Residential Services

Community-based residential homes allow people with intellectual and physical disabilities to experience a community oriented homelike environment, while receiving the specialized care they require.  Each residence is home to between three and 32 individuals who receive care from a staff of trained professionals.  In homes that are designed to reflect each individuals' needs, including specially constructed homes for non-ambulatory individuals, every feature is designed to provide maximum mobility and safety.  Designed to exceed strict Federal and state guidelines, these homes are unique structures for people with unique challenges.  The ambitious goals of IGHL’s residential programs are to encourage growth toward living more independent lives, while providing a genuine sense of belonging; and, most importantly, to continually nurture each person’s physical, psychological and emotional growth.



IGHL is committed to providing comprehensive residential services to individuals who require 24-hour nursing care and intensive medical treatment.  Our objective is to provide medical and nursing supports in a warm, home-like atmosphere.  Today IGHL serves both children and adults, with plans to expand its network of services during the next several years.

Pine Street ICF

In 1992, IGHL opened its Pine Street facility in East Moriches, NY.  This nursing-intensive Intermediate Care Facility (“ICF”) offers its individuals the chance to live in a nurturing, safe and stimulating atmosphere while providing specialized care.

Pine Street provides 32 individuals with significant medical needs a comprehensive program that addresses their particular needs.  The program includes 24-hour nursing care, expert physical therapy, recreational therapy programs and a sound, nutritional program.

Fundamental to the care provided is our direct support professional staff.  All of our support staff receives extensive training so they are able to meet the diverse needs of each individual.  Direct care staff provides training and support in the areas of activities of daily living and independent living skills.

During the day hours, a specially designed in-home day program provides meaningful recreational and social opportunities.  The nursing-intensive ICF is a testament to our mission to provide lifelong alternatives for developmentally disabled adults.  One of the first such facilities to be constructed in the State, it has served as a model for other organizations throughout the State.

Angela’s Houses I, II and III

Angela’s Houses, Individualized Residential Alternative (“IRA”) residential programs, are specifically constructed to meet the needs of seven technology dependent and medically frail children ages 4-12.  Prior to placement with IGHL, several of these children were served out-of-state in hospital settings due to the lack of available programs on Long Island.  Due to the frailty of the children, 24-hour nursing is required to provide a variety of medical services.  

A nurse/manager is responsible for the day-to-day management of the home.  Our direct support professional staff receives specialized training and provides vital care for the children.  In addition, the children receive a matrix of clinical services including physical therapy, speech therapy, respiratory therapy, recreation and nutritional services.  Physician services are provided on-site by the Stony Brook Pediatric Clinic.

Families visit frequently; IGHL’s open-door policy enables family members to visit their children when they choose.

Frowein Road IRA

In 2004, IGHL opened a small IRA to meet the needs of seven young adults requiring 24-hour nursing care.  Similar to Angela’s House, a nurse/manager supervises the day-to-day operations of the home.  

Nursing care is provided 24-hours each day.  Direct support professional staff is trained to assist with activities of daily living and independent living skills.  Clinical services, including physical therapy, speech therapy, music therapy and recreation, are provided based on the individual needs of each adult.  

The barrier free residence is designed for full wheelchair accessibility and is furnished and decorated with input from each family.  Moreover, a wheelchair accessible vehicle is available to facilitate community integration and involvement.

Individualized Residential Alternatives (“IRA”)

Supportive IRA Programs:

IGHL has two supportive IRA programs, which serve six adult men and women.  These homes provide services to people with mild to moderate intellectual disabilities.  These individuals are able to live with minimal supervision and exhibit a high level of independence.  Unlike other IGHL homes, 24-hour supervision is not required.  One full-time residential coach works at each home providing oversight and guidance to the residents and remains on-call for emergencies.  Individuals attend a wide array of day services, some in workshop or day habilitation settings, while others prefer supportive employment opportunities in the community.

Each person is taught a variety of skills, including money management, cooking, travel training and home management.  Each participates in local community activities, including shopping, attending social and cultural events, religious services, to name a few.  Both of these homes have been very successful in providing unique opportunities for individuals to live independent, productive lives in the community.

