Keene Valley Neighborhood House

    1782 NY-73, Keene Valley, NY 12943
    • Assisted Living

    Caring staff, spotless home, recommended

    I placed my mom here and have been very pleased - caring, tenured and cross-trained staff who communicate well, are responsive to health changes, and worked with our whole family and finances. The home is spotless and very home-like with large private rooms (private bath, two closets), cable, big picture windows and beautiful wooded walkways. Plenty of activities, community rooms, a gym and very good meals keep residents engaged; staff do hourly checks and allow supervised outdoor access, which gives me peace of mind. I highly recommend this comfortable, friendly place.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.88·(8)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      5.0
    • Staff

      4.8
    • Meals

      4.3
    • Amenities

      4.7
    • Value

      5.0

    Pros

    • home-like, small community atmosphere
    • very clean and well-maintained interior
    • attentive, cross-trained, tenured staff
    • regular resident checks and monitoring
    • private rooms with en suite baths and ample storage
    • large windows and attractive views
    • extensive wooded grounds and walkways
    • multiple community and activity spaces
    • varied, engaging activities including games and bingo
    • on-site gym and recreational amenities
    • consistently positive meal quality
    • flexible financial and family-care coordination
    • clear communication and family updates

    Cons

    • Limited suitability for residents preferring minimal social interaction
    • Restrictions on unsupervised outdoor mobility
    • Limited specialized clinical resources for rapid health decline or higher-acuity needs
    • Shared-room options that may reduce privacy for some residents

    Summary of reviews

    Keene Valley Neighborhood House presents as a small, home-like assisted living community with a strong emphasis on cleanliness, comfort, and communal living. Reviewers consistently describe well-maintained common areas and private rooms, including larger private units with en suite baths, abundant storage and large picture windows with attractive views. The site’s setting and grounds — several acres of wooded walkways — plus multiple community rooms, activity spaces and an on-site gym support a range of recreational choices and opportunities for residents to move about the campus.

    Care and staffing are described positively overall. Families note attentive, cross-trained and long-tenured staff who provide routine monitoring and hourly resident checks, keep families updated on health changes, and respond to care needs. The staffing approach is characterized as collaborative and communicative: management is said to work with families on financial arrangements, coordinate with the household, and accommodate family engagement. Several comments emphasize that staff are caring and trustworthy, and that the facility is responsive when a resident’s condition changes.

    Dining, activities and amenities are consistently highlighted as strengths. Meals are described as good-quality and well-liked; activities include organized games, bingo and other entertainment in dedicated rooms, and the facility supports supervised outdoor access and walks on the grounds. The variety of communal spaces and scheduled programming contributes to an engaging daily routine for many residents.

    Notable patterns and caveats: the community’s communal model and activity focus may not suit residents who prefer minimal social contact or very private care arrangements. Outdoor access often requires supervision, which may limit independent outdoor mobility for some residents. A small number of family accounts indicate challenges when a resident’s medical needs escalate after relocation; these suggest the facility may have limited on-site resources for rapidly changing or high-acuity clinical needs, and that transitions to a different level of care may be necessary in those cases. Shared-room options are available and, while described as comfortable by some, may not meet privacy expectations for all residents.

    Overall, Keene Valley Neighborhood House appears to offer a clean, well-staffed, and activity-rich environment suited to older adults who benefit from a home-like communal setting and regular monitoring. Prospective residents and families should weigh the community’s social orientation, supervision policies for outdoor mobility, and the facility’s capacity to manage higher-acuity clinical changes when assessing fit for individual care needs.

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    Location

    Map showing location of Keene Valley Neighborhood House

    Keene Valley Neighborhood House is located at 1782 NY-73, Keene Valley, NY, 12943.

