Lakeside Manor Home for Adults, Inc.
Lakeside Manor Home for Adults, Inc.

Address: 797 Brighton Avenue, Staten Island, NY 10301
Phone: (718) 720-9600

Lakeside Manor Home for Adults, Inc. (Facility# AF0291A) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.

Facility Overview

Facility ID AF0291A
Facility Name Lakeside Manor Home for Adults, Inc.
Operator Name Lakeside Manor Home for Adults, Inc.
Street Address 797 Brighton Avenue
Staten Island
NY 10301
County Richmond
Phone Number (718) 720-9600
Fax Number (718) 816-5356
Certificate Number 610-F-037
Facility Type Adult Home (AH)
Assisted Living Program (ALP)
Facility Classification Private Proprietary Home for Adults (PPHA)
Regional Office Metropolitan Area Regional Office (MARO)

Bed Types

Total Number of Beds 200
Assisted Living Program Beds 200

Annual Survey

Year Capacity Residents Ages Payment Sources Admissions / Discharges Reported By
2016 200
(ALP: 200)
184
(Male: 132, Female: 52, Serious Mental Illness: 165, ALP: 48)
18-55: 54, 56-65: 75, 66-80: 49, 81+: 6 Private Pay: 1, Spend Down: 3, SSI (Supplemental Security Income): 180 27 / 40 Lakeside Manor Home for Adults, Inc.
2015 200
(ALP: 50, ALR: 150, EALR: 150)
197
(Male: 146, Female: 51, Serious Mental Illness: 178, ALP: 44)
18-55: 60, 56-65: 82, 66-80: 51, 81+: 4 Private Pay: 2, Spend Down: 5, SSI (Supplemental Security Income): 190 33 / 31 Lakeside Manor Home for Adults, Inc.
2014 200
(ALP: 50, ALR: 150, EALR: 150)
195
(Male: 147, Female: 48, Serious Mental Illness: 178, ALP: 43)
18-55: 76, 56-65: 67, 66-80: 48, 81+: 4 Private Pay: 4, Spend Down: 4, SSI (Supplemental Security Income): 187 28 / 32 Lakeside Manor Home for Adults, Inc.
2013 200
(ALP: 50, ALR: 150, EALR: 150)
200
(Male: 150, Female: 50, Serious Mental Illness: 177, ALP: 45)
18-55: 81, 56-65: 66, 66-80: 48, 81+: 5 Private Pay: 3, Spend Down: 4, SSI (Supplemental Security Income): 193 42 / 42 Lakeside Manor Home for Adults, Inc.
ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence.

Facility Location

Facility Name Lakeside Manor Home for Adults, Inc.
Street Address 797 Brighton Avenue
City Staten Island
County Richmond
State NY
Zip Code 10301

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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.