Finding a Nursing Home in New York State

Transcription

1 Finding a Nursing Home in New York State CLINTON ST. LAWRENCE FRANKLIN JEFFERSON ESSEX LEWIS HAMILTON WARREN OSWEGO NIAGARA ORLEANS GENESEE MONROE WAYNE ONONDAGA ONEIDA HERKIMER FULTON SARATOGA WASHINGTON ERIE WYOMING LIVINGSTON ONTARIO YATES SENECA CAYUGA CORTLAND MADISON OTSEGO MONTGOMERY SCHENECTADY ALBANY SCHOHARIE RENSSELAER SCHUYLER TOMPKINS CHENANGO CHAUTAUQUA CATTARAUGUS ALLEGANY STEUBEN CHEMUNG TIOGA BROOME DELAWARE GREENE COLUMBIA ULSTER DUTCHESS SULLIVAN ORANGE PUTNAM WESTCHESTER ROCKLAND BRONX SUFFOLK NEW YORK QUEENS NASSAU KINGS RICHMOND A Consumer Directory from the New York State Department of Health Revised 2/98

2 Nursing homes are places to live where care is available for people who need 24-hour nursing care and supervision outside of a hospital. Although all nursing homes must provide certain basic services, some homes provide special care for certain types of clients. For example, some homes provide services for the head injured, some for those who are ventilator-dependent, some for people with AIDS and some specialize in the care of children. After you have explored alternatives and you, your family and involved professional health care providers agree that a nursing home is required, carefully select a nursing care facility. Information contained in this directory will aid you in selecting the right nursing home. It is written for you, the prospective resident. If someone else must organize the search and make the decisions, it is important that you be as involved as possible in the process. The directory is divided into three sections: Section I explains the things you should know when you choose a nursing home. Section II provides information on what to look for when you visit a nursing home. Section III provides information on the nursing homes in your region, including location, size, type of ownership and whether or not the nursing home is certified by the New York State Department of Health to provide special services.

3 Table of Contents Section I: Finding a Nursing Home Planning in Advance... 1 Admission Medical Need... 2 Waiting Lists... 2 Admissions Agreement... 3 Paying for Nursing Home Care Private Payment... 3 Private Insurance... 5 Medicaid... 6 Medicare... 6 Visiting the Facility... 7 Nursing Home Administration... 7 Evaluating a Nursing Home... 8 Health Care Decisions... 9 Residents Rights Long Term Care Ombudsman Program Further Information and Assistance Section II: When You Visit a Nursing Home Physical Appearance Safety Cleanliness Residents Room Assignments Food Medical/Nursing Care Special Therapies Activities Program Financial Arrangements State Inspections Section III: Nursing Home Information New York State Department of Health Offices Nursing Homes (by County) Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland... 28

4 Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland Saratoga Schenectady Schoharie Schuyler Seneca St. Lawrence Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Bronx Brooklyn (Kings) Manhattan (New York) Queens Staten Island (Richmond)... 76

5 Glossary Advance Directives Basic Services Designated Representative Governing Body Health Care Agent Health Care Proxy Nursing Home Resident Appendix A Nursing Home Inspections Appendix B State Agencies That Oversee Care Appendix C New York State s Proxy Law Appointing Your Health Care Agent About the Health Care Proxy Health Care Proxy Form Appendix D Deciding About CPR: Do-Not-Resuscitate (DNR) Orders A Guide for Patients and Families Appendix E Planning In Advance For Your Medical Treatment... 92

6 SECTION I Finding a Nursing Home Planning in Advance Finding the nursing home that will best meet your needs can be a difficult and time-consuming task. The more information you have, the easier this task will be and the more likely that you will find the home that is right for you. Making the decision that a nursing home is the right place for you and looking around at different homes is important to do before you are hospitalized for a medical crisis. Nursing homes generally operate at close to full capacity and a particular nursing home may not always have an available opening. It is best to have several nursing homes in mind should the need arise. With the help of your doctor and the hospital discharge planning staff, realistically assess your medical, nursing and social needs and seek facilities that can best meet these needs. For example, a facility with a strong physical therapy department might be important if you are recovering from a stroke. Discuss nursing home placement with your family so that the eventuality of this possibility will be fully explored and your feelings known before a crisis occurs. Watch for articles in newspapers and magazines and for television programs that deal with nursing homes. Pick up information on nursing homes from social service agencies or local offices for the aging and local health departments. Contact community groups and advocacy groups. Page 12 lists a number of state and voluntary agencies that may be able to help. Ask family and friends about their own experiences. If you know someone who is in a nursing home, visit that person and ask questions. Ask questions of key personnel at the facilities you visit: the administrator, social work director, nursing director, medical director, for example. Make your own judgments. A caring home should welcome both your desire to visit and the questions you ask. 1

7 Medical need and method of payment play a large part in admission. A medical assessment must be performed before you can be admitted to a nursing home. This assessment is done by a registered nurse who has been certified to perform the assessment. The assessment is a two-step process and is specifically designed by the State Health Department to evaluate your functional status as well as your appropriateness for a nursing home. The state requires that assessment forms be completed for everyone who applies for residence in a nursing home in New York State. The forms are valid for 30 days for hospitalized individuals and 90 days for those at home. Admission Medical Need The nursing home administrator, admissions director or director of social services will be able to explain arrangements for your admission to the facility. If you are receiving care in a hospital, your doctor and the hospital social worker/discharge planner will assist in making arrangements for your placement, hopefully in the nursing home of your choice. Although most people find that the need to enter a nursing home comes about after a serious illness treated in a hospital, you will be better off if you plan in advance. If you are applying for admission to a nursing home from a hospital, speak with the hospital s discharge planner. Nursing homes typically do not have many vacancies, so it is advisable to have several suitable facilities in mind. Regulations require formal application before you can be placed on a waiting list. Once you ve made your choices, ask to be placed on the waiting list. Continue to check the status of your application by calling in regularly to the specific offices where you submitted your applications. Waiting Lists New York State regulations require that a hospitalized patient on Medicaid who no longer needs inpatient hospital care be placed in the first available bed within 50 miles of the patient s home. By telling the hospital which nursing homes to apply to, you or your family can influence the location of the eventual placement. 2

8 Admissions Agreement The admissions agreement (also called the financial agreement, admission contract, entrance contract or some other term) is a legal agreement between the nursing home and the resident to spell out conditions for admission. The contract should state the costs, services included and all legal responsibilities of the resident. Ideally, it should also include care (in accordance with intensity of need), emergency procedures and standards of food service (for example, availability of therapeutic diets, kosher diets, etc.). Ask questions about the contract. Ask your attorney, the nursing home administrator or admissions director to explain anything that is not clear. Call an advocacy group with questions. See page 14. Paying for Nursing Home Care Since the cost of nursing home care in New York State is so high (ranging from $3,000 to $10,000 a month), few people can afford to pay out of their own pocket for very long. Ninety percent of New York State nursing home residents are or become reliant upon state and federal subsidies. If you have the means and plan to pay with your own funds, you will have a much better chance of getting admitted to the nursing home of your choice. Meet with an elder law attorney to get advice on estate planning, Medicaid, Medicare and long term care insurance before you apply to a nursing home. The New York State Bar Association Referral Service as well as many local bar associations will provide you with a list of elder law attorneys. Call for information. Private Payment Nursing homes charge a basic daily rate for the services they provide and these vary from home to home. Some homes have all-inclusive rates, others have a rate for room and board and add additional charges for physician s services, laboratory tests, physical therapy, prescription drugs, etc. 3

9 Private pay rates are not regulated. Homes may charge their private pay residents whatever they wish. These rates can be expected to go up at least once a year. If you are planning to pay for nursing home care out of your own pocket, ask for a list of services that are covered by the basic daily rate. Also ask how the rates are adjusted and how residents are notified of adjustments. (Under current regulation, this notification must occur in writing 30 days prior to any upward adjustment in the daily rate for a service being implemented.) The basic daily rate must cover room and meals, housekeeping, linen, general nursing care, medical records and services, recreation and personal care. There may be extra charges for items that vary from resident to resident, such as physical therapy and medications. Discuss with the home s admissions director, administrator or social worker what services are standard and what additional services might be required and what they cost. Homes are permitted to ask for a prepayment or a security deposit. The home can ask for no more than three months prepayment. Prepayment used as security must be deposited by the home in an interestbearing account. If you leave the home or die, any amount paid to the home over the cost of services already provided must be refunded. It is illegal for a nursing home to demand or accept donations (to a building fund, for example) from family members to assure placement of a relative. Most homes require full financial disclosure from residents who will be paying privately. Since many nursing home residents who enter as private pay residents eventually use up their funds and go on Medicaid, the homes want to know how long the resident will be able to pay privately and when to apply for Medicaid. Once you are eligible for Medicaid, you have the right to have Medicaid pay for your care (if the home accepts Medicaid). When this happens, the nursing home should assist in completing the necessary forms. 4

10 In New York State, you may not be moved out of a nursing home because you have exhausted your personal resources. Also, your spouse need not spend all his/her personal resources on your care if you are institutionalized. Some homes suggest that funds be placed in a trust that the home controls, or that the resident s Social Security checks be made payable directly to the home. The law guarantees residents the right to control their own financial affairs as long as they are willing and able to do so, or to assign that responsibility to a friend or family member. The nursing home may be given control over a resident s finances if no one else is willing to handle them. Private Insurance Private long term care insurance policies are becoming more and more available. They are advertised as a possible alternative to Medicaid or as a way to avoid exhausting resources when nursing home care is needed. They vary in the coverage they provide and should be carefully examined before purchasing. In New York State, only a few policies are valid. The State Insurance Department publishes materials comparing long term care policies offered by different companies. Call for more information. The federal government is now permitting New York State to authorize Medicaid without someone exhausting his/her assets if that person first purchases a long term care insurance policy sponsored by the state. Such a policy must cover at least three years of long term care, six years of home care or an equivalent combination of both. Once an individual purchases such a policy and once the benefits for such a policy are exhausted, that person, if income eligible, will be eligible for Medicaid payment for long term care for the remainder of his/her life without consideration of his/ her assets. Most importantly, however, whatever assets that person has will be protected and will not have to be used to meet long term care costs. You may hear this type of insurance referred to as a "partnership" long term care policy. 5

11 Medicaid, established by Congress in 1965, is a government health insurance program for people of all ages whose income is too low to provide for routine health care costs, or whose health care costs are too high to be covered by their income. This health insurance covers the cost of nursing care for as long as the care is required, if a resident is eligible. Medicaid A comprehensive application process is used to determine eligibility for the Medicaid program. This process requires that applicants provide detailed information and documentation regarding income and assets. A Medicaid applicant must be a citizen or permanent resident in the United States, must meet New York State income and resource limitations and must show medical need. Currently, a Medicaid recipient in a nursing home is allowed to retain $50 of monthly income as a personal needs allowance to meet personal expenses that are not covered by Medicaid. Call your local Department of Social Services office for additional information on Medicaid. Medicare is a federal health insurance program for disabled people and people over age 65. Skilled nursing services must be needed on a daily basis to be eligible for Medicare. Medicare will pay a maximum of 100 days of care in an approved nursing facility for patients in need of skilled care following a hospitalization of at least three full days. To qualify, the patient must be admitted to the nursing home within 30 days of discharge from the hospital. Many people leave a hospital and enter a nursing home expecting Medicare to continue to pay for health services. This is generally not the case. Medicare will not pay for a nursing home stay if it is determined that only custodial care is required, or if skilled nursing home care and/or rehabilitative services are needed only on a periodic basis. Under Medicare rules, the need for skilled nursing care must be daily. The program has a number of specifics about what services are included and requires that you be responsible for a co-payment. For further information, contact your local Social Security office or call for a copy of the Medicare Handbook. Medicare 6

12 Visiting the Facility Call the nursing homes you are interested in and make an appointment to meet with the admissions staff (usually a social worker). Each nursing home has its own policies and procedures, but all must follow certain state and federal regulations and respect residents rights. A copy of the home s policies should be available upon request. Following is a list of some policies to check: complaint procedures; the use of personal belongings and furniture; the availability of ethnic foods or special diet preferences; room assignments and changes; reserving a bed if transferred to a hospital; visiting hours (should cover a 10-hour period and two meal times); emergency procedures; self-care; phone calls; leaving the facility for short visits with family or friends; procedures for handling theft; access to personal funds. Section II of this directory provides more detailed information on what you should look for when you visit a nursing home. Nursing Home Administration 7 Nursing homes may be owned by state/local governments (public nursing homes), individuals, corporations and religious or charitable organizations. Most nursing homes are not-for-profit businesses (voluntary nursing homes) or businesses operated for profit (proprietary nursing homes). An individual or a nonprofit organization may own or operate more than one nursing home. Final responsibility for the operation of a nursing home lies with its governing body (voluntary nursing home)

13 or owner (proprietary nursing home). The governing body (the board of directors or trustees) is legally responsible for the home. The governing body meets to set policies and to adopt and enforce rules and regulations for the health care and safety of the residents. The type of ownership and management are not necessarily an indication of the quality of service that you would receive. The person in charge of the day-to-day management of a nursing home is called the administrator; the administrator is appointed by the governing body or owner. Other key personnel include the director of nursing services, the medical director, the director of social services and the director of admissions. The administrator of the nursing home must be licensed by New York State, the director of nursing services must be a registered nurse and licensed by New York State and the medical director must be a licensed New York State physician. When you visit a nursing home, look for its license. It will be prominently displayed, usually in the lobby. Standards governing the operation of a nursing home are set by state regulation (Part 415 of 10NYCRR) and federal regulation (Part 483 of 42CFR). These standards intend to assure the highest possible quality of care and most meaningful quality of life for all residents in nursing homes. Standards cover a range of requirements including but not limited to residents rights, clinical services (including nursing, dietary, medical and rehabilitation services, for example), and administrative (including quality assurance and the physical environment, for example). Optional services are also covered by law (rehabilitation services for residents with head injuries, long term care services for people with AIDS and for ventilator-dependent residents) and adult day health care services. Evaluating A Nursing Home Look for the latest state survey (inspection) report of how the home met the state and federal standards. In New York State, the Department of Health, acting as the agent for the U.S. Health Care Financing 8

14 Administration, has the responsibility to monitor quality of care in nursing homes. State surveyors inspect each New York State nursing home every nine to 15 months. Surveyors interview residents, review residents records, inspect the premises and assess compliance with state and federal standards (see Appendix A). Surveyors may issue statements of deficiencies any time they visit a nursing home. If the need arises, state or federal survey staff may visit nursing homes more often to respond to complaints by residents or families or to monitor the progress as nursing homes correct deficiencies. Based on the results of the inspection and the seriousness of problems noted, the Department of Health decides whether to take enforcement action. Repeat problems can result in fines and, in extreme cases, closure. Remember, deficiencies are not necessarily the only indication of the quality of the care and administration of the home. Ask to look at the results of a few surveys so you can see if there is a pattern of deficiencies in certain areas. Complete results of the most recent survey must be available in the facility in a place readily accessible to residents and visitors without staff assistance. Ask questions about deficiencies, if any, and how they were corrected. If you have additional questions after leaving the home, call back with follow-up questions. Or, contact the local office of the New York State Department of Health (see page 21) or the New York State Office for the Aging Long Term Care Ombudsman at Health Care Decisions 9 Illness and the possibility of death are subjects few people find easy to discuss. Yet, these issues deserve consideration by both you and your family because they often involve decisions that may have to be made if life-sustaining procedures become necessary. This kind of decision does not have to be left to the family to decide. Decide in advance with the help of your family. Any course of treatment for you will be much easier to determine if your wishes are known in advance (see Appendix E).

15 Under the New York State Health Care Proxy Law, adults may appoint someone they trust to decide about medical treatment should they become unable to decide on their own. See Appendix C for a copy of the Health Care Proxy form and information about the Health Care Proxy Law. This form can be duplicated and does not have to be executed by an attorney. Additional copies are available from the nursing home administrator or from the New York State Department of Health. Most attorneys in New York State also have these forms. Adults can also give specific instructions about treatment in advance. Those instructions can be verbal or written, and are referred to as Advance Directives. The right to decide about treatment also includes the right to decide about cardiopulmonary resuscitation (an emergency treatment to restart the heart and lungs when breathing or circulation stops). You and your doctors should decide in advance whether or not you want resuscitation measures taken. If you wish, the doctor will give the medical staff a do-not-resuscitate (DNR) order. An explanation of DNR including your rights under New York State law is included as Appendix D. Some nursing homes' moral or religious philosophy may conflict with your wishes about advance directives. Ask about the home's policy regarding advance directives. Policies covering the rights of residents are established by state and federal regulations. The nursing home must implement and explain these policies to its residents and must post a summary of residents rights (a residents bill of rights) in the building for easy reading. Be sure to notice it and ask any questions you have about its provisions. Residents Rights Every resident in a nursing home should receive appropriate care, be treated with courtesy and enjoy continued civil and legal rights. 10

16 In New York State, nursing home residents have the right to: dignity, respect and a comfortable living environment; quality of care and treatment without discrimination; freedom of choice to make independent decisions; safeguard of money and property; safeguards in admission, transfer and discharge; privacy in communications; participate in organizations and activities of their choice; an easy-to-use and responsive complaint procedure; exercise all rights without fear of reprisals. For a more thorough explanation of nursing home residents rights, ask the nursing home administrator for policies on residents rights and for the booklet Your Rights as a Nursing Home Resident in New York State, or write for a copy to: Publications New York State Department of Health Box 2000 Albany, NY Long Term Care Ombudsman Program The Long Term Care Ombudsman Program in the State Office for the Aging can help you throughout the nursing home placement process. It provides another source of information about how to go about choosing a facility, understanding the rights of residents and learning about good standards of care. However, the program does not rate or recommend specific facilities and will not choose a facility for a family or a prospective resident. The State Ombudsman also investigates and resolves complaints made by, or on behalf of, nursing home residents, and monitors the development and implementation of laws, regulations and policies that affect nursing homes. For further information, contact: 11

17 the New York State Office for the Aging Long Term Care Ombudsman, Agency Building #2, Empire State Plaza, Albany, NY 12223, Or, check your local telephone book for the nearest Area Agency on Aging. Following is a list of New York State Office for the Aging Long Term Care Ombudsmen: Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Columbia Cortland Dutchess Erie Town of Amherst Red Cross Essex Franklin ext. 527 Fulton Genesee Greene Jefferson Lewis Livingston Madison Monroe Montgomery Nassau or

18 New York City or New York City Department for the Aging Alzheimer s and Long Term Care Resource Center Niagara Oneida Onondaga ext. 108 Ontario Orleans or 7004 ext. 191 Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schoharie Schuyler Seneca ext Steuben Suffolk ext. 266 Sullivan ext Tioga Tompkins Ulster Warren/Hamilton Wayne

19 Westchester ext. 211 Wyoming Yates Contact the following state agencies for additional information or assistance: New York State Department of Health Bureau of Long Term Care Services Further Information and Assistance New York State Advocate s Office for Persons with Disabilities (voice and TTY for hearing impaired) New York State Insurance Department Or, contact the following advocacy organizations. They may be able to help you if your questions or concerns about a nursing home cannot be resolved by speaking with nursing home staff and administrators. Coalition of Institutionalized Aged & Disabled (CIAD) c/o Hunter-Brookdale Center on Aging 425 E. 25th St., Room 818 New York, New York CIAD was founded in 1973 to protect the rights of nursing home residents and provide them with the information and skills they need to advocate for themselves. The coalition educates residents about their rights, provides technical assistance to resident councils to make them more effective and promotes residents participation in public issues. Its board consists of nursing home and adult home residents. Friends and Relatives of Institutionalized Aged, Inc. (FRIA) 11 John St., Suite 601 New York, New York

