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38 Hospital-Based Nursing Homes in New York

38 of the 594 Medicare-certified nursing homes in New York (6%) are hospital-based, and all are listed below. 13 of the 38 graded homes earn an A and 1 earn a D or F. They average 4.4 nursing hours per resident per day, 0.77 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 hospital-based 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

4.4

All homes in New York: 3.63

Better than the local average

Nurse staff turnover

40.7%

All homes in New York: 40.3%

Worse than the local average

Average ElderGrade score

79.3/100

All homes in New York: 74.3/100

Better than the local average

Grade spread

A
B
C

13 grade A, 16 grade B, 8 grade C, 1 grade D,

The best-graded hospital-based home in New York is Helen Hayes Hospital T C U in West Haverstraw, NY, grade A, 99/100.

Every hospital-based nursing home in New York

Showing 1 to 20 of 38, best-graded first.

A

99/100

John T Mather Memorial Hosp T C U

Port Jefferson, NY · Suffolk County

CMS 5/516 bedsFor-profitMedicaid
Nurse hours
7.99 /day
Staff turnover
3%
Serious cites
0

John T Mather Memorial's transitional care unit runs on 7.99 nurse hours per resident day, more than double the national figure of 3.86, and its 3.4% turnover is almost unheard of next to the 45.8% national average, meaning the people caring for your family member mostly stay put. Weekend staffing dips about 11% from its own weekday level, worth asking about if you're planning visits then. Twelve deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2025. It's a small for-profit unit, 16 beds, tucked inside a hospital.

A

99/100

Helen Hayes Hospital T C U

West Haverstraw, NY · Rockland County

CMS 5/524 bedsGovernment
Nurse hours
7.22 /day
Staff turnover
33%
Serious cites
0

Helen Hayes Hospital's transitional care unit in West Haverstraw runs on unusually heavy staffing, 7.22 nurse hours per resident day, roughly 87% above the national figure, and that shows up in the weekend numbers too, which dip about 14% below weekdays but stay high in absolute terms. Staff turnover sits at 33.3%, noticeably below the 45.8% national average, which matters for consistency of care. Its inspection record is clean: two deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in March 2025. State-run ownership adds a layer of public accountability. For 24 beds, that combination of nurse hours and low deficiency counts is the whole story.

A

97.5/100

Helen Hayes Hospital R H C F

West Haverstraw, NY · Rockland County

CMS 5/525 bedsGovernmentMedicaid
Nurse hours
6.81 /day
Staff turnover
34%
Serious cites
0

Helen Hayes Hospital runs one of the strongest staffing pictures you'll find: 6.81 nurse hours per resident day, roughly 76% above the national average. Weekend coverage dips about 15% below its own weekday level, which is worth asking about, but the floor stays high. Staff turnover sits at 34.2%, well under the 45.8% national figure, so the people caring for residents tend to stay. The inspection record is clean, one deficiency total, none involving harm or abuse, and the most recent survey was in February 2025. Add state ownership and perfect marks on inspections, quality measures, and staffing, and there's very little here to push back on.

A

94/100

Tupper Lake Center For Nursing And Rehabilitation

Tupper Lake, NY · Franklin County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.68 /day
Staff turnover
34%
Serious cites
0

Tupper Lake Center runs about 4.68 nurse hours per resident per day, roughly 21% above the national average, and its staff turnover of 34.4% is meaningfully lower than the 45.8% typical elsewhere, two signs of a stable, well-staffed building. That said, weekend staffing drops about 28% below its own weekday level, so coverage isn't perfectly even across the week. The 23 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy level, and the last inspection was January 2024. As a nonprofit with strong quality and staffing marks, the main things to ask about directly are weekend coverage and that abuse flag.

