THE MCGUIRE GROUP

Nurse hours

3.94 /day

Staff turnover

29%

Serious cites

0

Brookhaven runs a 160-bed for-profit home in East Patchogue, and its staffing sits slightly above the national average, with a turnover rate of 29.2% that's well under the national 45.8%. That's a meaningful edge, consistent caregivers matter more than most families realize. Weekend coverage, though, drops about 13% below weekday levels, so ask how that plays out on Saturdays and Sundays. The current record shows 13 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $7,901. Inspections are recent, and the quality and staffing ratings both land at four stars, with health inspection at three.

Nurse hours

3.33 /day

Staff turnover

45%

Serious cites

0

Autumn View runs 230 beds in Hamburg under corporate ownership, and the numbers tell a split story. Its inspection and quality ratings both come in at the top of CMS's scale, with seven deficiencies on record and none involving harm, jeopardy, or abuse, a clean record by any reasonable measure. Staffing is the weak spot: 3.33 nurse hours per resident day sits about 14% under the national average, weekend coverage dips roughly 13% below its own weekday level, and turnover lands at 44.7%, essentially tracking the national rate. A recent inspection in March 2026 supports the strong survey history, but the thin staffing numbers mean care depends heavily on how well shifts are covered.

Nurse hours

3.26 /day

Staff turnover

53%

Serious cites

0

Harris Hill runs a 192-bed for-profit home in Williamsville with strong inspection and quality scores, 4 and 5 stars from CMS, and no deficiencies at the harm level. That part of the record is genuinely clean. The staffing side tells a different story. At 3.26 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly another 18% below its own weekday levels. Annual turnover of 53.2% runs well above the 45.8% national figure, which matters because consistent caregivers know residents. Fourteen deficiencies are on the current record, one abuse-related. The last inspection was April 21, 2026, so the findings are recent.

Nurse hours

3.70 /day

Staff turnover

52%

Serious cites

0

Garden Gate runs 184 certified beds in Cheektowaga under for-profit LLC ownership, and the numbers tell a split story. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national average, and weekends drop roughly 15% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 52.1% tops the national 45.8% mark, which means many of the aides you'd meet are relatively new. Inspections in March 2025 produced 21 deficiencies, none at harm level but one tied to abuse; the health inspection rating reflects that record, while quality measures score well.

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.

Nurse hours

3.55 /day

Staff turnover

64%

Serious cites

0

North Gate runs 200 beds under for-profit LLC ownership, and its inspection record is genuinely solid, a 4-star health inspection rating with 11 deficiencies on file, none rising to harm or jeopardy, and the last survey from March 2024. Staffing is where the picture dims: 3.55 nurse hours per resident day sits about 8% under the national average, weekend coverage drops roughly 18% below its own weekday levels, and annual turnover of 63.8% runs well above the 45.8% national figure. One abuse-related deficiency also appears on the record. Families weighing this one should ask directly how weekends are covered and how often the aide answering Mom's call light is brand new to the floor.