Page 14 of Best Nursing Homes in New York State

Why trust this guide? Our editorial team analyzed 457 nursing homes in NY using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NY
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We analyzed These are the facilities in New York State our team has analyzed — not a count of every nursing home provider in New York State.
457 homes
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Avg Overall CMS Rating: 3.1/ 5The average Overall CMS Rating for all CMS-certified nursing homes in New York State. 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: 2.7/ 5The average Staffing Rating across all CMS-certified nursing homes in New York State. 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: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in New York State. 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.
National Average: 3.0/ 5

Compare Nursing Homes around New York State

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 to lowest based on our ranking 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 Table 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. 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.
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: 55.8% 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.
Pathways Nursing and Rehabilitation Center
NH
RC
SNF
Niskayuna
110
Facility 110
NY AVG 160
Rank #471 / 736
96.4%
Facility 96.4%
NY AVG 90.6%
Rank #131 / 392
+6%
2.04
Facility 2.04
NY AVG 3.58
Rank #395 / 395
+40%-43%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
11
Facility 11
NY AVG 18.5
Rank #90 / 397
3.7
Facility 3.7
NY AVG 5.1
Rank #106 / 397
-106-
2
Facility 2
NY AVG 64
Rank #1,142 / 1,150
Niskayuna Operating Company, LLC (For Profit)
$28.7MFiscal year ending 12/2023
Facility $28.7MFiscal year ending 12/2023
NY AVG $29.2M
Rank #161 / 383
$11.8MFiscal year ending 12/2023
Facility $11.8MFiscal year ending 12/2023
NY AVG $15.4M
Rank #206 / 383
41.1%Fiscal year ending 12/2023
Facility 41.1%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #309 / 382
335701
Island Nursing and Rehab Center
NH
HOS
MC
PC
RC
SNF
North Holtsville
120
Facility 120
NY AVG 160
Rank #405 / 736
100.0%
Facility 100.0%
NY AVG 90.6%
Rank #1 / 392
+10%
3.10
Facility 3.10
NY AVG 3.58
Rank #249 / 395
+5%-13%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
13
Facility 13
NY AVG 18.5
Rank #124 / 397
4.3
Facility 4.3
NY AVG 5.1
Rank #149 / 397
-120-
4
Facility 4
NY AVG 64
Rank #1,127 / 1,150
Audrey Marchand
$15.9MFiscal year ending 12/2023
Facility $15.9MFiscal year ending 12/2023
NY AVG $29.2M
Rank #278 / 383
$8.1MFiscal year ending 12/2023
Facility $8.1MFiscal year ending 12/2023
NY AVG $15.4M
Rank #284 / 383
50.9%Fiscal year ending 12/2023
Facility 50.9%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #201 / 382
335835
Forest Hills Care Center
NH
MC
PC
SNF
Forest Hills
100
Facility 100
NY AVG 160
Rank #496 / 736
90.0%
Facility 90.0%
NY AVG 90.6%
Rank #287 / 392
-1%
3.79
Facility 3.79
NY AVG 3.58
Rank #100 / 395
+16%+6%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
12
Facility 12
NY AVG 18.5
Rank #107 / 397
6.0
Facility 6.0
NY AVG 5.1
Rank #278 / 397
-90-
94
Facility 94
NY AVG 64
Rank #158 / 1,150
Shaya Landa
$13.9MFiscal year ending 12/2023
