All 5 Medicare-certified nursing homes in Troy,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Eddy Memorial runs 80 certified beds as a nonprofit, and the staffing numbers are close to typical without being generous: 3.75 nurse hours per resident day sits about 3% under the national average, and weekends dip roughly 9% below the home's own weekday coverage. Turnover runs at 44.7%, essentially matching the national rate, so this isn't a stable long-tenured crew. The inspection record shows 17 deficiencies with none at harm or jeopardy level, though two are abuse-related, and the last full inspection came in August 2024. What stands out is the split between that middling inspection history and the quality measures, which score at the top of CMS's scale, worth asking staff how that gap plays out day to day.
Troy Center for Rehabilitation and Nursing runs 78 certified beds under corporate for-profit ownership, and its inspection record is the biggest thing to know: 38 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Its last health inspection was February 2024, and CMS gives that inspection record a single star out of five. Staffing tells a similar story, 3.72 nurse hours per resident day sits about 4% under the national average, weekend coverage drops roughly 13% below its own weekday level, and annual turnover runs 63.9% against a national 45.8%. Quality measures score well, but they don't offset a troubled inspection history or thin, churning staff.
Van Rensselaer Manor runs on 3.21 nurse hours per resident day, roughly 17% under the national average, and weekends drop about 16% below its own weekday staffing. Staff turnover sits at 48.3%, a couple points above the national figure, and the inspection record shows 33 deficiencies, including two at the harm or jeopardy level and seven tied to abuse. The most recent inspection was April 1, 2026, so the findings are current rather than dated. County ownership means taxpayers, not a chain, carry the operation. With the quality measure rating at 1 out of 5 and health inspections at 2, the numbers point to a home where residents get less nursing time than average and the state has documented repeated problems. If you're considering it, ask directly how the weekend shifts get covered.
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.
Troy Victorian runs 2.96 nurse staffing hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what the home itself staffs on weekdays. Staff turnover sits at 57.4%, more than half the nursing staff leaving in a year, which matters even more at a place where CMS has flagged 11 abuse-related deficiencies. The home carries 73 deficiencies on its current record, three serious enough to cause harm, plus $269,574 in fines, and CMS has placed it in the Special Focus Facility program, reserved for the worst performers in the country. If you're considering this one for someone you love, ask what the turnover and weekend coverage look like on the specific unit and shift you're considering.