20 FRIA is an independent nonprofit advocacy group organized in 1976 to speak on behalf of the families and friends of adult home and nursing home residents in the New York City area. Through a telephone hotline, FRIA helps families in the selection of a facility and in understanding financial arrangements and admission contracts. It supports families and family councils seeking to safeguard resident rights, responds to problems of care and advances the independence of all residents. Medicare Rights Center 1460 Broadway, 8th Floor New York, New York The center is exclusively devoted to promoting and protecting Medicare beneficiaries rights through education, advocacy and representation. The center assists Medicare recipients to recover funds by teaching them how to assert their Medicare rights, and assists recipients with appealing their Medicare determinations, distributing self-help literature and enforcing federal and state physician charge limits for Medicare beneficiaries. National Citizens Coalition for Nursing Home Reform th Street, N.W., Suite 202 Washington, D.C The coalition provides information (through a clearinghouse and a bi-monthly newsletter) and leadership on federal and state regulatory and legislative policy development, and models and strategies to improve nursing home care and life for residents. Established in 1975, the coalition promotes community involvement in nursing homes; assists in resolving individual complaints and problems; collaborates with health care workers to improve care in nursing homes; monitors regulatory activities to generate effective government enforcement of standards; and supports resident and family council and other forms of consumer empowerment. 15

21 New York StateWide Senior Action Council, Inc. 275 State St. Albany, New York Patient s Rights Hotline (in New York City, ) Formed in 1972, StateWide is a grassroots nonprofit advocacy organization for senior citizens. The Albany office maintains regular contact with state agencies and legislative leaders on important issues for seniors and has been instrumental in establishing a prescription drug assistance program in the state known as EPIC, maintaining quality care in the Medicare program and establishing the patients bill of rights. The StateWide hotline is for anyone who has a problem with hospital admissions or discharges, unwanted transfers between hospitals, an unsafe transfer to another hospital, poor quality care, poor discharge planning or lack of posthospital services. Nursing Home Community Coalition of New York State (NHCC) 11 John St., Suite 601 New York, New York NHCC provides leadership for its 33-member statewide consumer advocacy organizations. The coalition works to upgrade state regulations, and the state's surveillance and enforcement of existing regulations for the state s 100,000 frail nursing home residents. The group also educates consumers on key nursing home problems and issues. 16

22 SECTION II When You Visit A Nursing Home Physical Appearance Take a good look around at everything. [ ] Do residents have personal belongings decorating their rooms? [ ] Does each resident have at least one comfortable chair? [ ] Does each resident have his/her own dresser and closet space with a locked drawer or other secured compartment? [ ] Is there an out-of-doors area where residents can walk or sit and is it used? [ ] Does the equipment wheelchairs, therapy devices appear in good condition? [ ] Is there a lounge or other area where residents can entertain visitors privately? Safety State standards require that a home provide a safe environment for residents whether they are mobile or in wheelchairs, whether they are confused or have poor eyesight. Look for: [ ] handrails in hallways and other critical places; [ ] wide, clear walking areas; [ ] the absence of hazards that might cause accidents; [ ] good lighting; [ ] telephones and large print notices placed so that wheelchair-bound residents can make use of them; [ ] appropriate inside temperature and whether or not residents are dressed appropriately; [ ] clearly marked exits and well-lighted elevators. Find out if the local fire department participates in fire drills and how often drills are held in the home. Cleanliness A good home should be clean. Look in the corners of residents rooms, bathrooms, kitchens, nurses stations, 17

23 etc., as well as in the main visiting lounges. Look for cleanliness EVERYWHERE. Unpleasant odors reflect problems. If there is an odor in a particular section of the home, go back to see if it has been eliminated within a reasonable amount of time. This will give you an idea of how long it takes the home to deal with the cause of the unpleasant odor. The average nursing home resident is old, sick and frail. A good home is aware that even frail elderly people can have good days and bad days and can be encouraged to be more active when they are feeling better and comforted when they are feeling poorly. Residents You may be able to judge how successful a home is in caring for residents by observing them without infringing on their privacy. [ ] Do residents socialize with each other? [ ] Is there activity in the corridors? [ ] Are residents engaged in doing things or just sitting in a lounge or in the hallways? [ ] Are residents neatly dressed and do they appear to be wearing their own clothing? [ ] Are residents out of bed? [ ] Do staff interact with residents in a warm and friendly manner? [ ] Do staff address the residents by name? [ ] Do staff respond to someone calling for help? [ ] Are people assisted in walking for the purpose of exercising or retraining? Ask several residents how they keep occupied and what they particularly like doing at the facility. [ ] Do residents share rooms? How many people to a room? [ ] Does the facility try to select compatible roommates? [ ] Are rooms assigned based on severity of illness? [ ] How does the facility deal with problems between roommates? Room Assignments 18

24 Food Mealtime is an important part of the residents day. Try to visit during meal time and observe the way food is served and how the staff and residents interact. [ ] Is food appetizing and of good quality? [ ] Do residents have an alternative to the main menu? [ ] Are residents encouraged and assisted with eating (if necessary) while the food is served? [ ] Is this a time when socializing is encouraged? [ ] Is the dining room clean, attractive and colorful? Many facilities try to be less institutional and use tablecloths, china and silver, enhancing mealtime. Medical/Nursing Care It is hard to observe medical/nursing practices, but you can ask questions: [ ] Does the same nurse or aide care for the resident during each shift? [ ] Will your family doctor be able to care for you in the facility? [ ] If you do not have a private doctor, who will the physician be and what relationship will you or a family member have with this doctor? [ ] How often will visits be made, and how will medical emergencies be handled? If you need more than routine medical care, ask if a specialist can be called in and how this is done. Find out with which hospital(s) the nursing home may be affiliated. Special Therapies If you might need speech, physical or special therapy, look at the therapy rooms. If possible, speak to the staff person in charge. [ ] How frequently will therapy be offered? [ ] Can therapies be provided on an optional basis or a for-private-pay basis? 19 [ ] Is the physician involved in assessing the therapy and your response to it?

25 All homes are required to offer activities for residents. As you visit homes, you may find a great difference in the way activities are offered. Ideally, a program should be designed to fit the interests and skills of each person and be available on a daily basis at various times of the day including weekends. Activities Program [ ] Ask if residents are taken out for events in the community. How often? Where do they go? [ ] Do people in wheelchairs get to participate? [ ] How often are outside events brought in for the entertainment of residents? [ ] What activities are provided for bed-bound residents? If you will be paying privately for care, ask about the fee schedule and be sure you find out what services and supplies ARE NOT INCLUDED and what these items will cost. Financial Arrangements To determine how often fees increase, ask how often fees increased in the past and what the increases were. State law prohibits residents from being asked to pay more than three months in advance upon admission. (People admitted under Medicare do not have to pay anything in advance.) State Inspections The last state inspection report (survey) should be available to you in a place within the facility that is readily accessible. It will tell you if the facility failed to meet any areas of the state s health code. Look for this report. If there are any deficiencies noted, specifically ask what steps have been taken to correct these violations. 20

26 SECTION III Nursing Home Information The following pages list each certified nursing home in New York State. Information comes from the New York State Department of Health records (updated as of December 1996). Each page lists by county the name, address and telephone number of the facility, type of ownership and number of beds. Also noted is whether or not the nursing home is certified by the New York State Department of Health to provide services for residents with special needs (for example, children, AIDS patients, individuals who are ventilator dependent). Unless otherwise noted, all nursing homes listed accept Medicaid and Medicare residents. If you have any questions, contact the nursing home you are interested in, call the New York State Office for the Aging Long Term Care Ombudsman at or contact the New York State Department of Health office nearest you. These are listed below: Northeastern Area Office Frear Building-2nd floor Fulton & Third Streets Troy, New York (518) Covering the following counties: Albany, Clinton, Columbia, Delaware, Essex, Franklin, Fulton, Greene, Hamilton, Montgomery, Otsego, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington Western Region Buffalo Office 584 Delaware Avenue Buffalo, New York (716) Covering the following counties: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming 21 Rochester Office Bevier Building 42 South Washington Street Rochester, New York (716) Covering the following counties: Chemung, Livingston, Monroe, Ontario, Seneca, Schuyler, Steuben, Wayne, Yates

27 Syracuse Area Office 677 South Salina Street Syracuse, New York (315) Covering the following counties: Broome, Cayuga, Chenango, Cortland, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga,Oswego, St. Lawrence, Tioga, Tompkins Metropolitan Region New York City Office 5 Penn Plaza-5th floor New York, New York (212) Covering the five boroughs of New York: Bronx, Brooklyn (Kings County), Manhattan (New York County), Queens, Staten Island (Richmond County) New Rochelle Office 145 Huguenot Street-6th floor New Rochelle, New York (914) Covering the following counties: Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk, Sullivan, Ulster, Westchester Hauppauge Office 300 Motor Parkway Hauppauge, New York (516)

28 Note Public nursing homes are owned by state/local governments. Voluntary nursing homes are not-for-profit businesses. Proprietary nursing homes are businesses operated for profit. Albany County ALBANY COUNTY NURSING HOME ALBANY-SHAKER ROAD, ALBANY, NY BEDS:420 PUBLIC (518) ANN LEE HOME AND INFIRMARY ALBANY-SHAKER ROAD, ALBANY, NY BEDS:175 PUBLIC (518) CHILDS NURSING HOME CO., INC 25 HACKETT BLVD., ALBANY, NY BEDS:120 VOLUNTARY (518) DAUGHTERS OF SARAH NURSING HOME CENTER P.O. BOX 15103, WASHINGTON AVE. EXT. BEDS:201 VOLUNTARY ALBANY, NY (518) EDDY COHOES REHABILITATION CENTER 421 W. COLUMBIA ST., COHOES, NY BEDS:72 VOLUNTARY (518) EDDY-FORD NURSING HOME 421 W. COLUMBIA ST., COHOES, NY BEDS:120 VOLUNTARY (518) EDEN PARK NURSING HOME 22 HOLLAND AVE., ALBANY, NY BEDS:210 PROPRIETARY (518) GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER, INC. 125 ROCKEFELLER ROAD, DELMAR, NY BEDS:100 VOLUNTARY (518) GUILDERLAND CENTER NURSING HOME, INC. 127 MAIN ST., GUILDERLAND CENTER, NY BEDS:127 PROPRIETARY (518) OUR LADY OF HOPE RESIDENCE- LITTLE SISTERS OF THE POOR 1 JEANNE JUGAN LANE, LATHAM, NY BEDS:70 VOLUNTARY (518)

29 OUR LADY OF MERCY LIFE CENTER 2 MERCYCARE LANE, GUILDERLAND, NY BEDS:160 VOLUNTARY (518) ST. MARGARET S CENTER FOR CHILDREN 27 HACKETT BLVD., ALBANY, NY BEDS:58 VOLUNTARY (518) Specially certified to care for children. TERESIAN HOUSE NURSING HOME CO., INC. WASHINGTON AVE. EXT., ALBANY, NY BEDS:300 VOLUNTARY (518) UNIVERSITY HEIGHTS NURSING HOME 325 NORTHERN BLVD., ALBANY, NY BEDS:200 PROPRIETARY (518) VILLA MARY IMMACULATE 301 HACKETT BLVD., ALBANY, NY BEDS:160 VOLUNTARY (518) Allegany County COLLEGE PARK HEALTH CARE CENTER RD 1, BOX G-12, HOUGHTON, NY BEDS:100 PROPRIETARY (716) CUBA MEMORIAL HOSPITAL, INC., SKILLED NURSING FACILITY 140 W. MAIN ST., CUBA, NY BEDS:61 VOLUNTARY (716) HIGHLAND HEALTHCARE CENTER 160 SENECA ST., WELLSVILLE, NY BEDS:80 PROPRIETARY (716) WELLSVILLE MANOR NURSING HOME 4192A BOLIVAR ROAD, WELLSVILLE, NY BEDS:120 PROPRIETARY (716) Broome County ELIZABETH CHURCH MANOR NURSING HOME, INC. 863 FRONT ST., BINGHAMTON, NY BEDS:120 VOLUNTARY (607) GOOD SHEPHERD-FAIRVIEW HOME, INC. 80 FAIRVIEW AVE., BINGHAMTON, NY BEDS:86 VOLUNTARY (607)

30 IDEAL SENIOR LIVING CENTER 601 HIGH AVE., ENDICOTT, NY BEDS:150 VOLUNTARY (607) JAMES G. JOHNSTON MEMORIAL NURSING HOME 285 DEYO HILL ROAD, JOHNSON CITY, NY BEDS:120 VOLUNTARY (607) RIVER MEDE MANOR FRONT ST., BINGHAMTON, NY BEDS:356 PROPRIETARY (607) SULLIVAN PARK HEALTH CARE CENTER, INC. NANTUCKET DRIVE, ENDICOTT, NY BEDS:160 PROPRIETARY (607) SUSQUEHANNA NURSING HOME AND HEALTH RELATED FACILITY 282 RIVERSIDE DRIVE, JOHNSON CITY, NY BEDS:160 PROPRIETARY (607) VESTAL NURSING CENTER 860 OLD VESTAL ROAD, VESTAL, NY BEDS:180 PROPRIETARY (607) WILLOW POINT NURSING HOME 3700 OLD VESTAL ROAD, VESTAL, NY BEDS:383 PUBLIC (607) Cattaraugus County CATTARAUGUS COUNTY HOME AND INFIRMARY ROUTE 16, MACHIAS, NY BEDS:115 PUBLIC (716) CATTARAUGUS COUNTY PUBLIC NURSING HOME 2245 W. STATE ST., OLEAN, NY BEDS:120 PUBLIC (716) GOWANDA NURSING HOME 100 MILLER ST., GOWANDA, NY BEDS:160 PROPRIETARY (716) RIVER PARK HEALTH CARE CENTER, INC. FIFTH AND MAPLE ST., ALLEGANY, NY BEDS:37 PROPRIETARY (716) Accepts Medicare residents, but does not accept Medicaid residents. ST. JOSEPH S MANOR 2211 W. STATE ST., OLEAN, NY BEDS:22 VOLUNTARY (716) WOODLAND PARK HEALTH CARE CENTER, INC. 451 BROAD ST., SALAMANCA, NY BEDS:120 PROPRIETARY (716)

31 Cayuga County AUBURN NURSING HOME 85 THORNTON AVE., AUBURN, NY BEDS:92 PROPRIETARY (315) CAYUGA COUNTY NURSING HOME PO BOX 246, AUBURN, NY BEDS:80 PUBLIC (315) FINGER LAKE CENTER FOR LIVING 20 PARK AVE., AUBURN, NY BEDS:80 VOLUNTARY (315) HOWD NURSING HOME 7 KEELER AVE., MORAVIA, NY BEDS:40 PROPRIETARY (315) MERCY HEALTH AND REHABILITATION CENTER NURSING HOME, INC. 3 ST. ANTHONY ST., AUBURN, NY BEDS:297 VOLUNTARY (315) Chautauqua County CHAUTAUQUA COUNTY HOME TEMPLE ROAD, DUNKIRK, NY BEDS:216 PUBLIC (716) GERRY NURSING HOME CO, INC. ROUTE 60, GERRY, NY BEDS:120 VOLUNTARY (716) HERITAGE GREEN NURSING HOME PO BOX 400, ROUTE 430, GREENHURST, NY BEDS:100 VOLUNTARY (716) HERITAGE PARK HEALTH CARE CENTER 150 PRATHER AVE., JAMESTOWN, NY BEDS:200 VOLUNTARY (716) LAKE SHORE HOSPITAL, INC. NURSING FACILITY 845 ROUTES 5 & 20, IRVING, NY BEDS:120 VOLUNTARY (716) LAKE SHORE NURSING HOME, INC. 801 ROUTES 5 & 20, IRVING, NY BEDS:40 VOLUNTARY (716) LUTHERAN RETIREMENT HOME 715 FALCONER ST., JAMESTOWN, NY BEDS:254 VOLUNTARY (716) MANOR OAK SKILLED NURSING FACILITIES, INC. 423 BAKER ST., JAMESTOWN, NY BEDS:104 PROPRIETARY (716)

32 PARK SHORE HEALTH CARE CENTER, INC LAKE SHORE DRIVE WEST, DUNKIRK, NY BEDS:40 PROPRIETARY (716) WESTFIELD HEALTH CARE CENTER, INC. 26 CASS ST., WESTFIELD, NY BEDS:120 PROPRIETARY (716) Chemung County ARNOT-OGDEN MEDICAL CENTER RESIDENTIAL HEALTH CARE FACILITY ROE AVE., ELMIRA, NY BEDS:40 VOLUNTARY (607) BETHANY NURSING HOME AND HEALTH RELATED FACILITY, INC WATKINS ROAD, HORSEHEADS, NY BEDS:120 VOLUNTARY (607) Offers outpatient physical therapy. CHEMUNG COUNTY HEALTH CENTER - NURSING FACILITY 103 WASHINGTON ST., ELMIRA, NY BEDS:200 PUBLIC (607) ELCOR NURSING HOME 48 COLONIAL DRIVE, HORSEHEADS, NY BEDS:305 PROPRIETARY (607) ST. JOSEPH S HOSPITAL - SKILLED NURSING FACILITY 555 E. MARKET ST., ELMIRA, NY BEDS:31 VOLUNTARY (607) Chenango County CHASE MEMORIAL NURSING HOME CO, INC. ONE TERRACE HEIGHTS, NEW BERLIN, NY BEDS:80 VOLUNTARY (607) CHENANGO MEMORIAL HOSPITAL, INC. - SKILLED NURSING FACILITY 179 N. BROAD ST., NORWICH, NY BEDS:80 VOLUNTARY (607) NEW YORK STATE VETERANS HOME ROUTE 220 E. RIVER ROAD, OXFORD, NY BEDS:242 PUBLIC (607) PEARL AND EVERETT GILMOUR HEALTH CARE FACILITY 88 CALVARY DRIVE, NORWICH, NY BEDS:80 VOLUNTARY (607) VALLEY VIEW MANOR NURSING HOME 40 PARK ST., NORWICH, NY BEDS:82 PROPRIETARY (607)

33 Clinton County CEDAR HEDGE NURSING HOME 260 LAKE ST., ROUSES POINT, NY BEDS:60 PROPRIETARY (518) CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER SKILLED NURSING FACILITY 75 BEEKMAN ST., PLATTSBURGH, NY BEDS:54 VOLUNTARY (518) CLINTON COUNTY NURSING HOME 16 FLYNN AVE., PLATTSBURGH, NY BEDS:80 PUBLIC (518) EVERGREEN VALLEY NURSING HOME 8 BUSHEY BLVD., PLATTSBURGH, NY BEDS:89 PROPRIETARY (518) MEADOWBROOK HEALTHCARE 80 N. PROSPECT AVE., PLATTSBURGH, NY BEDS:200 PROPRIETARY (518) Columbia County ADVENTIST NURSING HOME, INC. ROUTE 9 (P.O. BOX 95), LIVINGSTON, NY BEDS:120 VOLUNTARY (518) BARNWELL NURSING HOME AND HEALTH FACILITIES, INC. CHURCH ST., VALATIE, NY BEDS:228 PROPRIETARY (518) EDEN PARK NURSING HOME 30 PROSPECT AVE., HUDSON, NY BEDS:78 PROPRIETARY (518) FIREMENS HOME OF THE STATE OF NEW YORK 125 HARRY-HOWARD AVE., HUDSON, NY BEDS:140 VOLUNTARY (518) Accepts neither Medicare nor Medicaid residents. GREEN MANOR NURSING HOME 1 GREEN MANOR AVE., GHENT, NY BEDS:120 PROPRIETARY (518) Certified for ventilator-dependent residents. PINE HAVEN HOME ROUTE 217, PHILMONT, NY BEDS:120 PUBLIC (518) Cortland County CORTLAND CARE CENTER 193 CLINTON AVE., CORTLAND, NY BEDS:120 PROPRIETARY (607)

