Nesconset, NY · Suffolk County
★★★★★CMS 5/5240 bedsFor-profitMedicaid
- Nurse hours
- 3.39 /day
- Staff turnover
- 31%
- Serious cites
- 0
The Hamlet runs 3.39 nurse hours per resident day, roughly 12% under the national average, and weekends dip about 15% below its own weekday levels, that thin weekend coverage matters most when families visit and when problems are likeliest to surface. Staff turnover is 31%, better than the 45.8% national figure, so the people who are there tend to stay. But the record shows 13 deficiencies, two at harm or jeopardy level and one abuse-related, plus $92,770 in fines across two penalties. Inspectors were last in on February 20, 2025. Quality measures score well, but staffing and the harm-level findings are what pull the overall picture down to a middling grade.
Hempstead, NY · Nassau County
★★★☆☆CMS 3/5280 bedsFor-profitMedicaid
- Nurse hours
- 3.11 /day
- Staff turnover
- 14%
- Serious cites
- 0
Nassau Rehabilitation & Nursing Center runs 280 certified beds in Hempstead under for-profit LLC ownership. Its nurse staffing sits at 3.11 hours per resident day, roughly 19% below the national average of 3.86, and weekends dip about 8% below its own weekday levels, which is where thin coverage tends to show up. What stands out in the other direction is retention: annual turnover of 13.6% against a national average near 46% suggests a stable crew. The current record shows 14 deficiencies, one serious enough to involve harm or jeopardy, no abuse citations, and a single $16,153 fine. Inspectors last visited April 28, 2025.
Horseheads, NY · Chemung County
★★☆☆☆CMS 2/5305 bedsFor-profitMedicaid
- Nurse hours
- 3.43 /day
- Staff turnover
- 44%
- Serious cites
- 0
Elcor runs 305 beds in Horseheads, and the staffing numbers are the first thing to look at. At 3.43 nurse hours per resident day, it sits about 11% below the national average, and weekends drop roughly 16% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Turnover at 44.3% is essentially at the national rate. The inspection record shows 25 deficiencies, none flagged at harm or jeopardy level, with one abuse-related finding. That last inspection was in December 2023, so it's been a while. For-profit, limited liability ownership.
Bronx, NY · Bronx County
★★★★★CMS 5/5200 bedsFor-profitMedicaid
- Nurse hours
- 3.49 /day
- Staff turnover
- n/a
- Serious cites
- 0
Eastchester Rehabilitation and Health Care Center is a 200-bed for-profit home in the Bronx, and the numbers tell two different stories. On paper, the care it delivers looks strong: a five-star health inspection rating, a five-star quality measure rating, and just six deficiencies on its current record, none of them causing harm or involving abuse, with its last inspection in March 2026. But staffing sits at 3.49 nurse hours per resident day, roughly 10 percent below the national average, and weekends run about 7 percent thinner than weekdays. That gap explains why its staffing rating is only one star, and why the overall picture lands in the middle rather than near the top.
Grand Island, NY · Erie County
★★★☆☆CMS 3/590 bedsFor-profitMedicaid
- Nurse hours
- 3.18 /day
- Staff turnover
- 62%
- Serious cites
- 0
Elderwood At Grand Island runs a 90-bed for-profit home where the staffing numbers are the main thing to know. Nurses provide 3.18 hours of care per resident each day, roughly 18 percent under the national average, and weekends drop about 15 percent below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 61.8 percent against a national 45.8 percent, meaning more than half the caregivers turned over in a year. The inspection record shows seven deficiencies, none at harm or jeopardy level, but one is abuse-related, and the last state visit was December 2024. Quality measures score well; staffing and inspection results are what pull the overall picture down.
Woodmere, NY · Nassau County
★★☆☆☆CMS 2/5336 bedsFor-profitMedicaid
- Nurse hours
- 3.52 /day
- Staff turnover
- n/a
- Serious cites
- 0
The Five Towns Premier Rehab & Nursing Center is a 336-bed for-profit home in Woodmere, and the numbers pull in different directions. Its quality measure rating is perfect, but staffing sits at 3.52 nurse hours per resident day, about 9% under the national average, and weekend coverage runs roughly 7% thinner than weekdays, a pattern that matters most when families visit and when residents need help. The inspection record shows 14 deficiencies, including one at the harm level and one tied to abuse, with a single fine of $8,278 and a survey completed in late 2024. Strong clinical scores paired with thin staffing and a harm-level citation is the tension worth weighing.
Middle Island, NY · Suffolk County
★★★★★CMS 5/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.93 /day
- Staff turnover
- 49%
- Serious cites
- 0
Quantum Rehabilitation and Nursing in Middle Island runs a 120-bed for-profit operation, and the numbers tell a mixed story. Its last inspection in February came back clean on the serious stuff, six deficiencies total, none involving harm or abuse, which is why the inspection rating sits at four stars. Staffing is where the cracks show: 3.93 nurse hours per resident day edges out the national average by a hair, but weekends drop roughly 16% below weekdays, and nearly half the staff turns over each year, slightly worse than the 45.8% national figure. You're looking at a home that inspects well but asks a lot of a workforce that doesn't stay long.
