Citizens has a wide range of residential supports throughout Nassau and Suffolk County. Each person receives individualized supports based on needs identified in a person centered planning process. Staff are trained on each persons level of support, and provides assistance with all activities of daily living and community engagement.

What is an ICF? What supports are offered?

An Intermediate Care Facility (ICF) is a community based home that provides clinical and supportive care to people with ID/DD. People living in an ICF typically require long term care, and have a higher level of need related to medical or behavioral complexities. Clinical supports are provided on-site through an interdisciplinary team process. An ICF is regulated by the NYS Department of Health through an annual auditing process by the Office of People with Developmental Disabilities (OPWDD).

What is an IRA? What is a Supervised IRA? What is a Supportive IRA?

An Individualized Residential Alternative (IRA) is a community based home that provides individualized supports based on needs identified in a person centered planning process. People are supported to be independent at their level of ability, and to live the life that they chose. An interdisciplinary team process helps determine priority needs; although there is oversight by a Registered Nurse and Behaviorist, all clinical needs are addressed through services within the community.


There are typically 6-8 people in a home; however, there may be more in a specialized environment (ex: There are 8-16 people in ICF’s for people with medical complexities). We attempt to find a setting that can support the person throughout their life; however, there are circumstances that may require relocation to another home (environmental barriers; need for additional support; better peer groups).

Contact Information:

Jerry Powers: 516-293-2016 ext. 5329
Marta Garavito (Plainview ICF): 516-367-2740 ext. 8346
Mary Gilleran (Shoreham ICF) 631-744-7158 ext. 6200