Bergquist Adult Home
Gerry Homes


Address: 4600 Route 60, P.o. Box 350, Gerry, NY 14740
Phone: (716) 985-4612

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 Overview

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)

Bed Types

Total Number of Beds 32
Assisted Living Residence (ALR) Beds 32

Annual Survey

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 Location

Facility Name Bergquist Adult Home
Street Address 4600 Route 60, P.O. Box 350
City Gerry
County Chautauqua
State NY
Zip Code 14740

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Frewsburg Rest Home Frewsburg Rest Home, Inc. 106 West Main Street, Frewsburg, NY 14738 81
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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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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.