291 of the 594 Medicare-certified nursing homes in New York (49%) are independently owned, and all are listed below. 58 of the 291 graded homes earn an A and 12 earn a D or F. They average 3.78 nursing hours per resident per day, 0.15 hours above the 3.63 for every home in New York. John T Mather Memorial Hosp T C U in Port Jefferson grades highest at A (99 out of 100).
How independently owned homes in New York compare
This group set against every nursing home in New York, from the current CMS release.
New Vanderbilt runs 320 beds on Staten Island under corporate for-profit ownership, and its staffing sits at 3.68 nurse hours per resident day, about 5% under the national average, with weekends running roughly 10% thinner than its own weekdays. Turnover is 35.1%, which is actually better than the 45.8% national figure, so the same faces are more likely to stick around. The harder numbers are on the inspection side: 40 deficiencies on the current record, eight tied to abuse, and a one-star health inspection rating from CMS, with the last survey in July 2024. Zero of those deficiencies rose to harm or jeopardy level, which matters, but the volume is still high.
Putnam Ridge is a 160-bed for-profit home in Brewster, and its inspection record is the thing to look at first. Forty-four deficiencies are on file, including four tied to abuse and one at the level where a resident was actually harmed or put in jeopardy. That's a lot of findings, and the one-star health inspection rating reflects it. Nurse staffing runs 3.62 hours per resident day, about 6% under the national average, and weekends dip roughly 9% below its own weekday numbers, so coverage thins out exactly when families tend to visit. Turnover sits near the national average, which is the one number here that isn't a concern. The last full inspection was in October 2023, so ask what's changed since.
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.
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.
Wesley Health Care Center runs 356 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.00 hours per resident day, about 4% above the national average of 3.86. That margin shrinks on weekends, when coverage drops roughly 17% below the home's own weekday level, so the weekday-to-weekend gap is worth asking about directly. Annual turnover is 46.8%, nearly identical to the national 45.8%. The current record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated November 19, 2024. CMS rates staffing 4 out of 5 and quality measures 3 out of 5, but health inspections just 2 out of 5, the weaker inspection history is the main thing pulling the overall picture down.
Montgomery Nursing and Rehabilitation Center runs about 3.07 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on time, and weekends dip another 10% below its own weekdays. Turnover sits at 38.5%, better than the 45.8% national figure, so the people who stay tend to stay. Inspections are the weak spot: a 2-out-of-5 health inspection rating, 27 deficiencies on the current record including one abuse-related citation, though none rose to actual harm or jeopardy. The last survey was January 2025, so that record is recent. Quality measures score well at 4 out of 5, which softens the picture but doesn't change the staffing math.
Renaissance Rehabilitation and Nursing Care Center in Staatsburg is a for-profit home with 120 certified beds, and its staffing is the first thing that stands out: 2.10 total nurse hours per resident per day, roughly 46% under the national average of 3.86, with weekends running about 14% thinner than weekdays. That shortfall shows up in CMS's staffing rating of 1 out of 5, and the inspection record is worse, a 1-star health inspection rating, 56 deficiencies including 2 at harm or jeopardy level and 5 abuse-related, and placement in the federal Special Focus Facility program. Turnover at 23.9% is better than the 45.8% national figure, and the 4-star quality measure rating reflects resident outcome data, but the September 2024 inspection and the enforcement history carry more weight here.
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.
St Johnland runs a 250-bed nonprofit home in Kings Park, and the staffing numbers are better than average: 4.14 nurse hours per resident day, about 7 percent above the national figure, with turnover at 39 percent versus 45.8 percent nationally. Weekends dip roughly 9 percent below weekday coverage, though. What pulls the record down is inspection history, 21 deficiencies on file, including two at the harm level and three tied to abuse, plus a $30,817 fine and a one-star health inspection rating, with the last survey in December 2024. The quality measure score is strong and staffing is decent, but the enforcement record is where a family should focus questions.
The Eastern Star home in Oriskany runs a nonprofit operation with 86 certified beds, and its staffing numbers are where the trouble starts: 3.42 nurse hours per resident day, about 11% under the national average, with weekend coverage dipping roughly 3% below its own weekday level. CMS gives staffing a single star, and that 65% annual turnover, well above the 45.8% national figure, means the people providing that care keep changing. Thirteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was November 2024. Quality measures also land at two stars. Nothing here suggests danger, but the pattern is thin coverage and a lot of churn.
