29 of the 594 Medicare-certified nursing homes in New York (5%) are government-run, and all are listed below. 10 of the 29 graded homes earn an A and 0 earn a D or F. They average 4.45 nursing hours per resident per day, 0.82 hours above the 3.63 for every home in New York. Helen Hayes Hospital T C U in West Haverstraw grades highest at A (99 out of 100).
How government-run homes in New York compare
This group set against every nursing home in New York, from the current CMS release.
Nursing hours per resident per day
4.45
All homes in New York: 3.63
Better than the local average
Nurse staff turnover
38.9%
All homes in New York: 40.3%
Better than the local average
Average ElderGrade score
78.9/100
All homes in New York: 74.3/100
Better than the local average
Grade spread
A
B
C
10 grade A, 10 grade B, 9 grade C,
The best-graded government-run home in New York is
Helen Hayes Hospital T C U
in West Haverstraw, NY, grade A, 99/100.
Monroe Community Hospital is a county-run home with 566 beds, and its numbers tell two different stories. The clinical quality measures look good, four stars there, but the inspection record is where things fall apart: 11 deficiencies, four of them serious enough to put residents in harm's way, and two tied to abuse. Fines total nearly $95,000. Staffing sits just barely above the national average, and weekends run about 17% thinner than weekdays, which matters when you're thinking about who's actually on the floor on a Saturday. Turnover, at 45.3%, is roughly in line with the national rate. The last full inspection was in December 2024.
Willow Point runs a county-owned, 300-bed home in Vestal, and the staffing numbers are its clearest strength: 4.25 nurse hours per resident day, roughly 10% above the national average. But weekends drop about 12% below its own weekday level, and turnover sits at 52.1% against a national 45.8%, so that coverage isn't always steady. The bigger concern is the inspection record, a 1-out-of-5 health inspection rating, 26 deficiencies with two at harm or jeopardy level, two abuse-related, and a $166,364 fine, with the last survey in June 2025. Quality and staffing measures both land at 3 out of 5. Families weighing this one should ask directly about weekend coverage and the abuse-related findings.
The Pines in Olean is county-owned, which matters less than what the numbers show. Nurses provide 3.50 hours of care per resident per day, about 9% under the national average of 3.86, and weekends run roughly a tenth thinner than weekdays, so the weakest coverage lands when families tend to visit. Annual turnover sits at 60.8% against a national 45.8%, meaning most of the staff you meet this year likely won't be there next. The good news: inspections are recent, the health inspection rating is strong at 4 of 5, and none of the nine deficiencies on record reached harm or jeopardy level. Three are abuse-related, though, which is worth asking about directly.
A Holly Patterson Extended Care is a 589-bed state-run home in Uniondale, and its numbers pull in different directions. Staff turnover sits at 15.7%, well below the 45.8% national average, yet total nurse staffing is 2.79 hours per resident day, roughly 28% under the national figure of 3.86, and weekends run about 14% leaner than weekdays. That gap matters more than the retention number, because steady staff who aren't there in enough numbers still can't cover the floor. The inspection record is the harder problem: 21 deficiencies, six at harm or jeopardy level and four abuse-related, with three fines totaling $141,265. New York State owns it, so there's no corporate chain to blame or petition, the accountability runs to Albany.
The county runs this 115-bed home in Machias, and its strongest number is staffing: 3.76 nurse hours per resident day, close to the national average, with turnover at 36.8% against a national 45.8%, people here tend to stay. Weekends tell a different story, running about 11% thinner than weekdays. The trouble sits on the inspection side: 12 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, plus a $125,453 fine, with the last inspection in February 2025. CMS rates quality measures 1 out of 5. Staffing is not the problem here; oversight and resident safety are what the record keeps flagging.
Terrace View is a 390-bed county-run home in Buffalo, and its numbers pull in different directions. Nurse staffing runs 4.28 hours per resident day, about 11% above the national average, which matters at this size, but weekends drop roughly 11% below the home's own weekday levels, so coverage thins out when families tend to visit. The inspection record is the harder part: 18 deficiencies on file, including two at the harm or jeopardy level and four tied to abuse, plus one fine of $30,843. The last inspection was August 2024. County ownership can mean steady funding; it doesn't erase those findings.
The Montrose veterans home runs a leaner ship than most on staffing turnover, 26.5% against a national average near 46%, and nurse hours per resident sit slightly above the national mark. But weekend coverage drops roughly 14% below the home's own weekday levels, and the inspection record is where things get hard to ignore: 22 deficiencies, four of them serious enough to involve harm or jeopardy, six tied to abuse, and the last full inspection dates to July 2023. A single $29,153 fine is on the books. State-run ownership doesn't change what families should ask about: what those abuse citations involved, and who's covering the floor on Saturdays.
Van Rensselaer Manor runs on 3.21 nurse hours per resident day, roughly 17% under the national average, and weekends drop about 16% below its own weekday staffing. Staff turnover sits at 48.3%, a couple points above the national figure, and the inspection record shows 33 deficiencies, including two at the harm or jeopardy level and seven tied to abuse. The most recent inspection was April 1, 2026, so the findings are current rather than dated. County ownership means taxpayers, not a chain, carry the operation. With the quality measure rating at 1 out of 5 and health inspections at 2, the numbers point to a home where residents get less nursing time than average and the state has documented repeated problems. If you're considering it, ask directly how the weekend shifts get covered.
Clinton County Nursing Home runs on thinner staffing than most places, 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 24% below its own weekday levels, so coverage is noticeably lighter when families tend to visit. Staff turnover sits at 74.4%, well above the 45.8% national figure, which means the people caring for residents are often new. The current inspection record shows 35 deficiencies, none at harm or jeopardy level but six tied to abuse. The last inspection was July 2023, so that record is getting old. County ownership is stable, but the numbers behind the C grade point to thin, shifting staffing more than anything else.
Frequently asked questions
How many government-run nursing homes are there in New York?
There are 29 government-run Medicare-certified nursing homes in New York, 5% of the 594 nursing homes there.
Are government-run nursing homes better staffed?
In New York they average 4.45 total nursing hours per resident per day, against 3.63 for all nursing homes in New York, a difference of +0.82 hours. Staff turnover averages 38.9% against 40.3%.
Which government-run nursing home grades best in New York?