RESIDENTIAL CARE HOMES - Vermont

Transcription

Division of Licensing and ProtectionHC 2 South, 280 State DriveWaterbury, VT 05671-2060RESIDENTIAL CARE HOMESTHIS MATERIAL IS AVAILABLE UPON REQUEST IN ALTERNATIVE FORMATS SUCH ASLARGE PRINT, BRAILLE, AUDIO CASSETTE OR DISK7 ROYCE STREET7 ROYCE STREETRUTLAND, VT 05701Phone: 802-773-1495Fax: 802-773-2924ID# 0617MANAGER: ANNMARIE BROWNRUTLAND MENTAL HEALTH SERVICESLEVEL 3Capacity5ACCSRUTLANDabrown@rmhsccn.orgALLENWOOD AT PILLSBURY MANOR90 ALLEN ROADSOUTH BURLINGTON, VT 05403PHONE: 802-863-3926FAX: 802-652-3567ID# 0372MANAGER: ELIZABETH RIXONJOHN LARKIN, INC.Floating License Pilot Program ParticipantLEVEL ERNATIVES(f.k.a. Harbour House)10 LINCOLN STREETSPRINGFIELD, VT 05156PHONE: 802-885-7280FAX: 802-885-2593ID# 0601MANAGER: CAITLIN MILLERHEALTH CARE & REHABILITATION SERVICES OF SE VT, INC.LEVEL 3CAPACITY6LEVEL 3CAPACITY52WINDSORcmiller@hcrs.orgARBORS687 HARBOR ROADSHELBURNE, VT 05482PHONE: 802-985-8600FAX: 802-985-9787ID# 0102MANAGER: WENDY BRODIEBENCHMARK SHELBURNE SENIOR HOUSINGCHITTENDENwbrodie@benchmarkquality.com1

ARIOLI COMMUNITY CARE HOME15 ARIOLI AVENUEBARRE, VT 05641PHONE: 802-479-1439FAX: 802-479-1988ID# 0027MANAGER: JAYNE PLACEYWASHINGTON COUNTY MENTAL HEALTHLEVEL 3CAPACITY6 ACCSLEVEL 3CAPACITY16 ACCS ERC WINDSORLEVEL 4CAPACITY13LEVEL 3CAPACITYWASHINGTONjaynepl@wcmhs.orgASCUTNEY HOUSE5157 US ROUTE 5ASCUTNEY, VT 05030mailing address: PO Box 250, Ascutney, VT 05030PHONE: 802-674-4328FAX: 802-674-4194ID# 0602MANAGER: Vincent Jewellcvjewell@comcast.net(FRANCES) ATKINSON RESIDENCE FOR THE RETIRED4717 MAIN STREETNEWBURY, VT 05051PHONE: 802-866-5582 and 802-866-5585FAX: 802-866-5585ID# 0004MANAGER: Peggy DeGoosh-HitchenerVERMONT CONGREGATIONAL HOME, INC.ORANGEdirector.atkinson@gmail.comAUTUMN HOUSE141 SOUTH BRANCH STREETBENNINGTON, VT 05201PHONE: 802-442-1243 (fac.); 802-442-5491 (UCS)FAX: 802-442-1705ID# 0256MANAGER: RAYMOND ANDREWSUNITED COUNSELING SERVICES4 ACCSBENNINGTONrandrews@ucsvt.org2

AVE MARIA COMMUNITY CARE HOME19 SCHOOL STREETRICHFORD, VT 05476PHONE: 802-848-3003FAX: 802-848-3216ID# 0005ADMINISTRATOR: STEVEN DOEMANAGER: SUSAN CUTTINGLEVEL 3CAPACITY17 ACCS ERC FRANKLINBARBARA'S 1840 HOUSE, INC.147 GRANGER ST.RUTLAND, VT 05701LEVEL 3CAPACITY6 ACCS ERC RUTLANDLEVEL 3CAPACITYLEVEL 3CAPACITY8 ACCS ERC ORANGELEVEL 3CAPACITY11 ACCS ERC ORANGELevel 3CAPACITY33Mailing Address: PO Box 536, Wallingford, VT 05773PHONE: 802-747-0545FAX: 802-747-7285ID# 0613MANAGER: LORI CANNONb1840house@aol.comBEL-AIRE CENTER35 BEL AIRE DRIVENEWPORT, VT 05855PHONE 802-334-2878FAX: 802-334-1008ID# 0104MANAGER: ROSEMARY MAYHEW14ORLEANSrosemary.mayhew@genesishc.comBLUE SPRUCE HOME FOR THE RETIRED70 BIRCH STREETBRADFORD, VT 05033PHONE: 802-222-5332FAX: 802-222-3550ID# 0194MANAGER: SHARON SYLVESTERbluesprucehome@hotmail.comBRADFORD OASIS92 COTTAGE STREETBRADFORD VT 05033PHONE: 802-449-3076FAX: 802-449-3159ID# 0618MANAGER: TERESA HEMINGWAYbradfordoasis@gmail.comBROMLEY MANOR2595 DEPOT STREETMANCHESTER CENTER, VT 05255PHONE: 802-367-3988FAX: 802-768-8058ID# 0657MEMORY CARE-11 BEDSMANAGER: NANCILEE KENNEDYBENNINGTONinfo@bromleymanor.orgBROOKDALE AT FILLMORE POND300 VILLAGE LANEBENNINGTON, VT 05201PHONE: 802-447-7000LEVEL 3CAPACITY 109 ACCS ERC BENNINGTON3

