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Why trust this guide?
Our editorial team analyzed 13 nursing homes in Erie County, NY using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NY
Video Tour: Top-rated Nursing Homes facilities in Erie County, New York State.
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Info below is compiled from CMS reports & the NY State Dept. of Health (NYSDOH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New York average is: 55.7% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Ll (For Profit) 200 Bassett Road Operating Company
$22.6MFiscal year ending 12/2023
Facility$22.6MFiscal year ending 12/2023
NY AVG$29.0M
Rank#209 / 387
$14.8MFiscal year ending 12/2023
Facility$14.8MFiscal year ending 12/2023
NY AVG$15.3M
Rank#156 / 387
65.6%Fiscal year ending 12/2023
Facility65.6%Fiscal year ending 12/2023
NY AVG55.7%
Rank#78 / 386
335326
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NY nursing home we track that reports that metric, not just the 13 analyzed for Erie County. See how we rank facilities
Beechwood Homes offers nursing home care, hospice care, independent living, and skilled nursing in Getzville, NY. Nursing home and skilled nursing services include licensed nursing care on site around the clock, while hospice care focuses on comfort for someone at the end of life. Independent living provides a private home with community services and no daily care, and short-term rehabilitation supports a temporary recovery stay.
The community has 220 beds, so residents live in a larger setting with more residents and staff. Total nurse staffing is 4 hours and 35 minutes per resident per day, representing the daily nursing time allocated to each resident. Beechwood Homes is operated by Beechwood Health Care Center. Medicare, Medicaid, and private pay are accepted, giving families payment routes for covered care or residence costs. A Walk Score of 34 places the area in a car-dependent setting, so most errands require a car or a ride, including for residents who no longer drive. The combination of independent living, hospice care, and skilled nursing can suit a resident whose care needs may change over time without moving to another community.
Fox Run at Orchard Park offers independent living, assisted living, memory care, and skilled nursing in Orchard Park, NY. Independent living provides private living with community services and no daily care, while assisted living provides help with daily tasks such as bathing, dressing, and medication. Memory care offers a secured setting with supervision, and skilled nursing provides licensed nursing care around the clock. With several care levels on one campus, the community can suit a resident whose needs may grow over time without requiring a move to a different community.
Fox Run at Orchard Park has 60 beds. Orchard Park CCRC operates the community, and total nurse staffing is 5h 21m per resident per day, representing the daily hands-on nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to fund care depending on eligibility and coverage.
Residents can use landscaped grounds and walking trails for outdoor activity, while the fitness center and exercise classes support structured physical activity. Dining includes casual meals in The Bistro, formal dining in The Bob & Sally Bieler Oak Room, and private dining for special occasions. A calendar of activities, workshops, and outings gives residents scheduled options for engagement, and rehabilitation services are available for residents who need recovery or mobility support. Respite care provides a short stay for someone whose usual caregiver needs time away or recovery.
Greenfield Health & Rehab Center in Lancaster, New York, offers independent living, assisted living, memory care, short-term respite care, palliative support, and round-the-clock skilled nursing. The memory care program uses a secured environment designed specifically for individuals prone to wandering. Residents can transition between housing levels and clinical programs directly as personal assistance needs evolve.
Niagara Lutheran Development runs the 160-bed campus. Daily nursing logs reflect an average of 5 hours and 6 minutes of direct clinical care per resident. Health services feature outpatient therapy and short-term subacute rehabilitation, complemented by arranged medical transportation. Community features include a central outdoor courtyard and a 77 walk score location that allows residents to reach daily errands on foot. Accepted payment options cover Medicaid, Medicare, and private pay.
Prospective representatives looking for multi-tier residential care or specialized rehabilitation can connect with Greenfield Health & Rehab Center to ask about placement, confirm payment methods, or schedule a campus visit.
Overview of Brothers of Mercy Nursing & Rehabilitation Center
Brothers of Mercy Nursing & Rehabilitation Center provides nursing home, skilled nursing, assisted living, hospice care, independent living, and memory care in Clarence, NY. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident keeps an apartment. Memory care offers a secured setting with supervision for someone at risk of wandering.
Skilled nursing provides licensed nursing care on site around the clock. Independent living offers private living with community services and no daily care, while hospice care supports end of life needs. The range of care levels may suit a resident whose needs grow over time, since assisted living, memory care, skilled nursing, and hospice care are available within the same community.
