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.
Elm Manor runs on thin staffing: 2.84 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 10% below its own weekday levels. Turnover sits at 85.7%, nearly double the national rate, so the people providing that care are constantly changing. The health inspection record shows 35 deficiencies, none involving harm or abuse, but a one-star inspection rating still reflects repeated problems, most recently cited in August 2024. Quality measures score well, which may reflect good clinical tracking, but that doesn't offset what daily coverage looks like. For-profit corporate ownership and 46 beds mean limited margin for error when someone calls out. Ask how they cover weekend shifts.
Rockaway Care Center runs 228 certified beds in Far Rockaway, and the numbers that stand out are on the inspection side. Thirty-two deficiencies sit on its current record, including two at the harm or jeopardy level and three tied to abuse, and one fine of $135,193. Staffing is thin: 3.14 nurse hours per resident day against a 3.86 national average, with weekend coverage dipping about 10% below its own weekday level. Turnover at 45.1% tracks close to the national rate, so the problem isn't retention so much as how few hands are scheduled. The last inspection was in December 2025. A family considering this home should ask directly how the abuse-related findings were resolved.
Buffalo Center For Rehabilitation And Nursing runs 200 certified beds under corporate for-profit ownership, and its staffing looks decent on paper, 4.22 nurse hours per resident day, about 9% above the national average. But that number hides a lot. Weekend coverage drops roughly 11% below its own weekday level, and annual turnover sits at 60.2% against a national average of 45.8%, meaning most of the people providing that care are new and likely to leave. The inspection record is where the real trouble sits: 36 deficiencies, three at harm or jeopardy level, eight tied to abuse, and $139,721 in fines. A 1-out-of-5 inspection rating and a June 2025 inspection round that out.
Finger Lakes Health in Geneva runs 345 certified beds under corporate ownership, and its inspection record shows 26 deficiencies, including a pair serious enough to reach harm or jeopardy level and three tied to abuse. That's a lot to carry, and the two-out-of-five health inspection rating reflects it. The quality measure score sits at the same two stars, so this isn't a case of strong clinical outcomes offsetting weak inspections. The last survey was September 2023, which means the record you're looking at isn't fresh, call and ask what's happened since, and specifically how the abuse-related findings were resolved. With a home this size, staffing consistency matters as much as any single number.
Ellicott Center runs 160 certified beds in Buffalo under for-profit LLC ownership, and the numbers worth knowing start with staffing: 3.48 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 17% below its own weekday coverage. That thinner weekend floor is where gaps tend to show up. Staff turnover sits at 61.3%, well above the 45.8% national figure, which means aides and nurses are cycling through often enough that familiarity with residents is hard to build. On the inspection side, the home carries 33 deficiencies on its current record, including one at the harm or jeopardy level and one abuse-related, plus a $10,868 fine. The last inspection was February 2025, so the record is recent.
Carthage Center runs about 3.25 nursing hours per resident day, roughly 16% under the national average, and its weekends dip about 26% below its own weekday coverage, so the aide or nurse available Monday may not be there Saturday. Staff turnover sits at 68.6% against a national 45.8%, which means more than two-thirds of the nursing staff turned over in a year. The 31 deficiencies on record include none flagged for harm or abuse, and the last inspection was in September 2024. The quality measure score is high, but that reflects charted care, not the hands on the floor.
Norwich Rehabilitation & Nursing Center runs 80 certified beds as a for-profit LLC, and the numbers show a home stretched thin. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 18% below what the home itself staffs on weekdays, meaning care thins out exactly when families tend to visit. Staff turnover is 58.4%, well above the 45.8% national figure, so the people providing care keep changing. The current record carries 12 deficiencies, including one at the harm level and one abuse-related, plus seven fines totaling $63,215. The last inspection was August 2025, so the picture is recent, not stale.
Briarcliff Manor Center runs about 3.23 nurse hours per resident day, roughly 16% under the national average, and staffing drops further on weekends. That shortfall shows up in a 55.6% annual turnover rate, well above the 45.8% national figure, and a one-out-of-five staffing rating from CMS. Inspections tell a harder story: 33 deficiencies on the current record, including two at the harm level and three tied to abuse, plus $97,282 in fines across two penalties. The most recent inspection was in March 2025, so the picture is current rather than stale. Census size is 120 certified beds under for-profit partnership ownership. Quality measures score well, but that sits against thin staffing and a two-out-of-five inspection rating.
Waters Edge runs on 2.95 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops about 8% below what it manages on weekdays. That thin staffing shows up against a 55.6% annual turnover rate, meaning more than half the nursing staff leaves each year. Its current record carries 23 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $153,911 fine. The quality measure score is high, but inspectors last visited in August 2025 and rated the health inspection side 1 out of 5. For a family weighing this one, the staffing and inspection numbers are the ones to sit with.
Nurse staffing at Rochester Center runs 3.27 hours per resident day, roughly 15 percent under the national average, and weekends dip about 18 percent below the home's own weekday levels, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 61.1 percent against a national average of 45.8 percent, meaning more than half the nursing team leaves within a year. On the inspection side, the record shows 30 deficiencies, two of them harm-level and one abuse-related, with a $9,315 fine and a January 2025 inspection. This is a for-profit LLC, and the low staffing and inspection ratings line up with the turnover.
