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.
Chestnut Park runs on 3.28 nursing hours per resident per day, roughly 15% under the national average, and weekends drop about 18% below its own weekday staffing. The numbers behind the two lowest CMS marks, one out of five on health inspections and one on quality measures, include 32 deficiencies on the current record, three of them at harm or jeopardy level and five tied to abuse. Staff turnover sits at 66.2% against a national average of 45.8%, so the people caring for residents are often new. The last inspection was May 2023, and with a for-profit corporation at the helm, the pattern across staffing, turnover, and oversight is consistent enough to ask hard questions before choosing this one.
The Grand Rehabilitation and Nursing at Batavia runs 62 beds under for-profit partnership ownership, and its staffing sits about 5% under the national average at 3.67 nurse hours per resident day. Weekends drop roughly 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Every nursing position turning over in a year, against a national average near 46%, means the people caring for residents keep changing. Its current record shows 18 deficiencies, none at harm or jeopardy level but one abuse-related, with the most recent inspection in February 2025. Quality measure scores come in at the bottom of CMS's scale.
Oneida Center runs 120 beds under corporate ownership, and its biggest problem shows up in the staffing numbers. At 3.07 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, weekends drop about 14% below its own weekday levels, and annual turnover hits 56.4% against a national 45.8%. Inspections tell a quieter story: 25 deficiencies on record, but none at the harm or jeopardy level and nothing abuse-related, with the last visit in December 2024. Quality measures look decent at 4 stars, though that can reflect charting as much as care. The daily experience here likely depends on how thin the floor gets.
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.
Hudson Hill runs 315 beds in Yonkers, and the numbers show a home stretched thin. Nurse staffing sits at 3.08 hours per resident day, roughly 20 percent under the national average, with weekends even leaner than weekdays, that's when call bells tend to go unanswered. The inspection record is the bigger worry: 50 deficiencies, three of them serious enough to put residents in harm's way and seven tied to abuse. A single fine of $56,044 is on file, and the last inspection was in December 2024. Turnover at 29.3 percent is actually better than the national figure, so the problem isn't keeping staff, it's having enough of them, and a record that keeps flagging the same risks.
Waterview Heights runs 229 beds in Rochester under for-profit partnership ownership, and the numbers here deserve real attention. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends drop roughly 20% below what the home staffs on weekdays, so the hours when families visit aren't the hours when coverage is strongest. Staff turnover hits 67% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year.
The record shows 86 deficiencies, 24 of them at harm or jeopardy level, with four tied to abuse. CMS has fined the home three times for $804,844 total and placed it in the Special Focus Facility program, which is reserved for the country's most troubled homes.
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.
Van Duyn is one of the largest nursing homes in New York, and its record carries real weight: 91 deficiencies, 17 of them serious enough to put residents at risk of harm, plus nine tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems, and fines total just under $620,000. Nurse staffing sits slightly under the national average at 3.72 hours per resident day, and weekends run about 12 percent thinner than weekdays, when families often visit. Staff turnover, at 42.7 percent, is actually a touch better than average. Its most recent inspection was in December 2025.
The Grand Rehabilitation and Nursing at Utica holds 220 certified beds and a for-profit corporate owner, but the record is what stands out. Fifty-two deficiencies, including three at the level of actual harm or jeopardy and two tied to abuse, plus $132,759 in fines, have landed it in CMS's Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Its one-star health inspection rating and two-star quality measures reflect that history, and staffing sits at 3.18 hours per resident day, roughly 18% under the national average, with weekends thinner still. One bright spot: turnover at 25.8% is well below the national 45.8%, suggesting a more stable core of workers than many peers.
Eddy Heritage House runs a nonprofit shop in Troy with 120 certified beds, and the staffing looks solid on paper, 3.90 nurse hours per resident day, just above the national average of 3.86. The catch is weekends, when coverage drops about 13% below the home's own weekday level, and turnover sits at 53% against a national 45.8%.
The inspection record is where this one gets harder to defend: 29 deficiencies on file, including two at harm or jeopardy level and four tied to abuse. That's a 1-star health inspection rating, with the most recent look coming in February 2024. Staffing earns 4 stars, quality measures 2. Families should ask directly how those abuse citations were resolved.