FAX: 802-447-8888ID# 0130MANAGER: NANCY PEERSBROOKWOOD2 SCHOOL STREETNORTH SPRINGFIELD, VT 05150PHONE: 802-886-2464FAX: 802-886-2464ID# 0115MANAGER: JENNIFER SILVALEVEL 3CAPACITY17 ACCS ERC WINDSOR4

BROWNWAY RESIDENCE328 SCHOOL STREETENOSBURG FALLS, VT 05450PHONE: 802-933-2315FAX: 802-933-7997ID# 0118MANAGER: Morgan OuelletteLEVEL 3CAPACITY56 ACCS ERC FRANKLINLEVEL 3CAPACITY42 ACCSCALEDONIACEDAR LANE HOMEF.K.A. Lyndon Women's Home76 CEDAR LANEDANVILLE, VT 05828PHONE: 802-684-8061FAX: 802-684-8063ID# 0074MANAGER: LAURIE YOUNGNORTHEAST KINGDOM HUMAN SERVICESLEVEL 3CAPACITY4 ACCSCALEDONIACOPLEY HOUSE379 WASHINGTON HIGHWAYMORRISVILLE, VT 05661PHONE: 802-888-7323FAX: 802-888-2393ID# 0139MANAGER: MARY LEIKERTLAMOILLE COUNTY MENTAL HEALTHLEVEL 3CAPACITY22 ACCSmorgan@brownway.comCANTERBURY INN, INC46 CHERRY STREETST. JOHNSBURY, VT 05819PHONE: 802-748-5556FAX: 802-748-0362ID# 0119MANAGER: ERIC ILLE5

COUNTRY VILLAGE COMMUNITY CARE HOME99 ATKINSON STREET, BOX 468BELLOWS FALLS, VT 05101PHONE: 802-463-4722FAX: 802-463-1986ID# 0018MANAGER: EDGAR GREASONSOUTHERN VERMONT RESIDENTIAL CARE, INC.LEVEL 3CAPACITY24 ACCSCRAFTSBURY COMMUNITY CARE CENTER1784 EAST CRAFTSBURY ROADCRAFTSBURY, VT 05826PHONE: 802-586-2414FAX: 802-586-6956ID# 0292MANAGER: KIMBERLY ROBERGEccccenter.myfairpoint.netLEVEL 3CAPACITY24 ACCS ERC ORLEANSDAVIS HOME45 STATE STREETWINDSOR, VT 05089PHONE: 802-674-5300FAX: 802-674-5388ID# 0021MANAGER: Carrie JewellLEVEL 3CAPACITY18 ACCS ERC ST TERRACE71 EAST TERRACESOUTH BURLINGTON, VT 05403Phone: 802-660-4383Fax: 802-488-6501ID# 0608MANAGER: Nancy ParadeeHOWARD CENTERLEVEL EW AT MIDDLEBURY100 EASTVIEW TERRACEMIDDLEBURY, VT 05753PHONE: 802-989-7500FAX: 802-989-7265ID# 060320 BEDS MEMORY CARE SPECIAL UNIT10 BEDS FLOATING RCH LICENSE SLOTSMANAGER: Connie LeachLEVEL 3CAPACITY62LEVEL 'S PLACE212 NORTH MAIN ST.WALLINGFORD, VT 05773PHONE: 802-446-3574FAX: 802-446-3780ID# 0616MANAGER: KATHY CHANDLERRUTLANDACCS ERClennyburkesfarm@gmail.com6

EQUINOX TERRACE324 EQUINOX TERRACE ROADMANCHESTER CENTER, VT 05255PHONE: 802-362-5141FAX: 802-362-3374ID# 012711 BEDS DESIGNATED "DEMENTIA SPECIAL CARE UNIT"ADMINISTRATOR: ANN BOUZAEQUINOX TERRACE ASSOC.LEVEL 3CAPACITY92 ACCS ERC BENNINGTONLEVEL 3CAPACITY39 ACCS ERC CHITTENDENLEVEL 4CAPACITYLEVEL 3CAPACITY21 ACCS ERC LAMOILLELEVEL 3CAPACITY10 ACCSLEVEL 3CAPACITY37 ACCS ERC WASHINGTONLEVEL 3CAPACITYabouza@terracecommunities.comETHAN ALLEN RESIDENCE1200 NORTH AVENUEBURLINGTON, VT 05408PHONE: 802-658-1573FAX: 802-497-1597ID# 0128MANAGER: Mary MougeyAWAKENING SANCTUARY, INC.maryatdi@together.netFAIRWINDS RESIDENTIAL CARE HOME108 MECHANIC STREETNORTH BENNINGTON, VT 05257PHONE: 802-442-4067ID# 0031MANAGER: WANDA KING8BENNINGTONwandamimi@comcast.netFOREST HILL RESIDENTIAL CARE HOME213 CLARK DRIVEHYDE PARK, VT 05655PHONE: 802-888-1700; 802-793-2065FAX: 802-888-9944ID# 0597MANAGER: JENNIFER ANDERSONjen@foresthillcare.comFORTIER'S COMMUNITY CARE HOME127 BAILEY STREETBARRE, VT 05641PHONE: 802-479-1867FAX: 802-479-2066ID# 0381MANAGER: MARIE FORTIERWASHINGTONfortlm@hotmail.comFOUR SEASONS CARE HOME135 SOUTH MAIN STREETNORTHFIELD, VT 05663PHONE: 802-485-8163FAX: 802-485-4124ID# 0129MANAGER: ASHLEY L. HUDSONfourseasons@tds.netGATLING HOUSE GROUP HOMEMAIL: USC 100 LEDGE HILL DRIVE106 JOHN STREETBENNINGTON, VT 05201PHONE: 802-442-3378FAX: 802-442-17054 ACCSBENNINGTON7