Bayside, NY · Queens County
★★★★★CMS 5/5124 bedsNon-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
St Marys Hospital For Children is a 124-bed nonprofit home in Bayside, and its federal stars look strong on paper: four out of five on health inspections, a perfect five on quality measures. But the current record carries 10 deficiencies, and four of those are abuse-related, with one serious enough to reach harm or jeopardy. That combination is what holds the home's overall picture down despite the inspection stars. One fine totaling $26,130 has been levied, which suggests regulators found something worth penalizing, not just paperwork gaps. The last inspection was February 2025, so this is recent information, not an old blemish. For a nonprofit that runs a pediatric-focused operation, the abuse citations are the part to ask about directly.
Long Beach, NY · Nassau County
★★★☆☆CMS 3/5182 bedsFor-profitMedicaid
- Nurse hours
- 2.97 /day
- Staff turnover
- 19%
- Serious cites
- 0
Beach Terrace runs 2.97 nurse staffing hours per resident day, about a quarter below the national average of 3.86, and weekends drop roughly another 14% under its own weekday level, so coverage is thinnest exactly when families tend to visit. Turnover is the bright spot: 19.3% against a national 45.8% means aides and nurses largely stay, which matters for consistency of care. The inspection record shows 17 deficiencies, none at harm or jeopardy level, though three are abuse-related and worth asking about directly. State surveyors were last in on January 28, 2026, so the picture is current. For-profit corporate ownership, 182 beds.
Flushing, NY · Queens County
★★☆☆☆CMS 2/5227 bedsFor-profitMedicaid
- Nurse hours
- 2.27 /day
- Staff turnover
- 32%
- Serious cites
- 0
Sapphire Center runs about 2.27 nurse staffing hours per resident day against a national average near 3.86, roughly 41% below. Weekends drop further, about 10% below its own weekday levels. That thin coverage sits behind the 1-out-of-5 staffing rating and a 1-out-of-5 health inspection rating, with 28 deficiencies on record, including three at harm or jeopardy level and three tied to abuse. Fines total $87,741. Turnover is the one bright spot: 32.3% versus the national 45.8%. This is a 227-bed for-profit partnership in Flushing. The quality measure stars look strong, but they're self-reported data, the inspection and staffing numbers tell you what happens on the floor.
Staten Island, NY · Richmond County
★☆☆☆☆CMS 1/5278 bedsFor-profitMedicaid
- Nurse hours
- 4.09 /day
- Staff turnover
- 26%
- Serious cites
- 0
Silver Lake runs on a for-profit LLC structure with 278 beds, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average. Turnover is where it separates from the pack: 25.8% against a national 45.8%, meaning far fewer caregivers are walking out the door each year, though weekend coverage dips about 8% below its own weekday levels. The trouble shows up in its record. Seventeen deficiencies, including one at the harm level and three tied to abuse, with a 2/5 on health inspections and 2/5 on quality measures. The last inspection was December 2023. Good retention and decent hours don't cancel out what inspectors found.
Brooklyn, NY · Kings County
★★★☆☆CMS 3/5119 bedsFor-profitMedicaid
- Nurse hours
- 2.71 /day
- Staff turnover
- 19%
- Serious cites
- 0
Caton Park runs lean on nursing hours, 2.71 per resident day against a national average of 3.86, roughly a third less hands-on care than the typical home. Weekends dip even further, about 10% below the home's own weekday coverage, so a Saturday afternoon is when your family member is most likely to wait. What partly offsets that is stability: turnover sits at 18.7%, well under the national 45.8%, meaning the aides and nurses who are there tend to stay. Inspections look solid, a 4-star health inspection rating, 15 deficiencies with none at harm level, though two abuse-related citations are worth asking about directly. Last inspected August 2024.
Port Chester, NY · Westchester County
★★★★★CMS 5/5160 bedsFor-profitMedicaid
- Nurse hours
- 3.12 /day
- Staff turnover
- 35%
- Serious cites
- 0
The Enclave at Rye runs lean on nurse staffing: 3.12 hours per resident day, roughly 19% under the national average, and weekends dip about 11% below its own weekday level. That thin coverage is the main reason a 160-bed for-profit home with 4/5 inspection and 5/5 quality ratings lands where it does. Turnover sits at 35.4%, better than the 45.8% national figure, so the staff who are there tend to stay. Six deficiencies on record, one serious enough to reach harm or jeopardy, along with a single $63,210 fine. The most recent inspection was January 2026, so the picture is fairly current.