34 CORTLAND MEMORIAL NURSING FACILITY 134 HOMER AVE., CORTLAND, NY BEDS:80 VOLUNTARY (607) HIGHGATE MANOR OF CORTLAND, INC. 28 KELLOGG ROAD, CORTLAND, NY BEDS:200 PROPRIETARY (607) Delaware County DELAWARE COUNTY COUNTRYSIDE CARE CENTER RD #1, BOX 417, DELHI, NY BEDS:199 PUBLIC (607) MOUNTAINSIDE RESIDENTIAL CARE CENTER ROUTE 28, MARGARETVILLE, NY BEDS:80 VOLUNTARY (914) ROBINSON TERRACE HARPER ST., STAMFORD, NY BEDS:122 VOLUNTARY (607) THE HOSPITAL SKILLED NURSING FACILITY 43 PEARL ST. WEST, SIDNEY, NY BEDS:40 PUBLIC (607) Dutchess County BAPTIST HOME OF BROOKLYN, NY 198 ROUTE 308, RHINEBECK, NY BEDS:120 VOLUNTARY (914) DUTCHESS COUNTY HEALTH CARE FACILITY OAK SUMMIT ROAD, MILLBROOK, NY BEDS:62 PUBLIC (914) EDEN PARK NURSING HOME 100 FRANKLIN ST., POUGHKEEPSIE, NY BEDS:192 PROPRIETARY (914) FERNCLIFF NURSING HOME CO., INC. 52 RIVER ROAD, RHINEBECK, NY BEDS:328 VOLUNTARY (914) FISHKILL HEALTH RELATED CENTER, INC. 130 NORTH ROAD, BEACON, NY BEDS:160 PROPRIETARY (914) HUDSON HAVEN CARE CENTER 37 MESIER AVE., WAPPINGERS FALLS, NY BEDS:62 PROPRIETARY (914)

35 HYDE PARK NURSING HOME, INC. ROUTE 9, STAATSBURG, NY BEDS:120 PROPRIETARY (914) LOVELY HILL NURSING HOME ROUTE 22 & RESERVOIR ROAD, PAWLING, NY BEDS:122 PROPRIETARY (914) NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY, INC. 12 SPRINGBROOK AVE., RHINEBECK, NY BEDS:100 VOLUNTARY (914) VICTORY LAKE NURSING CENTER 101 N. QUAKER LANE, HYDE PARK, NY BEDS:120 VOLUNTARY (914) WINGATE OF DUTCHESS 3 SUMMIT COURT, FISHKILL, NY BEDS:160 PROPRIETARY (914) Certified for ventilator-dependent residents. Erie County AMHERST HEALTH CARE CENTER 4459 BAILEY AVE., AMHERST, NY BEDS:83 PROPRIETARY (716) ARBOR PARK HEALTH CARE CENTER, INC GEORGE ST., EDEN, NY BEDS:40 PROPRIETARY (716) AURORA PARK HEALTH CARE CENTER, INC. 292 MAIN ST., EAST AURORA, NY BEDS:320 PROPRIETARY (716) Offers outpatient occupational therapy, physical therapy and speech pathology. AUTUMN VIEW MANOR S 4650 SOUTHWESTERN BLVD., HAMBURG, NY BEDS:160 PROPRIETARY (716) BEECHWOOD NURSING HOME 100 STAHL ROAD, GETZVILLE, NY BEDS:122 VOLUNTARY (716) BEECHWOOD RESIDENCE 2235 MILLERSPORT HIGHWAY, GETZVILLE, NY BEDS:157 VOLUNTARY (716) Offers outpatient occupational therapy, physical therapy and speech pathology. BROTHERS OF MERCY NURSING AND REHABILITATION CENTER BERGTOLD ROAD, CLARENCE, NY BEDS:240 VOLUNTARY (716)

36 BUFFALO GENERAL HOSPITAL DEACONESS SKILLED NURSING FACILITY DIVISION 1001 HUMBOLDT PARKWAY, BUFFALO, NY BEDS:242 VOLUNTARY (716) Certified for ventilator-dependent residents. Special children s unit. DELAWARE HEIGHTS HEALTH CARE CENTER 1014 DELAWARE AVE., BUFFALO, NY BEDS:200 PROPRIETARY (716) EPISCOPAL RESIDENTIAL HEALTH CARE FACILITY, INC. 24 RHODE ISLAND ST., BUFFALO, NY BEDS:172 VOLUNTARY (716) ERIE COUNTY HOME WALDEN AVE., ALDEN, NY BEDS:638 PUBLIC (716) ERIE COUNTY MEDICAL CENTER SKILLED NURSING FACILITY 462 GRIDER ST., BUFFALO, NY BEDS:120 PUBLIC (716) Certified for ventilator-dependent residents. FATHER BAKER MANOR 6400 POWERS ROAD, ORCHARD PARK, NY BEDS:160 VOLUNTARY (716) FIDDLERS GREEN MANOR NURSING HOME 168 W. MAIN ST., SPRINGVILLE, NY BEDS:82 PROPRIETARY (716) GARDEN GATE MANOR 2365 UNION ROAD, CHEEKTOWAGA, NY BEDS:160 PROPRIETARY (716) LAKEWOOD HEALTH CARE CENTER, INC MAELOU DRIVE, HAMBURG, NY BEDS:160 PROPRIETARY (716) HARRIS HILL NURSING FACILITY 2699 WHERLE DRIVE, WILLIAMSVILLE, NY BEDS:162 PROPRIETARY (716) HEATHWOOD HEALTH CARE CENTER, INC. 815 HOPKINS ROAD, WILLIAMSVILLE, NY BEDS:160 PROPRIETARY (716) JENNIE B. RICHMOND CHAFFEE NURSING HOME CO., INC. 222 E. MAIN ST., SPRINGVILLE, NY BEDS:80 VOLUNTARY 31

37 (716) KRESGE RESIDENCE 225 COMO PARK BLVD., CHEEKTOWAGA, NY BEDS:40 VOLUNTARY (716) Designated AIDS facility. LINWOOD HEALTH CARE CENTER, INC COMO PARK BLVD., LANCASTER, NY BEDS:89 PROPRIETARY (716) MANOR OAK SKILLED NURSING FACILITIES, INC HARLEM ROAD, CHEEKTOWAGA, NY BEDS:158 PROPRIETARY (716) MAPLEWOOD HEALTH CARE CENTER, INC. 225 BENNETT ROAD, CHEEKTOWAGA, NY BEDS:160 PROPRIETARY (716) MCAULEY RESIDENCE 2950 ELMWOOD AVE., KENMORE, NY BEDS:160 VOLUNTARY (716) MERCY HOSPITAL SKILLED NURSING FACILITY 565 ABBOTT ROAD, BUFFALO, NY BEDS:74 VOLUNTARY (716) MILLARD FILLMORE SKILLED NURSING FACILITY 3 GATES CIRCLE, BUFFALO, NY BEDS:75 VOLUNTARY (716) NAZARETH NURSING HOME 291 W. NORTH ST., BUFFALO, NY BEDS:125 VOLUNTARY (716) NIAGARA LUTHERAN DELAWARE HOME, INC DELAWARE AVE., BUFFALO, NY BEDS:134 VOLUNTARY (716) NIAGARA LUTHERAN HOME AND REHABILITATION CENTER, INC. 64 HAGER ST., BUFFALO, NY BEDS:177 VOLUNTARY (716) OAKWOOD HEALTH CARE CENTER, INC. 200 BASSETT ROAD, WILLIAMSVILLE, NY BEDS:200 PROPRIETARY (716) ORCHARD PARK HEALTH CARE CENTER, INC ARMOR ROAD, ORCHARD PARK, NY BEDS:202 PROPRIETARY (716) OUR LADY OF VICTORY HEAD TRAUMA REHABILITATION UNIT 55 MELROY AT RIDGE ROAD, LACKAWANNA, NY BEDS:10 VOLUNTARY (716) RIDGE VIEW MANOR NURSING HOME 300 DORRANCE AVE., BUFFALO, NY BEDS:120 PROPRIETARY 32

38 (716) RIVERWOOD HEALTH CARE CENTER, INC GRAND ISLAND BLVD., GRAND ISLAND, NY BEDS:80 PROPRIETARY (716) ROSA COPLON JEWISH HOME AND INFIRMARY 2700 N. FOREST ROAD, GETZVILLE, NY BEDS:180 VOLUNTARY (716) SCHOFIELD RESIDENCE 3333 ELMWOOD AVE., KENMORE, NY BEDS:120 VOLUNTARY (716) SENECA MANOR 2987 SENECA ST., WEST SENECA, NY BEDS:160 PROPRIETARY (716) SHERIDAN MANOR NURSING HOME 2799 SHERIDAN DRIVE, TONAWANDA, NY BEDS:100 PROPRIETARY (716) ST. ANDREW S PRESBYTERIAN MANOR 1205 DELAWARE AVE., BUFFALO, NY BEDS:91 VOLUNTARY (716) ST. CATHERINE LABOURE HEALTH CARE CENTER 2157 MAIN ST., BUFFALO, NY BEDS:80 VOLUNTARY (716) ST. FRANCIS GERIATRIC AND HEALTH CARE SERVICES 2827 MAIN ST., BUFFALO, NY BEDS:120 VOLUNTARY (716) ST. FRANCIS HOME OF WILLIAMSVILLE 147 REIST ST., WILLIAMSVILLE, NY BEDS:142 VOLUNTARY (716) ST. LUKE S PRESBYTERIAN NURSING CENTER 1175 DELAWARE AVE., BUFFALO, NY BEDS:122 VOLUNTARY (716) THE GARDENS AT MANHATTAN HEALTH AND REHABILITATION CENTER 300 MANHATTAN AVE., BUFFALO, NY BEDS:125 PROPRIETARY (716) WATERFRONT HEALTH CARE CENTER 200 SEVENTH ST., BUFFALO, NY BEDS:160 VOLUNTARY (716) WILLIAMSVILLE SUBURBAN NURSING HOME 193 S. UNION ROAD, WILLIAMSVILLE, NY BEDS:80 PROPRIETARY (716) WILLIAMSVILLE VIEW MANOR 165 S. UNION ROAD, WILLIAMSVILLE, NY BEDS:140 PROPRIETARY (716)

39 Essex County HORACE NYE HOME PARK ST., ELIZABETHTOWN, NY BEDS:100 PUBLIC (518) MOSES-LUDINGTON NURSING HOME COMPANY, INC. WICKER ST., TICONDEROGA, NY BEDS:40 VOLUNTARY (518) UIHLEIN MERCY CENTER 420 OLD MILITARY ROAD, LAKE PLACID, NY BEDS:156 VOLUNTARY (518) Franklin County ALICE HYDE HOSPITAL ASSOCIATION ALICE HYDE NURSING HOME 115 PARK ST., MALONE, NY BEDS:75 VOLUNTARY (518) FRANKLIN COUNTY NURSING HOME ROUTE 30, FINNEY BLVD., MALONE, NY BEDS:80 PUBLIC (518) MERCY HEALTHCARE CENTER, INC. 114 WAWBEEK AVE., TUPPER LAKE, NY BEDS:80 VOLUNTARY (518) Fulton County FULTON COUNTY INFIRMARY 847 COUNTY HIGHWAY 122, GLOVERSVILLE, NY BEDS:176 PUBLIC (518) NATHAN LITTAUER HOSPITAL NURSING HOME 99 E. STATE ST., GLOVERSVILLE, NY BEDS:84 VOLUNTARY (518) WELLS NURSING HOME, INC. 201 W. MADISON AVE., JOHNSTOWN, NY BEDS:60 VOLUNTARY (518) Offers outpatient physical therapy. Genesee County BATAVIA NURSING HOME, INC. 257 STATE ST., BATAVIA, NY BEDS:62 PROPRIETARY (716)

40 GENESEE COUNTY NURSING HOME 278 BANK ST., BATAVIA, NY BEDS:160 PUBLIC (716) LEROY VILLAGE GREEN RESIDENTIAL HEALTH CARE FACILITY, INC. 10 MUNSON ST., LEROY, NY BEDS:140 PROPRIETARY (716) ST. LUKE MANOR OF BATAVIA 17 WIARD ST., BATAVIA, NY BEDS:20 VOLUNTARY (716) WESTERN NEW YORK STATE VETERANS HOME (BATAVIA) 220 RICHMOND AVE., BATAVIA, NY BEDS:126 PUBLIC (716) Greene County COLUMBIA-GREENE LONG TERM CARE 161 JEFFERSON HEIGHTS, CATSKILL, NY BEDS:120 VOLUNTARY (518) EDEN PARK NURSING HOME 154 JEFFERSON HEIGHTS, CATSKILL, NY BEDS:136 PROPRIETARY (518) Herkimer County FOLTS HOME 104 N. WASHINGTON ST., HERKIMER, NY BEDS:163 VOLUNTARY (315) LITTLE FALLS HOSPITAL 140 BURWELL ST., LITTLE FALLS, NY BEDS:34 VOLUNTARY (315) MOHAWK VALLEY NURSING HOME, INC. 99 SIXTH AVE., ILION, NY BEDS:120 VOLUNTARY (315) VALLEY HEALTH SERVICES, INC. 690 W. GERMAN ST., HERKIMER, NY BEDS:160 VOLUNTARY (315) Offers outpatient physical therapy. VAN ALLEN NURSING HOME 755 E. MONROE ST., LITTLE FALLS, NY BEDS:80 PROPRIETARY (315)

41 Jefferson County CARTHAGE AREA HOSPITAL 1001 W. STREET ROAD, CARTHAGE, NY BEDS:30 VOLUNTARY (315) EDWARD JOHN NOBLE HOSPITAL OF ALEXANDRIA BAY FULLER ST., ALEXANDRIA BAY, NY BEDS:27 VOLUNTARY (315) Offers outpatient speech pathology. HALLMARK NURSING CENTRE, INC WEST ST., CARTHAGE, NY BEDS:90 PROPRIETARY (315) MADONNA HOME OF MERCY HOSPITAL OF WATERTOWN 218 STONE ST., WATERTOWN, NY BEDS:300 VOLUNTARY (315) SAMARITAN KEEP NURSING HOME, INC. 133 PRATT ST., WATERTOWN, NY BEDS:272 VOLUNTARY (315) Lewis County LEWIS COUNTY GENERAL HOSPITAL-NURSING HOME UNIT 7785 N. STATE ST., LOWVILLE, NY BEDS:160 PUBLIC (315) Livingston County AVON NURSING HOME 215 CLINTON ST., AVON, NY BEDS:40 PROPRIETARY (716) CONESUS LAKE NURSING HOME 6131 BIG TREE RD., BOX F, LIVONIA, NY BEDS:48 PROPRIETARY (716) LIVINGSTON COUNTY CAMPUS SKILLED NURSING FACILITY LIVINGSTON COUNTY CAMPUS BUILDING #1 MT. MORRIS, NY BEDS:184 PUBLIC (716) LIVINGSTON COUNTY SKILLED NURSING FACILITY 4223 LAKEVILLE ROAD, GENESEO, NY BEDS:130 PUBLIC (716) Offers outpatient physical therapy. 36

42 Madison County COMMUNITY MEMORIAL HOSPITAL, INC. NURSING HOME UNIT 150 BROAD ST., HAMILTON, NY BEDS:40 VOLUNTARY (315) CROUSE COMMUNITY CENTER, INC. 101 SOUTH ST., MORRISVILLE, NY BEDS:120 VOLUNTARY (315) ONEIDA HEALTHCARE CENTER 323 GENESEE ST., ONEIDA, NY BEDS:160 VOLUNTARY (315) Certified for ventilator-dependent residents. STONEHEDGE NURSING HOME CHITTENANGO, INC. 331 RUSSELL ST., CHITTENANGO, NY BEDS:80 PROPRIETARY (315) Monroe County ARBOR HILL LIVING CENTER 1175 MONROE AVE., ROCHESTER, NY BEDS:161 PROPRIETARY (716) BAIRD NURSING HOME 2150 ST. PAUL ST., ROCHESTER, NY BEDS:28 PROPRIETARY (716) Accepts neither Medicare nor Medicaid residents. BEECHWOOD SANITARIUM 900 CULVER ROAD, ROCHESTER, NY BEDS:80 PROPRIETARY (716) BLOSSOM NURSING HOME 989 BLOSSOM ROAD, ROCHESTER, NY BEDS:80 PROPRIETARY (716) BRAE LOCH MANOR 1290 LAKE AVE., ROCHESTER, NY BEDS:98 PROPRIETARY (716) CHURCH HOME OF THE PROTESTANT EPISCOPAL CHURCH 505 MT. HOPE AVE., ROCHESTER, NY BEDS:182 VOLUNTARY (716) Offers outpatient occupational therapy, physical therapy and speech pathology. CREST MANOR NURSING HOME 6745 PITTSFORD-PALMYRA ROAD, FAIRPORT, NY BEDS:80 PROPRIETARY (716)

43 EDNA TINA WILSON LIVING CENTER 700 ISLAND COTTAGE ROAD, ROCHESTER, NY BEDS:120 VOLUNTARY (716) FAIRPORT BAPTIST HOMES 4646 NINE MILE POINT ROAD, FAIRPORT, NY BEDS:196 VOLUNTARY (716) GENESEE HOSPITAL EXTENDED CARE FACILITY 224 ALEXANDER ST., ROCHESTER, NY BEDS:40 VOLUNTARY (716) HAMILTON MANOR NURSING HOME 1172 LONG POND ROAD, ROCHESTER, NY BEDS:40 PROPRIETARY (716) HILL HAVEN NURSING HOME 1550 EMPIRE BLVD., WEBSTER, NY BEDS:355 VOLUNTARY (716) JEWISH HOME AND INFIRMARY OF ROCHESTER, NY, INC WINTON ROAD SOUTH, ROCHESTER, NY BEDS:362 VOLUNTARY (716) Offers outpatient occupational therapy, physical therapy and speech pathology. KIRKHAVEN 254 ALEXANDER ST., ROCHESTER, NY BEDS:147 VOLUNTARY (716) Offers outpatient occupational therapy and physical therapy. LAKESHORE NURSING HOME 425 BEACH AVE., ROCHESTER, NY BEDS:229 PROPRIETARY (716) LAKESIDE/BEIKIRCH CARE CENTER, INC. 122 WEST AVE., BROCKPORT, NY BEDS:87 VOLUNTARY (716) LATTA ROAD NURSING HOME 2100 LATTA ROAD, ROCHESTER, NY BEDS:40 PROPRIETARY (716) LATTA ROAD NURSING HOME A 2102 LATTA ROAD, ROCHESTER, NY BEDS:40 PROPRIETARY (716) MAPLEWOOD NURSING HOME, INC. 100 DANIEL DRIVE, WEBSTER, NY BEDS:72 PROPRIETARY (716) MONROE COMMUNITY HOSPITAL 435 E. HENRIETTA ROAD, ROCHESTER, NY BEDS:566 PUBLIC (716) Certified for ventilator-dependent residents. Special children s unit. 38