Elderwood At Hamburg runs 166 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble sits. At 3.02 nurse hours per resident day, it's about 22 percent below the national average of 3.86, and weekends dip roughly 16 percent below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover tells a related story: 71.7 percent annually against a national average of 45.8 percent, so the people caring for residents are cycling through fast. Inspections in June 2025 turned up 15 deficiencies, including one at the harm level and two tied to abuse, plus a $26,000 fine. Medicare's staffing rating of 2 out of 5 reflects what those hours look like in practice.
The Pines at Utica runs on 3.56 nurse hours per resident per day, roughly 8% under the national average, and weekends drop about 14% below its own weekday staffing. That thin coverage shows up in a 49.5% annual turnover rate, above the national figure, and a one-out-of-five staffing rating. The inspection record is heavy: 28 deficiencies, three serious enough to cause harm or jeopardy, plus two fines totaling $55,708. State surveyors were last in on July 22, 2025. This is a for-profit LLC operation with 117 beds, and its quality measures rate two stars. Families should ask directly how weekend coverage is handled.
Crest Manor runs on thin staffing: 3.44 nurse hours per resident day, about 11% under the national average, and weekends dip roughly 8% below its own weekdays. That's the number families feel when a call light goes unanswered.
Turnover is the bigger warning sign. At 76.9%, more than three-quarters of the nursing staff left within a year, well above the 45.8% national rate. Combine that churn with a 1-out-of-5 inspection rating and 35 deficiencies on record, including two at the harm or jeopardy level and one tied to abuse, and the pattern is consistent. A single $41,360 fine and an inspection dated October 2024 complete the picture.
The quality measure score of 4 out of 5 stands out against everything else, but those measures reflect a narrow slice of care. For-profit, limited liability ownership.
Betsy Ross Rehabilitation Center runs 120 beds in Rome under corporate ownership, and the staffing numbers are where the concern starts. At 3.38 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends dip roughly 11% below its own weekday coverage, so the thinnest hours come when families tend to visit. Staff turnover of 54.6% runs well above the 45.8% national figure, which matters because caregivers who leave take familiarity with residents with them. The inspection record shows 23 deficiencies, one serious enough to reach harm or jeopardy level, plus four fines totaling $32,254. The most recent inspection was June 30, 2025. No abuse-related deficiencies appear on the current record.
Morningstar runs 120 beds in Oswego County, and the staffing picture is thin, 3.19 nurse hours per resident day against a national average of 3.86, with weekends dropping about 18% below its own weekday levels. That means care gets thinnest exactly when families are most likely to visit. Annual turnover sits at 53.3%, well above the 45.8% national figure, so the people providing that care keep changing. The inspection record backs this up: 33 deficiencies, two serious enough to involve harm or jeopardy, and $122,464 in fines across two penalties, with the most recent inspection in May 2025. For-profit corporate ownership rounds out the picture.
The Grand Rehabilitation and Nursing at Chittenango runs 80 beds under individual for-profit ownership, and its staffing sits about 13% under the national average at 3.36 nurse hours per resident day, thinning further on weekends. That shortfall shows up in the numbers: a 61.5% annual turnover rate, well above the 45.8% national figure, with CMS awarding just one star for staffing. The home's record carries 18 deficiencies, including one at the harm or jeopardy level and one tied to abuse, along with a $16,448 fine. Its last inspection came in November 2025, and both its health inspection and quality measure ratings land at two stars.
Williamsville Suburban runs 220 beds under for-profit LLC ownership, and the numbers that stand out are on the staffing side. At 3.30 nurse hours per resident day, it sits about 14 percent under the national average, and weekends dip roughly 14 percent below its own weekdays, so coverage thins out right when families tend to visit. Staff turnover is 57.1 percent against a national 45.8 percent, meaning more than half the nursing team turns over in a year.
The inspection record is heavier still: 36 deficiencies, one at harm or jeopardy level and four tied to abuse, with a $43,973 fine. Its most recent inspection was in October 2024.
Chestnut Park runs on 3.28 nursing hours per resident per day, roughly 15% under the national average, and weekends drop about 18% below its own weekday staffing. The numbers behind the two lowest CMS marks, one out of five on health inspections and one on quality measures, include 32 deficiencies on the current record, three of them at harm or jeopardy level and five tied to abuse. Staff turnover sits at 66.2% against a national average of 45.8%, so the people caring for residents are often new. The last inspection was May 2023, and with a for-profit corporation at the helm, the pattern across staffing, turnover, and oversight is consistent enough to ask hard questions before choosing this one.
Groton Community Health Care Center runs 80 certified beds as a nonprofit, and its nurse staffing sits almost exactly at the national average of 3.86 hours per resident day. The problem isn't the typical Tuesday, it's that weekends drop roughly 18% below weekday coverage, so the hours aren't distributed when residents need them. Staff turnover is 62.8%, well above the 45.8% national figure, and the inspection record shows 26 deficiencies, including three at harm or jeopardy level and one tied to abuse, with a $132,948 fine. A February 2026 inspection is recent, but the pattern across those numbers is what families should weigh.
The Grand Rehabilitation and Nursing at Batavia runs 62 beds under for-profit partnership ownership, and its staffing sits about 5% under the national average at 3.67 nurse hours per resident day. Weekends drop roughly 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Every nursing position turning over in a year, against a national average near 46%, means the people caring for residents keep changing. Its current record shows 18 deficiencies, none at harm or jeopardy level but one abuse-related, with the most recent inspection in February 2025. Quality measure scores come in at the bottom of CMS's scale.