Supervised IRA Programs:

Today, IGHL operates 35 supervised IRAs in a variety of communities throughout Suffolk County.  Individuals are given an opportunity to experience a family environment, while receiving the specialized care they require.  Direct support professional staff and management staff are trained to provide assistance in the areas of daily living and independent living skills.  The goal of each home is to incorporate chores and the required skills for independent living.  Each person is encouraged to contribute to the upkeep of the home by working alongside his/her housemates and staff to keep their homes clean and organized.  Support and training are provided in completing day-to-day chores, cooking, self-care and grooming, as well as money skills.

Our consumers enjoy being a part of their communities by participating in activities including:  shopping, attending social and cultural events, volunteer projects, and working at a supportive or competitive job within the community.

Intermediate Care Facilities (“ICF”)

IGHL operates 15 ICF programs, which provide services to over 150 consumers.  Eight of these homes are designed to accommodate the needs of intellectual and physically disabled adults in a “barrier-free” setting.  In specially constructed homes for non-ambulatory individuals, every feature is designed to provide maximum mobility and safety.  Designed to meet strict federal guidelines, these homes are unique structures for people with unique challenges.

Through an interdisciplinary team process, each person’s needs are carefully assessed and an individual plan is developed to meet his/her needs.  The goal of each residential program is to encourage growth toward living more independent lives, while providing a genuine sense of belonging and, most importantly, to nurture each individuals’ physical, psychological and emotional growth.

IGHL staff, including direct support professional staff, recreational specialists and management staff, is specially trained to provide support in the areas of activities of daily living and independent living skills.  Clinical and nursing staff provides site-specific training and support for direct care and management staff.  A strong support system for staff and well-integrated clinical services has always been the benchmark for quality residential services provided by IGHL.

Respite IRAs

IGHL operates three, three-bed Respite IRA residential facilities that provide a temporary home-like environment for individuals that live at home with their families and need some time away.  The programs are fully staffed to meet the individuals’ needs that are presented that week, or weekend or even just overnight.  

Crisis Respite IRA

One of these Respite programs is a three-bed crisis respite program that provides temporary support and services for individuals who along with their disabilities have experienced a housing crisis that has placed them at a very high risk of personal safety. The program is also designed to serve individuals whose crisis is related to behavioral health issues that can be addressed by the clinical component that is designed into the program.

Day Habilitation Program

Day Program Services

IGHL opened its first Day Treatment Center in East Moriches in 1982.  Due to a growing need for services on the East End of Long Island, a second program was opened in 1987 in Southampton.  These programs offer a structured and diverse series of clinical services for individuals who have gone beyond a school program, but still require a structured therapeutic environment.  Collectively, 450 individuals receive day services on a daily basis.

Beginning with a thorough analysis of each specific and unique need, a team of highly skilled professionals evaluates the potential in each individual.  During a dedicated and caring teaching experience, the progress of each individual is monitored.  Committed to helping each person in leading the most productive and independent life possible, the staff of the Day Treatment Centers work towards improving essential skills that are taught in both a conventional classroom setting and out in the community.

The program offers a wide-range of clinical services, which include:

  • Physical Therapy
  • Speech Therapy
  • Recreational Therapy
  • Social/Family Therapy
  • Psychology
  • Nursing Services
  • Nutritional Services

In 2005, IGHL vacated its long standing large Day Treatment facility in Southampton, New York in favor of smaller, more conveniently located Day Habilitation programs scattered throughout the east end of Long Island in Riverhead, Quogue, Southampton, Hampton Bays and East Moriches.

Day Habilitation

IGHL Day Habilitation programs offer a unique mixture of activities, which are age-appropriate, meaningful and developed on a capacity building approach.  The program includes activities and training in areas such as:

  • Recreation
  • Money Management
  • Communication
  • Transitional Counseling
  • Social Skills Development
  • Personal Grooming
  • Housekeeping
  • Health Care
  • Vocational Training

The goal of each day habilitation program is to provide the opportunity for all participants to develop basic work skills, become integrated into their community and experience personal growth and most importantly, to achieve their own individual goals as outlined in their individualized service plan or Life Plan.