ID# 0535MANAGER: Tina Fedetfede@ucsvt.orgGAZEBO SENIOR LIVING-GAZEBO APARTEMENTS1510 WILLISTON ROADSOUTH BURLINGTON, VT 05403PHONE: 802-865-4461FAX: 802-863-2186ID# 0213MANAGER: FELICIA STINCHFIELDJOHN LARKIN, INC.LEVEL 3CAPACITY40 ACCS ERC CHITTENDENcespe@gazeboseniorliving.comGAZEBO SENIOR LIVING-GAZEBO NORTH1530 WILLISTON ROADSouth Burlington, VT 05403PHONE: 802-863-2386FAX: 802-863-0097ID# 0148MANAGER: FELICIA STINCHFIELDJOHN LARKIN, INCLEVEL3 CAPACITY35 ACCS ERC CHITTENDENcespe@gazeboseniorliving.comGINGRAS COMMUNITY CARE HOME24 AVERILL STREETBARRE, VT 05641PHONE: 802-479-9647FAX: same as phone numberID# 0312MANAGER: LINDA GINGRAScespe@gazeboseniorliving.comLEVEL 3CAPACITY8 ACCSWASHINGTONGIORDANO MANOR34 CANADA STREETSWANTON, VT 05488PHONE: 802-868-3903FAX: 802-868-3901ID# 0038MANAGER: AMY LOCKERBYLEVEL 3CAPACITY21 ACCSFRANKLINHARVEY HOUSE, LTD1997 MAIN STREETCASTLETON, VT 05735Mailing Address: 1860 Main St., Castleton, VT 05735PHONE: 802-468-5357FAX: 802-468-8876ID# 0380MANAGER: CATHERINE ROONEYLEVEL 3CAPACITY8 ACCSRUTLANDHEATON WOODS10 HEATON STREETMONTPELIER, VT 05602PHONE: 802-223-1157FAX: 802-229-2286ID# 0297MANAGER: NANCY BUTRYMANCAPITAL CITY HOUSING FOUNDATIONLEVEL 3CAPACITYLEVEL 3CAPACITY51 ACCS ERC WASHINGTONnbutryman@heatonwoodsresidence.org6 ACCSWASHINGTONHILL STREET201 HILL STREETBARRE, VT 056418

PHONE: 802-479-1477FAX: 802-479-3119ID# 0376MANAGER: JAYNE PLACEYWashington County Mental Health Servicesjaynepl@wcmhs.orgHILLTOP RECOVERY RESIDENCE94 WESTMINSTER TERRACEBELLOWS FALLS, VT 05101PHONE: 802-732-8343FAX: 802-732-8344ID# 0604MANAGER: RICHARD WRASEHEALTH CARE & REHABILITATION SERVICES OF SE VT, INC.LEVEL 3CAPACITY8 ACCSLEVEL 3CAPACITY14LEVEL 3CAPACITY27 ACCS ERC WINDSORHOLIDAY HOUSE RESIDENTIAL CARE HOME642 SHELDON ROADST. ALBANS, VT 05478PHONE: 802-524-2996FAX: 802-524-7634ID# 0541MANAGER: Sharon BellroseLEVEL 3CAPACITY42 ACCS ERC FRANKLINHOLTON (MEMORIAL) HOME158 WESTERN AVENUEBRATTLEBORO, VT 05301PHONE: 802-254-4155FAX: 802-254-1349ID# 0048MANAGER: EMMA SHELDONLEVEL 3CAPACITY35 ACCS ERC WINDHAMTHE HOMESTEAD, INC73 RIVER STREETWOODSTOCK, VT 05091PHONE: 802-457-1310FAX: 802-457-4267ID# 0135MANAGER: SARAH L HUNT, RNLEVEL 3CAPACITY23 ACCSWINDHAMrwrase@hcrs.orgHISTORIC HOMES OF RUNNEMEDE - EVARTS HOUSEMailing Address: 40 Maxwell Perkins Ln, Windsor, VT 0508934 MAXWELL PERKINS LANEWINDSOR, VT 05089PHONE: 802-674-6733FAX: 802-674-2328ID# 0374MANAGER: BARBARA SPEARHISTORIC HOMES OF RUNNEMEDE, INC.WINDSORbspear@hhronline.orgHISTORIC HOMES OF RUNNEMEDE - STOUGHTON HOUSEMailing Address: 40 Maxwell Perkins Ln, Windsor, VT 0508946 MAIN STREETWINDSOR, VT 05089PHONE: 802-674-6733FAX : 802-674-2328ID# 0161MANAGER: BARBARA SPEARbspear@hhronline.orgWINDSOR9