A

94/100

Mercy Hospital Skilled Nursing Facility

Lackawanna, NY · Erie County

CMS 5/584 bedsNon-profitMedicaid
Nurse hours
4.68 /day
Staff turnover
44%
Serious cites
0

Mercy Hospital Skilled Nursing Facility runs 4.68 nurse hours per resident per day, about 21% above the national average, and its quality measure rating is perfect at 5 out of 5. The catch is weekends: staffing drops roughly 14% below its own weekday levels, so the coverage your family member gets on a Saturday won't match a Tuesday. Staff turnover sits at 43.7%, slightly better than the national 45.8% but still meaning nearly half the nursing staff turns over annually. Four deficiencies sit on the current record, none at harm level, one abuse-related, with the last inspection in July 2025.

A

94/100

M.m. Ewing Continuing Care Center

Canandaigua, NY · Ontario County

CMS 5/5178 bedsNon-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
33%
Serious cites
0

M.m. Ewing runs a tight ship on staffing. At 4.11 nurse hours per resident day, it sits about 6% above the national average, and its staff turnover of 33.1% is meaningfully lower than the 45.8% typical elsewhere, a sign people stick around. Weekend coverage dips roughly 12% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record is clean where it matters most: nine deficiencies on file, none at the harm or jeopardy level, none tied to abuse. The last full inspection was July 2023, so it's been a stretch since surveyors came through. Quality measure scores land at the top of the federal scale.

A

94/100

Upstate University Hosp At Community General T C U

Syracuse, NY · Onondaga County

CMS 5/520 bedsGovernment
Nurse hours
8.21 /day
Staff turnover
54%
Serious cites
0

Upstate University Hospital's TCU is a 20-bed unit in Syracuse run by New York State, and the staffing numbers stand out right away: 8.21 nurse hours per resident day, more than double the national average. That kind of coverage shows up in the inspection record too, with four deficiencies on file and none involving harm or jeopardy to a resident. The tradeoff is retention. At 53.7% annual turnover, this unit replaces over half its nursing staff every year, well above the 45.8% national figure, so consistent care often depends on newer faces. Weekend hours dip only slightly, about 2% under weekdays. Its last inspection was July 2025.

A

92/100

Wyoming County Community Hospitals Snf

Warsaw, NY · Wyoming County

CMS 5/5138 bedsGovernmentMedicaid
Nurse hours
4.29 /day
Staff turnover
35%
Serious cites
0

Nurse staffing at this county-run home in Warsaw runs about 11% above the national average, and its 35% turnover is meaningfully lower than the typical 45.8%, both signs of a stable core staff. Weekend coverage, though, drops roughly 14% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Inspections in March 2024 turned up 15 deficiencies, two tied to abuse, but none at the harm or jeopardy level. That mix, with strong quality measures and solid inspection history, is why it sits near the top of what we grade.

A

90/100

Mount Sinai South Nassau T C U

Oceanside, NY · Nassau County

CMS 5/520 bedsNon-profit
Nurse hours
6.14 /day
Staff turnover
41%
Serious cites
0

Mount Sinai South Nassau T C U runs a small 20-bed unit inside a nonprofit hospital system, and the numbers back up the setup. Nurse staffing sits at 6.14 hours per resident per day, roughly 59% above the national average of 3.86, though weekends drop about 25% below the home's own weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 40.7%, a bit better than the 45.8% national figure, and the inspection record is clean where it counts: five deficiencies total, none at the harm level, none abuse-related, with the most recent inspection in December 2025.

A

89.5/100

Wayne Health Care

Newark, NY · Wayne County

CMS 4/5182 bedsNon-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
37%
Serious cites
0

Wayne Health Care runs 182 certified beds as a nonprofit corporation, and its numbers tell a fairly steady story. Nurse staffing sits at 3.70 hours per resident day, roughly 4% under the national average, and weekends drop about 16% below what the home staffs on weekdays, worth asking about if your family visits mostly on Saturdays and Sundays. Staff turnover is 36.5%, which is actually better than the 45.8% national figure, so the people caring for residents tend to stick around longer than elsewhere. Inspectors found six deficiencies on the current record, one serious enough to involve harm or jeopardy, with no abuse citations. The last inspection was September 13, 2024, so the record is reasonably current.

