303 of the 594 Medicare-certified nursing homes in New York (51%) are chain-owned, and all are listed below. They average 3.48 nursing hours per resident per day, 0.15 hours below the 3.63 for every home in New York. Nurse staff turnover runs 41.8%, 1.5 points higher than the 40.3% across all homes there. Helen Hayes Hospital T C U in West Haverstraw grades highest at A (99 out of 100).
How chain-owned 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
3.48
All homes in New York: 3.63
Worse than the local average
Nurse staff turnover
41.8%
All homes in New York: 40.3%
Worse than the local average
Average ElderGrade score
73.1/100
All homes in New York: 74.3/100
Worse than the local average
Grade spread
A
B
C
31 grade A, 170 grade B, 82 grade C, 20 grade D,
The best-graded chain-owned home in New York is
Helen Hayes Hospital T C U
in West Haverstraw, NY, grade A, 99/100.
Premier Genesee Center in Batavia runs 160 certified beds as a for-profit partnership, and the numbers tell a mixed story. Nurse staffing sits at 2.98 hours per resident day, about 23% under the national average of 3.86, and weekend coverage drops roughly 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 62.4% against a national 45.8%, meaning well over half the nursing workforce turns over in a year. The inspection record shows 20 deficiencies, including one at harm or jeopardy level and four tied to abuse, though the most recent inspection was April 2025.
Foltsbrook Center runs about 2.95 nursing hours per resident each day, roughly a quarter below the national average, and staffing gets thinner on weekends, down another 12% from its own weekday level. That's the kind of gap that shows up when a resident needs help on a Saturday afternoon. The inspection record backs it up: 27 deficiencies on file, including one serious enough to put a resident in harm's way, and a staffing rating of 1 out of 5 from CMS. Staff turnover sits at 54.6%, well above the national 45.8%, so the people providing care are changing often. Ownership is for-profit corporate.
Eddy Village Green runs 192 beds as a nonprofit, and its staff turnover of 39.1% actually beats the national average of 45.8%. That's worth something. But the federal staffing rating sits at 1 out of 5, so whatever retention exists isn't translating into enough hours at the bedside. The inspection record is the bigger problem: 26 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse. One fine totaling $97,383 is on the books, and the most recent inspection was April 2025. Quality measures land mid-range at 3 stars, but with staffing scored at the bottom and a harm-level citation in the recent past, ask hard questions about supervision and who's actually on the floor overnight.
Delmar Center runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 18% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. The inspection record is heavy: 72 deficiencies, six of them abuse-related, with the most recent inspection dated March 13, 2026. CMS rates health inspections and staffing at one star each, though its quality measure score reaches four. That split tells the story, the clinical metrics look decent, but the day-to-day inspection and staffing picture is where the concern sits.
Robinson Terrace runs on 3.09 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 17% below its own weekday staffing. Turnover sits at 50.5% against a national 45.8%, so the aides and nurses your family member sees are changing often. Inspections are a genuine bright spot: a 4/5 health inspection rating, 16 deficiencies on record with none at the harm or jeopardy level, and the most recent visit was February 2026. One abuse-related deficiency is on the books, which is worth asking about directly. Quality measures and staffing both score 2/5. Corporate-owned, 120 beds.
Utica Rehabilitation & Nursing Center runs 120 certified beds under corporate ownership, and the numbers worth knowing are on the staffing and inspection side. Nurses provide 3.32 hours per resident day, roughly 14 percent under the national average, and weekends dip about 16 percent below what the home itself staffs on weekdays. Turnover sits at 61.5 percent against a national 45.8 percent, so the people caring for residents change often. The record shows 38 deficiencies, five at harm or jeopardy level and four abuse-related, with $197,425 in fines and an inspection just completed in February 2026. Quality measures score well, but staffing and compliance are where the risk sits.
Highland Rehabilitation And Nursing Center runs about 3.44 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends drop about 19% below its own weekday staffing. That gap matters, because the question for any family is who's actually on the floor on a Saturday.
Turnover sits at 53.7% against a national 45.8%, so more than half the nursing staff leaves within a year. The current record shows 39 deficiencies, none flagged at harm or jeopardy level, but one is abuse-related. State inspectors were last in on July 3, 2025, and the health inspection rating came back 1 out of 5. It's a for-profit LLC with 98 certified beds. Ask about weekend coverage and how they screen staff before you decide.
Elderwood Of Lakeside At Brockport runs about 2.69 nursing hours per resident each day, roughly 30% under the national average of 3.86, and weekend coverage drops about 19% below what the home staffs on weekdays. Turnover sits at 68.5% against a national 45.8%, which means most of the aides and nurses around your relative are relatively new. The good news: the state's last inspection was in April 2025, and the home carries just seven deficiencies with none at the harm level and none abuse-related. So the care problems here aren't neglect or safety citations, they're thin coverage, especially on weekends, which is worth asking about directly.
Elderwood At Wheatfield runs about 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 19% below its own weekday staffing. That thin coverage shows up in the numbers: 59.3% annual turnover, well above the 45.8% national figure, and a 2-out-of-5 staffing rating from CMS. The 123-bed for-profit home carries 13 deficiencies on its current record, none at the harm level, but one abuse-related, and its last inspection was August 2024. Quality measures score well at 4 out of 5, so resident care indicators look stronger than the staffing that delivers them. Ask about weekend coverage and turnover before touring.