director@thehomestead.comHOMESTEAD AT PILLSBURY64 HARBORVIEW DRIVEST. ALBANS, VT 05478PHONE: 802-752-2100FAX: 802-752-2057ID# 0605MANAGER: SARAH HOLM, RNFloating License Pilot Program ParticipantJOHNSON CARE HOME919 VT ROUTE 100HANCOCK, VT 05748Mailing Address: PO Box 190, Hancock, VT 05748-0190PHONE: 802-767-4404FAX: same as phone numberID# 0170MANAGER: MARY JOHNSONLEVEL 3CAPACITY56 ACCS ERC FRANKLINLEVEL 3CAPACITY6 ACCS ERC ADDISONLEVEL 3CAPACITY6 ACCS ERC ORLEANSLEVEL 3CAPACITY16 ACCS ERC FRANKLINLEVEL 3CAPACITY43 ACCS ERC WASHINGTONLEVEL 3CAPACITYmmaj1125@gmail.comKINGDOM WAY GROUP HOME97 KINGDOM WAYNEWPORT, VT 05855Mailing Address: PO Box 71, Newport, VT 05855PHONE: 802-334-4598FAX: 802-334-4619ID# 0295MANAGER: CATHY ETHEZENORTHEAST KINGDOM HUMAN SERVICEScetheze@nkhs.netKING'S DAUGHTERS HOME10 RUGG STREETST. ALBANS, VT 05478PHONE: 802-524-5744FAX: 802-524-4646ID# 0056MANAGER: MARY PAPPASKING'S DAUGHTERS HOME, INC.kdhome10@gmail.comKIRBY HOUSE64 SOUTH MAIN STREETWATERBURY, VT 05676PHONE: 802-244-8998FAX: 802-244-7087ID# 0058MANAGER: KIM RUSSELL-PECKkirbyhouse3@myfairpoint.netKLM ENTERPRISES, INC.88 A-B RIVER STREETWALLINGTONFORD, VTMailing Address: Attn: Kevin Burke PO Box 75 Wallingford VT 05773PHONE: 802-446-6030FAX: 802-446-3780ID# 0658MANAGER: DENISE TAYLOR-CLARK4 ACCS ERC RUTLANDstormywst@netscape.com10

LAKEVIEW COMMUNITY CARE HOME322 ST. PAUL STREETBURLINGTON, VT 05401PHONE: 802-488-7033FAX: 802-488-7034ID# 0177MANAGER: Jo EvansHOWARD CENTER, INC.LEVEL 3CAPACITY16 ACCSLENNY BURKE'S FARM1409 US RTE 7 SOUTHWALLINGFORD, VT 05773Mailing Address: PO Box75 Wallingford VT 05773PHONE: 802-446-6020FAX: 802-446-3780ID# 0061MANAGER: LYNN KEYESLEVEL 3CAPACITYLINCOLN HOUSE120 HILL STREETBARRE, VT 05641PHONE: 802-476-3283FAX: 802-476-3349ID# 0175MANAGER: BRENDA SCALABRINIGRANITE CITY HOUSING, INC.LEVEL 3CAPACITY31 ACCS ERC WASHINGTONLEVEL 3CAPACITY31LEVEL 3CAPACITY15 ACCS ERC ADDISONLEVEL 3CAPACITY16 ACCSLEVEL 3CAPACITY57 ACCS ERC RUTLANDCHITTENDENjevans@howardcenter.org5 ACCS ERC RUTLANDgchinc@sover.netLINDEN RESIDENTIAL CARE200 WAKE ROBIN DRIVESHELBURNE, VT 05482PHONE: 802-264-5150FAX: 802-985-8452ID# 0252MANAGER: Meagan BuckleyWAKE ROBIN CONTINUING CARE RETIREMENTCHITTENDENmbuckley@wakerobin.comLIVING WELL RESIDENCEMAILING: 1200 North Ave Burlington VT 0540871 MAPLE STREETBRISTOL, VT 05443PHONE: 802-453-3946FAX: 802-453-6661ID# 0543ADMINISTRATOR: JEANA LAVALLEEAWAKENING SANCTUARY, INC.jlavallee@livingwellresidence.orgLOCH LOMOND700 WILLSON ROADNORTH CONCORD, VT 05858PHONE: 802-695-3366FAX: 802-695-3366ID# 0062MANAGER: BECKY MCDONALDESSEXianbecky@myfairpoint.netLORETTO HOME59 MEADOW STREET11