The community has 240 beds, meaning residents live in a setting with more residents, staff, and usually more programming. Brothers of Mercy Nursing & Rehabilitation Center opened in 1924. Rehabilitation services include physical, occupational, speech, and outpatient therapy, giving residents access to several therapy disciplines through the community.
Spiritual care is available for residents who want support connected to their beliefs, and pets are allowed so a resident can continue living with a pet. Brothers of Mercy Nursing & Rehabilitation Center is operated by Brothers of Mercy Nursing Home Company. Total nurse staffing is 4h 16m per resident per day, representing daily hands on nurse time allocated to each resident.
Payment options are Medicare, Medicaid, and private pay. Families can use Medicare for short term skilled care after a hospital stay, Medicaid when savings may not cover a long stay, or private funds. The area has a Walk Score of 51 and is somewhat walkable, so some errands can be done on foot and a resident who no longer drives may be able to handle some nearby errands independently.
Elderwood at Grand Island is a nursing home in Grand Island, NY, offering memory care, palliative care, respite care, and skilled nursing. Skilled nursing provides licensed nursing care on site, while memory care offers a secure setting with supervision for someone at risk of wandering. Palliative care focuses on comfort, and respite care provides a short stay when a person’s usual caregiver needs to travel or recover. The range of services may suit a resident who needs ongoing nursing support, secure memory care, or a temporary stay during a caregiver’s absence.
The home has 90 beds. Total nurse staffing is 3 hours and 24 minutes per resident each day, representing the daily hands on nursing time allocated per resident. Medicare and private pay are accepted. Medicare can cover short term skilled care after a hospital stay rather than long term residence, while private pay means the family pays directly.
The Seasons Memory Care Program provides secure memory care, and the bright rehabilitation gym supports on site rehabilitation without arranging transportation. Oncology and Adult Day Services are also available. Spacious patios surrounded by gardens and landscaped grounds give residents outdoor areas to use, and pets are allowed. A Walk Score of 47 places the area in a car dependent setting where most errands require a car or a ride, so a resident who no longer drives will generally need transportation for errands. Dalton Burke is the director, and the community is operated by 2850 Grand Island Boulevard Operating Company.
Elderwood at Hamburg is a nursing home in Hamburg, NY, offering skilled nursing, memory care, palliative care, and respite care. Skilled nursing provides licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for someone at risk of wandering. Palliative care supports residents managing serious illness, and respite care provides a short stay when a usual caregiver needs to travel or recover.
The community has 166 beds, placing it among settings with more residents, staff, and programming than a small community. Total nurse staffing is 2 hours 59 minutes per resident per day, representing the daily hands-on nursing time assigned per resident. Several care types in one community may suit a resident whose needs grow over time and who may be able to move between care levels without leaving the community.
A rehabilitation gym supports physical, occupational, and speech therapy within the community, so a resident can receive these services without arranging travel elsewhere. Outdoor spaces include patios, gardens, landscaped grounds, and walking paths on the property. There is room to spend time outside without leaving the community.
Medicare, Medicaid, and private pay are accepted. Medicare can cover eligible short-term skilled care after a hospital stay, while Medicaid may help when savings do not cover a long stay. The area has a Walk Score of 79, meaning it is very walkable and most errands can be done on foot, so a resident who no longer drives may still reach nearby shops, a pharmacy, or cafes independently.
Isaac Williams is the director, and 5775 Maelou Drive Operating Company operates the community.
Overview of Gowanda Rehabilitation & Nursing Center
Under one license in Gowanda, NY, Gowanda Rehabilitation & Nursing Center covers nursing home care, hospice care, skilled nursing, and palliative care. Licensed nursing stays on the floor through every hour, as the third of those care types demands. Hospice takes over once comfort is the whole aim. The fourth level runs alongside ongoing treatment of a serious illness, managing symptoms rather than aiming at recovery.
Recovery from illness, injury, or a procedure is what Short-Term Rehab and the wider Rehabilitation Services cover. Respite Care appears there too, for a short stay while the usual caregiver needs cover.
The licensed bed count comes to 160 beds. A resident’s day here carries 3 hours and 57 minutes of nursing time.
Three routes cover the bill. Medicare meets the cost for a brief skilled course after a hospital admission opens; Medicaid answers where savings run out before the stay ends; and private funds settle the rest.
Ongoing nursing, a short course of therapy, or comfort-focused care all fit. GORNC Operating, LLC operates the community.
