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.
Schaffer Extended Care Center runs about 3.05 nurse hours per resident each day, roughly a fifth below the national average, and weekend coverage drops further below its own weekday levels. Staff turnover sits at 97.8%, more than double the national figure, so the people around your family member are likely to change often. Its record carries 25 deficiencies, including one tied to abuse and one at the harm level, plus a fine, and the last inspection was in May 2025. All three CMS star ratings, inspections, quality measures, staffing, sit at the lowest possible.
Oneida Center runs 120 beds under corporate ownership, and its biggest problem shows up in the staffing numbers. At 3.07 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, weekends drop about 14% below its own weekday levels, and annual turnover hits 56.4% against a national 45.8%. Inspections tell a quieter story: 25 deficiencies on record, but none at the harm or jeopardy level and nothing abuse-related, with the last visit in December 2024. Quality measures look decent at 4 stars, though that can reflect charting as much as care. The daily experience here likely depends on how thin the floor gets.
Elderwood At Williamsville runs 200 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.71 nurse hours per resident day, it sits below the national average, and weekends drop roughly 23% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover tells a similar story: 72.4% annually against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. The current record shows 22 deficiencies, including one at harm level and four abuse-related, plus a $75,553 fine. Inspectors last visited in January 2025.
Hudson Hill runs 315 beds in Yonkers, and the numbers show a home stretched thin. Nurse staffing sits at 3.08 hours per resident day, roughly 20 percent under the national average, with weekends even leaner than weekdays, that's when call bells tend to go unanswered. The inspection record is the bigger worry: 50 deficiencies, three of them serious enough to put residents in harm's way and seven tied to abuse. A single fine of $56,044 is on file, and the last inspection was in December 2024. Turnover at 29.3 percent is actually better than the national figure, so the problem isn't keeping staff, it's having enough of them, and a record that keeps flagging the same risks.
Waterview Heights runs 229 beds in Rochester under for-profit partnership ownership, and the numbers here deserve real attention. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends drop roughly 20% below what the home staffs on weekdays, so the hours when families visit aren't the hours when coverage is strongest. Staff turnover hits 67% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year.
The record shows 86 deficiencies, 24 of them at harm or jeopardy level, with four tied to abuse. CMS has fined the home three times for $804,844 total and placed it in the Special Focus Facility program, which is reserved for the country's most troubled homes.
Humboldt House is a 173-bed for-profit home in Buffalo, and its record is one families should read carefully. The staffing numbers are the clearest issue: 3.04 nurse hours per resident per day, about a fifth below the national average, with weekends running thinner still, and turnover near 60 percent, well above the 45.8 percent typical nationally. On inspections, it holds 44 deficiencies, three of them at harm or jeopardy level and eight involving abuse, plus $270,858 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. A strong quality-measure score doesn't offset that inspection history.
Van Duyn is one of the largest nursing homes in New York, and its record carries real weight: 91 deficiencies, 17 of them serious enough to put residents at risk of harm, plus nine tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems, and fines total just under $620,000. Nurse staffing sits slightly under the national average at 3.72 hours per resident day, and weekends run about 12 percent thinner than weekdays, when families often visit. Staff turnover, at 42.7 percent, is actually a touch better than average. Its most recent inspection was in December 2025.
Verrazano Nursing and Post-Acute Center runs on 2.68 nurse hours per resident per day, roughly a third less than the national average, and weekend coverage drops about 10% below its own weekday level. Staff turnover sits at 58.3%, well above the 45.8% national figure, so the people caring for residents are changing often. The current record shows 17 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus 13 fines totaling $130,902. Inspectors were last on site in March 2025. Corporate-owned and 120 beds, this is a home where the inspection and quality scores look steadier than the daily staffing picture underneath them.
Tolstoy Foundation Rehabilitation and Nursing Center is a 96-bed nonprofit in Rockland County sitting in CMS's Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The current inspection history backs that up: 45 deficiencies, two of them at the harm or jeopardy level and eight abuse-related, plus a single $126,470 fine. One recent inspection, in September 2025, doesn't erase a pattern like that.
Staffing sits right at the national mark, 3.83 hours per resident day against 3.86, though weekends run about 12% thinner than weekdays. Turnover is genuinely better than average, 35.5% versus 45.8%, and the quality measure rating is a middling 3/5. But the inspection rating is 1/5, and that's the number that matters most here.
The Eleanor Nursing Care Center runs on 2.67 nurse staffing hours per resident day, roughly a third below the national average, and weekends are thinner still. Its inspection record is the real story: 83 deficiencies, including one at the harm level and five tied to abuse, plus a $132,957 fine. Those numbers put it in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Turnover at 30.2% is actually better than the national average, which suggests the trouble here isn't a churning workforce so much as too few hands on the floor and a long history of failed inspections.