RUTLAND, VT 05701PHONE: 802-773-8840FAX: 802-773-9638ID# 01389-BED ALZHEIMERS SPECIAL CARE UNITMANAGER: JEANNE SCHMELZENBACHVERMONT CATHOLIC CHARITIES, INC.jschmelzenbach@vermontcatholic.orgMANES HOUSE127 UNION STREETBENNINGTON, VT 05201PHONE: 802-442-8900; 802-442-9576LEVEL 3CAPACITY11 ACCS ERC BENNINGTONLEVEL 3CAPACITY14 ACCS ERC WASHINGTONLEVEL 3CAPACITY16 ACCS ERC ORLEANSMAPLE RIDGE MEMORY CARE (f. k. a. SPRING VILLAGE AT ESSEX) LEVEL 36 FREEMAN WOODSESSEX, VT 05451PHONE: 802-872-1700FAX: 802-872-6400ID# 065356-BED MEMORY SPECIAL CARE UNITMANAGER: Katy LemeryCAPACITY561ID# 0193MANAGER: HOLLY BAKERhollybaker64@comcast.net or Maneshouse27@gmailMAPLE HILL RESIDENTIAL CARE HOME(f.k.a. Squire House)26 UNION STREETWATERBURY, VT 05676PHONE: 802-244-6403FAX: 802-244-1486ID# 0154MANAGER: DAVID ANDERSONFOREST HILL RESIDENTIAL CARE HOME, INC.dave@foresthillcare.comMAPLE LANE RETIREMENT HOME33 MAPLE LANEBARTON, VT 05822PHONE: 802-754-2323FAX: 802-754-2113ID# 0140ADMINISTRATOR: KIM mery@mapleridgeessex.comMAPLEWOOD RECOVERY RESIDENCE195 STRATTON RDRUTLAND, VT 05701LEVEL 3CAPACITYLEVEL 3CAPACITY4 ACCSRUTLANDPHONE: 802-770-5003FAX: 802-770-5007ID# 0614MANAGER: CAILYN FLEURYRUTLAND MENTAL HEALTH SERVICES, INC.cjackson1@rmhsccn.orgMAYO RESIDENTIAL CARE (f.k.a. Mayo Manor)610 WATER STREETNORTHFIELD, VT 0566348 ACCS ERC WASHINGTON12

PHONE: 802-485-3168FAX: 802-485-4815ID# 0199MANAGER: Kaysie BreerMAYO HEALTHCARE, INC.kbreer@mayohc.orgMEADOWVIEW RECOVERY RESIDENCE330 LINDEN STREETBRATTLEBORO, VT 05301PHONE:802-275-4971FAX:802-275-4973ID# 0594MANAGER: TRISTAN BRIDGESLEVEL 3CAPACITY6 ACCSMERRY MEADOW FARM, INC-BRADFORD HOUSE996 LOWER PLAINBRADFORD, VT 05033MAILING: 2122 LOWER PLAINPHONE: 802-222-4412/ 802-222-4601FAX: 802-222-5422ID# 0254MANAGER: GAYLE BALCOMMERRY MEADOW FARM, INC.LEVEL 4CAPACITY12ORANGEMETIVIER RESIDENTIAL CARE HOME27 BROOKLYN STREETBARRE, VT 05641PHONE: 802-476-4570 or 802-479-9866ID# 0067MANAGER: LINA METIVIERLEVEL 3CAPACITY11 ACCSWASHINGTONMICHAUD MEMORIAL MANOR47 HERRICK ROADDERBY LINE, VT 05830PHONE: 802-873-3152FAX: 802-873-9206ID# 0143MANAGER: Anne SteinbergVT CATHOLIC CHARITIES, INC.LEVEL 3CAPACITY34 ACCS ERC ORLEANSLEVEL 3CAPACITY16 ACCS ERC RUTLANDLEVEL 3CAPACITY8 ACCS ERC ermontcatholic.orgMISTY HEATHER MORN COMMUNITY CARE HOME174 BLISSVILLE ROADHYDEVILLE, VT 05750Mailing Address: PO Box 176, Hydeville, VT 05750PHONE: 802-265-3300FAX: same as phoneID# 0174MANAGER: FRANCETTA TICEjftice@together.netMOUNTAIN VIEW OF VERSHIRE397 McIVER ROADVERSHIRE, VT 05079PHONE: 802-685-4547 (Facility)FAX: 802-685-2257ID# 0371MANAGER: DIANN WARDdiannd@outlook.com13

NEWPORT RESIDENTIAL CARE CENTER148 PROUTY DRIVENEWPORT, VT 05855PHONE: 802-334-7321FAX: 802-334-1548ID# 385MANAGER: DAVID SILVERLEVEL 3CAPACITY8 ACCSLEVEL 3CAPACITY12 ACCS ERC RUTLANDLEVEL 3CAPACITY12 ACCS ERC RUTLANDOUR HOUSE RESIDENTIAL CARE HOME162 JACKSON AVENUERUTLAND, VT 05701Mailing Address: 196 Mussey St., Rutland, VT 05701-4839PHONE: 802-773-4294; 802-773-4285FAX: 802-773-5716ID# 036010-BED DEMENTIA SPECIAL CARE UNITMANAGER: TABITHA HARTLEVEL 3CAPACITY10 ACCS ERC RUTLANDOUR HOUSE TOO RESIDENTIAL CARE HOME69 1/2 ALLEN STREETRUTLAND, VT 05701Mailing Address: 196 Mussey St., Rutland, VT 05701-4839PHONE: 802-773-4285; 802-773-4272FAX: 802-773-4287ID# 037713-BED DEMENTIA SPECIAL CARE UNITMANAGER: BETH PEERLEVEL 3CAPACITY13 ACCS ERC RUTLANDOUR LADY OF PROVIDENCE RESIDENCE47 WEST SPRING STREETWINOOSKI, VT 05404PHONE: 802-655-2395FAX: 802-655-3888ID# 0198MANAGER: BRENDA SCHILLLEVEL 3CAPACITY48 ACCS ERC CHITTENDENLEVEL 3CAPACITY71 ACCS ERC FRANKLINORLEANSnhcc@together.netOUR HOUSE AT PARK TERRACE48 SOUTH MAIN STREETRUTLAND, VT 05701Mailing Address: 196 Mussey St., Rutland, VT 05701-4839PHONE: 802-773-1776FAX: 802-772-7921ID# 0146MANAGER: PAULA PATORTIpaula@ourhouserch.comOUR HOUSE OUTBACK196 MUSSEY STREETRUTLAND, VT 05701PHONE: 802-775-7750FAX: 802-775-7551ID# 059512-BED DEMENTIA SPECIAL CARE UNITMANAGER: PAULA PATORTIpaula@ourhouserch.combschill@ourladyof providence.orgOUR LADY OF THE MEADOWS1 PINNACLE MEADOWSRICHFORD, VT 05476PHONE: 802-848-710614

