Riverhead, NY · Suffolk County
★★★★★CMS 5/5181 bedsFor-profitMedicaid
- Nurse hours
- 4.16 /day
- Staff turnover
- 50%
- Serious cites
- 0
Acadia Center has 181 beds and runs on a for-profit corporate model, and the numbers say the care is decent but the staffing is thin. Total nurse time comes in at 4.16 hours per resident day, about 8% above the national average, but weekends drop roughly 9% below weekdays, and annual turnover hits 49.6%, higher than the 45.8% national figure. The inspection record is genuinely clean: 10 deficiencies, none at harm or jeopardy level, no abuse citations, and the last visit was September 2024. So the building itself isn't the problem. Keeping consistent nurses on the floor is.
Rockaway Park, NY · Queens County
★★★☆☆CMS 3/5240 bedsFor-profitMedicaid
- Nurse hours
- 3.11 /day
- Staff turnover
- 22%
- Serious cites
- 0
Promenade Rehabilitation runs about 3.11 nurse hours per resident day, roughly 19 percent under the national average of 3.86, and weekends dip another 10 percent below its own weekday levels. That staffing picture matters most in a 240-bed for-profit home, because fewer hands per resident on Saturdays and Sundays is when problems tend to surface. Turnover is the bright spot: 21.6 percent against a national average of 45.8 percent, suggesting a relatively stable crew. The current record shows 17 deficiencies, none at harm or jeopardy level, though two are abuse-related. Its last inspection was August 2024, and CMS rated it 3 out of 5 on health inspections, quality measures, and staffing alike.
New Rochelle, NY · Westchester County
★★★☆☆CMS 3/5160 bedsFor-profitMedicaid
- Nurse hours
- 3.54 /day
- Staff turnover
- 29%
- Serious cites
- 0
Sutton Park runs 160 beds in New Rochelle under for-profit partnership ownership, and its nurse staffing sits at 3.54 hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 14% below the home's own weekday coverage, so the thinnest shifts are the ones families visit. Turnover is the bright spot: 29.4% against a national 45.8% means aides and nurses tend to stay, which matters for residents who need consistent hands. The record shows 16 deficiencies, none at harm or jeopardy level, though three are abuse-related, worth asking about directly. Its last full inspection was November 2023.
Valley Cottage, NY · Rockland County
★☆☆☆☆CMS 1/5160 bedsFor-profitMedicaid
- Nurse hours
- 3.32 /day
- Staff turnover
- 28%
- Serious cites
- 0
Nyack Ridge runs 160 beds in Valley Cottage under for-profit partnership ownership, and its recent inspection history is the main thing to weigh. The current record shows 38 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, that combination points to real problems with how residents are protected and cared for, not paperwork gaps. The January 2025 inspection is recent enough that these findings reflect how the home operates now. Staffing cuts both ways: 3.32 nurse hours per resident day sits about 14% under the national average, and weekends run roughly 12% below weekdays, though turnover at 27.5% is well under the 45.8% national figure. A $39,130 fine rounds out the record.
Utica, NY · Oneida County
★☆☆☆☆CMS 1/5320 bedsNon-profitMedicaid
- Nurse hours
- 3.94 /day
- Staff turnover
- 31%
- Serious cites
- 0
Masonic Care Community runs 320 beds in Utica, and its staffing numbers are genuinely solid: 3.94 nurse hours per resident day, a bit above the national average, with a 4-out-of-5 staffing rating. Turnover sits at 30.7%, well below the 45.8% national figure, which matters for consistency of care. Weekend coverage, though, drops about 9% below weekdays. The trouble is inspections, a 1-out-of-5 health inspection rating, 28 deficiencies on record including one at the harm level, and an $88,433 fine. The last inspection was April 2026. Good staffing, shaky compliance history.
Patchogue, NY · Suffolk County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.88 /day
- Staff turnover
- 47%
- Serious cites
- 0
Swan Lake's staffing looks fine on paper, 3.88 nurse hours per resident day, basically level with the national average, but the details underneath tell a different story. Weekend coverage drops about 12% below what the home staffs on weekdays, and 47.3% of nurses leave each year, a bit worse than the 45.8% national rate. The inspection record is the real concern: 15 deficiencies, including one at the harm level and one tied to abuse, with the most recent survey in October 2025. That combination explains why CMS gives it one star each for health inspections and staffing even though its quality measures score well.
Brooklyn, NY · Kings County
★★★★★CMS 5/5320 bedsFor-profitMedicaid
- Nurse hours
- 3.23 /day
- Staff turnover
- 37%
- Serious cites
- 0
Downtown Brooklyn Nursing & Rehabilitation Center runs 320 beds under for-profit LLC ownership, and its nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 37.2%, actually better than the 45.8% national figure, which matters for continuity of care. The inspection record is the harder read: 18 deficiencies, including one at harm or jeopardy level and one abuse-related, with the most recent inspection in April 2025. Quality measures score well, but quality scores come from resident data, not from how the building is run day to day.
