Every Medicare-certified nursing home in New York, graded on inspections, staffing, turnover
and enforcement history.
18 homes
in the state sit in the federal Special Focus programme.
Elderwood At Amherst runs 92 beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 3.80 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 15% below its own weekday coverage, that's when you're most likely to notice a difference. Turnover tells a bigger story: 57.4% annually against a national 45.8%, meaning more than half the nursing staff turns over each year. Twelve deficiencies sit on the current record, including three tied to abuse and one at the harm level, with a $25,262 fine. The most recent inspection was April 2025, so the record is relatively current. Quality measures score well; the inspection and staffing picture is where the concern lives.
New Riverdale Rehab And Nursing runs on 2.58 nurse staffing hours per resident day, roughly a third below the national average of 3.86, and weekends dip about 7% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. The 146-bed for-profit home carries 22 deficiencies on its current record, including one at the harm or jeopardy level and three tied to abuse, plus a $46,905 fine; its last inspection was March 2025. Staff turnover of 34.4% is better than the 45.8% national figure, and the 5/5 quality measure rating stands out against a 2/5 inspection rating. Ask about weekend coverage and how the abuse deficiencies were resolved.
Alice Hyde runs a tight clinical ship on paper, its quality measure rating sits at 4 out of 5, and the staffing rating matches. But the hours aren't quite there: 3.67 nurse hours per resident day lands about 5% under the national average, and weekends drop roughly another 10% below the home's own weekday coverage. That matters, since turnover is 57.1% against a national 45.8%. The inspection record is the real weight, 19 deficiencies, one at harm or jeopardy level, six tied to abuse. The most recent survey closed in December 2025, so it's current, but a 2-star inspection rating alongside that count tells you the problems are recent enough to still be shaping care.
Aurelia Osborn Fox Memorial Hospital sits in Oneonta with 131 certified beds and a nonprofit owner. Staffing runs slightly under the national average at 3.80 hours per resident day, and weekends drop about 18% below its own weekday levels, so coverage thins out when families tend to visit. The bigger issue is the inspection record: 29 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating. Turnover at 37.1% actually beats the national 45.8%, which suggests staff stick around. Ask about that harm-level finding and what changed after the April 2025 inspection.
Clove Lakes is a 576-bed for-profit home in Staten Island with a split personality in its federal ratings: top marks on quality measures, but a one-star health inspection record and placement in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious, persistent problems. Its current record shows 35 deficiencies, including four at the harm or jeopardy level and six tied to abuse. Nurse staffing runs about 13% below the national average and dips further on weekends. The one number that stands out favorably is turnover, 27.5% against a national average near 46%, meaning the staff it has tend to stay. That's worth asking about on a visit, but it doesn't offset the inspection history.
The Paramount at Somers is a 300-bed for-profit home in Westchester County, and the federal numbers show a wide split between how it's staffed and how its residents are doing. Nurses provide 2.76 hours of care per resident per day, roughly 28 percent below the national average, and weekend staffing drops about 8 percent below its own weekday level. Staff turnover sits at 46.6 percent, a touch above the national average. On paper the quality measures look strong, but the inspection record does not: 44 deficiencies, four at harm or jeopardy level, six tied to abuse, a $46,079 fine, and a one-star inspection rating from a visit in November 2024.
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.
Steuben Center runs 105 beds in Bath under corporate ownership, and its staffing numbers are the first thing worth noticing. At 3.69 nurse hours per resident day, it sits a bit under the national average, and weekends drop roughly 28% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 59.6% is well above the national 45.8%, meaning the aides and nurses caring for residents are frequently new. The inspection record shows 19 deficiencies, none at harm level and none abuse-related, with the last visit in May 2024. Quality measures score well; staffing is where this home is weakest.
Wesley Health Care Center runs 356 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.00 hours per resident day, about 4% above the national average of 3.86. That margin shrinks on weekends, when coverage drops roughly 17% below the home's own weekday level, so the weekday-to-weekend gap is worth asking about directly. Annual turnover is 46.8%, nearly identical to the national 45.8%. The current record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated November 19, 2024. CMS rates staffing 4 out of 5 and quality measures 3 out of 5, but health inspections just 2 out of 5, the weaker inspection history is the main thing pulling the overall picture down.
Montgomery Nursing and Rehabilitation Center runs about 3.07 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on time, and weekends dip another 10% below its own weekdays. Turnover sits at 38.5%, better than the 45.8% national figure, so the people who stay tend to stay. Inspections are the weak spot: a 2-out-of-5 health inspection rating, 27 deficiencies on the current record including one abuse-related citation, though none rose to actual harm or jeopardy. The last survey was January 2025, so that record is recent. Quality measures score well at 4 out of 5, which softens the picture but doesn't change the staffing math.