A

89.5/100

St Catherine Laboure Health Care Center

Buffalo, NY · Erie County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
33%
Serious cites
0

St Catherine Laboure runs on 4.30 nurse hours per resident day, roughly 11% above the national average, and its staff tends to stay, 33% turnover against a national 45.8%. The tradeoff shows up on weekends, when coverage drops about 17% below the home's own weekday level, so ask how that plays out on the floor. State inspectors visited in February 2026 and logged eight deficiencies, none causing harm or jeopardy, though three were abuse-related, worth asking about directly, since those can reflect reporting and screening issues rather than incidents. Church-affiliated and nonprofit, 80 beds. Strong inspection and staffing marks, with a few specific questions worth raising.

A

88.5/100

Jamaica Hospital Nursing Home Co Inc

Jamaica, NY · Queens County

CMS 5/5226 bedsNon-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
15%
Serious cites
0

Jamaica Hospital Nursing Home runs on numbers that mostly hold up. Nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, and the weekend dip of about 15% is worth asking about, that's when families tend to visit and when coverage quietly thins out. What stands apart is the turnover: 14.5% against a national average near 46%, meaning the people caring for your relative are more likely to still be there next year. Seven deficiencies on record, one serious enough to involve harm, and a single fine under $9,000. Inspectors were last in this past February, so the picture is current.

A

85.5/100

Schulman And Schachne Institute For Nursing And Re

Brooklyn, NY · Kings County

CMS 3/5448 bedsFor-profitMedicaid
Nurse hours
4.33 /day
Staff turnover
23%
Serious cites
0

Schulman and Schachne in Brooklyn runs 448 beds under corporate ownership, and its staffing picture is genuinely strong, 4.33 nurse hours per resident day, roughly 12% above the national average, with turnover at 22.9% against a national 45.8%. That consistency matters, though weekend coverage dips about 16% below weekday levels. The concerns sit elsewhere: 18 deficiencies on the current record, including one at harm or jeopardy level and two tied to abuse, plus a $15,646 fine. Inspectors last visited in July 2024. High marks on staffing and quality measures don't erase what shows up in the inspection history.

B

84.5/100

Schuyler Hospital Inc And Long Term Care Unit

Montour Falls, NY · Schuyler County

CMS 3/5120 bedsNon-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
44%
Serious cites
0

Schuyler Hospital's long-term care unit runs a nonprofit operation with 120 certified beds, and its nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average. That's a real cushion, though weekends drop about 18% below the home's own weekday levels, so coverage isn't uniform across the week. Staff turnover of 44.4% lands just under the national 45.8%, which is close to typical rather than a standout. The inspection record shows 19 deficiencies, none at harm or jeopardy level, but two tied to abuse, worth asking about directly. The last inspection was in March 2024, so the picture is reasonably current.

B

83.5/100

Guthrie Cortland Medical Center

Cortland, NY · Cortland County

CMS 2/580 bedsNon-profitMedicaid
Nurse hours
4.69 /day
Staff turnover
27%
Serious cites
0

Guthrie Cortland Medical Center runs a rare split: the nursing hours are genuinely strong at 4.69 per resident day, well above the national average, and staff turnover of 27.2% is much lower than the typical home. The clinical quality measures look good too. But the inspection record is where this one falls apart, 15 deficiencies on the current record, four serious enough to put residents in harm's way, one tied to abuse, and two fines totaling more than a quarter million dollars. Weekend staffing also drops about a fifth below its own weekday level, meaning the coverage thins out exactly when families tend to visit. The last inspection was in February 2026, so this is a current picture, not a stale one.

B

82/100

Schoellkopf Health Center

Niagara Falls, NY · Niagara County

CMS 3/5120 bedsNon-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
54%
Serious cites
0

Schoellkopf Health Center runs 120 certified beds as a nonprofit corporation, and the staffing numbers are the first thing worth knowing. Total nurse coverage sits at 3.76 hours per resident day against a national average of 3.86, and weekends dip about 6% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 54.3%, nearly nine points above the national figure, which matters more than a single shift count because it means less continuity for residents. The inspection record shows 19 deficiencies, none at harm or jeopardy level but two tied to abuse, and the most recent inspection was in August 2025. Quality measures score well; the inspection and staffing sides of the ledger are where the tension sits.

