Livonia, NY · Livingston County
★★★★★CMS 5/548 bedsFor-profitMedicaid
- Nurse hours
- 3.11 /day
- Staff turnover
- 46%
- Serious cites
- 0
Conesus Lake Nursing Home runs 3.11 nurse hours per resident per day, about 19 percent under the national average of 3.86, and weekends dip roughly another 17 percent below its own weekday staffing. Turnover sits at 46.2 percent, essentially matching the national figure, so this isn't a retention outlier, the thinness is in the daily hours, not the churn. The inspection record is genuinely strong for a 48-bed for-profit: a 4/5 health inspection rating with seven deficiencies on file, none at the harm level, though one is abuse-related. Quality measures score 5/5, so resident outcomes look good on paper. The tension is straightforward: good inspections and outcomes, lighter hands-on staffing than average.
Wellsville, NY · Allegany County
★★★★★CMS 5/580 bedsFor-profitMedicaid
- Nurse hours
- 3.61 /day
- Staff turnover
- 45%
- Serious cites
- 0
Highland Park Rehabilitation and Nursing Center in Wellsville is a for-profit LLC with 80 certified beds, and its numbers tell a mixed story. The good news: a 5/5 health inspection rating with only 8 deficiencies on record, none at the harm level and none abuse-related, and the most recent inspection was April 2024. Staffing is the weak spot, 3.61 nurse hours per resident day, about 6% under the national average, with weekend staffing running roughly 22% below its own weekday level. Annual turnover of 44.8% is right at the national average. For-profit ownership means watch the staffing line when you visit.
Scarsdale, NY · Westchester County
★★★☆☆CMS 3/5121 bedsFor-profitMedicaid
- Nurse hours
- 4.36 /day
- Staff turnover
- 24%
- Serious cites
- 0
Sprain Brook Manor runs on more nursing hours than most homes, 4.36 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 24% versus roughly 46% nationally. Weekend coverage does dip about 16% below weekday levels, so ask how that plays out on a Saturday. The inspection record shows nine deficiencies, none at the harm level and none abuse-related, with the last state visit in May 2024; staffing and quality measures both sit at four stars out of five. It's a for-profit partnership, which is worth knowing when you're comparing it to nonprofit options nearby.
Bronx, NY · Bronx County
★★★★★CMS 5/5240 bedsFor-profitMedicaid
- Nurse hours
- 3.77 /day
- Staff turnover
- 35%
- Serious cites
- 0
Split Rock runs 240 beds in the Bronx under for-profit LLC ownership, and its staffing sits slightly under the national average at 3.77 nurse hours per resident day. Weekends drop about 18% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 35.1% against a national 45.8%. Inspections look solid, a 4/5 star rating, 11 deficiencies on record, none at harm or jeopardy level, but three abuse-related citations are worth asking about directly. Last inspection was September 2024. Quality measures score 5/5; staffing stars come in at 3/5, which tracks with those weekend gaps.
East Islip, NY · Suffolk County
★★★★★CMS 5/5160 bedsFor-profitMedicaid
- Nurse hours
- 4.16 /day
- Staff turnover
- 36%
- Serious cites
- 0
Momentum At South Bay runs 4.16 nurse hours per resident day, roughly 8% above the national average, and its 35.7% turnover is meaningfully better than the 45.8% typical elsewhere, signs of a stable, adequately staffed floor. Weekend staffing, though, drops about 18% below its own weekday level, so ask how coverage looks on a Saturday. The inspection record is clean where it matters: 10 deficiencies, none at harm or jeopardy level, none abuse-related, with the last survey in September 2025. Quality measures score well, but the staffing star lags, which is the tension here, decent hours, thinner weekends.
Lowville, NY · Lewis County
★★☆☆☆CMS 2/5160 bedsGovernmentMedicaid
- Nurse hours
- 4.41 /day
- Staff turnover
- 43%
- Serious cites
- 0
Lewis County General's nursing unit runs on county money, and the staffing numbers show it: 4.41 nurse hours per resident day, roughly 14 percent above the national average, with weekend coverage dipping about 16 percent below its own weekday levels. Turnover sits at 42.9 percent, a touch better than the 45.8 percent national figure. What pulls the record down is the inspection side, 16 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse, plus a single $160,046 fine. The most recent inspection was July 2024, so the picture is current.
Salamanca, NY · Cattaraugus County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.19 /day
- Staff turnover
- 46%
- Serious cites
- 0
Salamanca Rehabilitation & Nursing Center runs 120 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a recent December 2025 survey, 14 total deficiencies with none at the harm or jeopardy level. The catch is on the floor: 3.19 nurse hours per resident day sits about 17% under the national average, weekends drop roughly 18% below weekday coverage, and 46.3% annual turnover means nearly half the staff leaves each year. Two abuse-related deficiencies also appear on the current record. Strong surveys and quality scores, thinner daily staffing than most homes, and a workforce that keeps cycling through.