44 NORLOCH MANOR 1140 NORTON ST., ROCHESTER, NY BEDS:42 PROPRIETARY (716) NORTONIAN NURSING HOME 1335 PORTLAND AVE., ROCHESTER, NY BEDS:120 PROPRIETARY (716) PARK HOPE NURSING HOME 1556 MT. HOPE AVE., ROCHESTER, NY BEDS:120 VOLUNTARY (716) PARK RIDGE NURSING HOME 1555 LONG POND ROAD, ROCHESTER, NY BEDS:120 VOLUNTARY (716) PENFIELD PLACE 1700 PENFIELD ROAD, PENFIELD, NY BEDS:48 PROPRIETARY (716) ST. ANN S HOME FOR THE AGED 1500 PORTLAND AVE., ROCHESTER, NY BEDS:354 VOLUNTARY (716) Offers outpatient occupational therapy, physical therapy and speech pathology. ST. ANN S NURSING HOME CO., INC.-THE HERITAGE 1500 PORTLAND AVE., ROCHESTER, NY BEDS:237 VOLUNTARY (716) ST. JOHN S HEALTH CARE CORPORATION 150 HIGHLAND AVE., ROCHESTER, NY BEDS:471 VOLUNTARY (716) Offers outpatient occupational therapy, physical therapy and speech pathology. THE BRIGHTONIAN, INC ELMWOOD AVE., ROCHESTER, NY BEDS:54 PROPRIETARY (716) THE FRIENDLY HOME 3156 EAST AVE., ROCHESTER, NY BEDS:204 VOLUNTARY (716) THE HIGHLANDS LIVING CENTER 500 HAHNEMANN TRAIL, PITTSFORD, NY BEDS:120 VOLUNTARY (716) THE HURLBUT 1177 E. HENRIETTA ROAD, ROCHESTER, NY BEDS:160 PROPRIETARY (716) THE MEADOWS AT WESTFALL 5901 LAC DE VILLE BLVD., ROCHESTER, NY BEDS:145 VOLUNTARY (716) Certified for ventilator-dependent residents. 39

45 WEDGEWOOD NURSING HOME 5 CHURCH ST., SPENCERPORT, NY BEDS:29 PROPRIETARY (716) WESLEY GARDENS NURSING HOME 8 N. GOODMAN ST., ROCHESTER, NY BEDS:200 VOLUNTARY (716) WESLEY-ON-EAST, LTD. 630 EAST AVE., ROCHESTER, NY BEDS:95 VOLUNTARY (716) WESTGATE NURSING HOME 525 BEAHAN ROAD, ROCHESTER, NY BEDS:124 PROPRIETARY (716) WOODSIDE MANOR NURSING HOME, INC CLINTON AVE. SOUTH, ROCHESTER, NY BEDS:44 PROPRIETARY (716) Montgomery County AMSTERDAM MEMORIAL HOSPITAL SKILLED NURSING FACILITY 4988 STATE HIGHWAY 30, AMSTERDAM, NY BEDS:160 VOLUNTARY (518) MONTGOMERY MEADOWS RESIDENTIAL HEALTH CARE FACILITY 100 SANDY DRIVE, AMSTERDAM, NY BEDS:120 PUBLIC (518) MT. LORETTO NURSING HOME, INC. 302 SWART HILL ROAD, AMSTERDAM, NY BEDS:120 VOLUNTARY (518) PALATINE NURSING HOME UPPER LAFAYETTE ST., PALATINE BRIDGE, NY BEDS:70 PROPRIETARY (518) ST. JOHNSVILLE NURSING HOME 7 TIMMERMAN AVE., ST. JOHNSVILLE, NY BEDS:120 PROPRIETARY (518) Nassau County A. HOLLY PATTERSON GERIATRIC CENTER 875 JERUSALEM AVE., UNIONDALE, NY BEDS:889 PUBLIC (516) Certified AIDS unit. Certified for ventilator-dependent residents. BAYVIEW NURSING HOME ONE LONG BEACH ROAD, ISLAND PARK, NY BEDS:185 VOLUNTARY (516) Special children s unit. 40

46 BEACH TERRACE CARE CENTER 640 W. BROADWAY, LONG BEACH, NY BEDS:182 PROPRIETARY (516) BELAIR CARE CENTER, INC JERUSALEM AVE., NORTH BELLMORE, NY BEDS:102 PROPRIETARY (516) CENTRAL ISLAND HEALTHCARE 825 OLD COUNTRY ROAD, PLAINVIEW, NY BEDS:202 PROPRIETARY (516) EAST ROCKAWAY PROGRESSIVE CARE 243 ATLANTIC AVE., LYNBROOK, NY BEDS:100 PROPRIETARY (516) FOREST MANOR HEALTH RELATED FACILITY 6 MEDICAL PLAZA, GLEN COVE, NY BEDS:148 PROPRIETARY (516) FRANKLIN HOSPITAL MEDICAL CENTER 900 FRANKLIN AVE., VALLEY STREAM, NY BEDS:120 VOLUNTARY (516) GLENGARIFF CORP. DOSORIS LANE, GLEN COVE, NY BEDS:262 PROPRIETARY (516) GRACE PLAZA OF GREAT NECK, INC. 15 ST. PAULS PLACE, GREAT NECK, NY BEDS:214 PROPRIETARY (516) HEMPSTEAD PARK NURSING HOME 800 FRONT ST., HEMPSTEAD, NY BEDS:251 PROPRIETARY (516) LONG BEACH GRANDELL 645 W. BROADWAY, LONG BEACH, NY BEDS:278 PROPRIETARY (516) MAYFAIR CARE CENTER 100 BALDWIN ROAD, HEMPSTEAD, NY BEDS:200 PROPRIETARY (516) MEADOWBROOK CARE CENTER, INC. 320 W. MERRICK RD., FREEPORT, NY BEDS:280 PROPRIETARY (516) MONTCLAIR NURSING HOME 2 MEDICAL PLAZA, GLEN COVE, NY BEDS:102 PROPRIETARY (516) NASSAU EXTENDED CARE CENTER GREENWICH & PENNISULA BLVD., HEMPSTEAD, NY BEDS: 280 (516) PROPRIETARY 41

47 NORTH SHORE UNIVERSITY HOSPITAL CENTER FOR EXTENDED CARE AND REHABILITATION 300 COMMUNITY DRIVE, MANHASSET, NY BEDS:256 VOLUNTARY (516) OCEANSIDE CARE CENTER, INC LINCOLN AVE., OCEANSIDE, NY BEDS:100 PROPRIETARY (516) PARK VIEW NURSING HOME, INC MERRICK ROAD, MASSAPEQUA, NY BEDS:169 PROPRIETARY (516) ROCKVILLE NURSING CENTER, INC. 41 MAINE AVE., ROCKVILLE CENTRE, NY BEDS:158 PROPRIETARY (516) ROCKVILLE RESIDENCE MANOR 50 MAINE AVE., ROCKVILLE CENTRE, NY BEDS:66 PROPRIETARY (516) SANDS POINT NURSING HOME 1440 PORT WASHINGTON BLVD. PORT WASHINGTON, NY BEDS:130 PROPRIETARY (516) SOUTH SHORE HEALTHCARE 275 W. MERRICK ROAD, FREEPORT, NY BEDS:100 PROPRIETARY (516) SUNHARBOR MANOR 255 WARNER AVE., ROSLYN HEIGHTS, NY BEDS:266 PROPRIETARY (516) THE KOMANOFF CENTER FOR GERIATRIC AND REHABILITATION MEDICINE 375 E. BAY DR., LONG BEACH, NY BEDS:200 VOLUNTARY (516) TOWNHOUSE EXTENDED CARE CENTER 755 HEMPSTEAD TURNPIKE, UNIONDALE, NY BEDS:280 PROPRIETARY (516) UNITED PRESBYTERIAN HOME AT SYOSSET, INC. 378 SYOSSET-WOODBURY ROAD, WOODBURY, NY BEDS:672 VOLUNTARY (516) WEDGEWOOD CARE CENTER, INC. 199 COMMUNITY DRIVE, GREAT NECK, NY BEDS:200 PROPRIETARY (516) WHITE OAKS NURSING HOME 8565 JERICHO TURNPIKE, WOODBURY, NY BEDS:200 PROPRIETARY (516) WOODBURY NURSING HOME 8533 JERICHO TURNPIKE, WOODBURY, NY BEDS:123 PROPRIETARY (516)

48 WOODMERE REHABILITATION AND HEALTH CARE CENTER, INC. 121 FRANKLIN PLACE, WOODMERE, NY BEDS:336 PROPRIETARY (516) Niagara County BRIODY HEALTH CARE FACILITY 909 LINCOLN AVE., LOCKPORT, NY BEDS:82 PROPRIETARY (716) Offers outpatient occupational therapy, physical therapy and speech pathology. CRESTWOOD HEALTH CARE CENTER, INC NIAGARA FALLS BLVD., NIAGARA FALLS, NY BEDS:160 PROPRIETARY (716) DEGRAFF MEMORIAL HOSPITAL SKILLED NURSING FACILITY 445 TREMONT ST., NORTH TONAWANDA, NY BEDS:80 VOLUNTARY (716) FAIRCHILD MANOR NURSING HOME 765 FAIRCHILD PLACE, LEWISTON, NY BEDS:100 PROPRIETARY (716) MOUNT VIEW HEALTH FACILITY 5465 UPPER MOUNTAIN ROAD, LOCKPORT, NY BEDS:172 PUBLIC (716) MT. ST. MARY S LONG TERM CARE FACILITY, INC MAIN ST., NIAGARA FALLS, NY BEDS:131 VOLUNTARY (716) NEWFANE HEALTH FACILITY 2709 TRANSIT ROAD, NEWFANE, NY BEDS:175 PROPRIETARY (716) NIAGARA GERIATRIC CENTER, INC. 822 CEDAR AVE., NIAGARA FALLS, NY BEDS:160 PROPRIETARY (716) NORTH GATE MANOR 7264 NASH ROAD, WHEATFIELD, NY BEDS:200 PROPRIETARY (716) ODD FELLOW AND REBEKAH HEALTH CARE FACILITY 104 OLD NIAGARA ROAD, LOCKPORT, NY BEDS:120 VOLUNTARY (716) SCHOELLKOPF HEALTH CENTER 621 TENTH ST., NIAGARA FALLS, NY BEDS:120 VOLUNTARY (716) ST. CLARE MANOR 543 LOCUST ST., LOCKPORT, NY BEDS:28 VOLUNTARY (716)

49 ST. MARY S MANOR 515 6TH ST., NIAGARA FALLS, NY BEDS:119 VOLUNTARY (716) VILLAGE PARK HEALTH CARE CENTER, INC LINCOLN DRIVE, GASPORT, NY BEDS:83 PROPRIETARY (716) Oneida County BETSY ROSS HEALTH RELATED FACILITY ELSIE ST.-CEDARBROOK LANE, ROME, NY BEDS:120 PROPRIETARY (315) CHARLES T. SITRIN HEALTH CARE CENTER, INC. BOX 1000, TILDEN AVE., NEW HARTFORD, NY BEDS:172 VOLUNTARY (315) EASTERN STAR HOME AND INFIRMARY 8290 STATE ROUTE 69 (P.O. BOX S), ORISKANY, NY BEDS:84 VOLUNTARY (315) EDEN PARK NURSING HOME 1800 BUTTERFIELD AVE., UTICA, NY BEDS:117 PROPRIETARY (315) HARDING NURSING HOME 220 TOWER ST., WATERVILLE, NY BEDS:92 PROPRIETARY (315) HEALTH RELATED FACILITY AND NURSING HOME CO. OF ROME, INC. 800 W. CHESTNUT ST., ROME, NY BEDS:100 VOLUNTARY (315) Accepts Medicaid but not Medicare. HERITAGE HOME 1657 SUNSET AVE., UTICA, NY BEDS:220 VOLUNTARY (315) KATHERINE LUTHER HOME 110 UTICA ROAD, CLINTON, NY BEDS:120 VOLUNTARY (315) LORETTO-UTICA NURSING HOME 1445 KEMBLE ST., UTICA, NY BEDS:120 VOLUNTARY (315) MARTIN LUTHER NURSING HOME, INC. 110 UTICA ROAD, CLINTON, NY BEDS:160 VOLUNTARY (315) MASONIC HOME AND HEALTH FACILITY 2150 BLEECKER ST., UTICA, NY BEDS:388 VOLUNTARY (315)

50 PRESBYTERIAN HOME FOR CENTRAL NEW YORK, INC. MIDDLE SETTLEMENT ROAD, NEW HARTFORD, NY BEDS:242 VOLUNTARY (315) ROME MEMORIAL HOSPITAL, INC. - RESIDENTIAL HEALTH CARE FACILITY 1500 N. JAMES ST., ROME, NY BEDS:80 VOLUNTARY (315) ROME NURSING HOME 950 FLOYD AVE., ROME, NY BEDS:80 PROPRIETARY (315) ST. JOSEPH NURSING HOME CO. OF UTICA 2535 GENESEE ST., UTICA, NY BEDS:120 VOLUNTARY (315) ST. LUKE S HOME 1650 CHAMPION AVE., NEW HARTFORD, NY BEDS:160 VOLUNTARY (315) ST. LUKE S-MEMORIAL HOSPITAL CENTER ALLEN CALDER BOX 479, UTICA, NY BEDS:124 VOLUNTARY (315) Provides adult day health care programs at offsite location (2521 Sunset Avenue, Utica, NY 13503). STONEHEDGE NURSING HOME ROME, INC. 801 N. JAMES ST., ROME, NY BEDS:160 PROPRIETARY (315) SUNSET NURSING HOME, INC. 232 ACADEMY ST., BOONVILLE, NY BEDS:120 PROPRIETARY (315) Onondaga County BIRCHWOOD HEALTH CARE CENTER, INC BEAR ROAD, LIVERPOOL, NY BEDS:160 PROPRIETARY (315) CASTLE REST NURSING HOME 116 E. CASTLE ST., SYRACUSE, NY BEDS:140 PROPRIETARY (315) COMMUNITY GENERAL HOSPITAL OF GREATER SYRACUSE NURSING HOME UNIT BROAD ROAD, SYRACUSE, NY BEDS:50 VOLUNTARY (315) HALLMARK NURSING CENTRE, INC. 217 EAST AVE., MINOA, NY BEDS:82 PROPRIETARY (315)

51 HILL PARK HEALTH CARE CENTER, INC E. GENESEE ST., SYRACUSE, NY BEDS:121 PROPRIETARY (315) IROQUOIS NURSING HOME, INC SOUTHWOOD HEIGHTS DRIVE JAMESVILLE, NY BEDS:160 VOLUNTARY (315) Certified for ventilator-dependent residents. JAMES SQUARE HEALTH & REHABILITATION CENTRE 918 JAMES ST., SYRACUSE, NY BEDS:455 PROPRIETARY (315) Certified for ventilator-dependent residents. JEWISH HOME OF CENTRAL NEW YORK 4101 E. GENESEE ST., SYRACUSE, NY BEDS:151 VOLUNTARY (315) LORETTO GERIATRIC CENTER 700 E. BRIGHTON AVE., SYRACUSE, NY BEDS:520 VOLUNTARY (315) NOTTINGHAM RESIDENTIAL CARE HEALTH FACILITY 1305 NOTTINGHAM RD., JAMESVILLE, NY BEDS:40 VOLUNTARY (315) PLAZA NURSING HOME CO., INC. 614 S. CROUSE AVE., SYRACUSE, NY BEDS:242 VOLUNTARY (315) ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY 813 FAY ROAD, SYRACUSE, NY BEDS:290 VOLUNTARY (315) Certified to provide special services for people with traumatic brain injury. SUNNYSIDE NURSING HOME 7000 COLLAMER ROAD, EAST SYRACUSE, NY BEDS:80 PROPRIETARY (315) SYRACUSE HOME ASSOCIATION 7740 MEIGS ROAD, BALDWINSVILLE, NY BEDS:120 VOLUNTARY (315) VAN DUYN HOME AND HOSPITAL 5075 W. SENECA TURNPIKE, SYRACUSE, NY BEDS:526 PUBLIC (315)

52 Ontario County CLIFTON SPRINGS HOSPITAL AND CLINIC EXTENDED CARE 2 COULTER ROAD, CLIFTON SPRINGS, NY BEDS:108 VOLUNTARY (315) Certified for ventilator-dependent residents. ELM MANOR NURSING HOME 210 N. MAIN ST., CANANDAIGUA, NY BEDS:46 PROPRIETARY (716) F.F. THOMPSON CONTINUING CARE CENTER, INC. 350 PARRISH ST., CANANDAIGUA, NY BEDS:188 VOLUNTARY (716) LIVING CENTER AT GENEVA - NORTH NORTH ST., GENEVA, NY BEDS:80 VOLUNTARY (315) LIVING CENTER AT GENEVA - SOUTH NORTH ST., GENEVA, NY BEDS:103 VOLUNTARY (315) ONTARIO COUNTY HEALTH FACILITY 3893 COUNTY ROAD #46, CANANDAIGUA, NY BEDS:98 PUBLIC (716) Orange County ARDEN HILL LIFE CARE CENTER 6 HARRIMAN DRIVE, GOSHEN, NY BEDS:120 VOLUNTARY (914) CAMPBELL HALL HEALTH CARE CENTER, INC. 23 KIERNAN RD., CAMPBELL HALL, NY BEDS:134 PROPRIETARY (914) GLEN ARDEN, INC. 6 HARRIMAN DR., GOSHEN, NY BEDS:40 VOLUNTARY (914) MERCY COMMUNITY HOSPITAL OF PORT JERVIS 160 E. MAIN ST., PORT JERVIS, NY BEDS:46 VOLUNTARY (914) MIDDLETOWN PARK MANOR 105 DUNNING ROAD, MIDDLETOWN, NY BEDS:250 PROPRIETARY (914)

53 MONTGOMERY NURSING HOME ALBANY POST ROAD, MONTGOMERY, NY BEDS:100 PROPRIETARY (914) ORANGE COUNTY HOME AND INFIRMARY QUARRY ROAD, PO BOX 59, GOSHEN, NY BEDS:520 PUBLIC (914) SCHERVIER PAVILION 20 GRAND ST., WARWICK, NY BEDS:120 VOLUNTARY (914) ST. TERESA S NURSING HOME, INC. 120 HIGHLAND AVE., MIDDLETOWN, NY BEDS:98 VOLUNTARY (914) SYLCOX HEALTH CARE FACILITIES 56 MEADOW HILL ROAD, NEWBURGH, NY BEDS:190 PROPRIETARY (914) Orleans County MEDINA MEMORIAL HOSPITAL SKILLED NURSING FACILITY 500 OHIO ST., MEDINA, NY BEDS:30 VOLUNTARY (716) ORCHARD MANOR, INC. 600 BATES ROAD, MEDINA, NY BEDS:160 VOLUNTARY (716) ORLEANS COUNTY NURSING HOME ROUTE 31, ALBION, NY BEDS:135 PUBLIC (716) Oswego County ANDREW MICHAUD NURSING HOME 450 S. FOURTH ST., FULTON, NY BEDS:89 PUBLIC (315) LORETTO HEIGHTS 132 ELLEN ST., OSWEGO, NY BEDS:120 VOLUNTARY (315) OSWEGO HOSPITAL EXTENDED CARE FACILITY 110 W. 6TH ST., OSWEGO, NY BEDS:38 VOLUNTARY (315) PONTIAC NURSING HOME EAST RIVER ROAD, OSWEGO, NY BEDS:80 PROPRIETARY (315)

54 ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC. 299 EAST RIVER ROAD, OSWEGO, NY BEDS:200 VOLUNTARY (315) SUNRISE NURSING HOME 17 SUNRISE DRIVE, OSWEGO, NY BEDS:120 PROPRIETARY (315) Otsego County AURELIA OSBORN FOX MEMORIAL HOSPITAL ONE NORTON AVE., ONEONTA, NY BEDS:130 VOLUNTARY (607) ONEONTA NURSING HOME 330 CHESTNUT ST., ONEONTA, NY BEDS:80 PROPRIETARY (607) THE MEADOWS RD #4, COOPERSTOWN, NY BEDS:174 PUBLIC (607) Putnam County PUTNAM NURSING AND REHABILITATION CENTER LUDINGTONVILLE ROAD, HOLMES, NY BEDS:160 PROPRIETARY (914) Rensselaer County EDEN PARK HEALTH CARE CENTER 1070 LUTHER ROAD, EAST GREENBUSH, NY (518) BEDS:240 PROPRIETARY HALLMARK NURSING CENTRE 49 MARVIN AVE., TROY, NY BEDS:80 PROPRIETARY (518) HERITAGE HOUSE NURSING CENTER, INC TIBBITS AVE., TROY, NY BEDS:120 VOLUNTARY (518) HIGHGATE MANOR OF RENSSELAER, INC. 100 NEW TURNPIKE ROAD, TROY, NY BEDS:120 PROPRIETARY (518)

