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Assisted living / New York / Keene Valley

Keene Valley Neighborhood House

1782 NYS Route 73, Keene Valley, NY 12943 · Essex County · (518) 576-4474

Adult home · licensed for 50 residents · Licensed since 1979 · Operator: Keene Valley Neighborhood Services, Inc.

Assisted Living Residence (ALR): 50 bedsRespite beds: 5 bedsAdult day care: 5 beds Starting rent posted: from $1,426 a month
9inspections, 2022 to 2026
37violations cited, 2022 to 2026
1enforcement actions
50licensed capacity

New York State Department of Health data as of October 8, 2026 · Certificate 260-E-006 · See the state record

The record in brief

Keene Valley Neighborhood House is an adult home, one of the two kinds of adult care facility New York licenses, with 50 beds on its operating certificate, including 50 ALR, 5 Respite, 5 Day care.

Between April 1, 2022 and March 31, 2026 the Department of Health cited 37 violations from 9 inspections; the latest report was issued on December 23, 2025.

The state lists 1 enforcement action against the operator in that period.

On the state's assisted living quality page it has 0 food and dining violations at its latest recertification survey and an average of 19 direct care staff (2025, reported by the residence).

State inspections

The Department of Health's own summary: "A total of 37 violations resulted from 9 inspections of this facility from April 1, 2022 through March 31, 2026, including 4 inspections resulting in no violations."

December 23, 2025Relicensure Survey · 1 violation · Plan/Notice of Correction Approved
  1. §
    Records and reports
    18 NYCRR 487.10 (d) (1-2)
December 5, 2024Relicensure Survey · 22 violations · Plan/Notice of Correction Approved
  1. §
    General provisions
    18 NYCRR 487.3 (b)
  2. §
    Admission standards
    18 NYCRR 487.4 (a)
  3. §
    Resident services
    18 NYCRR 487.7 (d) (1) (iv)
  4. §
    Resident services
    18 NYCRR 487.7 (f) (1-4)
  5. §
    Resident services
    18 NYCRR 487.7 (f) (5)
  6. §
    Resident services
    18 NYCRR 487.7 (f) (11) (iii)
  7. §
    Resident services
    18 NYCRR 487.7 (f) (11) (x)
  8. §
    Resident services
    18 NYCRR 487.7 (f) (12) (ii)
  9. §
    Resident services
    18 NYCRR 487.7 (g) (1) (ii-xiv)
  10. §
    Food service
    18 NYCRR 487.8 (c)
  11. §
    Food service
    18 NYCRR 487.8 (e) (1)
  12. §
    Food service
    18 NYCRR 487.8 (e) (7)
  13. §
    Environmental standards
    18 NYCRR 487.11 (a)
  14. §
    Environmental standards
    18 NYCRR 487.11 (f) (11)
  15. §
    Environmental standards
    18 NYCRR 487.11 (h) (5)
  16. §
    Environmental standards
    18 NYCRR 487.11 (j) (1-3)
  17. §
    Environmental standards
    18 NYCRR 487.11 (k) (1-3)
  18. §
    Disaster and emergency planning
    18 NYCRR 487.12 (a-b)
  19. §
    Disaster and emergency planning
    18 NYCRR 487.12 (h)
  20. §
    Disaster and emergency planning
    18 NYCRR 487.12 (i)
  21. §
    Admission and retention standards.
    18 NYCRR 1001.7 (h)
  22. §
    Records and reports.
    18 NYCRR 1001.12 (b) (1-7)
October 4, 2024Complaint Survey · 5 violations · Plan/Notice of Correction Approved
  1. §
    Environmental standards
    18 NYCRR 487.11 (f) (11)
  2. §
    Environmental standards
    18 NYCRR 487.11 (g)
  3. §
    Environmental standards
    18 NYCRR 487.11 (h) (5)
  4. §
    Environmental standards
    18 NYCRR 487.11 (k) (14)
  5. §
    Disaster and emergency planning
    18 NYCRR 487.12 (j)
January 19, 2024Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
January 9, 2024Complaint Survey · 8 violations · Plan/Notice of Correction Approved
  1. §
    Resident services
    18 NYCRR 487.7 (f) (7)
  2. §
    Resident services
    18 NYCRR 487.7 (f) (12) (iii)
  3. §
    Food service
    18 NYCRR 487.8 (e) (1)
  4. §
    Environmental standards
    18 NYCRR 487.11 (a)
  5. §
    Environmental standards
    18 NYCRR 487.11 (f) (14-15)
  6. §
    Environmental standards
    18 NYCRR 487.11 (f) (19)
  7. §
    Environmental standards
    18 NYCRR 487.11 (k) (16)
  8. §
    Admission and retention standards.
    18 NYCRR 1001.7 (h)
June 2, 2023Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
April 11, 2023Other Survey · 0 violations · Plan/Notice of Correction Not Required
March 24, 2023Complaint Survey · 1 violation · Plan/Notice of Correction Approved
  1. §
    Notifications of criminal charges or convicti
    18 NYCRR 402.8
April 15, 2022Other Survey · 0 violations · Plan/Notice of Correction Not Required

Enforcement actions

  • June 30, 2025: Stipulation & Order #: ACF-25-035

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.

New York's assisted living quality measures

0food and dining violations at the latest recertification survey
19direct care staff, 2025 average (reported weekly by the residence)

Source: New York State Department of Health, Assisted Living Residence Quality, read October 8, 2026. The page's third measure, confirmed complaint allegations, was not listed in its table when we read it.

Memory care

Certification on the operating certificateBedsSince
Assisted Living Residence (ALR)50July 2008
Respite beds5January 1979
Adult day care5January 1979

Keene Valley Neighborhood House 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

New York requires each assisted living residence to file a Consumer Summary with its starting rent for each licence and certification, and the Department of Health posts it. Keene Valley Neighborhood House's summary says:

Starting rent, as filed (text read from the PDF form)ALR: $1,426 per month, semi-private room (SSI only) $3,850 per month, semi-private room $5,900 per month private room, semi-private bathroom $6,950 per month, private room, private bathroom Disclaimer: Actual rates may be lower and are based on a sliding scale. As a non-profit, we strive to work within the budget of all residents.

Lowest monthly rent in the filing: $1,426. Care level charges and other fees are extra; the residency agreement lists them.

Source: Consumer Summary (PDF), on the Department of Health's Assisted Living Residence Quality page, read October 8, 2026.

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.kvnh.org

Who runs it

Operator in the state file: Keene Valley Neighborhood Services, Inc. (a not-for-profit corporation).

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 Keene Valley Neighborhood House licensed?
New York's Department of Health lists it as licensed, certificate 260-E-006, adult home, since January 8, 1979 (state data as of October 8, 2026).
How many residents can Keene Valley Neighborhood House care for?
Its licence is for 50 residents.
Has Keene Valley Neighborhood House had violations?
37 violations from 9 inspections from April 1, 2022 to March 31, 2026, per the New York State Department of Health.
How much does Keene Valley Neighborhood House cost?
Its Consumer Summary, posted by the New York State Department of Health, lists starting rent from $1,426 a month: ALR: $1,426 per month, semi-private room (SSI only) $3,850 per month, semi-private room $5,900 per month private room, semi-private bathroom $6,950 per month, private room, private bathroom Disclaimer: Actual rates may b... Care level charges are extra.
Does Keene Valley Neighborhood House offer memory care?
Its operating certificate carries no special needs (SNALR) or dementia bed certification in the state file.

Sources

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