34 Nursing Homes That Accept Medicaid in Erie County, New York
34 of the 34 Medicare-certified nursing homes in Erie County, New York (100%) are Medicaid-certified, and all are listed below. 5 of the 34 graded homes earn an A and 3 earn a D or F. They average 3.76 nursing hours per resident per day, the same as the 3.76 for every home in Erie County, New York. Fox Run At Orchard Park in Orchard Park grades highest at A (96 out of 100).
How Medicaid-certified homes in Erie County, New York compare
This group set against every nursing home in Erie County, New York, from the current CMS release.
Nursing hours per resident per day
3.76
All homes in Erie County, New York: 3.76
Better than the local average
Nurse staff turnover
51.3%
All homes in Erie County, New York: 51.3%
Better than the local average
Average ElderGrade score
71.5/100
All homes in Erie County, New York: 71.5/100
Better than the local average
Grade spread
A
B
C
D
5 grade A, 13 grade B, 13 grade C, 3 grade D,
The best-graded Medicaid-certified home in Erie County, New York is
Fox Run At Orchard Park
in Orchard Park, NY, grade A, 96/100.
Every Medicaid-certified nursing home in Erie County, New York
Elderwood At Amherst runs 92 beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 3.80 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 15% below its own weekday coverage, that's when you're most likely to notice a difference. Turnover tells a bigger story: 57.4% annually against a national 45.8%, meaning more than half the nursing staff turns over each year. Twelve deficiencies sit on the current record, including three tied to abuse and one at the harm level, with a $25,262 fine. The most recent inspection was April 2025, so the record is relatively current. Quality measures score well; the inspection and staffing picture is where the concern lives.
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.
Fiddlers Green Manor runs about 2.90 nurse hours per resident day against a national average of 3.86, a roughly 25% shortfall, and weekends drop another 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The 82-bed for-profit home has 8 deficiencies on its current record, including 2 at the harm level and 4 tied to abuse, plus two fines totaling $25,470; its last inspection was February 2026. Staff turnover at 38.8% is better than the 45.8% national figure, and its quality measures score well, but with the health inspection and staffing ratings both at 2 out of 5, the care-numbers side is doing the heavy lifting here.
Delaware Oaks runs about 3.23 nursing hours per resident per day, roughly 16% under the national average, and weekends are thinner still, about 15% below its own weekday staffing. That's the number that matters most, because aide time is what shows up at the bedside. The home carries 21 deficiencies on its current record, none flagged at harm or jeopardy level, but six tied to abuse, which is a lot for a 95-bed building. Turnover sits at 47.4%, slightly worse than the national 45.8%, so the staff caring for your relative is changing often. Its last inspection was August 2024. Ownership is a for-profit partnership.
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.
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.
Elderwood At Cheektowaga runs 3.27 nursing hours per resident day, roughly 15% under the national average, and weekends dip another 15% below its own weekday staffing. That thin coverage shows up in a 63% annual turnover rate, well above the 45.8% national figure, which means the aides and nurses walking into residents' rooms are often new to the building. The current inspection record carries 23 deficiencies, including three tied to abuse, though none rose to harm or jeopardy level. Quality measures look strong at 4 out of 5 stars, but the 2-star health inspection and 2-star staffing ratings, under for-profit LLC ownership, tell a more cautious story.
Buffalo Center For Rehabilitation And Nursing runs 200 certified beds under corporate for-profit ownership, and its staffing looks decent on paper, 4.22 nurse hours per resident day, about 9% above the national average. But that number hides a lot. Weekend coverage drops roughly 11% below its own weekday level, and annual turnover sits at 60.2% against a national average of 45.8%, meaning most of the people providing that care are new and likely to leave. The inspection record is where the real trouble sits: 36 deficiencies, three at harm or jeopardy level, eight tied to abuse, and $139,721 in fines. A 1-out-of-5 inspection rating and a June 2025 inspection round that out.
Ellicott Center runs 160 certified beds in Buffalo under for-profit LLC ownership, and the numbers worth knowing start with staffing: 3.48 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 17% below its own weekday coverage. That thinner weekend floor is where gaps tend to show up. Staff turnover sits at 61.3%, well above the 45.8% national figure, which means aides and nurses are cycling through often enough that familiarity with residents is hard to build. On the inspection side, the home carries 33 deficiencies on its current record, including one at the harm or jeopardy level and one abuse-related, plus a $10,868 fine. The last inspection was February 2025, so the record is recent.
Elderwood At Hamburg runs 166 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble sits. At 3.02 nurse hours per resident day, it's about 22 percent below the national average of 3.86, and weekends dip roughly 16 percent below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover tells a related story: 71.7 percent annually against a national average of 45.8 percent, so the people caring for residents are cycling through fast. Inspections in June 2025 turned up 15 deficiencies, including one at the harm level and two tied to abuse, plus a $26,000 fine. Medicare's staffing rating of 2 out of 5 reflects what those hours look like in practice.
Williamsville Suburban runs 220 beds under for-profit LLC ownership, and the numbers that stand out are on the staffing side. At 3.30 nurse hours per resident day, it sits about 14 percent under the national average, and weekends dip roughly 14 percent below its own weekdays, so coverage thins out right when families tend to visit. Staff turnover is 57.1 percent against a national 45.8 percent, meaning more than half the nursing team turns over in a year.
The inspection record is heavier still: 36 deficiencies, one at harm or jeopardy level and four tied to abuse, with a $43,973 fine. Its most recent inspection was in October 2024.
Elderwood At Williamsville runs 200 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.71 nurse hours per resident day, it sits below the national average, and weekends drop roughly 23% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover tells a similar story: 72.4% annually against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. The current record shows 22 deficiencies, including one at harm level and four abuse-related, plus a $75,553 fine. Inspectors last visited in January 2025.
Humboldt House is a 173-bed for-profit home in Buffalo, and its record is one families should read carefully. The staffing numbers are the clearest issue: 3.04 nurse hours per resident per day, about a fifth below the national average, with weekends running thinner still, and turnover near 60 percent, well above the 45.8 percent typical nationally. On inspections, it holds 44 deficiencies, three of them at harm or jeopardy level and eight involving abuse, plus $270,858 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. A strong quality-measure score doesn't offset that inspection history.
Nurse staffing at this Williamsville home runs 3.02 hours per resident day, roughly 22% under the national average, and weekends drop about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 72.7% sits well above the 45.8% national figure, meaning the aides and nurses caring for residents are, more often than not, new to the building. The current record carries 45 deficiencies, including one at the harm-or-jeopardy level and three tied to abuse, plus a $37,138 fine and a December 2024 inspection. For-profit LLC ownership, 142 beds.
Frequently asked questions
How many Medicaid-certified nursing homes are there in Erie County, New York?
There are 34 Medicaid-certified Medicare-certified nursing homes in Erie County, New York, 100% of the 34 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In Erie County, New York they average 3.76 total nursing hours per resident per day, against 3.76 for all nursing homes in Erie County, New York, a difference of +0 hours. Staff turnover averages 51.3% against 51.3%.
Which Medicaid-certified nursing home grades best in Erie County, New York?