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.
Tolstoy Foundation Rehabilitation and Nursing Center is a 96-bed nonprofit in Rockland County sitting in CMS's Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The current inspection history backs that up: 45 deficiencies, two of them at the harm or jeopardy level and eight abuse-related, plus a single $126,470 fine. One recent inspection, in September 2025, doesn't erase a pattern like that.
Staffing sits right at the national mark, 3.83 hours per resident day against 3.86, though weekends run about 12% thinner than weekdays. Turnover is genuinely better than average, 35.5% versus 45.8%, and the quality measure rating is a middling 3/5. But the inspection rating is 1/5, and that's the number that matters most here.
The Eleanor Nursing Care Center runs on 2.67 nurse staffing hours per resident day, roughly a third below the national average, and weekends are thinner still. Its inspection record is the real story: 83 deficiencies, including one at the harm level and five tied to abuse, plus a $132,957 fine. Those numbers put it in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Turnover at 30.2% is actually better than the national average, which suggests the trouble here isn't a churning workforce so much as too few hands on the floor and a long history of failed inspections.
Livingston Hills is a for-profit home in Columbia County with 120 certified beds, and the numbers behind its record deserve a close look. Nurse staffing sits at 1.85 hours per resident day, roughly half the national average of 3.86, and weekend coverage drops about 16% below its own weekday level, while annual turnover runs 52.9% against a national 45.8%. Its inspection history is heavy: 73 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, plus an $89,794 fine. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Sunset Nursing and Rehabilitation Center is a 120-bed for-profit home in Boonville, and the number that should give you pause is 27 deficiencies on its current record, four of them serious enough to involve actual harm or jeopardy, and four tied to abuse. That's why CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. Nurse staffing sits at 3.45 hours per resident per day, about 11% under the national average, and weekends run roughly 10% thinner than weekdays. Staff turnover is 39.6%, which is actually better than the 45.8% national figure. The most recent inspection was June 27, 2025, and CMS has fined the home $56,261.
Grand Manor runs on thin staffing: 2.80 nurse hours per resident per day against a national average of 3.86, a gap of roughly 27%, and weekends drop about 16% below the home's own weekday level. That's the backdrop for 61 deficiencies on the current record, including 9 at harm or jeopardy level and 5 tied to abuse, plus four CMS fines totaling $563,175. The federal Special Focus Facility designation means regulators have flagged this home for sustained poor performance, and the most recent inspection was December 9, 2025. Turnover, at 40.3%, actually sits below the national average of 45.8%, one number that isn't working against it.
Blossom Health Care Center runs on 3.42 nursing hours per resident day, about 11% under the national average, and weekends drop roughly 21% below what the home staffs on weekdays. That thin coverage shows up in the numbers: 67.9% annual turnover, well above the 45.8% national rate, so the aides and nurses at the bedside keep changing. Inspectors cited 36 deficiencies on the current record, four tied to abuse, though none rose to actual harm or jeopardy. The last visit was October 2024. With 80 beds and corporate for-profit ownership, this is a home where you should ask directly how they cover weekends and how long their current staff have actually been there.
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.
Rosewood Rehabilitation And Nursing Center runs about 2.86 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 15% under its own weekday levels. Annual turnover sits at 73% against a national 45.8%, so the people around your family member keep changing. The inspection record is the real warning: 45 deficiencies, three at harm or jeopardy level, three tied to abuse, and nine fines totaling $219,130, with CMS placing the home in its Special Focus Facility program. That program exists for homes with a persistent pattern of poor care, not a single bad survey. The quality measure rating looks good on paper, but it reflects resident assessments, not whether enough staff are present to act on them.
Campbell Hall Rehabilitation Center is a for-profit home with 134 beds, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.03 hours per resident day, roughly a fifth below the national average, and weekends run about 11% thinner than weekdays, which matters if your family visits on a Saturday or Sunday. Its inspection history shows 67 deficiencies, including three at the harm or jeopardy level and five related to abuse, with 22 fines totaling $190,505. Staff turnover runs 48.5%, above the national figure, and CMS has placed the home in its Special Focus Facility program. All three of its CMS star ratings sit at one out of five.
Bishop Rehabilitation and Nursing Center is a 440-bed for-profit home in Syracuse, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.52 hours per resident per day, roughly 9% under the national average, and weekends drop about 18% below what the home itself staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Staff turnover runs 55.7% against a national 45.8%, meaning more than half the nursing staff leaves within a year. Its current inspection record carries 51 deficiencies, 12 at harm or jeopardy level and one abuse-related, with two fines totaling $699,602 and a May 2025 inspection.
Troy Victorian runs 2.96 nurse staffing hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what the home itself staffs on weekdays. Staff turnover sits at 57.4%, more than half the nursing staff leaving in a year, which matters even more at a place where CMS has flagged 11 abuse-related deficiencies. The home carries 73 deficiencies on its current record, three serious enough to cause harm, plus $269,574 in fines, and CMS has placed it in the Special Focus Facility program, reserved for the worst performers in the country. If you're considering this one for someone you love, ask what the turnover and weekend coverage look like on the specific unit and shift you're considering.
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?