Located throughout Suffolk County, IGHL operates twelve uniquely different group day habilitation programs, which serve 213 consumers.

Manorville Opportunity Center

The Manorville Opportunity Center Day Habilitation program, which services up to 186 consumers, is located on the ground floor of the administration building, and contains state-of-the-art adaptive devices such as automated doors and personal care facilities and mechanical "lift" systems that aid in the safer transferring of non-ambulatory individuals. This program offers a full range of services including: Physical Therapy, Speech Therapy, Psychology, Social Work, Recreation, Nursing and Physician Services.

Camp Pa-Qua-Tuck

The “Camp” Day Habilitation program is located in Center Moriches on the grounds of Camp Pa-Qua-Tuck, a summer camp for handicapped children run by the Moriches Rotary Club.  This program has 12 individuals and is supervised by three-day habilitation specialists.  The main purpose of this program is to care for the camp’s petting zoo, which consists of goats, horses, sheep, chickens, peacocks and rabbits.

The individuals learn the proper feeding procedures for these animals as well as animal maintenance routines such as racking, shoveling and teamwork skills.  Community integration trips are planned around the animal needs to places like Agway, King Kullen and farm stands.  The individuals have learned that their contribution is essential to the well-being of the farm’s inhabitants. This group also works at the IGHL Organic Farm as a paid work experience.  The Organic farms produce produced is distributed to the IGHL residential programs to subsidize the food budgets.

East End Day Habilitation

The East End Day Habilitation program is located on Montauk Highway in East Moriches.  This program provides unique and creative opportunities for 23 people who are developmentally disabled.  Supervised by five staff, the participants perform a variety of volunteer tasks, including litter removal at local parks, beaches and historical sites, deliveries to local food pantries, meals on wheels, performing mailing services and cleaning the facilities and equipment at a local volunteer fire department and ambulance service.  This group also works at the IGHL Organic Farm as a paid work experience.

Renewals/Thrift Day Habilitation

Flight 800/Renewal Thrift Day Habilitation is located on Montauk Highway in Mastic.  Two staff provide supervision and support for seven individuals.  The Thrift shop provides real life experiences for those who participate in this program.  This store is designed to give each person exposure and opportunities to interact with the public and receive valuable training.  The person receives training in laundering, crafting, money comprehension, marketing, pricing, stocking of shelves and general store maintenance.

This day habilitation program also volunteers much of its time at the Flight 800 International Memorial Garden at Smith Point Beach County Park in Mastic.  Under the supervision of our staff, individuals maintain the grounds year round.  Tasks completed include weeding, pruning, watering, planting, litter control, raking, etc. 

Cornell Cooperative Day Habilitation

In August 2004, IGHL established the Cornell Cooperative Day Habilitation located on the grounds of the Cornell Cooperative Extension at the Suffolk County Farm in Yaphank.  This unique program provides day services to 12 developmentally disabled adults who have aged-out of their educational programs.  The program satisfies the requests of parents and consumers to establish a small program environment within the community as an option to the traditional day treatment setting.

At the Cornell Day Habilitation program, participants volunteer their time to perform community services such as:  raking; painting signs, park benches and picnic tables; general grounds clean-up; planting and beautifying the grounds; planting in the fields; and cultivating vegetables.  Throughout the year, educational and training opportunities are provided in a variety of areas pertaining to the farm.

Cornell Cooperative provides IGHL a Hub space, which is heated, has adequate bathroom facilities and sufficient space for a meeting place to plan daily activities.  In addition, Cornell provides a fully functioning greenhouse during the year that the group is paid for their efforts.

East Moriches Day Habilitation Program

The East Moriches Day Habilitation Program is located on Montauk Highway in East Moriches, New York.  This program provides unique community-based opportunities for 11 people who are Intellectually Disabled.  Participants perform a variety of volunteer tasks including workings at food pantries, volunteering at animal shelters and adopt a road, etc.

Consumers also select to participate in a variety of social events, including movies, dances, sports and cultural activities.

Southampton Youth Center

The Southampton Youth Day Habilitation program is located in Southampton on the ground of the Southampton Youth Center, a town recreational and athletic center. This program has 15 individuals and is supervised by five staff members. Individuals utilize many of the centers amenities including: athletic fields, tennis courts, indoor basketball courts, and a walking track.