Mayfair Care Center runs 200 certified beds in Hempstead under for-profit corporate ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15 percent under the national average of 3.86, with weekend coverage dropping another 8 percent below its own weekday levels. That thinner weekend floor matters because the home carries 23 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, plus a $41,308 CMS fine and a two-out-of-five inspection rating. Turnover at 29.5 percent is genuinely better than the 45.8 percent national figure, which suggests some stability in the workforce. The last inspection was September 25, 2024; quality measures score one out of five.
Elderwood At North Creek runs 82 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.50 hours per resident day, roughly 35 percent under the national average of 3.86. Weekends dip about 12 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 38.5 percent, which is actually better than the 45.8 percent national figure, and the 12 deficiencies on record include none at the harm level and none tied to abuse. The tradeoff shows up in the staffing and quality stars, where the home scores 1 and 2 out of 5, while its last inspection was September 2024.
The Grand Rehabilitation and Nursing at Pawling runs on thinner nurse staffing than most homes, 3.45 hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday levels, which is when families tend to visit and notice. Turnover sits at 53.4%, well above the 45.8% national figure, so the people caring for residents change often. Its inspection record carries 27 deficiencies, including one at the harm level and one abuse-related, with a $10,519 fine, and the last inspection was in April 2023. For-profit corporate ownership, 122 beds.
You're looking at a hundred-bed for-profit home in Elizabethtown where the numbers tell two different stories. The clinical quality measures look decent, and 19 deficiencies with none at the harm level isn't alarming on its own, but three of those are abuse-related, and that's the kind of thing you ask about directly. What stands out more is the workforce: nurses provide about 3.25 hours of care per resident per day, roughly 16 percent under the national average, and weekends run thinner than weekdays. Staff turnover near 82 percent, against a national 46, means the people showing up are often new. Inspectors last visited in November 2024. Ask how they hold staffing steady on Saturdays.
Elderwood At Lockport runs 3.54 nurse hours per resident per day, about 8% under the national average of 3.86, and weekends dip roughly 6% below its own weekday coverage. Staff turnover sits at 51.5% against a 45.8% national figure, so the people caring for residents are changing often. Ten deficiencies are on the current record, one serious enough to reach harm or jeopardy level, and a single fine has totaled $94,185. The last inspection was May 2025, so the picture is reasonably recent. For-profit LLC ownership, 126 beds, and staffing that trails the benchmark by a small but steady margin, that's the pattern worth weighing against the location and your own visits.
Latta Road Nursing Home East runs a 40-bed operation in Rochester, and the numbers tell a mixed story. Nurse staffing sits at 3.48 hours per resident day, about 10% under the national average, and weekends dip roughly 8% below what the home itself manages on weekdays, meaning coverage thins out right when families tend to visit. Staff turnover lands at 45.7%, essentially matching the national rate, so that's not the outlier here. What stands out more is the inspection record: 17 deficiencies currently on file, including one at the harm or jeopardy level and two tied to abuse, along with a single fine of $8,979. The last inspection was in April 2025, so the picture is reasonably current rather than stale.
The Grand Rehabilitation and Nursing at River Valley runs on thinner nurse staffing than most homes, about 3.16 hours per resident day against a national average of 3.86, with weekends dropping roughly 19% below its own weekday levels. Turnover sits at 24.6%, which is actually well below the national 45.8%, so the people who stay tend to stay. The current record carries 28 deficiencies, none at harm or jeopardy level, but three tied to abuse, and the last inspection was January 28, 2026. Quality measures score lowest of the three CMS categories. It's a 160-bed for-profit corporation, recently inspected, with a mixed record worth asking about directly.
Prestige Nursing Care & Rehab Center runs 400 certified beds in the Bronx under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86, with weekends about 12% thinner than its own weekdays. Staff turnover is 37.1%, which is actually better than the 45.8% national figure, so retention isn't the weak spot here. The inspection record is: 12 deficiencies, one at harm or jeopardy level, two tied to abuse, and a single fine of $8,788. The most recent inspection was April 16, 2026. CMS gives it 3 stars for health inspections, 3 for staffing, but just 1 for quality measures.
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.
New Riverdale Rehab And Nursing runs on 2.58 nurse staffing hours per resident day, roughly a third below the national average of 3.86, and weekends dip about 7% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. The 146-bed for-profit home carries 22 deficiencies on its current record, including one at the harm or jeopardy level and three tied to abuse, plus a $46,905 fine; its last inspection was March 2025. Staff turnover of 34.4% is better than the 45.8% national figure, and the 5/5 quality measure rating stands out against a 2/5 inspection rating. Ask about weekend coverage and how the abuse deficiencies were resolved.
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.
Frequently asked questions
How many chain-owned nursing homes are there in New York?
There are 303 chain-owned Medicare-certified nursing homes in New York, 51% of the 594 nursing homes there.
Are chain-owned nursing homes better staffed?
In New York they average 3.48 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 41.8% against 40.3%.
Which chain-owned nursing home grades best in New York?