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.
Maple City runs on 3.01 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 22% under its own weekday numbers, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 57.3% against a national 45.8%, meaning more than half the nursing staff turns over in a year. The current record carries 25 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $62,207 fine, and the last inspection was August 2024. All three CMS ratings, health inspections, quality measures, and staffing, sit at one star.
Ontario Center runs on 3.02 nurse hours per resident per day, well under the 3.86 national average, and weekends drop about 22% below its own weekday staffing. That thin coverage sits alongside 80.6% annual turnover, meaning most of the people caring for residents weren't there a year ago. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor inspections, and the record backs that up: 41 deficiencies, including three at the harm level and two tied to abuse, plus a $117,878 fine. One star on health inspections and one on staffing, with a state survey completed in January 2025.
Elderwood At Waverly runs 200 certified beds in Tioga County under for-profit individual ownership, and the numbers behind its record deserve a close look. Nurse staffing sits at 2.66 hours per resident day, roughly 31% under the national average of 3.86, and weekends drop about 18% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover of 67.5% against a 45.8% national average means the aides and nurses caring for residents are frequently new. The current inspection record carries 26 deficiencies, including two at the harm or jeopardy level and two abuse-related, plus $120,884 in fines.
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?