Margaretville, NY · Delaware County
★★☆☆☆CMS 2/582 bedsNon-profitMedicaid
- Nurse hours
- 3.70 /day
- Staff turnover
- 91%
- Serious cites
- 0
Mountainside Residential Care Center runs 82 beds as a nonprofit in Margaretville, and its nurse staffing sits at 3.70 hours per resident day, about 4% under the national average, with weekends roughly 5% thinner than weekdays. The bigger concern is turnover: 90.8% of staff left over the past year, double the national rate of 45.8%, which means the people caring for residents are, more often than not, new to the building. Its inspection record shows 14 deficiencies, including one at the harm level and three tied to abuse, plus a single fine of $8,512; the most recent inspection was July 2024. Quality measures score well, but stable staffing is what families should ask about directly.
Rochester, NY · Monroe County
★☆☆☆☆CMS 1/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.04 /day
- Staff turnover
- 52%
- Serious cites
- 0
The Pearl Nursing Center of Rochester runs on 3.04 nurse staffing hours per resident day, about a fifth below the national average of 3.86, and weekends drop roughly 11 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 51.5 percent against a 45.8 percent national figure, which means more than half the nursing staff turns over annually. Its record shows 40 deficiencies, including two tied to abuse, with the most recent inspection in June 2024; the low inspection and staffing ratings reflect that history, even though the quality measure rating is strong.
West Seneca, NY · Erie County
★★★☆☆CMS 3/5160 bedsFor-profitMedicaid
- Nurse hours
- 3.81 /day
- Staff turnover
- 46%
- Serious cites
- 0
Seneca Health Care Center runs 160 beds in West Seneca under for-profit limited liability ownership, and its staffing sits just under the national average at 3.81 nurse hours per resident day. The bigger issue is weekends: coverage drops roughly 12% below what the home staffs on weekdays, and its CMS staffing rating is 2 out of 5. Turnover, at 45.7%, is essentially the national norm, so retention isn't the standout problem here, daily coverage is.
The inspection record shows 10 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with one fine of $14,015 and a survey completed in November 2024. Quality measures score well; the direct-care numbers and the harm-level findings are what pull the overall picture down.
Castleton On Hudson, NY · Rensselaer County
★★☆☆☆CMS 2/580 bedsFor-profitMedicaid
- Nurse hours
- 3.24 /day
- Staff turnover
- 60%
- Serious cites
- 0
Riverside Center runs on thinner staffing than most homes in the country, 3.24 nurse hours per resident per day against a national figure of 3.86, and weekends drop roughly another 10 percent below what the building manages during the week. Nearly 60 percent of its nursing staff turned over in the past year, well above the 45.8 percent national rate, which means the people at the bedside are often new. Nineteen deficiencies sit on the current record, including one tied to abuse, though none rose to the harm or jeopardy level, and the most recent inspection dates to April 2026. New York's for-profit limited liability ownership keeps the margins tight; the quality measures hold up better than the inspection history does.
Brooklyn, NY · Kings County
★★☆☆☆CMS 2/5140 bedsNon-profitMedicaid
- Nurse hours
- 3.29 /day
- Staff turnover
- 38%
- Serious cites
- 0
Concord runs a nonprofit shop in Brooklyn with 140 beds, and the numbers tell a mixed story. Nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, and weekends drop about 9 percent below its own weekday coverage, that's the kind of gap families notice when a Saturday problem comes up. Turnover is 38.2 percent, actually better than the 45.8 percent national figure, so the people who stay tend to stay. But the inspection record carries 23 deficiencies, two tied to abuse, and the health inspection rating sits at 2 stars. The quality measures look stronger at 4 stars; the staffing and inspection side is where the concern lives.
Fairport, NY · Monroe County
★★☆☆☆CMS 2/5196 bedsFor-profitMedicaid
- Nurse hours
- 3.64 /day
- Staff turnover
- 66%
- Serious cites
- 0
Fairport Rehabilitation and Nursing Center runs 196 beds under for-profit LLC ownership, and its staffing numbers are the first thing worth noticing. At 3.64 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 66.2% is well above the 45.8% national figure, which means caregivers cycle through quickly. The current inspection record shows 27 deficiencies, four of them abuse-related, though none rose to harm or jeopardy level. Inspectors were last in on May 13, 2025. Its quality measure score is strong; the staffing and inspection scores are not.
Leroy, NY · Genesee County
★★★★★CMS 5/5140 bedsFor-profitMedicaid
- Nurse hours
- 3.32 /day
- Staff turnover
- 52%
- Serious cites
- 0
Leroy Village Green is a 140-bed for-profit partnership in Genesee County, and its inspection record is genuinely strong, six deficiencies on file, none at the harm or jeopardy level, no abuse citations, and a survey as recent as May 2025. The catch is staffing. At 3.32 nurse hours per resident day, it runs about 14% under the national average, and weekends dip roughly 15% below its own weekday levels, so the coverage you see Monday rarely holds on Sunday. Annual turnover of 51.9% sits above the 45.8% national figure, meaning aides cycling through at a steady clip. Ask how they staff weekends before you decide.