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.
Heritage Park runs on 2.34 nurse staffing hours per resident day, roughly 39% under the national average of 3.86, and weekends dip about 12% below its own weekday levels. That thin coverage is the main story here, and it lines up with ten deficiencies on the current record, three of them abuse-related, though none at the harm or jeopardy level. The nonprofit ownership doesn't change the math: turnover sits at 46.3%, essentially matching the national rate, and the last health inspection was in March 2024. If you're weighing this one, ask how they cover weekends and what's changed since that inspection.
Elderwood Of Uihlein At Lake Placid runs 156 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 2.62 nurse hours per resident day, it sits roughly a third below the national average of 3.86, and weekends dip about 8% below its own weekday levels, so coverage thins out right when families tend to visit. Annual turnover of 61.3% outpaces the national 45.8%, which matters because consistent caregivers know residents' routines. The current record shows 26 deficiencies with none at harm or jeopardy level and none abuse-related, and the last inspection was October 2024. State surveyors rated health inspections 2 out of 5 stars.
Granville Center runs on 3.01 nurse hours per resident day, roughly 22 percent under the national average, and weekend coverage drops about 11 percent below what it manages on weekdays. Staff turnover sits at 74.3 percent, well above the 45.8 percent national figure, that's most of your caregivers replaced within a year. The current record shows 23 deficiencies, none at harm or jeopardy level but one tied to abuse, with the last inspection in December 2024. The corporate owner runs this for profit. Quality measures score well, but that's the number families see last; staffing is the one they feel daily.
Elderwood at Ticonderoga is a for-profit, LLC-run home with 84 certified beds in Essex County, and its staffing is the number that stands out: 3.01 nurse hours per resident day, about 22 percent under the national average of 3.86. Weekend coverage runs roughly 9 percent thinner than weekdays, and turnover sits at 48.6 percent against a national 45.8 percent. The current inspection record shows 27 deficiencies, two of them abuse-related, though none rose to harm or jeopardy level, and CMS has fined the home once for $4,516. Its last inspection was July 15, 2024. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 2 out of 5.
Heritage Green runs on 2.42 nursing hours per resident per day, roughly a third below the national average of 3.86, and weekends drop about 11% below its own weekday coverage. That staffing shortfall shows up in the federal stars: one out of five, while inspections and quality measures each sit at two. Staff turnover is 51.1%, higher than the 45.8% national rate, so caregivers are cycling through faster than average. The current record carries 16 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. This is a nonprofit corporation with 134 certified beds and a recent inspection, dated February 27, 2026, a lot of eyes on the place, but the hours at the bedside tell the bigger story.
St Patrick's Home runs on 3.38 nursing hours per resident day, roughly 12% under the national average, and the gap widens on weekends when coverage drops about 19% below its own weekday level. Staff turnover sits near 60%, well above the national figure, which matters because 18 deficiencies are on the current record, including one at the harm level and five tied to abuse. A $51,500 fine and a February 2024 inspection round out the picture. The quality measures look strong and the nonprofit church ownership is stable, but thin staffing and high turnover are the throughline here, the kind of thing that quietly shapes daily care.
Corning Center runs on thin staffing, and the numbers say so. At 3.20 nurse hours per resident per day, it sits about 17 percent under the national average, and weekends drop roughly 24 percent below its own weekday levels, which matters most when families visit and aides are stretched thinnest. Annual turnover of 64.5 percent is well above the 45.8 percent national figure, so the people caring for your relative are likely to change often. What keeps this home from looking worse on paper is a clean inspection record: 11 deficiencies, none at the harm or jeopardy level, no abuse findings, and a March 2024 inspection. The care seems safe; the question is whether there's enough of it.
Elderwood At Liverpool runs 160 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.52 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The staffing star rating comes in at 1 out of 5, with quality measures at 2 and health inspections at 3. Its record shows 17 deficiencies, none at harm or jeopardy level and none abuse-related, plus one fine of $56,921. The last inspection was February 2026, so the picture is current.