    About Keene Valley Neighborhood House

    Keene Valley Neighborhood House sits in the Adirondack Mountains and runs as a 501(c)3 non-profit assisted living residence, where seniors with different care needs can keep some independence while getting help as needed, and the staff, from the Community Relations Manager Holly Aquino to the CEO Richard Rothstein, really do make sure to check in on residents and talk with families often because they want the seniors to feel cared for and safe, and you'll find trained caregivers on hand for needs around the clock, all backed up by a 24-hour call system, so people who need help with bathing, dressing, medication, transfers, or daily activities can count on assistance, and there's both memory care for those with Alzheimer's or dementia-so they're safe from wandering and get special attention-as well as regular elder care, both offered at rates sort of geared for affordability. The place encourages friendships and community, and you'll spot residents' pets, or people taking the walking paths, relaxing in indoor common areas, joining arts sessions in the arts room, chatting over all-day restaurant-style meals in the dining room-meals are made to meet diet needs, with diabetic and allergy choices-plus there's meal prep and planning, housekeeping, laundry, Wi-Fi, furnished rooms, move-in help, and things like a barber/salon right there, beautician visits, and a garden where more social stuff happens. Residents in wheelchairs or those who need help getting around have space and care that fits them, and there's memory care to prevent confusion and offer activities that keep minds busy, while anyone wanting devotional services can arrange for trips offsite. The community lets residents run their own activities or join in on community-sponsored events, so there's always plenty to do, whether it's movie nights, recreation, or just sitting in the common rooms with neighbors and friends. The staff follows personalized care plans for each resident, so health, wellness, and quality of life get top attention, and every resident can get the mix of support, social time, and privacy they want, whether they're there for a long-term stay or just a short-term respite. Tours give families a real look at daily life and routines, and Keene Valley Neighborhood House has outside review organizations verifying its licensing and standards as a care provider.

    People often ask...

    Keene Valley Neighborhood House offers competitive pricing, with rates starting at a cost of $4,123 per month.

    Keene Valley Neighborhood House offers assisted living.

    There are 14 photos of Keene Valley Neighborhood House on Mirador.

    The full address for this community is 1782 NY-73, Keene Valley, NY 12943.

    No, Keene Valley Neighborhood House does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In New York, the State Department of Health licenses adult care facilities and assisted living programs, posting relicensure surveys, complaint investigations, and inspections.

    License number14718
    Facility typeAdult Home
    Capacity50 residents
    LicenseeKeene Valley Neighborhood Services, Inc.
    EffectiveJanuary 8th, 1979
    Special certificationALR 50
    View the official license record

    Inspection Reports

    10

    Reports

    37

    Citations

    5

    Complaints

    4

    Years

    17 Dec 2025Licensure
    Identified one deficiency related to records and reports; approved a plan of correction.
    • 487.10 (d) (1-2)Records and reports
    03 Dec 2024Licensure
    Identified 22 deficiencies during relicensure.
    • 487.3 (b)General provisions
    • 487.4 (a)Admission standards
    • 487.7 (d) (1) (iv)Resident services
    • 487.7 (f) (1-4)Resident services
    • 487.7 (f) (5)Resident services
    • 487.7 (f) (11) (iii)Resident services
    • 487.7 (f) (11) (x)Resident services
    • 487.7 (f) (12) (ii)Resident services
    • 487.7 (g) (1) (ii-xiv)Resident services
    • 487.8 (c)Food service
    • 487.8 (e) (1)Food service
    • 487.8 (e) (7)Food service
    • 487.11 (a)Environmental standards
    • 487.11 (f) (11)Environmental standards
    • 487.11 (h) (5)Environmental standards
    • 487.11 (j) (1-3)Environmental standards
    • 487.11 (k) (1-3)Environmental standards
    • 487.12 (a-b)Disaster and emergency planning
    • 487.12 (h)Disaster and emergency planning
    • 487.12 (i)Disaster and emergency planning
    • 1001.7 (h)Admission and retention standards.
    • 1001.12 (b) (1-7)Records and reports.
    05 Sept 2024Complaint
    Cited five violations and approved a plan to correct them.
    • 487.11 (f) (11)Environmental standards
    • 487.11 (g)Environmental standards
    • 487.11 (h) (5)Environmental standards
    • 487.11 (k) (14)Environmental standards
    • 487.12 (j)Disaster and emergency planning
    19 Jan 2024Complaint
    Found no deficiencies.
    02 Nov 2023Complaint
    Identified eight violations across resident services, food service, environmental standards, and admission/retention standards.
    • 487.7 (f) (7)Resident services
    • 487.7 (f) (12) (iii)Resident services
    • 487.8 (e) (1)Food service
    • 487.11 (a)Environmental standards
    • 487.11 (f) (14-15)Environmental standards
    • 487.11 (f) (19)Environmental standards
    • 487.11 (k) (16)Environmental standards
    • 1001.7 (h)Admission and retention standards.
    17 May 2023Complaint
    Found no deficiencies.
    11 Apr 2023Inspection
    Found no deficiencies.
    01 Feb 2023Complaint
    Investigated a complaint and cited a violation related to notifying criminal charges or convictions.
    • 402.8Notifications of criminal charges or convicti
    31 Mar 2022Inspection
    Found no deficiencies. No violations were cited.
    21 Mar 2022Follow-Up
    Found no deficiencies.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Keene Valley Neighborhood House. The information above has not been verified or approved by the owner or operator. For exact information, please contact Keene Valley Neighborhood House directly. There is no cost for this service. We are compensated by the community you select.

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