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Assisted living / New York / Ticonderoga

Adirondack Manor HFA D.B.A Montcalm Manor HFA

45 Montcalm Street, Ticonderoga, NY 12883 · Essex County · (518) 585-6230

Adult home · licensed for 40 residents · Licensed since 1983

Assisted Living Program (ALP): 39 beds
18inspections, 2022 to 2026
56violations cited, 2022 to 2026
2enforcement actions
40licensed capacity

New York State Department of Health data as of October 8, 2026 · Certificate 260-F-016 · See the state record

The record in brief

Adirondack Manor HFA D.B.A Montcalm Manor HFA is an adult home, one of the two kinds of adult care facility New York licenses, with 40 beds on its operating certificate, including 39 ALP.

Between April 1, 2022 and March 31, 2026 the Department of Health cited 56 violations from 18 inspections; the latest report was issued on October 2, 2025.

The state lists 2 enforcement actions against the operator in that period.

State inspections

The Department of Health's own summary: "A total of 56 violations resulted from 18 inspections of this facility from April 1, 2022 through March 31, 2026, including 8 inspections resulting in no violations."

October 2, 2025Relicensure Survey · 12 violations · Plan/Notice of Correction Approved
  1. §
    General provisions
    18 NYCRR 487.3 (b)
  2. §
    Admission standards
    18 NYCRR 487.4 (a)
  3. §
    Resident protections
    18 NYCRR 487.5 (b) (2)
  4. §
    Resident services
    18 NYCRR 487.7 (g) (1) (ii-xiv)
  5. §
    Resident services
    18 NYCRR 487.7 (h) (5,8-10)
  6. §
    Personnel
    18 NYCRR 487.9 (a) (15)
  7. §
    Environmental standards
    18 NYCRR 487.11 (i) ((4) (i),(
  8. §
    Environmental standards
    18 NYCRR 487.11 (j) (1-3)
  9. §
    Environmental standards
    18 NYCRR 487.11 (k) (1-3)
  10. §
    Environmental standards
    18 NYCRR 487.11 (k) (16)
  11. §
    Disaster and emergency planning
    18 NYCRR 487.12 (a-b)
  12. §
    Disaster and emergency planning
    18 NYCRR 487.12 (f)
July 21, 2025Complaint Survey · 1 violation · Plan/Notice of Correction Approved
  1. §
    Admission standards
    18 NYCRR 487.4 (c) (4)
June 23, 2025Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
April 11, 2025Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
January 23, 2025Complaint Survey · 4 violations · Plan/Notice of Correction Approved
  1. §
    Environmental standards
    18 NYCRR 487.11 (g)
  2. §
    Environmental standards
    18 NYCRR 487.11 (j) (1-3)
  3. §
    Environmental standards
    18 NYCRR 487.11 (k) (1-3)
  4. §
    Environmental standards
    18 NYCRR 487.11 (k) (14)
January 7, 2025Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
October 4, 2024Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
October 3, 2024Relicensure Survey · 24 violations · Plan/Notice of Correction Approved
  1. §
    General requirements
    18 NYCRR 402.4(b)(2)(i)
  2. §
    General provisions
    18 NYCRR 487.3 (b)
  3. §
    Admission standards
    18 NYCRR 487.4 (c) (5)
  4. §
    Admission standards
    18 NYCRR 487.4 (m)
  5. §
    Resident protections
    18 NYCRR 487.5 (b) (2)
  6. §
    Resident services
    18 NYCRR 487.7 (d) (1) (iv)
  7. §
    Resident services
    18 NYCRR 487.7 (d) (11)
  8. §
    Resident services
    18 NYCRR 487.7 (f) (1-4)
  9. §
    Resident services
    18 NYCRR 487.7 (f) (5)
  10. §
    Resident services
    18 NYCRR 487.7 (f) (11) (i-v)
  11. §
    Resident services
    18 NYCRR 487.7 (f) (11) (x)
  12. §
    Resident services
    18 NYCRR 487.7 (g) (1) (i)
  13. §
    Resident services
    18 NYCRR 487.7 (g) (1) (ii-xiv)
  14. §
    Resident services
    18 NYCRR 487.7 (g) (3)
  15. §
    Food service
    18 NYCRR 487.8 (c)
  16. §
    Food service
    18 NYCRR 487.8 (e) (1)
  17. §
    Personnel
    18 NYCRR 487.9 (a) (15)
  18. §
    Records and reports
    18 NYCRR 487.10 (d) (5)
  19. §
    Records and reports
    18 NYCRR 487.10 (g)
  20. §
    Environmental standards
    18 NYCRR 487.11 (k) (1-3)
  21. §
    Environmental standards
    18 NYCRR 487.11 (k) (15)
  22. §
    Disaster and emergency planning
    18 NYCRR 487.12 (a-b)
  23. §
    Disaster and emergency planning
    18 NYCRR 487.12 (f)
  24. §
    Disaster and emergency planning
    18 NYCRR 487.12 (h)
July 26, 2024Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
July 5, 2024Complaint Survey · 2 violations · Plan/Notice of Correction Approved
  1. §
    Resident services
    18 NYCRR 487.7 (d) (10) (i-iii)
  2. §
    Resident services
    18 NYCRR 487.7 (f) (11) (iii)
May 22, 2024Complaint Survey · 2 violations · Plan/Notice of Correction Approved
  1. §
    Admission standards
    18 NYCRR 487.4 (c) (5)
  2. §
    Resident services
    18 NYCRR 487.7 (d) (1) (v)
July 3, 2023Complaint Survey · 3 violations · Plan/Notice of Correction Approved
  1. §
    Resident services
    18 NYCRR 487.7 (f) (5)
  2. §
    Resident services
    18 NYCRR 487.7 (f) (11) (iii)
  3. §
    Resident services
    18 NYCRR 487.7 (g) (1) (ii-xiv)
March 24, 2023Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
March 24, 2023Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
October 18, 2022Relicensure Survey · 1 violation · Plan/Notice of Correction Approved
  1. §
    Resident services
    18 NYCRR 487.7 (d) (8)
September 8, 2022Relicensure Survey · 6 violations · Plan/Notice of Correction Approved
  1. §
    Resident services
    18 NYCRR 487.7 (d) (1) (iv)
  2. §
    Food service
    18 NYCRR 487.8 (e) (1)
  3. §
    Personnel
    18 NYCRR 487.9 (a) (8)
  4. §
    Environmental standards
    18 NYCRR 487.11 (a)
  5. §
    Environmental standards
    18 NYCRR 487.11 (h) (5)
  6. §
    Environmental standards
    18 NYCRR 487.11 (k) (15)
June 10, 2022Complaint Survey · 1 violation · Plan/Notice of Correction Approved
  1. §
    Environmental standards
    18 NYCRR 487.11 (a)
May 16, 2022Other Survey · 0 violations · Plan/Notice of Correction Not Required