Hampton Bays Day Habilitation

The Hampton Bays Habilitation program is located on Montauk Highway in Hampton Bays. This program provides services to 21 individuals and is supervised by five staff members. The Hampton Bays Day Habilitation program is home to the IGHL Art Exhibition Center designed to allow Intellectually Disabled artists the opportunity to work on their creative and expressive skills in a structure and supportive atmosphere.

Quogue Day Habilitation

The Quogue Day Habilitation Center is located on Old Country Road in Quogue. This program services 28 individuals and is supervised by five staff members. Participants in the Quogue program are actively involved in a variety of community based activities including: meals on wheels, volunteering at the local fire department and food pantries, enjoying local parks and beaches.

Roanoke Day Habilitation

The Roanoke Day Habilitation program is located on Roanoke Ave. in Riverhead and provides services to 22 senior individuals who are developmentally disabled and is supervised by five staff members.  Program participants have access to a wide variety of recreational, social and cultural activities located in the Riverhead area. Of particular interest are the Riverhead Aquarium, Parks, and the Tangier Shopping Center.

Union Ave. Day Habilitation

The Pine Street Day Habilitation Program is located on Pine Street in East Moriches. This program provides services to 29 individuals who are medically frail and require specialized medical and clinical support services. Services include: Physical Therapy, Speech Therapy, Psychology and Nursing. The Pine Street program has met a regional need to provide day programs opportunities to individuals challenged with severe medical needs.

Shade Tree Day Habilitation

The Shade Tree Day Habilitation is located on Main Street in Riverhead. The program serves 30 consumers and is supervised by seven staff members.  Participants in this program are actively involved in the Riverhead Community enjoying the various parks, civic centers, historical sites, and bowling.

In 2006 IGHL experienced a major change as it relocated its main administration building and largest Day Habilitation program from its home of over 25 years in East Moriches to a brand-new, specialty facility in Manorville, New York.

Smile Farms Day Habilitation

The Smile Farms Group Day Habilitation program is located on the grounds of Smile Farms.  This group services 16 Intellectually Disabled people and is supervised by five staff members. Participants are actively involved with meals on wheels deliveries to home bound seniors, arts and craft projects, enjoying local shopping excursions, movies and fund raising ventures.

Day Hab Programs without Walls

In 2015, IGHL opened its first Program without Walls.  This group has 20 participants supervised by 6 staff members.  This group starts its day at the Manorville Opportunity Center and once everyone arrives, the group departs to enjoy learning experiences within the community.  They are actively involved with volunteer ventures within the community.  Some of the participants work for minimum wage in the greenhouse and on the grounds of the Suffolk County Farm in Yaphank.

Smile Farms Program without Walls

The Smile Farms Program without Walls services 29 participants.  This program provides a unique opportunity to incorporate a paid work experience for the group.  Each day the program participants work in the Smile Farms greenhouse facilities for 1½ hours.  Each consumer is paid minimum wage for their efforts.  The Program without Walls is supervised by five staff members who have extensive experience working with people who are Intellectually Disabled.  Staff is required to have horticulture knowledge or experience.  As an individual becomes a more independent worker, other options relative to his/her vocational life goals are explored.  Meetings with the individual, his/her advocate, job coach and day habilitation staff is held to discuss other job placement.

The IGHL Manorville Opportunity Center

IGHL’s Manorville Opportunity Center serves as the primary habilitation environment for over 190 individuals requiring habilitation, nursing and clinical services and support on a daily basis.  The Center also serves as IGHL's main administrative headquarters.

This 60,000 square foot building includes 18 activity rooms, a state-of-the-art physical therapy center, a large multi-function room, a fully-equipped kitchen and is also the site of the staff Physical Fitness Center.

The Manorville Opportunity Center is a place of constant activity with individuals participating in a variety of day habilitation programs and activities, or preparing for an outing to a community-based location such as our local libraries, cultural centers, parks or other recreation centers. 

Family Support

Recognizing that the responsibility of caring for an intellectually disabled child or adult at home can sometimes be overwhelming, IGHL offers a Family Support Services Program.  The program includes evening and weekend recreation programs, training and support, assistance with service coordination and respite care.