55 HOOSICK FALLS HEALTH CENTER 21 DANFORTH ST., HOOSICK FALLS, NY BEDS:81 VOLUNTARY (518) JAMES A. EDDY MEMORIAL GERIATRIC CENTER 2256 BURDETT AVE., TROY, NY BEDS:80 VOLUNTARY (518) Offers outpatient occupational therapy, physical therapy and speech pathology. RESURRECTION NURSING HOME, INC. 90 N. MAIN ST., CASTLETON-ON-HUDSON, NY BEDS:80 VOLUNTARY (518) ROSEWOOD GARDENS 284 TROY ROAD, RENSSELAER, NY BEDS:80 PROPRIETARY (518) VAN RENSSELAER MANOR 85 BLOOMINGROVE DRIVE, TROY, NY BEDS:362 PUBLIC (518) Rockland County FRIEDWALD HOUSE HEALTH RELATED FACILITY 475 NEW HEMPSTEAD ROAD, NEW CITY, NY BEDS:180 PROPRIETARY (914) HILLCREST NURSING HOME 661 N. MAIN ST., SPRING VALLEY, NY BEDS:200 PROPRIETARY (914) NORTHERN MANOR GERIATRIC CENTER, INC. 199 N. MIDDLETOWN ROAD, NANUET, NY BEDS:231 VOLUNTARY (914) NORTHERN METROPOLITAN RESIDENTIAL HEALTH CARE FACILITY, INC. 225 MAPLE AVE., MONSEY, NY BEDS:120 VOLUNTARY (914) NORTHERN RIVERVIEW HEALTH CARE CENTER, INC. 87 SOUTH ROUTE 9W, HAVERSTRAW, NY BEDS:180 VOLUNTARY (914) NYACK MANOR NURSING HOME CHRISTIAN HERALD ROAD, VALLEY COTTAGE, NY BEDS:160 PROPRIETARY (914) RAMAPO MANOR NURSING CENTER, INC. 30 CRAGMERE ROAD, BOX 248, SUFFERN, NY BEDS:203 PROPRIETARY (914) SUMMIT PARK HOSPITAL-ROCKLAND COUNTY INFIRMARY SANATORIUM ROAD, POMONA, NY BEDS:341 PUBLIC (914)

56 TOLSTOY FOUNDATION NURSING HOME CO., INC. LAKE ROAD, VALLEY COTTAGE, NY BEDS:96 VOLUNTARY (914) Saratoga County SARATOGA COUNTY MAPLEWOOD MANOR 149 BALLSTON AVE., BALLSTON SPA, NY BEDS:277 PUBLIC (518) SARATOGA HOSPITAL NURSING HOME 211 CHURCH ST., SARATOGA SPRINGS, NY BEDS:72 VOLUNTARY (518) SCHUYLER RIDGE, A RESIDENTIAL HEALTH CARE FACILITY 1 ABELE BLVD., CLIFTON PARK, NY BEDS:120 VOLUNTARY (518) WESLEY HEALTH CARE CENTER, INC. 131 LAWRENCE ST., SARATOGA SPRINGS, NY BEDS:356 VOLUNTARY (518) Offers outpatient occupational therapy, physical therapy and speech pathology. Schenectady County BAPTIST RETIREMENT CENTER 297 N. BALLSTON AVE., SCOTIA, NY BEDS:262 VOLUNTARY (518) ELLIS HOSPITAL SKILLED NURSING FACILITY 1101 NOTT ST., SCHENECTADY, NY BEDS:82 VOLUNTARY (518) GLENDALE HOME - SCHENECTADY COUNTY DEPARTMENT OF SOCIAL SERVICES 59 HETCHELTOWN ROAD, SCOTIA, NY BEDS:528 PUBLIC (518) HALLMARK NURSING CENTRE 1940 HAMBURG ST., SCHENECTADY, NY BEDS:86 PROPRIETARY (518) HALLMARK NURSING CENTRE, INC. 526 ALTAMONT AVE., SCHENECTADY, NY BEDS:224 PROPRIETARY (518) HILLTOP MANOR OF NISKAYUNA, INC PROVIDENCE AVE., NISKAYUNA, NY BEDS:112 PROPRIETARY (518) Certified to provide special services for children and young adults with traumatic brain injury. Special children s unit. KINGSWAY ARMS NURSING CENTER, INC. 323 KINGS ROAD, SCHENECTADY, NY BEDS:160 PROPRIETARY (518)

57 Schoharie County EDEN PARK NURSING HOME 25 PARKWAY DRIVE, COBLESKILL, NY BEDS:125 PROPRIETARY (518) Schuyler County SCHUYLER HOSPITAL, INC. AND LONG TERM CARE UNIT 220 STEUBEN ST., MONTOUR FALLS, NY BEDS:120 VOLUNTARY (607) Seneca County HUNTINGTON LIVING CENTER 369 E. MAIN ST., WATERLOO, NY BEDS:160 VOLUNTARY (315) SENECA NURSING AND REHABILITATION CENTER 200 DOUGLAS DRIVE, WATERLOO, NY BEDS:120 PROPRIETARY (315) Offers outpatient occupational therapy, physical therapy and speech pathology. St. Lawrence County HEPBURN MEDICAL CENTER RESIDENTIAL HEALTH CARE FACILITY 214 KING ST., OGDENSBURG, NY BEDS:29 VOLUNTARY (315) HIGHLAND NURSING HOME, INC. 182 HIGHLAND ROAD, MASSENA, NY BEDS:140 PROPRIETARY (315) KINNEY NURSING HOME 57 W. BARNEY ST., GOUVERNEUR, NY BEDS:40 VOLUNTARY (315) POTSDAM NURSING HOME COTTAGE GROVE, POTSDAM, NY BEDS:80 VOLUNTARY (315) ST. JOSEPH S HOME 420 LAFAYETTE ST., OGDENSBURG, NY BEDS:82 VOLUNTARY (315) ST. REGIS NURSING HOME, INC. 89 GROVE ST., MASSENA, NY BEDS:152 PROPRIETARY (315) UNITED HELPERS CANTON NURSING HOME, INC. WEST MAIN ST., CANTON, NY BEDS:160 VOLUNTARY (315) Offers outpatient physical therapy. 52

58 UNITED HELPERS CEDARS NURSING HOME, INC STATE HIGHWAY 37, OGDENSBURG, NY BEDS:82 VOLUNTARY (315) UNITED HELPERS NURSING HOME, INC STATE HIGHWAY 608, OGDENSBURG, NY BEDS:120 VOLUNTARY (315) Steuben County CORNING HOSPITAL/FOUNDERS PAVILION 205 E. FIRST ST., CORNING, NY BEDS:120 VOLUNTARY (607) HORNELL GARDENS 434 MONROE AVE., HORNELL, NY BEDS:114 PROPRIETARY (607) IRA DAVENPORT MEMORIAL HOSPITAL SKILLED NURSING FACILITY/HEALTH RELATED FACILITY ROUTE 54, BATH, NY BEDS:120 VOLUNTARY (607) MERCYCARE BETHESDA DRIVE, NORTH HORNELL, NY BEDS:55 VOLUNTARY (607) Provides adult day health care programs STEUBEN COUNTY INFIRMARY 7002 MT. WASHINGTON ROAD, BATH, NY BEDS:105 PUBLIC (607) THREE RIVERS HEALTH CARE CENTER, INC. 101 CREEKSIDE DRIVE, PAINTED POST, NY BEDS:120 PROPRIETARY (607) Suffolk County BELLHAVEN CENTER FOR GERIATRIC AND REHABILITATIVE CARE 110 BEAVER DAM ROAD, BROOKHAVEN, NY BEDS:240 PROPRIETARY (516) BERKSHIRE NURSING AND REHABILITATION CENTER 10 BERKSHIRE ROAD, WEST BABYLON, NY BEDS:175 PROPRIETARY (516) BIRCHWOOD NURSING HOME 78 BIRCHWOOD DRIVE, HUNTINGTON STATION, NY BEDS:195 PROPRIETARY (516)

59 BISHOP JONATHAN G. SHERMAN EPISCOPAL NURSING HOME 52 ROUTE 25A, SMITHTOWN, NY BEDS:240 VOLUNTARY (516) BROADLAWN MANOR NURSING AND REHABILITATION CENTER 399 COUNTY LINE ROAD, AMITYVILLE, NY BEDS:320 PROPRIETARY (516) BROOKHAVEN HEALTH CARE FACILITY 801 GAZZOLA BLVD., PATCHOGUE, NY BEDS:160 PROPRIETARY (516) BRUNSWICK HOSPITAL CENTER, INC. 366 BROADWAY, AMITYVILLE, NY BEDS:94 PROPRIETARY (516) CARILLON HOUSE NURSING FACILITY 830 PARK AVE., HUNTINGTON, NY BEDS:315 PROPRIETARY (516) CEDAR LODGE NURSING HOME 6 FROWEIN ROAD, CENTER MORICHES, NY BEDS:100 PROPRIETARY (516) CENTRAL SUFFOLK HOSPITAL SKILLED NURSING FACILITY 1300 ROANOKE AVE., RIVERHEAD, NY BEDS:60 VOLUNTARY (516) CREST HALL HEALTH RELATED FACILITY OAKCREST AVE., MIDDLE ISLAND, NY BEDS:120 PROPRIETARY (516) DALEVIEW NURSING HOME AND MANOR 574 FULTON ST., FARMINGDALE, NY BEDS:142 PROPRIETARY (516) EAST NECK NURSING AND REHABILITATION CENTER 134 GREAT EAST NECK ROAD, WEST BABYLON, NY BEDS:300 PROPRIETARY (516) GOOD SAMARITAN NURSING HOME 101 ELM ST., SAYVILLE, NY BEDS:100 VOLUNTARY (516) GURWIN JEWISH GERIATRIC CENTER 68 HAUPPAUGE ROAD, COMMACK, NY BEDS:300 VOLUNTARY (516) HILAIRE FARM NURSING HOME HILAIRE DRIVE, HUNTINGTON, NY BEDS:76 PROPRIETARY (516)

60 JOHN J. FOLEY SKILLED NURSING FACILITY 14 GLOVER DR., YAPHANK, NY BEDS:264 PUBLIC (516) Certified AIDS unit. LITTLE FLOWER NURSING HOME AND HEALTH RELATED FACILITY 340 E. MONTAUK HIGHWAY, EAST ISLIP, NY BEDS:160 PROPRIETARY (516) LONG ISLAND STATE VETERANS HOME SUNY AT STONYBROOK, 100 PATRIOTS ROAD STONYBROOK, NY BEDS:350 PUBLIC (516) LUTHERAN CENTER FOR THE AGING, INC. ROUTE 25A, SMITHTOWN, NY BEDS:353 VOLUNTARY (516) NESCONSET NURSING CENTER 100 SOUTHERN BLVD., NESCONSET, NY BEDS:240 PROPRIETARY (516) OAK HOLLOW NURSING CENTER CHURCH LANE & OAK CREST AVE. MIDDLE ISLAND, NY BEDS:164 PROPRIETARY (516) OUR LADY OF CONSOLATION GERIATRIC CARE CENTER 111 BEACH DRIVE, WEST ISLIP, NY BEDS:330 VOLUNTARY (516) PATCHOGUE NURSING CENTER 25 SCHOENFELD BLVD., PATCHOGUE, NY BEDS:120 PROPRIETARY (516) PETITE FLEUR NURSING HOME 300 BROADWAY AVE., SAYVILLE, NY BEDS:180 PROPRIETARY (516) PORT JEFFERSON HEALTH CARE FACILITY DARK HOLLOW ROAD, PORT JEFFERSON, NY BEDS:120 PROPRIETARY (516) RIVERHEAD NURSING HOME 1146 WOODCREST AVE., RIVERHEAD, NY BEDS:181 PROPRIETARY (516) ROSS HEALTH CARE CENTER 839 SUFFOLK AVE., BRENTWOOD, NY BEDS:135 PROPRIETARY (516) SAN SIMEON BY THE SOUND-SKILLED NURSING FACILITY ROUTE 48, GREENPORT, NY BEDS:150 VOLUNTARY (516)

61 SMITHTOWN HEALTH CARE FACILITY 391 NORTH COUNTY ROAD, SMITHTOWN, NY BEDS:162 PROPRIETARY (516) SOUTHAMPTON NURSING HOME, INC. 330 MEETING HOUSE LANE, SOUTHAMPTON, NY BEDS:62 VOLUNTARY (516) ST. JAMES NURSING HOME 275 MORICHES ROAD, ST. JAMES, NY BEDS:230 PROPRIETARY (516) ST. JAMES PLAZA NURSING FACILITY 273 MORICHES ROAD, ST. JAMES, NY BEDS:250 PROPRIETARY (516) ST. JOHNLAND NURSING CENTER, INC. 395 SUNKEN MEADOW ROAD, KINGS PARK, NY BEDS:250 VOLUNTARY (516) SUNREST HEALTH FACILITIES, INC. 70 N. COUNTRY ROAD, PORT JEFFERSON, NY BEDS:210 PROPRIETARY (516) SUNRISE MANOR NURSING HOME, INC BRENTWOOD ROAD, BAY SHORE, NY BEDS:84 PROPRIETARY (516) WESTHAMPTON CARE CENTER 78 OLD COUNTRY ROAD, WESTHAMPTON, NY BEDS:180 PROPRIETARY (516) WOODHAVEN NURSING HOME 1360 ROUTE 112, PORT JEFFERSON STATION, NY BEDS:143 PROPRIETARY (516) Sullivan County COMMUNITY GENERAL HOSPITAL OF SULLIVAN COUNTY PO BOX 800, BUSHVILLE ROAD, HARRIS, NY BEDS:60 VOLUNTARY (914) ROSCOE COMMUNITY NURSING HOME CO., INC. 420 ROCKLAND ROAD, ROSCOE, NY BEDS:85 VOLUNTARY (914) (607) SULLIVAN COUNTY ADULT CARE CENTER BOX 231, LIBERTY, NY BEDS:160 PUBLIC (914)

62 WALNUT MOUNTAIN CARE CENTER 170 LAKE ST., LIBERTY, NY BEDS:178 PROPRIETARY (914) Tioga County RIVERVIEW MANOR NURSING HOME 510 FIFTH AVE., OWEGO, NY BEDS:77 PROPRIETARY (607) TIOGA NURSING FACILITY, INC. 37 N. CHEMUNG ST., WAVERLY, NY BEDS:211 VOLUNTARY (607) Tompkins County GROTON COMMUNITY HEALTH CARE CENTER RESIDENTIAL CARE FACILITY 120 SYKES ST., GROTON, NY BEDS:80 VOLUNTARY (607) KENDAL AT ITHACA 2230 NORTH TRIPHAMMER RD., ITHACA, NY BEDS:35 VOLUNTARY (607) Offers outpatient occupational therapy, physical therapy and speech pathology. LAKESIDE NURSING HOME, INC TRUMANSBURG ROAD, ITHACA, NY BEDS:260 PROPRIETARY (607) OAK HILL MANOR NURSING HOME 602 HUDSON ST., ITHACA, NY BEDS:60 PROPRIETARY (607) RECONSTRUCTION HOME, INC. 318 S. ALBANY ST., ITHACA, NY BEDS:120 VOLUNTARY (607) Ulster County ALBANY AVENUE MANOR 166 ALBANY AVE., KINGSTON, NY BEDS:22 PROPRIETARY (914) Accepts neither Medicare nor Medicaid residents. GOLDEN HILL HEALTH CARE CENTER GOLDEN HILL DRIVE, KINGSTON, NY BEDS:280 PUBLIC (914) HUDSON VALLEY REHABILITATION AND EXTENDED CARE CENTER 260 VINEYARD AVE., HIGHLAND, NY BEDS:203 PROPRIETARY (914)

63 HUTTON NURSING HOME WASHINGTON AVE., KINGSTON, NY BEDS:80 PROPRIETARY (914) NEW PALTZ NURSING HOME 1 JANSEN ROAD, NEW PALTZ, NY BEDS:79 PROPRIETARY (914) TEN BROECK COMMONS ONE COMMONS DRIVE, LAKE KATRINE, NY BEDS:258 PROPRIETARY (914) WINGATE OF ULSTER ONE WINGATE WAY, HIGHLAND, NY BEDS:120 PROPRIETARY (914) Warren County ADIRONDACK TRI-COUNTY HEALTH CARE CENTER, INC. PO BOX 500, NORTH CREEK, NY BEDS:82 VOLUNTARY (518) EDEN PARK NURSING HOME 170 WARREN ST., GLENS FALLS, NY BEDS:116 PROPRIETARY (518) HALLMARK NURSING CENTRE, INC. 152 SHERMAN AVE., GLENS FALLS, NY BEDS:120 PROPRIETARY (518) WESTMOUNT HEALTH FACILITY 42 GURNEY LANE, QUEENSBURY, NY BEDS:80 PUBLIC (518) Washington County FORT HUDSON NURSING HOME, INC. UPPER BROADWAY, FORT EDWARD, NY BEDS:160 VOLUNTARY (518) HALLMARK NURSING CENTRE, INC STATE ROUTE 40, GRANVILLE, NY BEDS:88 PROPRIETARY (518) INDIAN RIVER NURSING HOME, INC. 17 MADISON ST., GRANVILLE, NY BEDS:122 PROPRIETARY (518) Offers outpatient physical therapy. MARY MCCLELLAN SKILLED NURSING FACILITY 1 MYRTLE AVE., CAMBRIDGE, NY BEDS:40 VOLUNTARY (518)

64 PLEASANT VALLEY INFIRMARY ROUTE 40, ARGYLE, NY BEDS:120 PUBLIC (518) Wayne County BLOSSOM VIEW NURSING HOME 6884 MAPLE AVE., SODUS, NY BEDS:129 PROPRIETARY (315) Offers outpatient physical therapy, occupational therapy and speech pathology. NEWARK MANOR NURSING HOME 222 W. PEARL ST., NEWARK, NY BEDS:60 PROPRIETARY (315) NEWARK-WAYNE COMMUNITY HOSPITAL SKILLED NURSING FACILITY DRIVING PARK AVE., NEWARK, NY BEDS:160 VOLUNTARY (315) Certified for ventilator-dependent residents. WAYNE COUNTY NURSING HOME 7376 ROUTE 31, LYONS, NY BEDS:190 PUBLIC (315) Westchester County BAYBERRY NURSING HOME 40 KEOGH LANE, NEW ROCHELLE, NY BEDS:60 PROPRIETARY (914) BETHEL METHODIST HOME 19 NARRAGANSETT AVE., OSSINING, NY BEDS:112 VOLUNTARY (914) BETHEL NURSING AND REHABILIATION CENTER 67 SPRINGVALE ROAD, CROTON-ON-HUDSON, NY BEDS:80 VOLUNTARY (914) BETHEL NURSING HOME COMPANY, INC. 17 NARRAGANSETT AVE., OSSINING, NY BEDS:78 VOLUNTARY (914) BRANDYWINE NURSING HOME, INC. 620 SLEEPY HOLLOW ROAD BRIARCLIFF MANOR, NY BEDS:131 PROPRIETARY (914) Special children s unit. 59