Livingston Hills is a for-profit home in Columbia County with 120 certified beds, and the numbers behind its record deserve a close look. Nurse staffing sits at 1.85 hours per resident day, roughly half the national average of 3.86, and weekend coverage drops about 16% below its own weekday level, while annual turnover runs 52.9% against a national 45.8%. Its inspection history is heavy: 73 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, plus an $89,794 fine. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Sunset Nursing and Rehabilitation Center is a 120-bed for-profit home in Boonville, and the number that should give you pause is 27 deficiencies on its current record, four of them serious enough to involve actual harm or jeopardy, and four tied to abuse. That's why CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. Nurse staffing sits at 3.45 hours per resident per day, about 11% under the national average, and weekends run roughly 10% thinner than weekdays. Staff turnover is 39.6%, which is actually better than the 45.8% national figure. The most recent inspection was June 27, 2025, and CMS has fined the home $56,261.
The Grand Rehabilitation and Nursing at Utica holds 220 certified beds and a for-profit corporate owner, but the record is what stands out. Fifty-two deficiencies, including three at the level of actual harm or jeopardy and two tied to abuse, plus $132,759 in fines, have landed it in CMS's Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Its one-star health inspection rating and two-star quality measures reflect that history, and staffing sits at 3.18 hours per resident day, roughly 18% under the national average, with weekends thinner still. One bright spot: turnover at 25.8% is well below the national 45.8%, suggesting a more stable core of workers than many peers.
Grand Manor runs on thin staffing: 2.80 nurse hours per resident per day against a national average of 3.86, a gap of roughly 27%, and weekends drop about 16% below the home's own weekday level. That's the backdrop for 61 deficiencies on the current record, including 9 at harm or jeopardy level and 5 tied to abuse, plus four CMS fines totaling $563,175. The federal Special Focus Facility designation means regulators have flagged this home for sustained poor performance, and the most recent inspection was December 9, 2025. Turnover, at 40.3%, actually sits below the national average of 45.8%, one number that isn't working against it.
Eddy Heritage House runs a nonprofit shop in Troy with 120 certified beds, and the staffing looks solid on paper, 3.90 nurse hours per resident day, just above the national average of 3.86. The catch is weekends, when coverage drops about 13% below the home's own weekday level, and turnover sits at 53% against a national 45.8%.
The inspection record is where this one gets harder to defend: 29 deficiencies on file, including two at harm or jeopardy level and four tied to abuse. That's a 1-star health inspection rating, with the most recent look coming in February 2024. Staffing earns 4 stars, quality measures 2. Families should ask directly how those abuse citations were resolved.
Affinity Skilled Living runs 280 beds in Oakdale under for-profit LLC ownership, and its record is genuinely mixed. The health inspection side is the weak spot: 29 deficiencies on file, three of them at harm or jeopardy level and two tied to abuse, with an $82,500 fine and a one-out-of-five inspection rating. Staffing sits at 3.73 nurse hours per resident day, a bit under the national average, and weekends run about 12 percent below weekdays, though turnover at 32.1 percent is better than the 45.8 percent norm. Resident outcome measures look strong on paper. Read the inspection history carefully before deciding.
The Grand Rehabilitation and Nursing at Mohawk runs on 3.07 nurse hours per resident per day, about a fifth below the national average, and weekends drop roughly 15% below its own weekday staffing. That thin coverage shows up in the numbers: a 50.9% annual turnover rate, above the national 45.8%, and 34 deficiencies on the current record, three of them serious enough to cite harm or jeopardy. Federal inspectors were last in the building on June 30, 2025, and the home carries one fine totaling $17,604. All three CMS ratings, health inspections, quality measures, and staffing, sit at one out of five, which is about as low as the scale goes.
Blossom Health Care Center runs on 3.42 nursing hours per resident day, about 11% under the national average, and weekends drop roughly 21% below what the home staffs on weekdays. That thin coverage shows up in the numbers: 67.9% annual turnover, well above the 45.8% national rate, so the aides and nurses at the bedside keep changing. Inspectors cited 36 deficiencies on the current record, four tied to abuse, though none rose to actual harm or jeopardy. The last visit was October 2024. With 80 beds and corporate for-profit ownership, this is a home where you should ask directly how they cover weekends and how long their current staff have actually been there.
Hudson Park runs on 2.85 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 15% below what the building already staffs on weekdays. That thin coverage sits behind a 59.3% annual turnover rate, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. Inspectors cited 40 deficiencies, including five tied to abuse, and the last visit was June 2024; CMS gives the home one star each for health inspections and quality measures. For-profit, limited liability ownership rounds out the picture.
Nurse staffing at this Williamsville home runs 3.02 hours per resident day, roughly 22% under the national average, and weekends drop about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 72.7% sits well above the 45.8% national figure, meaning the aides and nurses caring for residents are, more often than not, new to the building. The current record carries 45 deficiencies, including one at the harm-or-jeopardy level and three tied to abuse, plus a $37,138 fine and a December 2024 inspection. For-profit LLC ownership, 142 beds.