Elderwood at Cheektowaga is a nursing home in Cheektowaga, NY, offering skilled nursing, assisted living, independent living, memory care, palliative care and respite care. Skilled nursing provides licensed nursing care around the clock, while assisted living helps with daily tasks such as bathing, dressing and medication while the resident maintains an apartment.
Independent living offers private living with community services and no daily care. Memory care provides a secured setting with supervision for someone at risk of wandering, while palliative care focuses on comfort and symptom management for residents with serious illness.
Respite care provides a short stay for someone whose usual caregiver needs to travel or recover. The range of care levels may suit a resident whose needs change over time, and respite care can suit a family that needs short term support.
The community also offers an oncology program for residents with cancer related care needs. Elderwood at Cheektowaga has 172 beds, making it a larger community where more residents, staff and usually programming are part of daily life.
Total nurse staffing is 3h 23m per resident/day, representing the recorded daily nursing time allocated per resident. Medicare can cover short term skilled care after a hospital stay, Medicaid can help when savings may not cover a long stay, and private pay uses personal funds to pay for care.
Subacute rehabilitation and other rehabilitation services support residents working toward recovery while receiving care in the community. Patios, gardens and walking paths across the wooded grounds provide places to sit outdoors or take a walk.
Vina Bonner serves as director, and 225 Bennett Road Operating Company operates the community. The home may be a good fit for someone who needs anything from independent living to skilled nursing, memory care, palliative care or a short respite stay, including a resident whose needs may change over time.
Canterbury Woods offers independent living, assisted living, and nursing home care with skilled nursing in Williamsville, NY. Independent living provides a private residence with community services and no daily care, while assisted living adds help with dressing, bathing, and medication so a resident can remain in an apartment. Skilled nursing provides licensed nursing care on site around the clock. The range of care levels supports a resident whose needs grow over time without leaving the community.
With 50 beds, Canterbury Woods has a defined overall size. Total nurse staffing is 5 hours and 17 minutes per resident each day, representing the daily hands-on nursing time allocated to each resident. Medicare and private pay are accepted, giving families those payment paths for eligible care and services.
An 81 out of 100 Walk Score means the area is very walkable, with most errands possible on foot. A resident who no longer drives may still be able to reach nearby shops, pharmacies, or cafes independently. Pets are allowed, so a resident may be able to continue living with a pet. Canterbury Woods is operated by Episcopal Church Home and Affiliates Life Care Community.
Elderwood at Williamsville provides nursing home, memory care, palliative care, respite care and skilled nursing in Williamsville, NY. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for someone at risk of wandering. Palliative care focuses on comfort, and respite care gives a family caregiver a short-term stay when they need to travel or recover.
Residents can choose private or semi-private rooms, either having a room to themselves or sharing with a companion. Rehabilitation takes place in an on-site gym, so residents can receive therapy without arranging transportation elsewhere. Spacious patios surrounded by gardens provide outdoor areas to use.
Total nurse staffing is 3h 14m per resident per day, representing the daily hands-on nursing time available per resident. Medicare, Medicaid and private pay are accepted, giving families several payment methods, including Medicaid when savings may not cover a long stay and Medicare for short-term skilled care after a hospital stay. Thomas Meehan serves as director, and the community is operated by 200 Bassett Road Operating Company, LL. An 81 Walk Score means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Avg Overall CMS Rating:2.9/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Erie County, NY. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:3.3/ 5The average Staffing Rating across all CMS-certified nursing homes in Erie County, NY. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:3.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Erie County, NY. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
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What government services provide money for senior housing?
Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:
Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?
Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.
Do you help families that need Medicaid?
Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.
How much does this service cost?
We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.
What services do you offer?
Finding and ranking the best assisted living facilities
Finding and ranking the best nursing homes
Finding and ranking the best memory care facilities
Our concierge service helps seniors move into the perfect home for them
Helping seniors use medicare, medicaid, and other government programs to pay for their homes
Helping seniors avoid senior homes that have bad service or fraud
Memory care specialists
Finding and ranking the best independent living communities
Frequently Asked Questions about Nursing Homes in Erie County, NY
What's the difference between assisted living and a nursing home in New York?
Assisted living in New York is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does New York Medicaid cover nursing home care?
Yes — New York Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 13 nursing homes in Erie County, NY. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Erie County, NY?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Erie County, NY, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Erie County, NY?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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