65 BRIAR CREST NURSING HOME 31 OVERTON ROAD, OSSINING, NY BEDS:86 PROPRIETARY (914) CEDAR MANOR NURSING HOME CEDAR LANE, OSSINING, NY BEDS:153 PROPRIETARY (914) CORTLANDT NURSING CARE CENTER, INC. 110 OREGON ROAD, PEEKSKILL, NY BEDS:120 PROPRIETARY (914) DUMONT MASONIC HOME 676 PELHAM ROAD, NEW ROCHELLE, NY BEDS:190 VOLUNTARY (914) FIELD HOME - HOLY COMFORTER CATHERINE ST., PEEKSKILL, NY BEDS:200 VOLUNTARY (914) GLEN ISLAND CARE CENTER 490 PELHAM ROAD, NEW ROCHELLE, NY BEDS:182 PROPRIETARY (914) HOME FOR AGED BLIND 75 STRATTON ST. SOUTH, YONKERS, NY BEDS:219 VOLUNTARY (914) Certified AIDS unit. Provides adult day health care programs (including AIDS). HOWE AVENUE NURSING HOME, INC. 16 GUION PLACE, NEW ROCHELLE, NY BEDS:150 VOLUNTARY (914) JOHN E. ANDRUS MEMORIAL 185 OLD BROADWAY, HASTINGS-ON-HUDSON, NY BEDS:247 VOLUNTARY (914) Accepts neither Medicare nor Medicaid residents. KING STREET HOME, INC. 787 KING ST., PORT CHESTER, NY BEDS:120 PROPRIETARY (914) NATHAN MILLER CENTER FOR NURSING CARE, INC. 37 DEKALB AVE., WHITE PLAINS, NY BEDS:65 VOLUNTARY (914) NEW ROCHELLE NURSING HOME 31 LOCKWOOD AVE., NEW ROCHELLE, NY BEDS:160 PROPRIETARY (914) NEW SANS SOUCI NURSING HOME 115 PARK AVE., YONKERS, NY BEDS:120 PROPRIETARY (914)

66 PORT CHESTER NURSING AND REHABILITATION CENTRE 1000 HIGH ST., PORT CHESTER, NY BEDS:160 PROPRIETARY (914) REGENCY EXTENDED CARE CENTER 65 ASHBURTON AVE., YONKERS, NY BEDS:315 PROPRIETARY (914) ROSARY HILL HOME 600 LINDA AVE., HAWTHORNE, NY BEDS:72 VOLUNTARY (914) Accepts neither Medicare nor Medicaid residents. RUTH TAYLOR GERIATRIC REHABILITATION INSTITUTE 25 BRADHURST AVE., HAWTHORNE, NY BEDS:399 PUBLIC (914) Certified for ventilator-dependent residents. SALEM HILLS HEALTH CARE CENTER 539 ROUTE 22, PURDYS, NY BEDS:126 PROPRIETARY (914) SARAH R. NEUMAN NURSING HOME 845 PALMER AVE., MAMARONECK, NY BEDS:270 VOLUNTARY (914) SCHNURMACHER NURSING HOME OF BETH ISRAEL MEDICAL CENTER 12 TIBBITS AVE., WHITE PLAINS, NY BEDS:245 VOLUNTARY (914) SHALOM NURSING HOME 10 CLAREMONT AVE., MOUNT VERNON, NY BEDS:240 VOLUNTARY (914) SKY VIEW HEALTH CARE CENTER ALBANY POST ROAD, CROTON ON HUDSON, NY BEDS:192 PROPRIETARY (914) SOMERS MANOR NURSING HOME, INC. ROUTE 100, SOMERS, NY BEDS:224 PROPRIETARY (914) SPRAIN BROOK MANOR NURSING HOME 77 JACKSON AVE., SCARSDALE, NY BEDS:121 PROPRIETARY (914) ST. CABRINI NURSING HOME, INC. 115 BROADWAY, DOBBS FERRY, NY BEDS:304 VOLUNTARY (914) ST. JOSEPH S HOSPITAL NURSING HOME OF YONKERS, NY, INC. 127 SOUTH BROADWAY, YONKERS, NY BEDS:200 VOLUNTARY (914) Provides adult day health care programs for AIDS. ST. MARY S REHABILITATION CENTER FOR CHILDREN SPRING VALLEY ROAD, OSSINING, NY BEDS:44 VOLUNTARY (914) Specially certified to care for children. 61

67 TARRYTOWN HALL CARE CENTER WOOD COURT, TARRYTOWN, NY BEDS:120 PROPRIETARY (914) THE NATHAN MILLER CENTER FOR NURSING CARE, INC., WHITE PLAINS CENTER DIVISION 220 W. POST ROAD, WHITE PLAINS, NY BEDS:88 VOLUNTARY (914) THE OSBORN 101 THEALL ROAD, RYE, NY BEDS:84 VOLUNTARY (914) Accepts Medicare residents but does not accept Medicaid residents. TREETOPS AT MOHEGAN LAKE 3550 LEXINGTON AVE., MOHEGAN LAKE, NY BEDS:120 PROPRIETARY (914) UNITED HEBREW GERIATRIC CENTER 60 WILLOW DRIVE, NEW ROCHELLE, NY BEDS:150 VOLUNTARY (914) UNITED HOSPITAL MEDICAL CENTER SKILLED NURSING PAVILION 406 BOSTON POST ROAD, PORT CHESTER, NY BEDS:40 VOLUNTARY (914) UNITED NURSING HOME FOR THE AGED, INC. 60 WILLOW DRIVE, NEW ROCHELLE, NY BEDS:120 VOLUNTARY (914) VICTORIA HOME 25 N. MALCOLM ST., OSSINING, NY BEDS:49 VOLUNTARY (914) WARTBURG NURSING HOME BRADLEY AVE., MOUNT VERNON, NY BEDS:240 VOLUNTARY (914) WATERVIEW HILLS NURSING CENTER, INC. BOX 257, OLD ROUTE 22, PURDYS STATION, NY BEDS:130 PROPRIETARY (914) WESTLEDGE NURSING HOME 2000 E. MAIN ST., PEEKSKILL, NY BEDS:100 PROPRIETARY (914) Wyoming County EAST SIDE NURSING HOME 62 PROSPECT ST., WARSAW, NY BEDS:80 PROPRIETARY (716) MANOR OAK SKILLED NURSING FACILITIES, INC. 283 N. MAIN ST., WARSAW, NY BEDS:100 PROPRIETARY (716)

68 WYOMING COUNTY COMMUNITY HOSPITAL SKILLED NURSING FACILITY 400 N. MAIN ST., WARSAW, NY BEDS:160 PUBLIC (716) Yates County PENN YAN MANOR NURSING HOME, INC. 655 N. LIBERTY ST., PENN YAN, NY BEDS:46 VOLUNTARY (315) SOLDIERS AND SAILORS MEMORIAL HOSPITAL EXTENDED CARE FACILITY 418 N. MAIN ST., PENN YAN, NY BEDS:150 VOLUNTARY (315) NEW YORK CITY Bronx County BAINBRIDGE NURSING HOME 3518 BAINBRIDGE AVE., BRONX, NY BEDS:200 PROPRIETARY (718) BETH ABRAHAM HEALTH SERVICES 612 ALLERTON AVE., BRONX, NY BEDS:520 VOLUNTARY (718) BRONX LEBANON SPECIAL CARE CENTER 1265 FULTON AVE., BRONX, NY BEDS:240 VOLUNTARY (718) Certified AIDS unit. BRUCKNER NURSING HOME 1010 UNDERHILL AVE., BRONX, NY BEDS:200 PROPRIETARY (718) CASA PROMESA 308 EAST 175TH ST., BRONX, NY BEDS:108 VOLUNTARY (718) AIDS-designated facility. CONCOURSE REHABILITATION AND NURSING CENTER, INC GRAND CONCOURSE, BRONX, NY BEDS:240 PROPRIETARY (718) DAUGHTERS OF JACOB NURSING HOME CO., INC TELLER AVE., BRONX, NY BEDS:515 VOLUNTARY (718)

69 EAST HAVEN HEALTH RELATED FACILITY EASTCHESTER ROAD, BRONX, NY BEDS:200 PROPRIETARY (718) EASTCHESTER PARK NURSING HOME 2700 EASTCHESTER ROAD, BRONX, NY BEDS:200 PROPRIETARY (718) Certified for ventilator-dependent residents. FIELDSTON LODGE NURSING HOME 666 KAPPOCK ST., BRONX, NY BEDS:200 PROPRIETARY (718) FRANCES SCHERVIER HOME AND HOSPITAL 2975 INDEPENDENCE AVE., BRONX, NY BEDS:364 VOLUNTARY (718) GOLD CREST CARE CENTER 2316 BRUNER AVE., BRONX, NY BEDS:175 PROPRIETARY (718) GRAND MANOR NURSING AND REHABILITATION CENTER 700 WHITE PLAINS ROAD, BRONX, NY BEDS:240 PROPRIETARY (718) HEBREW HOME FOR THE AGED AT RIVERDALE, INC PALISADE AVE., BRONX, NY BEDS:436 VOLUNTARY (718) Provides transfusion services. HEBREW HOME FOR THE AGED AT RIVERDALE - BAPTIST DIVISION 3260 HENRY HUDSON PARKWAY, BRONX, NY BEDS:84 VOLUNTARY (718) HEBREW HOME FOR THE AGED AT RIVERDALE - FAIRFIELD DIVISION 3220 HENRY HUDSON PARKWAY, BRONX, NY BEDS:167 VOLUNTARY (718) HEBREW HOSPITAL HOME, INC. 801 C0-OP CITY BLVD., BRONX, NY BEDS:480 VOLUNTARY (718) HELP/PROJECT SAMARITAN, INC UNIVERSITY AVE., BRONX, NY BEDS:66 VOLUNTARY (718) AIDS-designated facility. Provides adult day health care programs for AIDS. HIGHBRIDGE-WOODYCREST CENTER, INC. 936 WOODYCREST AVE., BRONX, NY BEDS:90 VOLUNTARY (718) AIDS-designated facility. 64

70 JEANNE JUGAN RESIDENCE 3200 BAYCHESTER AVE., BRONX, NY BEDS:60 VOLUNTARY (718) JEWISH HOME AND HOSPITAL - BRONX DIVISION HARRY AND JEANETTE WEINBERG CAMPUS 100 W. KINGSBRIDGE RD., BRONX, NY BEDS:816 VOLUNTARY (718) KINGS HARBOR MULTICARE CENTER 2000 E. GUNHILL ROAD, BRONX, NY BEDS:720 PROPRIETARY (718) KINGSBRIDGE HEIGHTS REHABILITATION AND CARE CENTER 3400 CANNON PLACE, BRONX, NY BEDS:400 PROPRIETARY (718) LACONIA NURSING HOME 1050 E. 230TH ST., BRONX, NY BEDS:240 PROPRIETARY (718) LOEB CENTER MONTEFIORE MEDICAL CENTER 111 E. 210TH ST., BRONX, NY BEDS:80 VOLUNTARY (718) MANHATTANVILLE NURSING CARE CENTER, INC. 311 W. 231ST ST., BRONX, NY BEDS:200 PROPRIETARY (718) METHODIST CHURCH HOME FOR THE AGED 4499 MANHATTAN COLLEGE PARKWAY, BRONX, NY BEDS:120 VOLUNTARY (718) MORNINGSIDE HOUSE NURSING HOME COMPANY, INC PELHAM PARKWAY SOUTH, BRONX, NY BEDS:386 VOLUNTARY (718) MORRIS PARK NURSING HOME 1235 PELHAM PARKWAY NORTH, BRONX, NY BEDS:191 PROPRIETARY (718) MOSHOLU PARKWAY NURSING HOME 3356 PERRY AVE., BRONX, NY BEDS:125 PROPRIETARY (718) PALISADE NURSING HOME CO., INC PALISADE AVE., BRONX, NY BEDS:348 VOLUNTARY (718) PARKVIEW NURSING HOME 6585 BROADWAY, BRONX, NY BEDS:200 PROPRIETARY (718)

71 PELHAM PARKWAY NURSING HOME 2401 LACONIA AVE., BRONX, NY BEDS:200 PROPRIETARY (718) PROVIDENCE REST 3304 WATERBURY AVE., BRONX, NY BEDS:200 VOLUNTARY (718) RIVERDALE NURSING HOME 641 W. 230TH ST., BRONX, NY BEDS:146 PROPRIETARY (718) ROFAY NURSING HOME 946 E. 211TH ST., BRONX, NY BEDS:120 PROPRIETARY (718) SPLIT ROCK NURSING HOME 3525 BAYCHESTER AVE., BRONX, NY BEDS:240 PROPRIETARY (718) Certified for ventilator-dependent residents. ST. BARNABAS NURSING HOME, INC QUARRY RD., BRONX, NY BEDS:199 VOLUNTARY (718) Certified AIDS unit. Certified for ventilator-dependent residents. ST. PATRICK S HOME FOR THE AGED AND INFIRM 66 VAN CORTLANDT PARK SOUTH, BRONX, NY BEDS:264 VOLUNTARY (718) ST. VINCENT DEPAUL RESIDENCE 900 INTERVALE AVE., BRONX, NY BEDS:200 VOLUNTARY (718) TERRACE HEALTH CARE CENTER 2678 KINGSBRIDGE TERRACE, BRONX, NY BEDS:240 PROPRIETARY (718) THROGS NECK EXTENDED CARE FACILITY 727 THROGS NECK EXPRESSWAY, BRONX, NY BEDS:205 PROPRIETARY (718) UNITED ODD FELLOW AND REBEKAH HOME 1072 HAVEMEYER AVE., BRONX, NY BEDS:213 VOLUNTARY (718) UNIVERSITY NURSING HOME 2505 GRAND AVE., BRONX, NY BEDS:46 PROPRIETARY (718)

72 WAYNE HEALTH RELATED FACILITY SKILLED NURSING FACILITY 3530 WAYNE AVE., BRONX, NY BEDS:240 PROPRIETARY (718) WHITE PLAINS NURSING HOME 3845 CARPENTER AVE., BRONX, NY BEDS:240 PROPRIETARY (718) WILLIAMSBRIDGE MANOR NURSING HOME 1540 TOMLINSON AVE., BRONX, NY BEDS:77 PROPRIETARY (718) WORKMEN S CIRCLE HOME AND INFIRMARY 3155 GRACE AVE., BRONX, NY BEDS:524 VOLUNTARY (718) Brooklyn (Kings County) AISHEL AVRAHAM RESIDENTIAL HEALTH FACILITY, INC. 40 HEYWARD ST., BROOKLYN, NY BEDS:200 VOLUNTARY (718) AUGUSTANA LUTHERAN HOME FOR THE AGED, INC SECOND AVE., BROOKLYN, NY BEDS:240 VOLUNTARY (718) BISHOP FRANCIS J. MUGAVERO CENTER FOR GERIATRIC CARE, INC. 155 DEAN ST. BROOKLYN, NY BEDS:288 VOLUNTARY (718) BISHOP HENRY B. HUCLES NURSING HOME, INC. 835 HERKIMER ST., BROOKLYN, NY BEDS:200 VOLUNTARY (718) BROOKLYN METHODIST CHURCH HOME 1485 DUMONT AVE., BROOKLYN, NY BEDS:120 VOLUNTARY (718) BROOKLYN-QUEENS NURSING HOME 2749 LINDEN BLVD., BROOKLYN, NY BEDS:140 VOLUNTARY (718) CABS NURSING HOME COMPANY, INC. 270 NOSTRAND AVE., BROOKLYN, NY BEDS:157 VOLUNTARY (718) CARLTON NURSING HOME, INC. 405 CARLTON AVE., BROOKLYN, NY BEDS:148 PROPRIETARY (718) CATON PARK NURSING HOME 1312 CATON AVE., BROOKLYN, NY BEDS:119 PROPRIETARY (718) CENTER FOR NURSING AND REHABILITATION, INC. 520 PROSPECT PLACE, BROOKLYN, NY BEDS:320 VOLUNTARY (718)

73 COBBLE HILL HEALTH CENTER, INC. 380 HENRY ST., BROOKLYN, NY BEDS:520 VOLUNTARY (718) CONCORD NURSING HOME, INC. 300 MADISON ST., BROOKLYN, NY BEDS:123 VOLUNTARY (718) CROWN NURSING AND REHABILITATION CENTER 3457 NOSTRAND AVE., BROOKLYN, NY BEDS:189 PROPRIETARY (718) DITMAS PARK CARE CENTER 2107 DITMAS AVE., BROOKLYN, NY BEDS:200 PROPRIETARY (718) DOVER NURSING HOME 1919 CORTELYOU ROAD, BROOKLYN, NY BEDS:41 PROPRIETARY (718) GREENPARK CARE CENTER 140 ST. EDWARDS ST., BROOKLYN, NY BEDS:400 PROPRIETARY (718) HAYM SALOMON HOME FOR THE AGED 2300 CROPSEY AVE., BROOKLYN, NY BEDS:220 PROPRIETARY (718) HOLY FAMILY HOME TH ST., BROOKLYN, NY BEDS:200 VOLUNTARY (718) LEMBERG HOME AND GERIATRIC INSTITUTE, INC BAY PARKWAY, BROOKLYN, NY BEDS:45 VOLUNTARY (718) DR. SUSAN SMITH MCKINNEY NURSING AND REHABILITATION CENTER 594 ALBANY AVE., BROOKLYN, NY BEDS:40 (718) PUBLIC DOROTHY AND DAVID I. SCHACHNE INSTITUTE FOR NURSING AND REHABILIATION 650 AMBOY ST., BROOKLYN, NY BEDS:228 VOLUNTARY (718) Provides transfusion services. Certified AIDS unit. Certified for ventilator-dependent residents. MARCUS GARVEY NURSING HOME CO., INC ST. MARKS AVE., BROOKLYN, NY BEDS:295 VOLUNTARY (718) MENORAH HOME AND HOSPITAL FOR AGED AND INFIRM 1516 ORIENTAL BLVD., BROOKLYN, NY BEDS:253 VOLUNTARY (718)

74 MENORAH HOME AND HOSPITAL FOR AGED AND INFIRM 871 BUSHWICK AVE., BROOKLYN, NY BEDS:273 VOLUNTARY (718) M. J. G. NURSING HOME COMPANY, INC TH AVE., BROOKLYN, NY BEDS:529 VOLUNTARY (718) NORWEGIAN CHRISTIAN HOME AND HEALTH CENTER TH ST., BROOKLYN, NY BEDS:135 VOLUNTARY (718) NEW YORK CONGREGATIONAL NURSING CENTER, INC. 123 LINDEN BOULEVARD, BROOKLYN, NY BEDS:120 VOLUNTARY (718) OXFORD NURSING HOME 144 S. OXFORD ST., BROOKLYN, NY BEDS:235 PROPRIETARY (718) PALM GARDENS NURSING HOME 615 AVE. C, BROOKLYN, NY BEDS:240 PROPRIETARY (718) PALM TREE NURSING HOME TH AVE., BROOKLYN, NY BEDS:79 PROPRIETARY (718) PARKSHORE HEALTH CARE CENTER 1555 ROCKAWAY PARKWAY, BROOKLYN, NY BEDS:270 PROPRIETARY (718) PROSPECT PARK NURSING HOME 1455 CONEY ISLAND AVE., BROOKLYN, NY BEDS:215 VOLUNTARY (718) RIVER MANOR CARE CENTER 630 E. 104TH ST., BROOKLYN, NY BEDS:380 PROPRIETARY (718) RUTLAND NURSING HOME CO., INC. 585 SCHENECTADY AVE., BROOKLYN, NY BEDS:538 VOLUNTARY (718) Special children s unit. SAMUEL AND BERTHA SCHULMAN INSTITUTE FOR NURSING AND REHABILITATION 555 ROCKAWAY PARKWAY, BROOKLYN, NY BEDS:220 VOLUNTARY (718) Provides transfusion services. SEA-CREST HEALTH CARE CENTER 3035 W. 24TH ST., BROOKLYN, NY BEDS:320 PROPRIETARY (718)

