Every Medicare- and Medicaid-certified nursing home in the country, graded A–F on its inspection record,
nurse staffing, staff turnover and enforcement history. No home pays to be listed and no grade is for sale.
See how we grade.
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.
Bronx Center For Rehabilitation & Health Care runs 200 certified beds under for-profit corporate ownership, and its staffing sits about 11% under the national average at 3.46 nurse hours per resident day. Weekends dip roughly another 11% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. What stands out is retention: 17% annual turnover against a national 45.8%, meaning the aides and nurses here tend to stay. The current record shows 19 deficiencies, none at harm or jeopardy level, though three are abuse-related. A 2/5 inspection rating and a December 2025 inspection are worth asking about directly, especially how those abuse deficiencies were resolved.
Seagate runs 360 beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.99 nurse hours per resident day against a national average of 3.86, with weekends running roughly 6% thinner than weekdays. Turnover sits at 24.5%, well below the 45.8% national figure, so the people who stay tend to stay, but there are fewer of them per resident than average. The inspection record is where the real weight is: 11 deficiencies, including one at harm or jeopardy level and two tied to abuse, plus 20 fines totaling $215,134. The last inspection was October 2024. Quality measures score well; staffing and inspections do not.
The county runs this 115-bed home in Machias, and its strongest number is staffing: 3.76 nurse hours per resident day, close to the national average, with turnover at 36.8% against a national 45.8%, people here tend to stay. Weekends tell a different story, running about 11% thinner than weekdays. The trouble sits on the inspection side: 12 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, plus a $125,453 fine, with the last inspection in February 2025. CMS rates quality measures 1 out of 5. Staffing is not the problem here; oversight and resident safety are what the record keeps flagging.
Delaware Oaks runs about 3.23 nursing hours per resident per day, roughly 16% under the national average, and weekends are thinner still, about 15% below its own weekday staffing. That's the number that matters most, because aide time is what shows up at the bedside. The home carries 21 deficiencies on its current record, none flagged at harm or jeopardy level, but six tied to abuse, which is a lot for a 95-bed building. Turnover sits at 47.4%, slightly worse than the national 45.8%, so the staff caring for your relative is changing often. Its last inspection was August 2024. Ownership is a for-profit partnership.
Terrace View is a 390-bed county-run home in Buffalo, and its numbers pull in different directions. Nurse staffing runs 4.28 hours per resident day, about 11% above the national average, which matters at this size, but weekends drop roughly 11% below the home's own weekday levels, so coverage thins out when families tend to visit. The inspection record is the harder part: 18 deficiencies on file, including two at the harm or jeopardy level and four tied to abuse, plus one fine of $30,843. The last inspection was August 2024. County ownership can mean steady funding; it doesn't erase those findings.
Beach Gardens runs 3.11 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip about 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 26.9%, well under the national 45.8%, which suggests a steadier crew than most homes even with fewer hands on shift. The current record shows 12 deficiencies, four of them abuse-related, though none reached the harm or jeopardy level, and the last inspection was August 2025. Quality measures score mid-range while inspection and staffing both come in at 2 of 5 stars.
Ocean Gardens runs 280 beds in Arverne under corporate ownership, and its nurse staffing sits at 2.39 hours per resident day, roughly 38% under the national average of 3.86. Weekends dip about 7% below its own weekday levels, so coverage thins exactly when families tend to visit. The inspection record is the bigger concern: 35 deficiencies, one at the harm-or-jeopardy level and four tied to abuse, with the most recent inspection back in September 2023. Turnover at 34.1% is actually better than the 45.8% national figure, which suggests some consistency in who's showing up. The quality measure rating holds at 3 out of 5, but low staffing and that deficiency history are what a family should weigh first.
Our Lady Of Mercy Life Center runs 160 certified beds as a nonprofit, but the numbers show some strain. Nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86, and weekends dip about 8% below the home's own weekday levels. Annual turnover is 50.3% against a national 45.8%.
The inspection record is where things get concerning: a 1-out-of-5 health inspection rating, with 25 deficiencies on file, including four tied to abuse. None reached harm or jeopardy level, and the most recent inspection was October 15, 2024. Quality and staffing measures both rated 3 out of 5. With half the staff turning over yearly and thin weekend coverage, those inspection findings deserve a closer look before you decide.
Finger Lakes Center For Living sits in Auburn with 80 certified beds, run by a nonprofit corporation. The staffing numbers are a real strength: 4.23 nurse hours per resident day, about 10% above the national average, and turnover at 33.7% beats the 45.8% national figure by a wide margin. Weekend coverage dips roughly 13% below weekday levels, which is worth asking about. The trouble is the inspection record, 11 deficiencies, three at harm or jeopardy level, four tied to abuse, and $101,300 in fines across two cases, with the most recent inspection in September 2024. Quality and staffing scores look strong on paper; the survey history tells a harder story.