FAX: 802-848-3216ID# 019745-BED DEMENTIA SPECIAL CARE UNITMANAGER: STEVEN DOEsdoe@avemariacare.comOWEN HOUSE3 UNION STREETFAIR HAVEN, VT 05743Mailing Address: 1860 Main St., Castleton, VT 05735PHONE: 802-468-5357FAX: NONEID# 0382MANAGER: CATHERINE ROONEYLEVEL 3CAPACITY8 ACCSRUTLANDLEVEL 4CAPACITY6CHITTENDENLEVEL 3CAPACITY70 ACCS ERC CHITTENDENLEVEL 3CAPACITY10 ACCS ERC CALEDONIALEVEL 3CAPACITYLEVEL 3CAPACITYmandrake05735@myfairpoint.netPENNINGTON HOUSE1822 NORTH AVENUEBURLINGTON, VT 05408Phone: 802-863-3231Fax: 802-651-7097ID# 0607MANAGER: Amy QuagliettaHOWARD CENTERamyq@howardcenter.orgPILLSBURY MANOR SOUTH20 HARBOR VIEW ROADSOUTH BURLINGTON, VT 05403PHONE: 802-863-7897FAX: 802-863-9728ID# 0149MANAGER: ELIZABETH RIXONJOHN LARKIN, INC.lrixon@pillsburymanor.comPINE KNOLL COMMUNITY CARE HOME601 RED VILLAGE ROADLYNDONVILLE, VT 05851PHONE: 802-626-3361FAX: 802-626-4056ID# 0171MANAGER: DIANA LAFOUNTAINdianapines@yahoo.comPLEASANT STREET HOUSE59 SOUTH PLEASANT STREETRANDOLPH, VT 05060PHONE: 802-728-5992FAX: 802-295-6637ID# 0296MANAGER: MICHELLE SHARRONUPPER VALLEY SERVICES, INC.3 ACCSORANGEmsharron@uvs-vt.orgRESIDENTIAL CARE AT THE MANOR577 WASHINGTON HIGHWAYMORRISVILLE, VT 05661PHONE: 802-888-8700FAX: 802-888-8781ID# 0378MANAGER: STEPHANIE SWEET28 ACCS ERC LAMOILLE15

COPLEY MANOR, INC.ssweet@themanorvt.orgRINGER'S HOME CAREF.K.A. Jim Ringer Home Care195 GREEN STREETVERGENNES, VT 05491PHONE: 802-877-1363FAX: 802-877-2118ID# 0350MANAGER: MARLENE RINGERLEVEL 3CAPACITY9 ACCS ERC ADDISONLEVEL 3CAPACITY22 ACCS ERC ORANGERIVERS EDGE COMMUNITY CARE HOME5 HUNT STREETBENNINGTON, VT 05201PHONE: 802-442-5081FAX: 802-442-6795ID# 0085MANAGER: LOIS LANGLOISLEVEL 3CAPACITY24 ACCS ERC BENNINGTONRIVERVIEW LIFE SKILLS CENTER197 HIGHLANDER DRIVEJEFFERSONVILLE, VT 05484PHONE: 802-644-8708; 802-644-5982FAX: 802-644-6697ID# 0214MANAGER: CHARLES ERICKSONLEVEL 3CAPACITY11 ACCS ERC LAMOILLELEVEL 3CAPACITY3 ACCSSALTIS HOME1141 MAIN STREETCASTLETON, VT 05735PHONE: 802-468-5185FAX: 802-468-5185ID# 0164MANAGER: SONYA SALTISLEVEL 3CAPACITY14 ACCSSCENIC VIEW RURAL EDGE LLC979 VT ROUTE 100WESTFIELD, VT 05874PHONE: 802-744-6554FAX: (802) 442-9488LEVEL 3CAPACITY25 ACCS ERC ORLEANSringerhomecare@gmail.comRIVERBEND RESIDENTIAL CARE HOME307 VT ROUTE 110CHELSEA, VT 05038Mailing Address: PO Box 7, Chelsea, VT 05038PHONE: 802-685-2250FAX: 802-685-2255ID# 0120MANAGER: JENNIFER SE5 GIUDICI STREETBARRE, VT 05641PHONE: 802-479-0534FAX: 802-476-1722ID# 0615MANAGER: MARTIN KEMPLEWASHINGTON COUNTY MENTAL HEALTH SERVICESWASHINGTONmartink@WCMHS.orgRUTLAND16