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.
Beach Gardens runs 3.11 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip about 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 26.9%, well under the national 45.8%, which suggests a steadier crew than most homes even with fewer hands on shift. The current record shows 12 deficiencies, four of them abuse-related, though none reached the harm or jeopardy level, and the last inspection was August 2025. Quality measures score mid-range while inspection and staffing both come in at 2 of 5 stars.
Ocean Gardens runs 280 beds in Arverne under corporate ownership, and its nurse staffing sits at 2.39 hours per resident day, roughly 38% under the national average of 3.86. Weekends dip about 7% below its own weekday levels, so coverage thins exactly when families tend to visit. The inspection record is the bigger concern: 35 deficiencies, one at the harm-or-jeopardy level and four tied to abuse, with the most recent inspection back in September 2023. Turnover at 34.1% is actually better than the 45.8% national figure, which suggests some consistency in who's showing up. The quality measure rating holds at 3 out of 5, but low staffing and that deficiency history are what a family should weigh first.
Finger Lakes Center For Living sits in Auburn with 80 certified beds, run by a nonprofit corporation. The staffing numbers are a real strength: 4.23 nurse hours per resident day, about 10% above the national average, and turnover at 33.7% beats the 45.8% national figure by a wide margin. Weekend coverage dips roughly 13% below weekday levels, which is worth asking about. The trouble is the inspection record, 11 deficiencies, three at harm or jeopardy level, four tied to abuse, and $101,300 in fines across two cases, with the most recent inspection in September 2024. Quality and staffing scores look strong on paper; the survey history tells a harder story.
Hempstead Park runs 251 certified beds under individual for-profit ownership, and its staffing is the first thing that stands out: 3.11 nurse hours per resident day, roughly 20% under the national average of 3.86, with weekends running about 11% thinner than weekdays. Turnover is genuinely better than average at 28.9% against 45.8% nationally, so the people who stay seem to stay. The concern is the record itself, 30 deficiencies, one at harm or jeopardy level and six tied to abuse, plus a $15,445 fine, with the most recent inspection in August 2025. Quality measures score well; the staffing and inspection sides don't.
Highpointe on Michigan runs one of the stronger staffing operations you'll see in Buffalo, 5.41 nurse hours per resident day, roughly 40 percent above the national average, and its 31.6 percent turnover beats the national rate by a wide margin. The problems sit elsewhere. Inspectors have cited 30 deficiencies on the current record, including two at the harm or jeopardy level and six tied to abuse, and the health inspection rating is 1 out of 5. One fine totaling $129,149 has been assessed, with the last inspection in September 2024. Strong hands-on care, weak compliance history. If you're considering this one, ask directly how the abuse-related findings were resolved.
Medford Multicare Center for Living runs 320 beds under corporate ownership, and its numbers pull in opposite directions. Nurse staffing sits at 3.91 hours per resident day, barely above the national average, but weekends drop about 12% below its own weekday levels, and CMS rates staffing just 1 out of 5. Turnover is 36.2%, better than the 45.8% national figure, so the people who stay tend to stay. What weighs heaviest is the inspection record: 31 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, with a $134,713 fine and a February 2025 inspection. Quality measures score well, but that's self-reported data. The state's findings are the ones worth trusting here.
Haven Manor runs on 1.67 nurse staffing hours per resident per day, which is roughly 57% below the national average of 3.86. Weekends are thinner still, with staffing about 18% lower than the home's own weekday level, so the thinnest coverage lands when families tend to visit. Turnover of 27.3% is actually better than the national 45.8%, meaning the staff who are there tend to stay, there just aren't enough of them. The current record shows 19 deficiencies, none at harm or jeopardy level, but four tied to abuse, and the last inspection was in November 2023. For-profit, limited liability ownership, 240 beds.
Frequently asked questions
How many independently owned nursing homes are there in New York?
There are 291 independently owned Medicare-certified nursing homes in New York, 49% of the 594 nursing homes there.
Are independently owned nursing homes better staffed?
In New York they average 3.78 total nursing hours per resident per day, against 3.63 for all nursing homes in New York, a difference of +0.15 hours. Staff turnover averages 38.7% against 40.3%.
Which independently owned nursing home grades best in New York?