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.
St. Joseph's in Elmira runs a tight ship on retention, 27.8% turnover is well under the national average, which matters because consistent caregivers know their residents. Staffing sits at 3.83 hours per resident day, just shy of the national figure, though weekends thin out about 9% below weekday levels. What pulls the record down is everything else: 14 deficiencies on the current books, including one at the harm level and two tied to abuse, plus a 1-out-of-5 quality measure rating that suggests clinical outcomes aren't keeping pace with the staffing picture. Inspectors were last in July 2024. The people side looks solid; the compliance side is where a family should ask questions.
Ira Davenport Memorial Hospital's nursing unit sits in Bath, run by a nonprofit corporation. Its last health inspection was September 2024, and it came through cleanly enough for a five-star inspection rating, seven deficiencies on record, none of them causing harm or jeopardy, though one is abuse-related, which is worth asking about directly. Staffing is where it slips: 3.66 nurse hours per resident day, about 5% under the national average, and weekends run roughly 10% thinner than weekdays. Annual turnover of 44.6% is essentially at the national norm, so retention isn't the problem, the raw hours per resident are. Ask how weekend coverage is handled.
Champlain Valley Physicians Hosp Med Ctr S N F is a 95-bed nonprofit in Plattsburgh, and its numbers pull in different directions. The health inspection side looks solid, a 4 out of 5, with the last survey in January 2025 and no deficiencies rising to harm or jeopardy. But staffing is a real problem at 1 out of 5, meaning nurse hours per resident fall well below the national average, and quality measures sit at just 2. That combination, decent inspections on paper but thin staffing day to day, is worth weighing carefully. There are 17 deficiencies on record, four of them abuse-related, which a family should ask about directly before deciding.
Lewis County General's nursing unit runs on county money, and the staffing numbers show it: 4.41 nurse hours per resident day, roughly 14 percent above the national average, with weekend coverage dipping about 16 percent below its own weekday levels. Turnover sits at 42.9 percent, a touch better than the 45.8 percent national figure. What pulls the record down is the inspection side, 16 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse, plus a single $160,046 fine. The most recent inspection was July 2024, so the picture is current.
Medina Memorial Hospital SNF runs a small 30-bed unit, and its staffing is genuinely better than most: 4.36 nurse hours per resident day, roughly 13 percent above the national average, with weekends only about 7 percent lighter than weekdays, a modest dip. The trade-offs show up elsewhere. Staff turnover sits at 52.9 percent against a national 45.8, so the people delivering that care keep changing. Inspections in May 2024 turned up 8 deficiencies; none rose to harm or jeopardy, but 2 were abuse-related, and the quality measure rating lands at 1 out of 5. Strong hands-on hours, uneven consistency and outcomes.
Samaritan Senior Village runs 168 beds as a nonprofit, and its nurse staffing sits at 3.61 hours per resident day, roughly 7% under the national average of 3.86. That gap widens on weekends, when coverage drops about 15% below what the home staffs on weekdays. The inspection record shows 20 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last full inspection was August 2024, and CMS gave the home 2 out of 5 stars for both health inspections and staffing, with 3 for quality measures. So the care numbers look decent while the hands-on coverage and inspection history are the weaker parts.
Clifton Springs Hospital and Clinic Extended Care runs a little richer on nursing hours than the typical American nursing home, 4.09 per resident day against a national average of 3.86, though weekends drop about 13% below what the home staffs on weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover sits at 46.4%, essentially the national rate, so this isn't a stable long-term crew. Inspections look solid: a 4-out-of-5 health inspection rating, last visit in November 2024, and 12 deficiencies on record with none involving harm or abuse.
Mountainside Residential Care Center runs 82 beds as a nonprofit in Margaretville, and its nurse staffing sits at 3.70 hours per resident day, about 4% under the national average, with weekends roughly 5% thinner than weekdays. The bigger concern is turnover: 90.8% of staff left over the past year, double the national rate of 45.8%, which means the people caring for residents are, more often than not, new to the building. Its inspection record shows 14 deficiencies, including one at the harm level and three tied to abuse, plus a single fine of $8,512; the most recent inspection was July 2024. Quality measures score well, but stable staffing is what families should ask about directly.
