Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Campbell Hall Rehabilitation Center is a for-profit home with 134 beds, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.03 hours per resident day, roughly a fifth below the national average, and weekends run about 11% thinner than weekdays, which matters if your family visits on a Saturday or Sunday. Its inspection history shows 67 deficiencies, including three at the harm or jeopardy level and five related to abuse, with 22 fines totaling $190,505. Staff turnover runs 48.5%, above the national figure, and CMS has placed the home in its Special Focus Facility program. All three of its CMS star ratings sit at one out of five.
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.
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.
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.
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.
Troy Victorian runs 2.96 nurse staffing hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what the home itself staffs on weekdays. Staff turnover sits at 57.4%, more than half the nursing staff leaving in a year, which matters even more at a place where CMS has flagged 11 abuse-related deficiencies. The home carries 73 deficiencies on its current record, three serious enough to cause harm, plus $269,574 in fines, and CMS has placed it in the Special Focus Facility program, reserved for the worst performers in the country. If you're considering this one for someone you love, ask what the turnover and weekend coverage look like on the specific unit and shift you're considering.
Onondaga Center runs 82 beds under corporate ownership, and its staffing is the first thing that stands out: 3.25 nurse hours per resident day, roughly 16% under the national average, with weekends about 20% thinner than weekdays. Turnover sits near 70% against a national rate around 46%, so the people caring for residents keep changing.
The inspection record backs that up, 48 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and $191,992 in fines across three penalties. CMS has placed it in the Special Focus Facility program, a designation for homes with a pattern of poor inspections. The most recent inspection was in November 2025.
The Grand Rehabilitation and Nrsg At Guilderland runs on 2.91 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about another 15% below its own weekday level. Staff turnover sits at 56.1%, well above the 45.8% national figure, and CMS has flagged the home for its Special Focus Facility program after 56 deficiencies, including one at the harm level and two tied to abuse. A $40,937 fine and a one-star inspection rating round out a record that's been on CMS's watch list since at least its March 2025 inspection. If you're considering this one, ask hard questions about weekend coverage and who's actually on the floor.
Rosewood Rehabilitation And Nursing Center runs about 2.86 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 15% under its own weekday levels. Annual turnover sits at 73% against a national 45.8%, so the people around your family member keep changing. The inspection record is the real warning: 45 deficiencies, three at harm or jeopardy level, three tied to abuse, and nine fines totaling $219,130, with CMS placing the home in its Special Focus Facility program. That program exists for homes with a persistent pattern of poor care, not a single bad survey. The quality measure rating looks good on paper, but it reflects resident assessments, not whether enough staff are present to act on them.
The Grand Rehabilitation and Nursing at Barnwell carries 236 certified beds and a for-profit partnership structure, with 69 deficiencies on its current record, including two at the harm or jeopardy level and six tied to abuse. That record is why CMS placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems, and the $160,303 in fines across three actions reflects it. Nurse staffing sits at 2.54 hours per resident day, roughly a third below the national average, and weekends run about 23% lighter than weekdays, a gap that matters most when families visit. Turnover of 42.5% is slightly better than the national figure, but stability at the top doesn't offset what inspections keep finding.
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.
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.
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.
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.
Elderwood At Waverly runs 200 certified beds in Tioga County under for-profit individual ownership, and the numbers behind its record deserve a close look. Nurse staffing sits at 2.66 hours per resident day, roughly 31% under the national average of 3.86, and weekends drop about 18% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover of 67.5% against a 45.8% national average means the aides and nurses caring for residents are frequently new. The current inspection record carries 26 deficiencies, including two at the harm or jeopardy level and two abuse-related, plus $120,884 in fines.
Ontario Center runs on 3.02 nurse hours per resident per day, well under the 3.86 national average, and weekends drop about 22% below its own weekday staffing. That thin coverage sits alongside 80.6% annual turnover, meaning most of the people caring for residents weren't there a year ago. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor inspections, and the record backs that up: 41 deficiencies, including three at the harm level and two tied to abuse, plus a $117,878 fine. One star on health inspections and one on staffing, with a state survey completed in January 2025.
Cuba Memorial's 61-bed nonprofit unit runs on 2.71 nursing hours per resident day, roughly 30 percent below the national average of 3.86, and staffing thins further on weekends, dropping about 15 percent from its own weekday level. That shortfall shows up in the numbers: a 57.4 percent annual turnover rate against a 45.8 percent national average, and CMS scoring staffing and quality measures at 1 out of 5 stars each, even though the health inspection rating sits at 4. The current record carries 15 deficiencies, none at harm or jeopardy level but five tied to abuse. A recent May 2024 inspection is the one clear positive here.
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.
Van Rensselaer Manor runs on 3.21 nurse hours per resident day, roughly 17% under the national average, and weekends drop about 16% below its own weekday staffing. Staff turnover sits at 48.3%, a couple points above the national figure, and the inspection record shows 33 deficiencies, including two at the harm or jeopardy level and seven tied to abuse. The most recent inspection was April 1, 2026, so the findings are current rather than dated. County ownership means taxpayers, not a chain, carry the operation. With the quality measure rating at 1 out of 5 and health inspections at 2, the numbers point to a home where residents get less nursing time than average and the state has documented repeated problems. If you're considering it, ask directly how the weekend shifts get covered.