75 SEPHARDIC HOME FOR THE AGED, INC CROPSEY AVE., BROOKLYN, NY BEDS:271 VOLUNTARY (718) SHEEPSHEAD NURSING AND REHABILITATION CENTER 2840 KNAPP ST., BROOKLYN, NY BEDS:200 PROPRIETARY (718) SHOREFRONT JEWISH GERIATRIC CENTER 3015 W. 29TH ST., BROOKLYN, NY BEDS:360 VOLUNTARY (718) SHORE VIEW NURSING HOME 2865 BRIGHTON 3RD ST., BROOKLYN, NY BEDS:320 PROPRIETARY (718) S. S. JOACHIM AND ANNE RESIDENCE 2720 SURF AVE., BROOKLYN, NY BEDS:200 VOLUNTARY (718) VICTORY MEMORIAL HOSPITAL SKILLED NURSING FACILITY ND ST., BROOKLYN, NY BEDS:150 VOLUNTARY (718) WARTBURG LUTHERAN HOME FOR THE AGING 50 SHEFFIELD AVE., BROOKLYN, NY BEDS:123 VOLUNTARY (718) WARTBURG NURSING HOME, INC. 50 SHEFFIELD AVE., BROOKLYN, NY BEDS:102 VOLUNTARY (718) WILLOUGHBY NURSING HOME 949 WILLOUGHBY AVE., BROOKLYN, NY BEDS:161 PROPRIETARY (718) Manhattan (New York County) AMSTERDAM NURSING HOME CORP. (1992) 1060 AMSTERDAM AVE., NEW YORK, NY BEDS:303 VOLUNTARY (212) BIALYSTOKER HOME FOR THE AGED 228 E. BROADWAY, NEW YORK, NY BEDS:95 VOLUNTARY (212) CABRINI CENTER FOR NURSING AND REHABILITATION 542 E. 5TH ST., NEW YORK, NY BEDS:240 VOLUNTARY (212) COLER MEMORIAL HOSPITAL SKILLED NURSING FACILITY ROOSEVELT ISLAND, NEW YORK, NY BEDS:775 PUBLIC (212) Special children s unit. 70

76 DEWITT NURSING HOME 211 E. 79TH ST., NEW YORK, NY BEDS:499 PROPRIETARY (212) FLORENCE NIGHTINGALE HEALTH CENTER 1760 THIRD AVE., NEW YORK, NY BEDS:561 PROPRIETARY (212) FORT TRYON NURSING HOME 801 W. 190TH ST., NEW YORK, NY BEDS:205 PROPRIETARY (212) GOLDWATER MEMORIAL HOSPITAL 1 MAIN ST., ROOSEVELT ISLAND, NEW YORK, NY BEDS:544 PUBLIC (212) GREATER HARLEM NURSING HOME CO., INC. 30 W. 138TH ST., NEW YORK, NY BEDS:200 VOLUNTARY (212) HOME OF THE SAGES OF ISRAEL 25 BIALYSTOKER PLACE, NEW YORK, NY BEDS:58 VOLUNTARY (212) ISABELLA GERIATRIC CENTER, INC. 515 AUDUBON AVE., NEW YORK, NY BEDS:705 VOLUNTARY (212) Certified for ventilator-dependent residents. JEWISH HOME AND HOSPITAL FOR AGED 120 W. 106TH ST., NEW YORK, NY BEDS:514 VOLUNTARY (212) KATERI RESIDENCE 150 RIVERSIDE DRIVE, NEW YORK, NY BEDS:520 VOLUNTARY (212) MARY MANNING WALSH NURSING HOME CO., INC YORK AVE., NEW YORK, NY BEDS:362 VOLUNTARY (212) NEW GOUVERNEUR HOSPITAL SKILLED NURSING FACILITY 227 MADISON ST., NEW YORK, NY BEDS:210 PUBLIC (212) NEW YORK FOUNDLING HOSPITAL CENTER FOR PEDIATRIC MEDICINE AND REHABILITATIVE CARE, INC. 590 AVENUE OF THE AMERICAS, NEW YORK, NY BEDS:136 VOLUNTARY (212) Specially certified to care for children. NORTHERN MANHATTAN NURSING HOME, INC. 116 E. 125TH ST., NEW YORK, NY BEDS:320 PROPRIETARY (212)

77 RIVINGTON HOUSE - THE NICHOLAS A. RANGO HEALTH CARE FACILITY 45 RIVINGTON ST., NEW YORK, NY BEDS:219 VOLUNTARY (212) AIDS-designated facility. Provides adult day health care for AIDS. Provides transfusion services. ST. MARY S CENTER, INC. 516 W. 126TH ST., NEW YORK, NY BEDS:40 VOLUNTARY (212) AIDS-designated facility. Provides adult day health care for AIDS. ST. ROSE S HOME 71 JACKSON ST., NEW YORK, NY BEDS:60 VOLUNTARY (212) Accepts neither Medicare not Medicaid residents. TERENCE CARDINAL COOKE HEALTH CARE CENTER 1249 FIFTH AVE., NEW YORK, NY BEDS:679 VOLUNTARY (212) Certified AIDS units. Provides transfusion services. THE ROBERT MAPPLETHORPE RESIDENTIAL TREATMENT FACILITY A.N. 327 E. 17TH ST., NEW YORK, NY BEDS:28 VOLUNTARY (212) AIDS-designated facility. VILLAGE CENTER FOR CARE 607 HUDSON ST., NEW YORK, NY BEDS:200 VOLUNTARY (212) Provides adult day health care for AIDS. Queens County BEZALEL NURSING HOME CO FAR ROCKAWAY BLVD., FAR ROCKAWAY, NY BEDS:120 VOLUNTARY (718) BISHOP CHARLES WALDO MACLEAN EPISCOPAL NURSING HOME BROOKHAVEN AVE., FAR ROCKAWAY, NY BEDS:163 VOLUNTARY (718) BRIDGE VIEW NURSING HOME TH AVE., WHITESTONE, NY BEDS:200 PROPRIETARY (718) BROOKHAVEN BEACH HEALTH RELATED FACILITY 250 BEACH 17TH ST., FAR ROCKAWAY, NY BEDS:298 PROPRIETARY (718) CHAPIN HOME FOR THE AGING CHAPIN PARKWAY, JAMAICA, NY BEDS:220 VOLUNTARY (718)

78 CLEARVIEW NURSING HOME TH AVE., WHITESTONE, NY BEDS:179 PROPRIETARY (718) CLIFFSIDE NURSING HOME, INC GRAHAM COURT, FLUSHING, NY BEDS:220 PROPRIETARY (718) Certified for ventilator-dependent residents. DR. WILLIAM O. BENENSON REHABILITATION PAVILION PARSONS BLVD., FLUSHING, NY BEDS:299 PROPRIETARY (718) DRY HARBOR NURSING HOME DRY HARBOR ROAD, MIDDLE VILLAGE, NY BEDS:360 PROPRIETARY (718) FAIRVIEW NURSING HOME, INC GRAND CENTRAL PARKWAY, FOREST HILLS, NY BEDS:200 PROPRIETARY (718) FAR ROCKAWAY NURSING HOME VIRGINIA ST., FAR ROCKAWAY, NY BEDS:100 PROPRIETARY (718) FLUSHING MANOR CARE CENTER TH AVE., FLUSHING, NY BEDS:278 PROPRIETARY (718) FLUSHING MANOR NURSING HOME PARSONS BLVD., FLUSHING, NY BEDS:227 PROPRIETARY (718) FOREST HILLS CARE CENTER YELLOWSTONE BLVD., FOREST HILLS, NY BEDS:100 PROPRIETARY (718) FOREST VIEW NURSING HOME TH ST., FOREST HILLS, NY BEDS:160 PROPRIETARY (718) FRANKLIN CENTER FOR REHABILITATION AND NURSING FRANKLIN AVE., FLUSHING, NY BEDS:320 PROPRIETARY (718) HAVEN MANOR HEALTH CARE CENTER 1441 GATEWAY BLVD., FAR ROCKAWAY, NY BEDS:240 PROPRIETARY (718) HIGHLAND CARE CENTER TH ST., JAMAICA, NY BEDS:320 PROPRIETARY (718) HILLSIDE MANOR REHABILITATION AND EXTENDED CARE CENTER HILLSIDE AVE., JAMAICA ESTATES, NY BEDS:400 PROPRIETARY (718) HOLLIS PARK MANOR NURSING HOME HILLSIDE AVE., HOLLIS, NY BEDS:80 PROPRIETARY (718)

79 HOLLISWOOD CARE CENTER, INC WOODHULL AVE., HOLLIS, NY BEDS:314 PROPRIETARY (718) HORIZON CARE CENTER BEACH CHANNEL DRIVE, ARVERNE, NY BEDS:280 PROPRIETARY (718) JAMAICA HOSPITAL NURSING HOME CO., INC VAN WYCK EXPRESSWAY, JAMAICA, NY BEDS:204 VOLUNTARY (718) LAWRENCE NURSING CARE CENTER, INC. 350 BEACH 54TH ST., ARVERNE, NY BEDS:200 PROPRIETARY (718) LITTLE NECK NURSING HOME NASSAU BLVD., LITTLE NECK, NY BEDS:120 PROPRIETARY (718) LONG ISLAND CARE CENTER, INC TH AVE., FLUSHING, NY BEDS:200 PROPRIETARY (718) LYDEN NURSING HOME TH ST., ASTORIA, NY BEDS:114 PROPRIETARY (718) MARGARET TIETZ CENTER FOR NURSING CARE, INC CHAPIN PARKWAY, JAMAICA, NY BEDS:200 VOLUNTARY (718) MEADOW PARK NURSING HOME, INC TH ST., FLUSHING, NY BEDS:143 PROPRIETARY (718) MIDWAY NURSING HOME QUEENS MIDTOWN EXPRESSWAY, MASPETH, NY BEDS:200 PROPRIETARY (718) MSGR. J. H. FITZPATRICK PAVILION FOR SKILLED NURSING CARE TH AVE., JAMAICA, NY BEDS:115 VOLUNTARY (718) NEPONSIT HEALTH CARE CENTER ROCKAWAY BEACH BLVD., NEPONSIT, NY BEDS:284 PUBLIC (718) NEW GLEN OAKS NURSING HOME, INC TH AVE., GLEN OAKS, NY BEDS:60 PROPRIETARY (718)

80 NEW SURFSIDE NURSING HOME NEW HAVEN AVE., FAR ROCKAWAY, NY BEDS:175 PROPRIETARY (718) NEW YORK STATE VETERANS HOME IN NEW YORK CITY (ST. ALBANS) LINDEN BLVD., JAMAICA, NY BEDS:250 PUBLIC (718) OCEAN PROMENADE NURSING CENTER, INC. 140 BEACH 113TH ST., ROCKAWAY PARK, NY BEDS:120 PROPRIETARY (718) OCEANVIEW NURSING HOME 315 BEACH 9TH ST., FAR ROCKAWAY, NY BEDS:102 PROPRIETARY (718) OZANAM HALL OF QUEENS NURSING HOME, INC ST ST., BAYSIDE, NY BEDS:432 VOLUNTARY (718) PARK NURSING HOME 128 BEACH 115TH ST., ROCKAWAY PARK, NY BEDS:196 PROPRIETARY (718) PARK TERRACE CARE CENTER VAN DOREN ST., REGO PARK, NY BEDS:200 PROPRIETARY (718) PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION TH AVE., NEW HYDE PARK, NY BEDS:527 VOLUNTARY (718) Provides transfusion services. PENINSULA GENERAL NURSING HOME BEACH CHANNEL DRIVE, FAR ROCKAWAY, NY BEDS:200 VOLUNTARY (718) PROMENADE NURSING HOME 140 BEACH 114TH ST., ROCKAWAY PARK, NY BEDS:240 PROPRIETARY (718) QUEEN OF PEACE RESIDENCE ST ST., QUEENS VILLAGE, NY BEDS:65 VOLUNTARY (718) QUEENS BOULEVARD EXTENDED CARE FACILITY, INC QUEENS BLVD., WOODSIDE, NY BEDS:280 PROPRIETARY (718) QUEENS-NASSAU NURSING HOME 520 BEACH 19TH ST., FAR ROCKAWAY, NY BEDS:200 PROPRIETARY (718) REGO PARK NURSING HOME CORONA AVE., FLUSHING, NY BEDS:200 PROPRIETARY (718)

81 RESORT NURSING HOME 430 BEACH 68TH ST., ARVERNE, NY BEDS:280 PROPRIETARY (718) ROCKAWAY CARE CENTER 353 BEACH 48TH ST., EDGEMERE, NY BEDS:228 PROPRIETARY (718) SILVERCREST TH AVE., JAMAICA, NY BEDS:320 VOLUNTARY (718) Certified for ventilator-dependent residents. ST. MARY S HOSPITAL FOR CHILDREN, INC ST., BAYSIDE, NY BEDS:95 VOLUNTARY (718) Specially certified to care for children. Provides day health care programs. Certified to provide special services for people with traumatic brain injury. UNION PLAZA NURSING HOME, INC UNION ST., FLUSHING, NY BEDS:280 PROPRIETARY (718) WATERVIEW NURSING CARE CENTER TH AVE., FLUSHING, NY BEDS:200 PROPRIETARY (718) WEST LAWRENCE CARE CENTER 1410 SEAGIRT BLVD., FAR ROCKAWAY, NY BEDS:215 PROPRIETARY (718) WINDSOR PARK NURSING HOME HILLSIDE AVE., QUEENS VILLAGE, NY BEDS:70 PROPRIETARY (718) WOODCREST NURSING HOME TH AVE., COLLEGE POINT, NY BEDS:200 PROPRIETARY (718) Staten Island (Richmond County) CARMEL RICHMOND NURSING HOME, INC. 88 OLD TOWN ROAD, STATEN ISLAND, NY BEDS:300 VOLUNTARY (718) CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER, INC. 25 FANNING ST., STATEN ISLAND, NY BEDS:576 PROPRIETARY (718) EGER HEALTH CARE CENTER OF STATEN ISLAND 140 MEISNER AVE., STATEN ISLAND, NY BEDS:378 VOLUNTARY (718)

82 GOLDEN GATE HEALTH CARE CENTER 191 BRADLEY AVE., STATEN ISLAND, NY BEDS:238 PROPRIETARY (718) LILY POND NURSING HOME 150 LILY POND AVE., STATEN ISLAND, NY BEDS:35 PROPRIETARY (718) NEW BRIGHTON MANOR CARE CENTER 200 LAFAYETTE AVE., STATEN ISLAND, NY BEDS:300 PROPRIETARY (718) NEW VANDERBILT NURSING HOME, INC. 135 VANDERBILT AVE., STATEN ISLAND, NY BEDS:320 PROPRIETARY (718) SEA VIEW HOSPITAL, REHABILITATION CENTER AND HOME 460 BRIELLE AVE., STATEN ISLAND, NY BEDS:304 PUBLIC (718) Certified to provide special services for people with traumatic brain injury. SILVER LAKE SPECIALIZED CARE CENTER 275 CASTLETON AVE., STATEN ISLAND, NY BEDS:278 PROPRIETARY (718) Certified for ventilator-dependent residents. ST. ELIZABETH ANN S HEALTH CARE AND REHABILITATION CENTER 91 TOMPKINS AVE., STATEN ISLAND, NY BEDS:228 VOLUNTARY (718) Certified AIDS unit. Provides transfusion services. Certified for ventilator-dependent residents. VERRAZANO NURSING HOME 100 CASTLETON AVE., STATEN ISLAND, NY BEDS:120 PROPRIETARY (718)

83 Additional copies of this publication may be obtained by writing to: Publications New York State Department of Health Box 2000 Albany, NY Additional and related information is also available from the New York State Department of Health Web site on the Internet: Comments regarding the format or content of this publication are welcome.

84 State of New York George E. Pataki, Governor Department of Health Barbara A. DeBuono, M.D., M.P.H., Commissioner /98

85 Glossary Advance Directives A verbal or written instruction plan in advance of incapacitating illness or injury, which ensures that the resident s wishes about treatment will be followed. This includes but is not limited to a health care proxy, a do-not-resuscitate (DNR) order recorded in the resident s medical record and a living will. Basic Services Those services included in the daily rate. At the time of admission, a written copy of the following basic services must be made available to all residents: the daily, weekly or monthly rate; board, including therapeutic or modified diets, as prescribed by a doctor; lodging a clean, healthful, sheltered environment, properly outfitted; 24-hour-per-day nursing care; the use of all equipment, medical supplies and modalities used in the care of nursing home residents, including but not limited to catheters, hypodermic syringes and needles, irrigation outfits, dressings and pads, etc.; fresh bed linen, as required, changed at least twice weekly, including sufficient quantities of necessary bed linen or appropriate substitutes changed as often as required for incontinent residents; hospital gowns or pajamas as required by the clinical condition of the resident, unless the resident, family member or designated representative elects to furnish them, and laundry services for these and other launderable personal clothing items; general household medicine cabinet supplies, including but not limited to nonprescription medications, materials for routine skin care, dental hygiene, care of hair, etc., except when specific items are medically indicated and prescribed for exceptional use for a specific resident; assistance and/or supervision, when required, with activities of daily living, including but not limited to toileting, bathing, feeding and assistance with getting from place to place; services, in the daily performance of their assigned duties, by members of the nursing home staff assigned to resident care; use of customarily stocked equipment, including but not limited to crutches, walkers, wheelchairs or other supportive equipment, including training in their use when necessary, unless such items are prescribed by a doctor for regular and sole use by a specific resident; activities program, including but not limited to a planned schedule of recreational, motivational, social and other activities together with the necessary materials and supplies to make the resident s life more meaningful; social services as needed; 78

86 physical therapy, occupational therapy, speech pathology services, audiology services and dental services, on either a staff or fee-for-services basis, as prescribed by a doctor, administered by or under the direct supervision of a licensed and currently registered physical therapist, occupational therapist, speech pathologist, qualified audiologist or registered dentist. Designated Representative The individual or individuals designated to receive information and to assist and/or act on behalf of a particular resident to the extent permitted by New York State law. The representation occurs by a court of law if sought; by the resident if he or she has the capacity to make such a designation; or by family members and others who have an interest in the well-being of the resident. The name of the designated representative must be noted in the resident s clinical record at the facility. The designated representative: (1) receives any written and verbal information required to be provided to the resident if the resident lacks the capacity to understand or make use of the information, and receives any information required to be provided to both the resident and the designated representative; (2) participates (to the extent authorized by New York State law) in decisions and choices regarding the care, treatment and well-being of the resident if such resident lacks the capacity to make decisions and choices. These decisions are not the same as those made by a health care agent unless the same person has been appointed both the designated representative and the health care agent. Governing Body The policymaking body of the facility, the board of directors or trustees of the facility or the owner or owners of the facility. Health Care Agent Someone appointed by the resident to decide about treatment if the resident becomes incapable of making decisions for himself or herself. The resident has the right to appoint someone by filling out a form called a Health Care Proxy. These forms should be available at the facility, should be kept at the facility and made known to the medical staff. Health Care Proxy A document that delegates the authority to another individual known as a Health Care Agent to make health care decisions on behalf of the resident when that resident is incapacitated. Nursing Home A facility (subject to Article 28 of the New York State Public Health Law) providing lodging for 24 or more consecutive hours to three or more nursing home residents who are not related to the facility operator by marriage or by blood, who need regular nursing services or other professional services, but who do not need the services of a general hospital. Resident An individual who has been admitted to and who resides in a long term care facility (nursing home) and is entitled to receive care, treatment and services required by New York State law. 79

