Country Valley Home
Tetor Enterprises, Ltd.


Address: 5946 County Route 11, Bath, NY 14810
Phone: (607) 776-5730

Country Valley Home (Facility# AF0479A) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.

Facility Overview

Facility ID AF0479A
Facility Name Country Valley Home
Operator Name Tetor Enterprises, Ltd.
Street Address 5946 County Route 11
Bath
NY 14810
County Steuben
Phone Number (607) 776-5730
Fax Number (607) 776-5730
Certificate Number 690-F-039
Facility Type Adult Home (AH)
Facility Classification Private Proprietary Home for Adults (PPHA)
Regional Office Western Regional Office (WRO)

Bed Types

Total Number of Beds 19

Annual Survey

Year Capacity Residents Ages Payment Sources Admissions / Discharges Reported By
2016 19 12
(Male: 4, Female: 8)
18-55: 0, 56-65: 0, 66-80: 4, 81+: 8 Private Pay: 12, Spend Down: 0, SSI (Supplemental Security Income): 0 2 / 4 Country Valley Home
2015 19 14
(Male: 7, Female: 7)
18-55: 0, 56-65: 1, 66-80: 3, 81+: 10 Private Pay: 14, Spend Down: 0, SSI (Supplemental Security Income): 0 8 / 10 Country Valley Home
2014 19 16
(Male: 8, Female: 8)
18-55: 0, 56-65: 1, 66-80: 2, 81+: 13 Private Pay: 16, Spend Down: 0, SSI (Supplemental Security Income): 0 11 / 9 Country Valley Home
2013 19 14
(Male: 6, Female: 8)
18-55: 0, 56-65: 0, 66-80: 2, 81+: 12 Private Pay: 14, Spend Down: 0, SSI (Supplemental Security Income): 0 10 / 7 Country Valley Home
ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence.

Facility Location

Facility Name Country Valley Home
Street Address 5946 County Route 11
City Bath
County Steuben
State NY
Zip Code 14810

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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.