Clinton County Nursing Home runs on thinner staffing than most places, 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 24% below its own weekday levels, so coverage is noticeably lighter when families tend to visit. Staff turnover sits at 74.4%, well above the 45.8% national figure, which means the people caring for residents are often new. The current inspection record shows 35 deficiencies, none at harm or jeopardy level but six tied to abuse. The last inspection was July 2023, so that record is getting old. County ownership is stable, but the numbers behind the C grade point to thin, shifting staffing more than anything else.
Elderwood At Hornell passes its health inspections cleanly, a five-star record, just eight deficiencies and none of them causing harm or involving abuse. The trouble is who's left to do the work. At 2.75 nurse hours per resident day, staffing sits roughly 29% under the national average, and it thins out further on weekends. A 63.5% annual turnover rate means most of the aides and nurses on a given shift are relatively new, which matters more when there are fewer of them. One fine of $4,194 is minor. For-profit LLC ownership, 122 beds, last inspected in February 2024. Strong surveys, thin coverage, families should ask pointed questions about evening and weekend staffing specifically.
Wells Nursing Home runs on thinner staffing than most places: 3.23 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 19% below what the home itself staffs on weekdays. That pattern matters, because falls and infections don't take Saturdays off. The inspection record shows 16 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with one fine of $8,512 and a survey completed in September 2024. Quality measures score mid-range, but the staffing picture and the harm-level findings are the parts worth asking about directly.
A Holly Patterson Extended Care is a 589-bed state-run home in Uniondale, and its numbers pull in different directions. Staff turnover sits at 15.7%, well below the 45.8% national average, yet total nurse staffing is 2.79 hours per resident day, roughly 28% under the national figure of 3.86, and weekends run about 14% leaner than weekdays. That gap matters more than the retention number, because steady staff who aren't there in enough numbers still can't cover the floor. The inspection record is the harder problem: 21 deficiencies, six at harm or jeopardy level and four abuse-related, with three fines totaling $141,265. New York State owns it, so there's no corporate chain to blame or petition, the accountability runs to Albany.
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.
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.
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.
Hempstead Park runs 251 certified beds under individual for-profit ownership, and its staffing is the first thing that stands out: 3.11 nurse hours per resident day, roughly 20% under the national average of 3.86, with weekends running about 11% thinner than weekdays. Turnover is genuinely better than average at 28.9% against 45.8% nationally, so the people who stay seem to stay. The concern is the record itself, 30 deficiencies, one at harm or jeopardy level and six tied to abuse, plus a $15,445 fine, with the most recent inspection in August 2025. Quality measures score well; the staffing and inspection sides don't.
The Montrose veterans home runs a leaner ship than most on staffing turnover, 26.5% against a national average near 46%, and nurse hours per resident sit slightly above the national mark. But weekend coverage drops roughly 14% below the home's own weekday levels, and the inspection record is where things get hard to ignore: 22 deficiencies, four of them serious enough to involve harm or jeopardy, six tied to abuse, and the last full inspection dates to July 2023. A single $29,153 fine is on the books. State-run ownership doesn't change what families should ask about: what those abuse citations involved, and who's covering the floor on Saturdays.
Highpointe on Michigan runs one of the stronger staffing operations you'll see in Buffalo, 5.41 nurse hours per resident day, roughly 40 percent above the national average, and its 31.6 percent turnover beats the national rate by a wide margin. The problems sit elsewhere. Inspectors have cited 30 deficiencies on the current record, including two at the harm or jeopardy level and six tied to abuse, and the health inspection rating is 1 out of 5. One fine totaling $129,149 has been assessed, with the last inspection in September 2024. Strong hands-on care, weak compliance history. If you're considering this one, ask directly how the abuse-related findings were resolved.
Northeast Ctr For Rehabilitation And Brain Injury is a 280-bed for-profit home in Lake Katrine, and the numbers tell a mixed story. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends run roughly 16% lighter than weekdays, so coverage thins out exactly when families tend to visit. Turnover is 36.2%, better than the 45.8% national figure, and the staffing and quality stars both come in at 4 out of 5. What pulls the record down is the inspection side: 47 deficiencies, including one at harm or jeopardy level and eight tied to abuse, plus a $25,435 fine. The most recent inspection was November 2024.
Nurse staffing at The Hamptons Center runs 2.93 hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home. Weekends are thinner still, about 8% below the home's own weekday level, and a 37.4% annual turnover rate, though better than the national 45.8%, means a lot of the people providing that care are new to the building. The state inspection record is where the real trouble sits: 23 deficiencies, three serious enough to put residents in harm's way, five tied to abuse, and a $150,990 fine. A 5/5 on quality measures doesn't offset a 1/5 on inspections.
Eddy Village Green At Beverwyck runs about 4.76 nurse hours per resident day, roughly 23% above the national average, and weekend staffing dips only about 8% below its own weekday level, unusually steady. Staff turnover sits at 45%, essentially the national rate. The tension is in inspections: a 2/5 health inspection rating, 10 deficiencies on record including one at the harm level and two abuse-related, with the last inspection in December 2023. Quality and staffing measures both rate 5/5, so the clinical numbers look strong while the survey history is where the concerns live. For a 24-bed nonprofit, that mix is worth weighing carefully.