Nathan Littauer Hospital Nursing Home runs 84 certified beds as a nonprofit, and its staffing sits just a hair under the national average, 3.83 hours per resident day against 3.86. That's close enough to call even, but the weekend tells a different story: staffing drops about 14% below its own weekday level, so care on Saturdays and Sundays may not match what you see Monday through Friday.
The bigger flag is the inspection record. Twenty-five deficiencies, including two tied to abuse, with a one-star health inspection rating from CMS. None of those rose to the harm or jeopardy level, and the most recent inspection was in February 2025, so the picture is current. Annual turnover of 50% runs above the national 45.8%, meaning the staff your relative sees may not be there next year.
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.
Alice Hyde runs a tight clinical ship on paper, its quality measure rating sits at 4 out of 5, and the staffing rating matches. But the hours aren't quite there: 3.67 nurse hours per resident day lands about 5% under the national average, and weekends drop roughly another 10% below the home's own weekday coverage. That matters, since turnover is 57.1% against a national 45.8%. The inspection record is the real weight, 19 deficiencies, one at harm or jeopardy level, six tied to abuse. The most recent survey closed in December 2025, so it's current, but a 2-star inspection rating alongside that count tells you the problems are recent enough to still be shaping care.
Aurelia Osborn Fox Memorial Hospital sits in Oneonta with 131 certified beds and a nonprofit owner. Staffing runs slightly under the national average at 3.80 hours per resident day, and weekends drop about 18% below its own weekday levels, so coverage thins out when families tend to visit. The bigger issue is the inspection record: 29 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating. Turnover at 37.1% actually beats the national 45.8%, which suggests staff stick around. Ask about that harm-level finding and what changed after the April 2025 inspection.
Samaritan Keep is a 272-bed for-profit home in Watertown, and its numbers tell two different stories. The good one is quality measures, where it rates 4 out of 5, but that sits next to a 1-star health inspection record with 30 deficiencies, including three at harm or jeopardy level and four tied to abuse, plus two fines totaling $76,137. Staffing looks better on paper at 4.05 nurse hours per resident day, about 5% above the national average, but weekends run roughly 20% below its own weekday level, and CMS rates staffing just 2 stars. Its most recent inspection was March 2026, so the record is current. Ask about weekend coverage and how the abuse-related findings were resolved.
Jennie B Richmond Chaffee in Springville runs a nonprofit home of 80 beds where the day-to-day staffing is genuinely strong, 4.04 nurse hours per resident day, slightly above the national average, and its 32.6% turnover is well below the 45.8% typical elsewhere, which matters because consistent aides know the residents. Weekends thin out about 15% from weekday coverage, so ask how that plays out on a Sunday. The harder reading is the inspection record: 14 deficiencies, including two at harm level and four tied to abuse, plus a $68,591 fine, and the state's last visit was June 2025. Good care on paper, uneven oversight in practice.
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.
Oneida Health Rehabilitation And Extended Care runs 160 certified beds as a nonprofit corporation, and its nursing hours come to 3.17 per resident day, roughly 18% under the national average of 3.86. Weekends drop about 15% below what the home itself staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $16,153, with the most recent survey dated January 27, 2026. No abuse-related citations appear. The staffing rating reflects those hours directly; the two-star inspection result reflects the deficiency history.
Schaffer Extended Care Center runs about 3.05 nurse hours per resident each day, roughly a fifth below the national average, and weekend coverage drops further below its own weekday levels. Staff turnover sits at 97.8%, more than double the national figure, so the people around your family member are likely to change often. Its record carries 25 deficiencies, including one tied to abuse and one at the harm level, plus a fine, and the last inspection was in May 2025. All three CMS star ratings, inspections, quality measures, staffing, sit at the lowest possible.
Cuba Memorial's 61-bed nonprofit unit runs on 2.71 nursing hours per resident day, roughly 30 percent below the national average of 3.86, and staffing thins further on weekends, dropping about 15 percent from its own weekday level. That shortfall shows up in the numbers: a 57.4 percent annual turnover rate against a 45.8 percent national average, and CMS scoring staffing and quality measures at 1 out of 5 stars each, even though the health inspection rating sits at 4. The current record carries 15 deficiencies, none at harm or jeopardy level but five tied to abuse. A recent May 2024 inspection is the one clear positive here.
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?