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Residential care

Southern Tier Meadows

Residential care in Fredonia, New York

Checked November 4, 2026

Provider details
Address4883 West Main Road
CityFredonia
StateNew York
ZIP code14063
CountyChautauqua
Phone716-679-4883
OwnershipNot for Profit Corporation
License number060-E-038
License typeAdult Care Facility — Adult Home (Article 7, New York Social Services Law)
Licensing statusLicensed — New York State Department of Health, Adult Care Facility
Capacity24
Care typesresidential care, assisted living
Services offered24-hour supervision and personal care, assistance with activities of daily living
CMS quality noteLicensed by the New York State Department of Health.

Southern Tier Meadows is a small adult home just outside Fredonia, run by Southern Tier Environments for Living. It has 24 private rooms, each with its own bathroom, and staff are on site around the clock. Residents get three meals a day plus snacks, help with personal care and medicines, housekeeping and laundry, and rides arranged when they need them. There are daily activities, exercise, field trips, and basic cable. It is licensed by the Department of Health and feels like a family-style home.

Who pays for residential care?

What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:

Residential care guide · Paying for care

Other residential care in Chautauqua County

Common questions about Southern Tier Meadows

Where is Southern Tier Meadows located?

Southern Tier Meadows is at 4883 West Main Road, Fredonia, New York 14063.

What care and services does Southern Tier Meadows offer?

Southern Tier Meadows offers residential care, assisted living, 24-hour supervision and personal care, assistance with activities of daily living.

How do I contact Southern Tier Meadows?

Call Southern Tier Meadows at 716-679-4883.

How much does assisted living cost?

The national median cost of assisted living is $6,200 a month (CareScout Cost of Care Survey, 2025). Costs in New York can be higher or lower. The price goes up when a person needs more help with daily tasks. See our guide to assisted living costs and who pays for the full picture.

Does Medicare pay for assisted living?

No. Medicare does not pay for the rent or the day-to-day help in assisted living. That help is called custodial care, and Medicare does not cover it. Medicare still pays for your medical care while you live there, like doctor visits, hospital care, and home health visits.

What is the difference between assisted living and a nursing home?

Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. Staff are on hand day and night, but it does not give round-the-clock nursing care. A nursing home gives skilled nursing care and rehab around the clock. People who need help but not daily medical care often pick assisted living. People who need daily medical care often need a nursing home.

Who else pays for assisted living besides Medicare?

Most people pay out of pocket. Medicaid pays for care services in assisted living in many states through waiver programs, but it does not pay the rent. A VA pension called Aid and Attendance can add money each month for veterans who need help with daily tasks. Long-term care insurance can pay for part of the cost.

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