Affinity Skilled Living runs 280 beds in Oakdale under for-profit LLC ownership, and its record is genuinely mixed. The health inspection side is the weak spot: 29 deficiencies on file, three of them at harm or jeopardy level and two tied to abuse, with an $82,500 fine and a one-out-of-five inspection rating. Staffing sits at 3.73 nurse hours per resident day, a bit under the national average, and weekends run about 12 percent below weekdays, though turnover at 32.1 percent is better than the 45.8 percent norm. Resident outcome measures look strong on paper. Read the inspection history carefully before deciding.
The Grand Rehabilitation and Nursing at Mohawk runs on 3.07 nurse hours per resident per day, about a fifth below the national average, and weekends drop roughly 15% below its own weekday staffing. That thin coverage shows up in the numbers: a 50.9% annual turnover rate, above the national 45.8%, and 34 deficiencies on the current record, three of them serious enough to cite harm or jeopardy. Federal inspectors were last in the building on June 30, 2025, and the home carries one fine totaling $17,604. All three CMS ratings, health inspections, quality measures, and staffing, sit at one out of five, which is about as low as the scale goes.
Hudson Park runs on 2.85 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 15% below what the building already staffs on weekdays. That thin coverage sits behind a 59.3% annual turnover rate, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. Inspectors cited 40 deficiencies, including five tied to abuse, and the last visit was June 2024; CMS gives the home one star each for health inspections and quality measures. For-profit, limited liability ownership rounds out the picture.
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.
Houghton Rehabilitation & Nursing Center runs about 2.69 nurse hours per resident per day, roughly 30% under the national average of 3.86, and weekend coverage dips another 13% below what it manages on weekdays. Staff turnover sits at 57.7%, well above the 45.8% national figure, which means the people caring for residents are changing often. Its current record shows 21 deficiencies, including one at the harm or jeopardy level and three tied to abuse, along with a $65,052 fine. The last inspection was in May 2025, so the picture is recent. This is a for-profit limited liability company, 100 beds, with two-out-of-five stars on health inspections, quality measures, and staffing alike.
The Grand Rehabilitation and Nursing at Barnwell carries 236 certified beds and a for-profit partnership structure, with 69 deficiencies on its current record, including two at the harm or jeopardy level and six tied to abuse. That record is why CMS placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems, and the $160,303 in fines across three actions reflects it. Nurse staffing sits at 2.54 hours per resident day, roughly a third below the national average, and weekends run about 23% lighter than weekdays, a gap that matters most when families visit. Turnover of 42.5% is slightly better than the national figure, but stability at the top doesn't offset what inspections keep finding.
The Grand Rehabilitation and Nursing at Rome runs on 3.09 nurse hours per resident per day, roughly a fifth below the national average, and weekend coverage drops another 18% below its own weekday levels. Its inspection record carries 38 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $76,542 in fines and a 1-out-of-5 rating on all three CMS measures. Staff turnover sits at 40.8%, a bit better than the 45.8% national figure, so the problem here looks less like constant churn than like thin staffing and a serious inspection history that has not been resolved.
Colonial Park runs on 3.04 nurse staffing hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop another 11% below what the home staffs on weekdays. Turnover sits at 50.7%, higher than the 45.8% national figure, so the aides and nurses caring for residents are frequently new to the building. The current inspection record carries 38 deficiencies, including one at the harm level and one abuse-related, plus a $58,988 fine; the last inspection was April 17, 2026. Resident outcomes and staffing both score 1 out of 5 from CMS, with inspections at 2, which tells you where the problems concentrate. This is a for-profit partnership operating 80 beds.
The Grand Rehabilitation and Nrsg At Guilderland runs on 2.91 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about another 15% below its own weekday level. Staff turnover sits at 56.1%, well above the 45.8% national figure, and CMS has flagged the home for its Special Focus Facility program after 56 deficiencies, including one at the harm level and two tied to abuse. A $40,937 fine and a one-star inspection rating round out a record that's been on CMS's watch list since at least its March 2025 inspection. If you're considering this one, ask hard questions about weekend coverage and who's actually on the floor.
Onondaga Center runs 82 beds under corporate ownership, and its staffing is the first thing that stands out: 3.25 nurse hours per resident day, roughly 16% under the national average, with weekends about 20% thinner than weekdays. Turnover sits near 70% against a national rate around 46%, so the people caring for residents keep changing.
The inspection record backs that up, 48 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and $191,992 in fines across three penalties. CMS has placed it in the Special Focus Facility program, a designation for homes with a pattern of poor inspections. The most recent inspection was in November 2025.
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?