ID# 0151MANAGER: Shannon Perryshannonp@ruraledge.orgSECOND SPRING NORTH1071 VT ROUTE 15WESTFORD, VT 05494LEVEL 3CAPACITY8 ACCSSECOND SPRING SOUTH118 CLARK ROADWILLIAMSTOWN, VT 05679PHONE: 802-433-6183FAX: 802-433-6741; 802-476-1848ID# 0386MANAGER: Betsy HutchinsonCOLLABORATIVE SOLUTIONS CORP.LEVEL 3CAPACITY16 ACCSSHARD VILLA1177 SHARD VILLA ROADSALISBURY, VT 05769PHONE: 802-352-4369FAX: 802-352-4343ID# 0152MANAGER: LEE ANN GOODRICHCOLUMBUS SMITH ESTATELEVEL 3CAPACITY17 ACCS ERC ADDISONLEVEL 3CAPACITY8 ACCSWASHINGTONLEVEL 3CAPACITY4 ACCSORLEANSST. JOSEPH KERVICK RESIDENCE IIILEVEL 3131 CONVENT AVENUERUTLAND, VT 05701PHONE: 802-775-5133 (FAC.); 802-773-8840 (ADM.); 802-658-6111 (VCC)FAX: 802-773-9638 or 802-747-0195ID# 0298MANAGER: JEANNE SCHMELZENBACHCAPACITYCHITTENDENMailing Address: PO Box 69 Montpelier, VT 05601PHONE: 802-433-6183FAX: 802-476-1848ID# 0611MANAGER: ADELIT RUKOMANGANA 802-899-1328 ext106COLLABORATIVE SOLUTIONS CORP.adelitr@cscorp.orgORANGEdkchoma@aol.comSINGLE STEPS62 BARRE STREETMONTPELIER, VT 05602PHONE: 802-229-4109FAX: 802-229-8015ID# 0153MANAGER: MONA KARIAWASHINGTON COUNTY MENTAL HEALTHmonak@wcmhs.orgSOUTH BAY HOMEF.K.A. Lowell House121 KINGDOM WAYNEWPORT, VT 05855PHONE: 802-334-1053FAX: 802-334-9474ID# 0538MANAGER: ANNA HENDERSON JONESNORTHEAST KINGDOM HUMAN SERVICES55 ACCS ERC RUTLAND17

VERMONT CATHOLIC CHARITIES, INC.jschmelzenbach@vermontcatholic.orgST. JOSEPH KERVICK RESIDENCE IVLEVEL 4131 CONVENT AVENUERUTLAND, VT 05701PHONE: 802-775-5133 (FAC.); 802-773-8840 (ADM.); 802-658-6111 (VCC)FAX: 802-773-9638 or 802-747-0195ID# 0304MANAGER: JEANNE SCHMELZENBACHVERMONT CATHOLIC CHARITIES, .orgST. JOSEPH'S RESIDENTIAL CARE HOME243 NORTH PROSPECT STREETBURLINGTON, VT 05401PHONE: 802-864-0264 (RCH); 802-658-6111 (VCC)FAX: 802-864-5640ID# 0155MANAGER: MARY BELANGERVERMONT CATHOLIC CHARITIES INCLEVEL 3CAPACITY41 ACCS ERC CHITTENDEN3CAPACITY20 ACCS ERC CHITTENDENmbelanger@vermontcatholic.orgSTERLING HOUSE AT RICHMOND61 FARR ROADRICHMOND, VT 05477PHONE: 802-434-7181FAX: 802-434-7161ID# 0591MANAGER: Rachael Parkerprachael6@gmail.comSTERLING HOUSE AT ROCKINGHAM33 ATKINSON STREETBELLOWS FALLS, VT 05101PHONE: 802-463-0137FAX: 802-434-4137ID# 0609MANAGER: KASSANDRA LOSEELEVELTHE BRADLEY HOUSE (f.k.a. HILLTOP HOUSE)65 HARRIS AVENUEBRATTLEBORO, VT 05301PHONE: 802-254-5524FAX: 802-254-1135ID# 0047MANAGER: Cindy JeromeLEVEL 3CAPACITY28 ACCS ERC WINDHAMLEVEL 3CAPACITY203 CAPACITY17 ACCS ERCWINDHAMCindy@bradleyhousevt.orgTHE GABLES AT EAST MOUNTAIN1 GABLES PLACERUTLAND, VT 05701PHONE: 802-770-5263FAX: 802-770-5265ID# 0592MANAGER: RANDI COHNFloating License Pilot Program ParticipantRUTLANDrcohn@thegablesvt.com18

