Nursing homes across Jefferson County, New York, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Samaritan Senior Village runs 168 beds as a nonprofit, and its nurse staffing sits at 3.61 hours per resident day, roughly 7% under the national average of 3.86. That gap widens on weekends, when coverage drops about 15% below what the home staffs on weekdays. The inspection record shows 20 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last full inspection was August 2024, and CMS gave the home 2 out of 5 stars for both health inspections and staffing, with 3 for quality measures. So the care numbers look decent while the hands-on coverage and inspection history are the weaker parts.
Samaritan Keep is a 272-bed for-profit home in Watertown, and its numbers tell two different stories. The good one is quality measures, where it rates 4 out of 5, but that sits next to a 1-star health inspection record with 30 deficiencies, including three at harm or jeopardy level and four tied to abuse, plus two fines totaling $76,137. Staffing looks better on paper at 4.05 nurse hours per resident day, about 5% above the national average, but weekends run roughly 20% below its own weekday level, and CMS rates staffing just 2 stars. Its most recent inspection was March 2026, so the record is current. Ask about weekend coverage and how the abuse-related findings were resolved.
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.