Recreation Programs

The IGHL Recreation Program gives families a break from the stress associated with the constant care of individuals who are intellectually disabled.  They can be confident that their loved ones are engaged in meaningful activities designed to foster independence and nurture developmental skills while at IGHL.

Training and Support

Training and support sessions provide families strength and support to help them deal with the responsibility of caring for and living with an intellectually disabled individual. Meeting in group sessions, they gain a greater understanding of the problems and find solutions.

Respite Care

Families of an intellectually disabled individual may request the services of the IGHL Respite Care Providers Program. Experienced supervision is provided by trained respite care providers who stay at the families’ home. This at home care allows the family peace of mind, confident that their loved one is being cared for by knowledgeable and responsible professionals.

Families who find it necessary to leave for an extended period of time are encouraged to consider one of the IGHL Respite Houses. Staffed by trained IGHL direct care counselors, the Respite Houses offer expert care and supervision in a homelike environment for periods ranging from 24 hours to two weeks.

Quality Assurance

The IGHL Quality Assurance department has been part of the agency’s administrative team since 1987. Our mission is to manage the programming and services standards of the agency and to monitor the results of our efforts in implementing these standards, while also being the primary liaisons with government regulatory agencies. This monitoring occurs in several ways…

Program Success Reviews

The foundation of our internal Quality Assurance effort involves the implementation of our “Program Success Review” protocol, which looks at all of the essential elements of each of our programs/service areas; from person-centered services to the physical environment. Reports are generated and distributed, “plans of correction” are solicited and approved if needed and those plans are monitored through their completion.

The Incident Review and Management process

All agency consumer “incidents” are filed, investigated and managed by Quality Assurance staff, interacting with agency program staff, the OPWDD Incident Management Unit, the NYS Justice Center, local authorities and the agency Incident Review Committee.

The agency Incident Review Committee membership includes front-line agency staff, a family member, members of the Board of Directors and a consumer representative.

Medicaid Billing Reviews

100% of agency-generated Medicaid billing requests are reviewed by Quality Assurance staff, after two preliminary reviews by program staff and prior to those requests being submitted to our Finance department for final billing.

Quality Assurance staff then perform random sample “retrospective” billing reviews to insure that a percentage of those previously approved bills can be justified.

IGHL Medisked Connect

Quality Assurance is also responsible for the implementation of IGHL Medisked Connect, our primary Electronic Medical Records platform, within our program areas.  In coordination with our Information Technology and Finance departments, billing review protocol implementation is monitored and results are issued to all relevant parties. 

The Quality Assurance department also provides:

  1. Our annual “Consumer and Family Satisfaction Survey”
  2. The management of the agency “Human Rights Committee.”
  3. Bi-weekly training during new staff agency “orientation”,
  4. Annual “Quality Assurance” training at each program,
  5. Monthly remedial “Success with Billing” training,
  6. Unannounced overnight fire-drill exercises, and,
  7. Special new topic staff training sessions, such as the recent Behavioral Plan of Service process, the newest Nutritional Services guidelines, the MIPS approval process and an orientation to the new NYS Justice Center.

Smile Farms at IGHL

Founded in 1987, Smile Farms at IGHL is a greenhouse and nursery located on Montauk Highway in Moriches, NY staffed by 30 intellectually disabled adults. Smile Farms is dedicated to providing meaningful work opportunities to people with intellectual disabilities while growing annuals and perennials for sale within the community.

Smile Farms at IGHL
Address: 1 Montauk Highway Moriches, New York 11955
Phone: (631) 874-2470

Hours of operation change seasonally. Please call for current hours. 

To make a donation to Smile Farms at IGHL click here 

Clinical Services

IGHL provides a full range of clinical services, including Physical Therapy, Dietary, Recreational Services, Speech Therapy, Behavioral Support, Psychiatry, Social Work and Care Management services.  These services are provided in a wide range of residential and day settings, including in-house clinical services at our Pine Street nursing-intensive ICF program and at our Manorville Opportunity Center, some through an affiliation with Long Island Select Healthcare (LISH).