B

81/100

Rome Memorial Hospital, Inc - R H C F

Rome, NY · Oneida County

CMS 4/580 bedsNon-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
49%
Serious cites
0

Nurse staffing here works out to 3.92 hours per resident day, which is just slightly above the national average of 3.86, so the margin is thin, and weekends run about 14% below weekdays, meaning coverage is lighter on Saturdays and Sundays than during the week. The ten deficiencies on the current record include one abuse-related citation, though none rose to the level of actual harm or jeopardy, and the last inspection was in January 2025. Staff turnover sits at 48.9%, a bit above the national figure of 45.8%, so a good share of the people caring for residents are still fairly new. As a nonprofit hospital-based home with 80 beds, it holds four stars each for inspections, quality measures, and staffing.

B

80.5/100

Henry J. Carter Skilled Nursing Facility

Manhattan, NY · New York County

CMS 4/5164 bedsGovernmentMedicaid
Nurse hours
6.09 /day
Staff turnover
30%
Serious cites
0

Henry J. Carter is a city-run home in Manhattan with 164 beds, and its staffing is the headline: 6.09 nurse hours per resident day, roughly 58% above the national average, with weekend coverage dipping about 18% below its own weekday levels. Turnover sits at 30% against a national 45.8%, which suggests people tend to stay. The trade-off shows up in its record, nine deficiencies, including one at the harm level and one tied to abuse, plus a $17,345 fine, with the most recent inspection in October 2025. Strong staffing and stable retention, but a survey history worth asking about directly.

B

80.5/100

Wilkinson Residential Health Care Facility

Amsterdam, NY · Montgomery County

CMS 3/5160 bedsNon-profitMedicaid
Nurse hours
3.83 /day
Staff turnover
39%
Serious cites
0

Wilkinson runs 160 beds as a nonprofit, and its staffing sits just under the national average, 3.83 nurse hours per resident day against 3.86. That gap is small, but weekends drop about 22% below the home's own weekday coverage, so the difference between a Tuesday and a Sunday is bigger than the yearly figure suggests. Turnover at 39.3% is better than the 45.8% national rate, which matters for consistency of care. Inspections in May 2025 turned up 20 deficiencies, none at the harm level, though two were abuse-related. The health inspection rating is 3 out of 5, quality measures 4, staffing 3.

B

80/100

Good Samaritan Nursing And Rehabilitation Care Ctr

Sayville, NY · Suffolk County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
29%
Serious cites
0

Good Samaritan in Sayville runs on a leaner nurse staffing budget than most homes, 3.03 hours per resident day against a national average of 3.86. That shortfall shows up on weekends too, when coverage dips about 8% below its own weekday levels. What offsets that is stability: turnover sits at 28.6%, well under the 45.8% national figure, so the caregivers you meet are more likely to still be there next year. The inspection record is current as of April 2026, with 8 deficiencies and none rising to harm or jeopardy, though one is abuse-related and worth asking about directly. Church-affiliated nonprofit ownership means no shareholder pressure, but it doesn't change the staffing math.

Frequently asked questions

How many hospital-based nursing homes are there in New York?
There are 38 hospital-based Medicare-certified nursing homes in New York, 6% of the 594 nursing homes there.
Are hospital-based nursing homes better staffed?
In New York they average 4.4 total nursing hours per resident per day, against 3.63 for all nursing homes in New York, a difference of +0.77 hours. Staff turnover averages 40.7% against 40.3%.
Which hospital-based nursing home grades best in New York?
Helen Hayes Hospital T C U in West Haverstraw, NY, grade A, 99 out of 100.
Does being hospital-based mean a nursing home is safe?
No. Of the 38 graded hospital-based homes in New York, 13 grade A and 1 grade D or F.
Do hospital-based nursing homes in New York accept Medicaid?
35 of the 38 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in New York