87 Appendix A Nursing Home Inspections The U. S. Department of Health and Human Services has developed a national process for nursing home inspections to ensure quality care. In New York State this is carried out by the Department of Health. The state's survey team most often includes a nurse, dietitian, sanitarian and social worker, but other health professionals such as physicians, physical therapists and pharmacists may also participate. Surveyors spend most of their time evaluating the care and services residents receive. Surveyors observe meals, drug administration and recreational activities and also speak with residents and their families regarding the treatment they receive and their opinions about the nursing home. The inspection survey includes the following steps: touring the nursing home; meeting with staff and administrators; meeting with members of the resident council and/or other residents; assessing the safety of the building; observing meals to assure that residents' nutritional needs are being met; interviewing nursing home residents, examining residents' medical records and observing clinical procedures; and summarizing the results of the survey and reporting findings to the nursing home administrator. Every nursing home receives a copy of the Department of Health's most recent survey report and federal law guarantees the report be made available for inspection by the public. 80

88 Appendix B State Agencies That Oversee Care Following is a list of state agencies that oversee and monitor care. Type of Care Housekeeping/Chore Services Homemaker Services Personal Care Services Home Health Aide Assistance Certified Home Health Care (CHHA) nonskilled nursing services Adult Day Health Care Enriched Housing Adult Home Services Assisted Living Program (ALP) Certified Home Health Care (CHHA) skilled nursing services Long Term Home Health Care Program (LTHHCP) Long Term Care Facility (Nursing Home) Services Hospice Responsible Agency Department of Labor Department of Labor Department of Health Department of Health Department of Health Department of Health Department of Health /State Office for the Aging Department of Health Department of Health Department of Health Department of Health Department of Health/State Office for the Aging Department of Health 81

89 Appendix C Appointing Your Health Care Agent New York State s Proxy Law A law called the New York Health Care Proxy Law allows you to appoint someone you trust for example, a family member or close friend to decide about treatment if you lose the ability to decide for yourself. You can do this by using a Health Care Proxy form like the one inside, to appoint your health care agent. This law gives you the power to make sure that health care professionals follow your wishes. Your agent can also decide how your wishes apply as your medical condition changes. Hospitals, doctors and other health care providers must follow your agent s decisions as if they were your own. You can give the person you select, your health care agent, as little or as much authority as you want. You can allow your agent to decide about all health care or only certain treatments. You may also give your agent instructions that he or she has to follow. Why should I choose a health care agent? If you become too sick to make health care decisions, someone else must decide for you. Health care professionals often look to family members for guidance. But family members are not allowed to decide to stop treatment, even when they believe that is what you would choose or what is best for you under the circumstances. Appointing an agent lets you control your medical treatment by: allowing your agent to stop treatment when he or she decides that is what you would want or what is best for you under the circumstances; choosing one family member to decide about treatment because you think that person would make the best decisions or because you want to avoid conflict or confusion about who should decide; and choosing someone outside your family to decide about treatment because no one in your family is available or because you prefer that someone other than a family member decide about your health care. How can I appoint a health care agent? All competent adults can appoint a health care agent by signing a form called a Health Care Proxy. You don t need a lawyer, just two adult witnesses. You can use the form printed here, but you don t have to. When would my health care agent begin to make treatment decisions for me? Your health care agent would begin to make treatment decisions after doctors decide that you are not able to make health care decisions. As long as you are able to make treatment decisions for yourself, you will have the right to do so. What decisions can my health care agent make? Unless you limit your health care agent s authority, your agent will be able to make any treatment decision that you could have made if you were able to decide for yourself. Your agent can agree that you should receive treatment, choose among different treatments and decide that treatments should not be provided, in accord with your wishes and interests. If your health care agent is not aware of your wishes 82

90 about artificial nutrition and hydration (nourishment and water provided by feeding tubes), he or she will not be able to make decisions about these measures. Artificial nutrition and hydration are used in many circumstances, and are often used to continue the life of patients who are in a permanent coma. How will my health care agent make decisions? You can write instructions on the proxy form. Your agent must follow your oral and written instructions, as well as your moral and religious beliefs. If your agent does not know your wishes or beliefs, your agent is legally required to act in your best interests. Who will pay attention to my agent? All hospitals, doctors and other health care facilities are legally required to honor the decisions by your agent. If a hospital objects to some treatment options (such as removing certain treatment) they must tell you or your agent IN ADVANCE. What if my health care agent is not available when decisions must be made? You can appoint an alternate agent to decide for you if your health care agent is not available or able to act when decisions must be made. Otherwise, health care providers will make treatment decisions for you that follow instructions you gave while you were still able to do so. Any instructions that you write on your Health Care Proxy form will guide health care providers under these circumstances. What if I change my mind? It is easy to cancel the proxy, to change the person you have chosen as your health care agent or to change any treatment instructions you have written on your Health Care Proxy form. Just fill out a new form. In addition, you can require that the Health Care Proxy expire on a specified date or if certain events occur. Otherwise, the Health Care Proxy will be valid indefinitely. If you choose your spouse as your health care agent and you get divorced or legally separated, the appointment is automatically cancelled. Can my health care agent be legally liable for decisions made on my behalf? No. Your health care agent will not be liable for treatment decisions made in good faith on your behalf. Also, he or she cannot be held liable for costs of your care, just because he or she is your agent. Is a health care proxy the same as a living will? No. A living will is a document that provides specific instructions about health care treatment. It is generally used to declare wishes to refuse lifesustaining treatment under certain circumstances. In contrast, the health care proxy allows you to choose someone you trust to make treatment decisions on your behalf. Unlike a living will, a health care proxy does not require that you know in advance all the decisions that may arise. Instead, your health care agent can interpret your wishes as medical circumstances change and can make decisions you could not have known would have to be made. The health care proxy is just as useful for decisions to receive treatment as it is for decisions to stop treatment. If you complete a Health Care Proxy form, but also have a living will, the living will provides instructions for your health care agent, and will guide his or her decisions. Where should I keep the proxy form after it is signed? Give a copy to your agent, your doctor and any other family members or close friends you want. You can also keep a copy in your wallet or purse or with other important papers. APPOINTING A HEALTH CARE AGENT IS A SERIOUS DECISION. MAKE SURE YOU TALK ABOUT IT WITH YOUR FAMILY, CLOSE FRIENDS AND YOUR DOCTOR. DO IT IN ADVANCE, NOT JUST WHEN YOU ARE PLANNING TO ENTER THE HOSPITAL. FILLING OUT A HEALTH CARE PROXY IS VOLUNTARY. NO ONE CAN REQUIRE YOU TO DO SO. 83

91 About the Health Care Proxy This is an important legal form. Before signing this form, you should understand the following facts: 1. This form gives the person you choose as your agent the authority to make all health care decisions for you, except to the extent you say otherwise in this form. Health care means any treatment, service or procedure to diagnose or treat your physical or mental condition. 2. Unless you say otherwise, your agent will be allowed to make all health care decisions for you, including decisions to remove or provide life-sustaining treatment. 3. Unless your agent knows your wishes about artificial nutrition and hydration (nourishment and water provided by a feeding tube), he or she will not be allowed to refuse or consent to those measures for you. 4. Your agent will start making decisions for you when doctors decide that you are not able to make health care decisions for yourself. You may write on this form any information about treatment that you do not desire and/ or those treatments that you want to make sure you receive. Your agent must follow your instructions (oral and written) when making decisions for you. If you want to give your agent written instructions, do so right on the form. For example, you could say: If I become terminally ill, I do/don't want to receive the following treatments:... If I am in a coma or unconscious, with no hope of recovery, then I do/don't want... If I have brain damage or a brain disease that makes me unable to recognize people or speak and there is no hope that my condition will improve, I do/don't want... I have discussed with my agent my wishes about and I want my agent to make all decisions about these measures. Examples of medical treatments about which you may wish to give your agent special instructions are listed below. This is not a complete list of the treatments about which you may leave instructions. artificial respiration artificial nutrition and hydration (nourishment and water provided by feeding tube) cardiopulmonary resuscitation (CPR) antipsychotic medication electric shock therapy antibiotics psychosurgery dialysis transplantation blood transfusions abortion sterilization Talk about choosing an agent with your family and/or close friends. You should discuss this form with a doctor or another health care professional, such as a nurse or social worker, before you sign it to make sure that you understand the types of decisions that may be made for you. You may also wish to give your doctor a signed copy. You do not need a lawyer to fill out this form. 84

92 You can choose any adult (over 18), including a family member, or close friend, to be your agent. If you select a doctor as your agent, he or she may have to choose between acting as your agent or as your attending doctor; a physician cannot do both at the same time. Also, if you are a patient or resident of a hospital, nursing home or mental hygiene facility, there are special restrictions about naming someone who works for that facility as your agent. You should ask staff at the facility to explain those restrictions. You should tell the person you choose that he or she will be your health care agent. You should discuss your health care wishes and this form with your agent. Be sure to give him or her a signed copy. Your agent cannot be sued for health care decisions made in good faith. Even after you have signed this form, you have the right to make health care decisions for yourself as long as you are able to do so, and treatment cannot be given to you or stopped if you object. You can cancel the control given to your agent by telling him or her or your health care provider orally or in writing. Filling Out the Proxy Form Item (1) Write your name and the name, home address and telephone number of the person you are selecting as your agent. Item (2) If you have special instructions for your agent, you should write them here. Also, if you wish to limit your agent s authority in any way, you should say so here. If you do not state any limitations, your agent will be allowed to make all health care decisions that you could have made, including the decision to consent to or refuse life-sustaining treatment. You may also state your wishes about organ or tissue donation(s). Item (3) You may write the name, home address and telephone number of an alternate agent. Item (4) This form will remain valid indefinitely unless you set an expiration date or condition for its expiration. This section is optional and should be filled in only if you want the health care proxy to expire. Item (5) You must date and sign the proxy. If you are unable to sign yourself, you may direct someone else to sign in your presence. Be sure to include your address. Two witnesses at least 18 years of age must sign your proxy. The person who is appointed agent or alternate agent cannot sign as a witness. 85

93 86

94 Health Care Proxy (1) I, hereby appoint (name, home address and telephone number) as my health care agent to make any and all health care decisions for me, except to the extent that I state otherwise. This proxy shall take effect when and if I become unable to make my own health care decisions. (2) Optional instructions: I direct my agent to make health care decisions in accord with my wishes and limitations as stated below, or as he or she otherwise knows. (Attach additional pages if necessary.) (Unless your agent knows your wishes about artificial nutrition and hydration [feeding tubes], your agent will not be allowed to make decisions about artificial nutrition and hydration. See instructions on reverse for samples of language you could use.) (3) Name of substitute or fill-in agent if the person I appoint above is unable, unwilling or unavailable to act as my health care agent. (name, home address and telephone number) (4) Unless I revoke it, this proxy shall remain in effect indefinitely, or until the date or conditions stated below. This proxy shall expire (specific date or conditions, if desired): (5) Signature Address Date Statement by Witnesses (must be 18 or older) I declare that the person who signed this document is personally known to me and appears to be of sound mind and acting of his or her own free will. He or she signed (or asked another to sign for him or her) this document in my presence. Witness 1 Address Witness 2 Address 87

95 88

96 Appendix D Deciding about CPR: Do-Not-Resuscitate (DNR) Orders A Guide for Patients and Families What do CPR and DNR orders mean? CPR cardiopulmonary resuscitation refers to the medical procedures used to restart a patient s heart and breathing when the patient suffers heart failure. CPR may involve simple efforts such as mouth-tomouth resuscitation and external chest compression. Advanced CPR may involve electric shock, insertion of a tube to open the patient s airway, injection of medication into the heart and in extreme cases, open chest heart massage. A do-not-resuscitate (DNR) order tells medical professionals not to perform CPR. This means that doctors, nurses and emergency medical personnel will not attempt emergency CPR if the patient s breathing or heartbeat stops. DNR orders may be written for patients in a hospital or nursing home, or for patients at home. Hospital DNR orders tell the medical staff not to revive the patient if cardiac arrest occurs. If the patient is in a nursing home or at home, a DNR order tells the staff and emergency medical personnel not to perform emergency resuscitation and not to transfer the patient to a hospital for CPR. Why are DNR orders issued? CPR, when successful, restores heartbeat and breathing and allows patients to resume their previous lifestyle. The success of CPR depends on the patient s overall medical condition. Age alone does not determine whether CPR will be successful, although illnesses and frailties that go along with age often make CPR less successful. When patients are seriously ill or terminally ill, CPR may not work or may only partially work, leaving the patient brain-damaged or in a worse medical state than before the heart stopped. In these cases, some patients prefer to be cared for without aggressive efforts at resuscitation upon their death. Can I request a DNR order? Yes. All adult patients can request a DNR order. If you are sick and unable to tell your doctor that you want a DNR order written, a family member or close friend can decide for you. Is my right to request or receive other treatment affected by a DNR order? No. A DNR order is only a decision about CPR and does not relate to any other treatment. Are DNR orders ethically acceptable? It is widely recognized by health care professionals, clergy, lawyers and others that DNR orders are medically and ethically appropriate under certain circumstances. For some patients, CPR offers more burdens than benefits, and may be against the patient s wishes. Is my consent required for a DNR order? Your doctor must speak to you before entering a DNR order if you are able to decide, unless your doctor believes that discussing CPR with you would cause you severe harm. In an emergency, it is assumed that all patients would consent to CPR. However, if a doctor decides that CPR will not work, it is not provided. 89

97 How can I make my wishes about DNR known? An adult patient may consent to a DNR order orally by informing a physician, or in writing, such as a living will, if two witnesses are present. In addition, the Health Care Proxy Law allows you to appoint someone you trust to make decisions about CPR and other treatments if you become unable to decide for yourself. Before deciding about CPR, you should speak with your doctor about your overall health and the benefits and burdens CPR would provide for you. A full and early discussion between you and your doctor will assure that your wishes will be known. If I request a DNR order, must my doctor honor my wishes? If you don t want CPR and you request a DNR order, your doctor must follow your wishes or: transfer your care to another doctor who will follow your wishes; or begin a process to settle the dispute if you are in a hospital or nursing home. If the dispute is not resolved within 72 hours, your doctor must enter the order or transfer you to the care of another doctor. If l am not able to decide about CPR for myself, who will decide? First, two doctors must determine that you are unable to decide about CPR. You will be told of this determination and have the right to object. If you become unable to decide about CPR, and you did not tell your doctor or others about your wishes in advance, a DNR order can be written with the consent of someone chosen by you, by a family member or by a close friend. The person highest on the following list will decide about CPR for you: the person chosen by you to make health care decisions under New York s Health Care Proxy Law; a court appointed guardian (if there is one); your closest relative (spouse, child, parent, sibling); a close friend. How can I select someone to decide for me? The Health Care Proxy Law allows adults to select someone they trust to make all health care decisions for them when they are no longer able to do so themselves, including decisions about CPR. You can name someone by filling out a health care proxy form, which you can get from your physician or other health care professionals. Under what circumstances can a family member or close friend decide that a DNR order should be written? A family member or close friend can consent to a DNR order only when you are unable to decide for yourself and you have not appointed someone to decide for you. Your family member or friend can consent to a DNR order when: you are terminally ill; or you are permanently unconscious; or CPR will not work (would be medically futile); or CPR would impose an extraordinary burden on you given your medical condition and the expected outcome of CPR. Anyone deciding for you must base the decision on your wishes, including your religious and moral beliefs, or if your wishes are not known, on your best interests. 90

98 What if members of my family disagree? In a hospital or nursing home, your family can ask that the disagreement be mediated. Your doctor can request mediation if he or she is aware of any disagreement among your family members. What if I lose the ability to make decisions about CPR and do not have anyone who can decide for me? A DNR order can be written if two doctors decide that CPR would not work or if a court approves of the DNR order. It would be best if you discussed your wishes about CPR with your doctor in advance. Who can consent to a DNR order for children? A DNR order can be entered for a child with the consent of the child s parent or guardian. If the child is old enough to understand and decide about CPR, the child s consent is also required for a DNR order. What happens if I change my mind after a DNR order has been written? You or anyone who consents to a DNR order for you can remove the order by telling your doctor, nurses or others of the decision. What happens to a DNR order if I am transferred from a nursing home to a hospital or vice versa? The DNR order will continue until a doctor examines you and decides whether the order should remain or be canceled. If the doctor decides to cancel the DNR order, you or anyone who decided for you will be told and can ask that the DNR order be entered again. If I am at home with a DNR order, what happens if a family member or friend panics and calls an ambulance to resuscitate me? If you have a DNR order and family members show it to emergency personnel, they will not try to resuscitate you or take you to a hospital emergency room for CPR. What happens to my DNR order if I am transferred from a hospital or nursing home to home care? The order issued for you in a hospital or nursing home will not apply at home. You, your health care agent or family member must specifically consent to a home DNR order. If you leave a hospital or nursing home without a home DNR order, a DNR order can be issued by a doctor for you at home. 91

99 Appendix E Planning In Advance For Your Medical Treatment Your Right to Decide About Treatment Adults in New York State have the right to accept or refuse medical treatment, including life-sustaining treatment. Our Constitution and state laws protect this right. This means that you have the right to request or consent to treatment, to refuse treatment before it has started and to have treatment stopped once it has begun. Planning In Advance Sometimes because of illness or injury people are unable to talk to a doctor and decide about treatment for themselves. You may wish to plan in advance to make sure that your wishes about treatment will be followed if you become unable to decide for yourself for a short or long time period. If you don t plan ahead, family members or other people close to you may not be allowed to make decisions for you and follow your wishes. In New York State, appointing someone you can trust to decide about treatment if you become unable to decide for yourself is the best way to protect your treatment wishes and concerns. You have the right to appoint someone by filling out a form called a Health Care Proxy. A copy of the form and information about the Health Care Proxy are available from your health care provider. If you have no one you can appoint to decide for you, or do not want to appoint someone, you can also give specific instructions about treatment in advance. Those instructions can be written, and are often referred to as a Living Will. You should understand that general instructions about refusing treatment, even if written down, may not be effective. Your instructions must clearly cover the treatment decisions that must be made. For example, if you just write down that you do not want heroic measures, the instructions may not be specific enough. You should say the kind of treatment that you do not want, such as a respirator or chemotherapy, and describe the medical condition when you would refuse the treatment, such as when you are terminally ill or permanently unconscious with no hope of recovering. You can also give instructions orally by discussing your treatment wishes with your doctor, family members or others close to you. Putting things in writing is safer than simply speaking to people, but neither method is as effective as appointing someone to decide for you. It is often hard for people to know in advance what will happen to them or what their medical needs will be in the future. If you choose someone to make decisions for you, that person can talk to your doctor and make decisions that they believe you would have wanted or that are best for you, when needed. If you appoint someone and also leave instructions about treatment in a Living Will, in the space provided on the Health Care Proxy form itself, or in some other manner, the person you select can use these instructions as guidance to make the right decision for you. 92

100 Deciding About Cardiopulmonary Resuscitation Your right to decide about treatment also includes the right to decide about cardiopulmonary resuscitation (CPR). CPR is emergency treatment to restart the heart and lungs when your breathing or circulation stops. Sometimes doctors and patients decide in advance that CPR should not be provided, and the doctor gives the medical staff an order not to resuscitate (DNR) order. If your physical or mental condition prevents you from deciding about CPR, someone you appoint, your family members or others close to you can decide. A brochure on CPR and your rights under New York law is available from your health care provider (see Appendix D). 93