THE GARY RESIDENCE149 MAIN STREETMONTPELIER, VT 05602PHONE: 802-223-3881FAX: 802-223-4468ID# 0130MANAGER: JOY PARTRIDGEO.M. FISHER HOME, INC.LEVEL 3CAPACITY17 ACCS ERC WASHINGTONLEVEL 3CAPACITY44ADDISONTHE RESIDENCE AT SHELBURNE BAY WEST185 PINE HAVEN SHORE ROADSHELBURNE, VT 05482PHONE: 802-985-9847FAX: 802-985-1438ID# 058915-BED DEMENTIA SPECIAL CARE UNITMANAGER: Bill Davidsonbdavidson@residenceshelburnebay.comLEVEL 3CAPACITY24CHITTENDENTHOMPSON RESIDENTIAL HOME80 MAPLE STREETBRATTLEBORO, VT 05301PHONE: 802-254-4977FAX: 802-254-8842ID# 0156MANAGER: DANE RANKLEVEL 3CAPACITY17WINDHAMTWIN MAPLES COMMUNITY CARE HOME612 GAGE STREETBENNINGTON, VT 05201PHONE: 802-447-2274FAX: 802-442-9488ID# 0100MANAGER: SARAH DAVENPORTLEVEL 4CAPACITY15BENNINGTONVALLEY VIEW HOME FOR THE RETIRED69 OAK LANEFAIRLEE, VT 05045Mailing Address: PO Box 93, Fairlee, VT 05045PHONE: 802-333-4829FAX: 802-333-7091ID# 0195MANAGER: DYLAN PUSHEELEVEL 3CAPACITYjpartridge@thegaryresidence.comTHE RESIDENCE AT OTTER CREEK350 LODGE ROADMIDDLEBURY VT 05753PHONE: 802-388-1220; 802-458-3256FAX: 802-458-3214ID# 0596MANAGER: MELANIE DUNN17-Beds for net7 ACCS ERC ORANGEadmin@vvhome.org19

VERGENNES RESIDENTIAL CARE34 NORTH STREETVERGENNES, VT 05491PHONE: 802-877-3562FAX: same as phone #ID# 0311MANAGER: BARBARA BUSKEYLEVEL 3CAPACITY18 ACCS ERC ADDISONLEVEL 3CAPACITY8 ACCSBENNINGTONLEVEL 3CAPACITY24 ACCSBENNINGTONWATERFORD GROUP HOME659 HIGH RIDGE ROADWATERFORD, VERMONT 05819PHONE: 802-748-1572FAX: 802-748-4257ID# 0162MANAGER: AMY BEERNORTHEAST KINGDOM HUMAN SERVICESLEVEL 3CAPACITY4 ACCSWATSON HOUSE18 PROSPECT STREETNORTH BENNINGTON, VT 05257Mailing Address: PO Box 878, N. Bennington, VT 05257PHONE: 802-447-1161FAX: 802-447-0015ID# 0160LEVEL 3CAPACITY16BENNINGTONLEVEL netVERMONT VETERANS' HOME DOMICILIARY325 NORTH STREETBENNINGTON, VT 05201PHONE: 802-447-6533FAX: 802-447-6466ID# 0157MANAGER: Melissa A. Jacksonmelissa.jackson@vermont.govWASHINGTON ELMS126 ELM STREETBENNINGTON, VT 05201PHONE: 802-447-1219FAX: 802-447-8242ID# 0103MANAGER: MELISSA GREASONSOUTHERN VERMONT RESIDENTIAL CARE, e@yahoo.comMANAGER: KATHERINE SATTERTHWAITEWESTVIEW MEADOWS AT MONTPELIER171 WESTVIEW MEADOWS ROADMONTPELIER, VT 05602PHONE: 802-223-1068FAX: 802-223-3233ID# 0536MANAGER: DAWN PROVOSTO.M. FISHER HOME, INC.dprovost@westviewmeadows.com20

WILLOWS OF WINDSOR121 STATE STREETWINDSOR, VT 05089PHONE: 802-674-5534FAX: 802-674-9121ID# 0044MANAGER: PATTI HUTCHINSLEVEL 3CAPACITY14 ACCS ERC WINDSORLEVEL 3CAPACITY15 ACCS ERC ORANGELEVEL 3CAPACITY8 ACCS ERC RUTLANDLEVEL 3CAPACITY10 ACCS ERC RUTLANDwillowsofwindsor@gmail.comWINDOVER HOUSE451 VT ROUTE 66RANDOLPH, VT 05060PHONE: 802-728-3802FAX: 802-728-3802ID# 0109MANAGER: JOYCE JACOBSkgray@compucount.comWINTERGREEN RESIDENTIAL CARE HOME3 UNION STREETBRANDON, VT 05733PHONE: 802-465-4101FAX: 802-465-4737ID: 0593MANAGER: MARY JENSONm3jensen@comcast.netWINTERGREEN RESIDENTIAL CARE HOME - NORTH360 NEW ROADBRANDON, VT 05733PHONE: 802-465-8340FAX: 802-465-8311ID: 0619MANAGER: TONI TRASKm3jensen@comcast.netLEVEL IIILEVEL IVTOTALS# of facilities# of beds11225297# of ERC providers6521

621192591#of ACCS providers96# of ACCS beds206922

Floating License Pilot Program Participant JOHNSON CARE HOME LEVEL 3 CAPACITY 6 ACCS ERC ADDISON 919 VT ROUTE 100 HANCOCK, VT 05748 Mailing Address: PO Box 190, Hancock, VT 05748-0190 PHONE: 802-767-4404 FAX: same as phone number ID# 0170 MANAGER: MARY JOHNSON mmaj1125@gmail.com KINGDOM WAY GROUP HOME LEVEL 3 CAPACITY 6 ACCS ERC ORLEANS 97 .