Sans Souci runs 120 beds in Yonkers under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 3.28 nurse hours per resident day, roughly 15% under the national average, with weekends about 9% thinner than weekdays. Turnover sits at 38.5%, actually better than the national 45.8%, so the issue isn't retention so much as how many hands are scheduled on a given shift. The inspection record is where it gets harder to ignore: 47 deficiencies, seven tied to abuse, and a one-star health inspection rating, though none of those citations rose to harm or jeopardy level. State surveys last visited in August 2024. The five-star quality measure score reflects reported clinical data, not the survey history.
Renaissance Rehabilitation and Nursing Care Center in Staatsburg is a for-profit home with 120 certified beds, and its staffing is the first thing that stands out: 2.10 total nurse hours per resident per day, roughly 46% under the national average of 3.86, with weekends running about 14% thinner than weekdays. That shortfall shows up in CMS's staffing rating of 1 out of 5, and the inspection record is worse, a 1-star health inspection rating, 56 deficiencies including 2 at harm or jeopardy level and 5 abuse-related, and placement in the federal Special Focus Facility program. Turnover at 23.9% is better than the 45.8% national figure, and the 4-star quality measure rating reflects resident outcome data, but the September 2024 inspection and the enforcement history carry more weight here.
Ferncliff runs 309 certified beds in Rhinebeck under corporate ownership, and the staffing numbers are the first thing to notice. At 3.25 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 16% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. The inspection record backs that up: 34 deficiencies, including one at harm level and four tied to abuse, with a 1-out-of-5 health inspection rating from CMS. Turnover at 40.7% is slightly better than the national 45.8%, and quality measures rate 5 out of 5, but a February 2025 inspection keeps the health record current and unresolved.
Washington Center for Rehab and Healthcare runs 122 certified beds in Argyle under corporate for-profit ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, a gap families often notice when they visit on Saturdays and Sundays. The inspection record shows 12 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with one fine totaling $9,620 and the most recent inspection in September 2025. Staff turnover at 44.3% lands just under the national figure of 45.8%, so retention isn't the standout problem here, the survey history is.
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.
Jennie B Richmond Chaffee in Springville runs a nonprofit home of 80 beds where the day-to-day staffing is genuinely strong, 4.04 nurse hours per resident day, slightly above the national average, and its 32.6% turnover is well below the 45.8% typical elsewhere, which matters because consistent aides know the residents. Weekends thin out about 15% from weekday coverage, so ask how that plays out on a Sunday. The harder reading is the inspection record: 14 deficiencies, including two at harm level and four tied to abuse, plus a $68,591 fine, and the state's last visit was June 2025. Good care on paper, uneven oversight in practice.
Triboro Center is a big for-profit home in the Bronx, 515 beds, and the numbers tell a mixed story. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekends run another 11% thinner than weekdays, so coverage dips exactly when families tend to visit. On the other hand, turnover at 32.8% is noticeably better than the 45.8% national figure, which suggests some stability in the workforce. The inspection record is the concern: 18 deficiencies, including one at the harm level and five tied to abuse, with the last inspection in February 2024.
Fiddlers Green Manor runs about 2.90 nurse hours per resident day against a national average of 3.86, a roughly 25% shortfall, and weekends drop another 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The 82-bed for-profit home has 8 deficiencies on its current record, including 2 at the harm level and 4 tied to abuse, plus two fines totaling $25,470; its last inspection was February 2026. Staff turnover at 38.8% is better than the 45.8% national figure, and its quality measures score well, but with the health inspection and staffing ratings both at 2 out of 5, the care-numbers side is doing the heavy lifting here.
St Johnland runs a 250-bed nonprofit home in Kings Park, and the staffing numbers are better than average: 4.14 nurse hours per resident day, about 7 percent above the national figure, with turnover at 39 percent versus 45.8 percent nationally. Weekends dip roughly 9 percent below weekday coverage, though. What pulls the record down is inspection history, 21 deficiencies on file, including two at the harm level and three tied to abuse, plus a $30,817 fine and a one-star health inspection rating, with the last survey in December 2024. The quality measure score is strong and staffing is decent, but the enforcement record is where a family should focus questions.
The Eastern Star home in Oriskany runs a nonprofit operation with 86 certified beds, and its staffing numbers are where the trouble starts: 3.42 nurse hours per resident day, about 11% under the national average, with weekend coverage dipping roughly 3% below its own weekday level. CMS gives staffing a single star, and that 65% annual turnover, well above the 45.8% national figure, means the people providing that care keep changing. Thirteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was November 2024. Quality measures also land at two stars. Nothing here suggests danger, but the pattern is thin coverage and a lot of churn.