Enforcement actions

  • January 13, 2026: Stipulation & Order #: ACF-26-006
  • June 30, 2025: Stipulation & Order #: ACF-25-036

Violations under dispute through the state's Inspection Review Process are not shown by the state. Regulation sections are Title 18 of New York's codes (NYCRR). Source: NYS Health Profiles.

Memory care

Certification on the operating certificateBedsSince
Assisted Living Program (ALP)39January 2022

Adirondack Manor HFA D.B.A Montcalm Manor HFA has no special needs (SNALR) or dementia beds on its certificate, so New York has not certified it for memory care. What memory care certification means.

A special needs assisted living residence (SNALR) serves people with special needs, including people with dementia or cognitive impairments, under an individualized service plan.health.ny.gov

An enhanced assisted living residence (EALR) lets residents age in place: it may admit or keep residents who need another person's physical help to walk or use stairs, depend on medical equipment and need frequent help from medical staff, or have chronic unmanaged incontinence.health.ny.gov

Costs

Adirondack Manor HFA D.B.A Montcalm Manor HFA is not a licensed assisted living residence, so New York's posted-rate rule does not apply to it. Ask the home for its full rate sheet, including care level fees and any one-time community fee, before you sign.

Assisted living residents in New York have the right to written notice of any fee increase at least 45 days before it takes effect, unless they agree in writing to a specific increase for added care, services or supplies.health.ny.gov

Under Public Health Law section 4656(7), signed February 14, 2025, an assisted living residence must post its monthly service rate and starting rent range in the facility and online.health.ny.gov

Website listed by the Department of Health: www.adirondackmanor.com

Nursing homes nearby

For care beyond what assisted living provides. Each has a federal inspection record on this site.

If you have a concern

NursingHomeClear cannot take or act on complaints. New York's Department of Health investigates complaints about licensed homes, and the long-term care ombudsman is a free, confidential advocate for residents.

New York's ombudsman program advocates for older adults and people with disabilities who live in nursing homes, assisted living and other licensed adult care homes.aging.ny.gov

To reach a New York long-term care ombudsman, call 1-855-582-6769.aging.ny.gov

Common questions

Is Adirondack Manor HFA D.B.A Montcalm Manor HFA licensed?
New York's Department of Health lists it as licensed, certificate 260-F-016, adult home, since June 14, 1983 (state data as of October 8, 2026).
How many residents can Adirondack Manor HFA D.B.A Montcalm Manor HFA care for?
Its licence is for 40 residents.
Has Adirondack Manor HFA D.B.A Montcalm Manor HFA had violations?
56 violations from 18 inspections from April 1, 2022 to March 31, 2026, per the New York State Department of Health.
Does Adirondack Manor HFA D.B.A Montcalm Manor HFA offer memory care?
Its operating certificate carries no special needs (SNALR) or dementia bed certification in the state file.

Sources

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