The Lake Shore Assisted Living Residence
Lakehaven Equities, Inc.

Address: 211 Lake Shore Road, Lake Ronkonkoma, NY 11779
Phone: (631) 585-8800

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 Overview

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)

Bed Types

Total Number of Beds 200
Assisted Living Residence (ALR) Beds 200

Annual Survey

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 Location

Facility Name The Lake Shore Assisted Living Residence
Street Address 211 Lake Shore Road
City Lake Ronkonkoma
County Suffolk
State NY
Zip Code 11779

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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.