Elderwood At Hornell passes its health inspections cleanly, a five-star record, just eight deficiencies and none of them causing harm or involving abuse. The trouble is who's left to do the work. At 2.75 nurse hours per resident day, staffing sits roughly 29% under the national average, and it thins out further on weekends. A 63.5% annual turnover rate means most of the aides and nurses on a given shift are relatively new, which matters more when there are fewer of them. One fine of $4,194 is minor. For-profit LLC ownership, 122 beds, last inspected in February 2024. Strong surveys, thin coverage, families should ask pointed questions about evening and weekend staffing specifically.
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.
Carthage Center runs about 3.25 nursing hours per resident day, roughly 16% under the national average, and its weekends dip about 26% below its own weekday coverage, so the aide or nurse available Monday may not be there Saturday. Staff turnover sits at 68.6% against a national 45.8%, which means more than two-thirds of the nursing staff turned over in a year. The 31 deficiencies on record include none flagged for harm or abuse, and the last inspection was in September 2024. The quality measure score is high, but that reflects charted care, not the hands on the floor.
Norwich Rehabilitation & Nursing Center runs 80 certified beds as a for-profit LLC, and the numbers show a home stretched thin. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 18% below what the home itself staffs on weekdays, meaning care thins out exactly when families tend to visit. Staff turnover is 58.4%, well above the 45.8% national figure, so the people providing care keep changing. The current record carries 12 deficiencies, including one at the harm level and one abuse-related, plus seven fines totaling $63,215. The last inspection was August 2025, so the picture is recent, not stale.
Briarcliff Manor Center runs about 3.23 nurse hours per resident day, roughly 16% under the national average, and staffing drops further on weekends. That shortfall shows up in a 55.6% annual turnover rate, well above the 45.8% national figure, and a one-out-of-five staffing rating from CMS. Inspections tell a harder story: 33 deficiencies on the current record, including two at the harm level and three tied to abuse, plus $97,282 in fines across two penalties. The most recent inspection was in March 2025, so the picture is current rather than stale. Census size is 120 certified beds under for-profit partnership ownership. Quality measures score well, but that sits against thin staffing and a two-out-of-five inspection rating.
Waters Edge runs on 2.95 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops about 8% below what it manages on weekdays. That thin staffing shows up against a 55.6% annual turnover rate, meaning more than half the nursing staff leaves each year. Its current record carries 23 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $153,911 fine. The quality measure score is high, but inspectors last visited in August 2025 and rated the health inspection side 1 out of 5. For a family weighing this one, the staffing and inspection numbers are the ones to sit with.
Nurse staffing at Rochester Center runs 3.27 hours per resident day, roughly 15 percent under the national average, and weekends dip about 18 percent below the home's own weekday levels, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 61.1 percent against a national average of 45.8 percent, meaning more than half the nursing team leaves within a year. On the inspection side, the record shows 30 deficiencies, two of them harm-level and one abuse-related, with a $9,315 fine and a January 2025 inspection. This is a for-profit LLC, and the low staffing and inspection ratings line up with the turnover.
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.
The Pines at Utica runs on 3.56 nurse hours per resident per day, roughly 8% under the national average, and weekends drop about 14% below its own weekday staffing. That thin coverage shows up in a 49.5% annual turnover rate, above the national figure, and a one-out-of-five staffing rating. The inspection record is heavy: 28 deficiencies, three serious enough to cause harm or jeopardy, plus two fines totaling $55,708. State surveyors were last in on July 22, 2025. This is a for-profit LLC operation with 117 beds, and its quality measures rate two stars. Families should ask directly how weekend coverage is handled.
The Grand Rehabilitation and Nursing at Chittenango runs 80 beds under individual for-profit ownership, and its staffing sits about 13% under the national average at 3.36 nurse hours per resident day, thinning further on weekends. That shortfall shows up in the numbers: a 61.5% annual turnover rate, well above the 45.8% national figure, with CMS awarding just one star for staffing. The home's record carries 18 deficiencies, including one at the harm or jeopardy level and one tied to abuse, along with a $16,448 fine. Its last inspection came in November 2025, and both its health inspection and quality measure ratings land at two stars.
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?