Cheektowaga, NY · Erie County
★★☆☆☆CMS 2/5184 bedsFor-profitMedicaid
- Nurse hours
- 3.70 /day
- Staff turnover
- 52%
- Serious cites
- 0
Garden Gate runs 184 certified beds in Cheektowaga under for-profit LLC ownership, and the numbers tell a split story. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national average, and weekends drop roughly 15% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 52.1% tops the national 45.8% mark, which means many of the aides you'd meet are relatively new. Inspections in March 2025 produced 21 deficiencies, none at harm level but one tied to abuse; the health inspection rating reflects that record, while quality measures score well.
Buffalo, NY · Erie County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.44 /day
- Staff turnover
- 43%
- Serious cites
- 0
Safire Rehabilitation of Southtown runs about 3.44 nurse hours per resident day, roughly 11 percent under the national average, and weekends dip about 12 percent below its own weekday staffing. That thinner weekend coverage matters more than the overall number, since needs don't pause on Saturdays. The inspection record is the bigger concern: 22 deficiencies, though none reached harm or jeopardy level and none involved abuse, and one fine of $10,489. Staff turnover sits at 43.4 percent, slightly better than the national 45.8 percent, which is a small point in its favor. Ownership is for-profit and individual. The last inspection was in December 2025, so the record is current.
Highland, NY · Ulster County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 4.11 /day
- Staff turnover
- 45%
- Serious cites
- 0
Taconic Rehabilitation and Nursing at Ulster runs 120 certified beds in Highland under individual for-profit ownership. Its 4.11 nurse staffing hours per resident day sit roughly 7% above the national average of 3.86, though weekends slip about 12% below the home's own weekday levels, so the coverage families see on a Saturday may look thinner than the weekday average suggests. Staff turnover lands at 44.8%, close to the national 45.8%. The current inspection record shows 14 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations and a single fine of $12,948. The most recent inspection was March 12, 2025, so the picture is current.
Valhalla, NY · Westchester County
★★☆☆☆CMS 2/5160 bedsFor-profitMedicaid
- Nurse hours
- 3.19 /day
- Staff turnover
- 46%
- Serious cites
- 0
The Grove at Valhalla runs 160 beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 46.2%, nearly identical to the national 45.8%, meaning roughly half the nursing staff turns over in a year. The current record shows 32 deficiencies, three tied to abuse, with zero at the harm or jeopardy level; the last inspection was November 2025. Its quality measure star is 5/5 while health inspection sits at 1/5. That split is worth asking about directly.
Bronx, NY · Bronx County
★★★★☆CMS 4/5236 bedsFor-profitMedicaid
- Nurse hours
- 3.56 /day
- Staff turnover
- 27%
- Serious cites
- 0
Regeis Care Center, a 236-bed for-profit home in the Bronx, holds up well on inspections and quality measures, both rated 4 out of 5, and its 2025 inspection is recent. Staff turnover sits at 26.7%, notably better than the 45.8% national average, which matters for residents who value consistent caregivers. The catch is daily staffing itself: 3.56 nurse hours per resident, about 8% under the national average, with weekends roughly 17% lighter than weekdays. Twenty deficiencies are on record, including one at the harm level and three tied to abuse. Those are the findings behind the middling overall picture, decent oversight, thinner coverage, and some serious citations worth asking about directly.
Bronx, NY · Bronx County
★★★★☆CMS 4/5366 bedsFor-profitMedicaid
- Nurse hours
- 2.90 /day
- Staff turnover
- 43%
- Serious cites
- 0
Schervier runs 366 beds in the Bronx under for-profit LLC ownership, and the numbers pull in different directions. Nurse staffing sits at 2.90 hours per resident day, roughly a quarter below the national average of 3.86, with weekends about 8% thinner than weekdays. Quality measures score well, but the staffing rating and 33 deficiencies on the current record, four tied to abuse, say more about daily experience than the five-star quality score does. Turnover at 42.6% is slightly better than the national 45.8%, and none of those deficiencies hit harm or jeopardy level. The last inspection was March 2025, so the record is recent.
Island Park, NY · Nassau County
★★★☆☆CMS 3/5185 bedsFor-profitMedicaid
- Nurse hours
- 3.29 /day
- Staff turnover
- 29%
- Serious cites
- 0
The Grand Rehabilitation and Nursing at South Poin runs 185 certified beds in Island Park under for-profit partnership ownership. Nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average, and weekends drop about 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 28.8% against a national 45.8%, meaning aides and nurses here stick around longer than at most homes. The tradeoff shows in the record: 21 deficiencies, two tied to abuse, though none rose to harm or jeopardy. A June 2025 inspection is recent, and quality measures score low.