Canton, NY · St. Lawrence County
★★★☆☆CMS 3/5160 bedsNon-profitMedicaid
- Nurse hours
- 3.03 /day
- Staff turnover
- 39%
- Serious cites
- 0
United Helpers Canton runs on leaner nurse staffing than most homes, 3.03 hours per resident day against a national average of 3.86, with weekends about 20% thinner than weekdays. That's the tradeoff you're weighing against a clean inspection record: nine deficiencies, none at the harm level, and a survey from August 2024. Turnover sits at 38.5%, better than the 45.8% national figure, which matters for whether the people caring for your relative stick around long enough to learn their routines. One abuse-related deficiency is on the books, so ask about it directly. The nonprofit ownership structure tends to mean steadier management than a for-profit chain, though it doesn't change the math on daily coverage.
Painted Post, NY · Steuben County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.58 /day
- Staff turnover
- 47%
- Serious cites
- 0
Absolut Center in Painted Post runs 120 beds under for-profit LLC ownership, and its inspection record is genuinely solid, a four-star health inspection rating, with the most recent survey completed in February 2025 and 12 deficiencies on file, none of them serious enough to reach harm or jeopardy level. Staffing tells a different story. At 3.58 nurse hours per resident day, the home sits roughly 7% under the national average, and weekend coverage drops about 23% below its own weekday levels, so the quietest shifts are also the thinnest. Turnover lands at 46.6%, just above the national figure of 45.8%, and there's one abuse-related deficiency worth asking about directly.
Oswego, NY · Oswego County
★★★★☆CMS 4/5120 bedsNon-profitMedicaid
- Nurse hours
- 3.52 /day
- Staff turnover
- 41%
- Serious cites
- 0
Seneca Hill Manor runs about 3.52 nurse hours per resident each day, roughly 9% under the national average, so care here leans on a thinner staffing margin than most homes. Weekends dip further, about 16% below the facility's own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. Turnover sits at 40.6%, a bit better than the 45.8% national figure, and the latest inspection in October 2024 found ten deficiencies with none rising to harm or jeopardy, though two were abuse-related, which deserves a direct question about how they were resolved.
Rochester, NY · Monroe County
★☆☆☆☆CMS 1/5455 bedsFor-profitMedicaid
- Nurse hours
- 4.24 /day
- Staff turnover
- 47%
- Serious cites
- 0
St. John's runs 4.24 nursing hours per resident day, roughly 10% above the national average, and its staffing and quality-measure ratings both come in at 4 out of 5. That's the good part. The health inspection record is where it falls apart: a 1 out of 5, with 30 deficiencies on file, three of them at the harm or jeopardy level and three tied to abuse. Two fines totaling $141,034 sit on the record, and the most recent inspection was June 9, 2025. Staff turnover is 46.8%, essentially the national average, and weekend coverage drops about 10% below weekday levels, so the hours look strong on paper, but consistency and safety are the real questions here.
Huntington, NY · Suffolk County
★☆☆☆☆CMS 1/576 bedsFor-profitMedicaid
- Nurse hours
- 3.15 /day
- Staff turnover
- 16%
- Serious cites
- 0
Pine Forest Car Center runs on 3.15 nursing hours per resident day, roughly 18% under the national average, and weekends drop about 15% below its own weekday levels. That staffing score still comes out strong on CMS's scale because turnover is just 16.1%, well below the 45.8% national figure, so the hours it does budget tend to go to people who stay. The inspection record is the problem: a 1/5 health inspection rating, 21 deficiencies including two at harm or jeopardy level and four tied to abuse, plus one fine of $15,733. The most recent inspection was February 2025.
Syracuse, NY · Onondaga County
★☆☆☆☆CMS 1/5583 bedsNon-profitMedicaid
- Nurse hours
- 3.67 /day
- Staff turnover
- 38%
- Serious cites
- 0
Loretto runs 583 beds as a nonprofit, and the numbers tell a mixed story. Nurse staffing sits at 3.67 hours per resident day, about 5% under the national average, and weekends run roughly 11% thinner than weekdays. That's a real gap if your family visits on Saturdays and Sundays. Turnover is 37.6%, which is better than the 45.8% national figure, so the people who stay tend to stay.
The current record shows 39 deficiencies, including two tied to abuse, though none at the harm or jeopardy level. The last inspection was August 2025. Quality measures score well, but the inspection record is where the concerns concentrate. Ask about the abuse-related findings and weekend coverage before deciding.
Freeport, NY · Nassau County
★★★☆☆CMS 3/5100 bedsFor-profitMedicaid
- Nurse hours
- 3.80 /day
- Staff turnover
- 42%
- Serious cites
- 0
South Shore runs about 2% below the national average for nurse staffing, at 3.80 hours per resident day, and weekends dip roughly 8% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. The 24 deficiencies on record include one abuse-related citation, though none reached harm or jeopardy, and the last inspection was recent enough to reflect current conditions. Staff turnover sits slightly better than the national figure, which matters for continuity of care. The split in the federal ratings is worth noticing: quality measures look strong while inspection and staffing results lag. For-profit corporate ownership rounds out the picture.
