 Howard Street, Fredonia, NY 14063 | 84 |
| Frewsburg Rest Home | Frewsburg Rest Home, Inc. | 106 West Main Street, Frewsburg, NY 14738 | 81 |
| St. Columban's on the Lake | St Columban's on the Lake, Home for Well-Aged Inc. | 2546 Lake Road, Route 5, Silver Creek, NY 14136 | 57 |
| Memory Garden | Memory Garden at Tanglewood, Inc. | 560 Fairmount Avenue, Jamestown, NY 14701 | 56 |
| The Women's Christian Association | The Women's Christian Association | 134 Temple Street, Fredonia, NY 14063 | 42 |
| Orchard Grove Residences | The Gerry Homes, Inc. | 2000 Southwestern Drive W. E., Jamestown, NY 14701 | 36 |
| Southern Tier Meadows | Southern Tier Environments for Living, Inc. | 4883 West Main Road, Fredonia, NY 14063 | 24 |
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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.