Brooklyn, NY · Kings County
★★☆☆☆CMS 2/5281 bedsFor-profitMedicaid
- Nurse hours
- 3.71 /day
- Staff turnover
- 26%
- Serious cites
- 0
Brooklyn Center For Rehabilitation And Residential is a 281-bed for-profit home in Kings County, and the numbers pull in different directions. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends run roughly 14% thinner than weekdays, a gap families should ask about directly. Turnover is genuinely low at 26.3% against a national 45.8%, so the people caring for your relative are more likely to still be there next year. But the inspection record carries 29 deficiencies, including one at harm level and four tied to abuse, with a health inspection rating of 2 out of 5. The most recent inspection was December 2025, and fines total $9,110.
Holmes, NY · Putnam County
★★☆☆☆CMS 2/5160 bedsFor-profitMedicaid
- Nurse hours
- 2.75 /day
- Staff turnover
- 27%
- Serious cites
- 0
Putnam Nursing & Rehabilitation Center runs lean on the floor: 2.75 nurse hours per resident day against a national average of 3.86, and weekends drop another 11% below its own weekday staffing. That thin coverage shows up in the inspection record, 14 deficiencies, two serious enough to reach harm or jeopardy, one tied to abuse, and $19,984 in fines across two penalties. The 2/5 inspection and 2/5 staffing ratings track with that. What's genuinely better here is retention: 27.3% turnover beats the 45.8% national figure by a wide margin, and the 4/5 quality measure rating suggests clinical care itself isn't the weak point. The problem is having enough hands.
Clifton Springs, NY · Ontario County
★★★★☆CMS 4/5108 bedsNon-profitMedicaid
- Nurse hours
- 4.09 /day
- Staff turnover
- 46%
- Serious cites
- 0
Clifton Springs Hospital and Clinic Extended Care runs a little richer on nursing hours than the typical American nursing home, 4.09 per resident day against a national average of 3.86, though weekends drop about 13% below what the home staffs on weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover sits at 46.4%, essentially the national rate, so this isn't a stable long-term crew. Inspections look solid: a 4-out-of-5 health inspection rating, last visit in November 2024, and 12 deficiencies on record with none involving harm or abuse.
Auburn, NY · Cayuga County
★★★☆☆CMS 3/5297 bedsNon-profitMedicaid
- Nurse hours
- 3.07 /day
- Staff turnover
- 40%
- Serious cites
- 0
The Commons on St. Anthony runs about 3.07 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. That thin staffing shows up on weekends too, dropping another 8% below its own weekday level, and CMS rates staffing 2 out of 5. Turnover sits at 40.4%, a bit better than the national 45.8%, but the inspection record is the real weight here: 24 deficiencies, one serious enough to reach harm or jeopardy level, one tied to abuse, a $8,512 fine, and a 2/5 inspection rating from a visit in November 2024. The 5/5 quality measures look strong, but those come from self-reported data, the state surveyor findings tell a different story.
Little Falls, NY · Herkimer County
★★★☆☆CMS 3/580 bedsFor-profitMedicaid
- Nurse hours
- 3.45 /day
- Staff turnover
- 52%
- Serious cites
- 0
Alpine Rehabilitation and Nursing Center runs 80 beds in Little Falls under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.45 hours per resident day, about 11% under the national average, and weekends drop roughly 28% below what the home staffs on weekdays, so a Saturday shift looks quite different from a Tuesday one. Staff turnover is 52.4%, well above the 45.8% national figure, which means many of the aides and nurses caring for residents are still learning the building. The 22 deficiencies on record include one abuse-related citation, though none reached harm or jeopardy level, and the most recent inspection was April 2026.
Liberty, NY · Sullivan County
★☆☆☆☆CMS 1/5146 bedsGovernmentMedicaid
- Nurse hours
- 4.11 /day
- Staff turnover
- 64%
- Serious cites
- 0
Sullivan County runs this 146-bed home in Liberty, and the numbers split in two directions. Nurse staffing sits at 4.11 hours per resident day, about 6% above the national average, but weekends run roughly 9% thinner than weekdays, and annual turnover of 64.4% is well above the 45.8% national figure, so the coverage on paper isn't the same as consistency at the bedside.
The inspection record is the heavier problem: 42 deficiencies, four at harm or jeopardy level, nine tied to abuse, with the last inspection in September 2024. A single $9,620 fine understates that pattern, since most deficiencies don't carry a penalty. Quality measures score well; the survey history is what pulls this home down.