Far Rockaway, NY · Queens County
★★★☆☆CMS 3/5183 bedsFor-profitMedicaid
- Nurse hours
- 3.13 /day
- Staff turnover
- 29%
- Serious cites
- 0
Premier Nsg & Rehab Center Of Far Rockaway runs 183 beds in Queens, owned by an individual for profit, and its 3.13 nurse staffing hours per resident day sit roughly 19 percent under the national average. Weekends drop about 13 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the counterweight: 28.6 percent against a national 45.8 means the aide or nurse you meet is likelier to still be there next year. Seventeen deficiencies sit on the current record, none at harm or jeopardy level, one abuse-related, with the most recent inspection in March 2025.
Glen Cove, NY · Nassau County
★★★☆☆CMS 3/5262 bedsFor-profitMedicaid
- Nurse hours
- 3.16 /day
- Staff turnover
- 38%
- Serious cites
- 0
Glengariff runs 262 beds in Glen Cove, and its staffing is the number to sit with: 3.16 nurse hours per resident day, roughly 18 percent under the national average, with weekends about 6 percent leaner than weekdays. That thin coverage shows up in the federal ratings, where staffing sits at 2 out of 5 stars, and the inspection record carries 35 deficiencies, five of them abuse-related, though none rose to the harm or jeopardy level, and the most recent inspection was in late 2025. What keeps this home from looking worse on paper is that its turnover, 38.4 percent, beats the national 45.8 percent, and its quality measures rate 5 out of 5.
Huntington, NY · Suffolk County
★★★★☆CMS 4/5315 bedsFor-profitMedicaid
- Nurse hours
- 3.40 /day
- Staff turnover
- 40%
- Serious cites
- 0
Carillon runs 315 beds in Huntington under for-profit LLC ownership, and its nurse staffing sits at 3.40 hours per resident day, about 12 percent under the national figure of 3.86. Weekends dip roughly another 10 percent below what the home itself staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover lands at 39.7 percent, better than the 45.8 percent national rate, which suggests some stability in the workforce. The inspection record is where caution creeps in: ten deficiencies, including one at the harm level and two tied to abuse, with a $22,523 fine and a May 2025 inspection. Strong quality measures and middling staffing and inspection scores tell a mixed story.
Medina, NY · Orleans County
★★★★☆CMS 4/530 bedsNon-profitMedicaid
- Nurse hours
- 4.36 /day
- Staff turnover
- 53%
- Serious cites
- 0
Medina Memorial Hospital SNF runs a small 30-bed unit, and its staffing is genuinely better than most: 4.36 nurse hours per resident day, roughly 13 percent above the national average, with weekends only about 7 percent lighter than weekdays, a modest dip. The trade-offs show up elsewhere. Staff turnover sits at 52.9 percent against a national 45.8, so the people delivering that care keep changing. Inspections in May 2024 turned up 8 deficiencies; none rose to harm or jeopardy, but 2 were abuse-related, and the quality measure rating lands at 1 out of 5. Strong hands-on hours, uneven consistency and outcomes.
Monsey, NY · Rockland County
★★☆☆☆CMS 2/5120 bedsNon-profitMedicaid
- Nurse hours
- 3.62 /day
- Staff turnover
- 20%
- Serious cites
- 0
Northern Metropolitan runs lean on nurse hours, 3.62 per resident day against a national average of 3.86, and the gap widens on weekends, when staffing drops about 14% below its own weekday level. What stands out is retention: 19.5% turnover is less than half the national rate, so the people showing up are largely the same people, which matters more at a smaller 120-bed nonprofit than raw hours suggest. The record shows 15 deficiencies, none involving harm or abuse, with the most recent inspection in July 2024. Quality measures score well; the inspection and staffing ratings sit at 2 out of 5.
Middle Island, NY · Suffolk County
★★☆☆☆CMS 2/5164 bedsFor-profitMedicaid
- Nurse hours
- 3.99 /day
- Staff turnover
- 39%
- Serious cites
- 0
Surge Rehabilitation and Nursing has 164 certified beds in Middle Island and runs on a for-profit LLC structure. The staffing numbers look decent on paper, 3.99 nurse hours per resident day, a bit above the national average, but weekends drop about 10% below the home's own weekday coverage, and that's when families tend to visit. Turnover sits at 39.4%, better than the national 45.8%, which matters for consistency of care. The real concern is the inspection record: a 1-out-of-5 health inspection rating, 14 deficiencies including one at harm or jeopardy level and three tied to abuse, plus a $70,480 fine. A recent December 2025 inspection means the record is current, not stale. Strong quality measures don't cancel out those findings.