Facility $13.9MFiscal year ending 12/2023
NY AVG $29.2M
Rank #305 / 383
$6.8MFiscal year ending 12/2023
Facility $6.8MFiscal year ending 12/2023
NY AVG $15.4M
Rank #316 / 383
48.6%Fiscal year ending 12/2023
Facility 48.6%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #236 / 382
335139
Long Beach Nursing and Rehabilitation Center
NH
HOS
PC
SNF
Long Beach
150
Facility 150
NY AVG 160
Rank #341 / 736
93.3%
Facility 93.3%
NY AVG 90.6%
Rank #230 / 392
+3%
3.05
Facility 3.05
NY AVG 3.58
Rank #249 / 395
+51%-15%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
24
Facility 24
NY AVG 18.5
Rank #295 / 397
8.0
Facility 8.0
NY AVG 5.1
Rank #347 / 397
-140-
88
Facility 88
NY AVG 64
Rank #317 / 1,150
Mlap Acquisition I, LLC (For Profit)
$23.2MFiscal year ending 12/2023
Facility $23.2MFiscal year ending 12/2023
NY AVG $29.2M
Rank #201 / 383
$8.4MFiscal year ending 12/2023
Facility $8.4MFiscal year ending 12/2023
NY AVG $15.4M
Rank #273 / 383
36.1%Fiscal year ending 12/2023
Facility 36.1%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #346 / 382
335432
Elderwood at Lockport
NH
MC
PC
RC
SNF
Lockport
126
Facility 126
NY AVG 160
Rank #390 / 736
79.4%
Facility 79.4%
NY AVG 90.6%
Rank #356 / 392
-12%
3.57
Facility 3.57
NY AVG 3.58
Rank #125 / 395
-3%0%
$94.2k
Facility $94.2k
NY AVG $67.6k
Rank #369 / 398
9
Facility 9
NY AVG 18.5
Rank #57 / 397
3.0
Facility 3.0
NY AVG 5.1
Rank #59 / 397
-100-
80
Facility 80
NY AVG 64
Rank #454 / 1,150
104 Old Niagara Road Operating Holdco, LLC
$12.6MFiscal year ending 12/2023
Facility $12.6MFiscal year ending 12/2023
NY AVG $29.2M
Rank #315 / 383
$8.0MFiscal year ending 12/2023
Facility $8.0MFiscal year ending 12/2023
NY AVG $15.4M
Rank #285 / 383
63.4%Fiscal year ending 12/2023
Facility 63.4%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #89 / 382
335500
Highfield Gardens Care Center
NH
HOS
MC
RC
SNF
Great Neck (Spinney Hill Homes)
200
Facility 200
NY AVG 160
Rank #164 / 736
--
3.88
Facility 3.88
NY AVG 3.58
Rank #85 / 395
+12%+8%
$4.9k
Facility $4.9k
NY AVG $67.6k
Rank #294 / 398
15
Facility 15
NY AVG 18.5
Rank #164 / 397
5.0
Facility 5.0
NY AVG 5.1
Rank #211 / 397
-37-
55
Facility 55
NY AVG 64
Rank #746 / 1,150
Sorah Bleier
$38.8MFiscal year ending 12/2023
Facility $38.8MFiscal year ending 12/2023
NY AVG $29.2M
Rank #88 / 383
$15.5MFiscal year ending 12/2023
Facility $15.5MFiscal year ending 12/2023
NY AVG $15.4M
Rank #143 / 383
39.8%Fiscal year ending 12/2023
Facility 39.8%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #319 / 382
335250
Elmhurst Care Center
NH
ADC
HOS
MC
PC
SNF
East Elmhurst
240
Facility 240
NY AVG 160
Rank #108 / 736
95.9%
Facility 95.9%
NY AVG 90.6%
Rank #155 / 392
+6%
3.42
Facility 3.42
NY AVG 3.58
Rank #164 / 395
+37%-4%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
14
Facility 14
NY AVG 18.5
Rank #146 / 397
4.7
Facility 4.7
NY AVG 5.1
Rank #189 / 397
-230-
57
Facility 57
NY AVG 64
Rank #724 / 1,150
-
$32.5MFiscal year ending 12/2023
Facility $32.5MFiscal year ending 12/2023
NY AVG $29.2M
Rank #134 / 383
$13.5MFiscal year ending 12/2023
Facility $13.5MFiscal year ending 12/2023
NY AVG $15.4M
Rank #179 / 383
41.5%Fiscal year ending 12/2023
Facility 41.5%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #302 / 382
335814
Schofield Residence Nursing Facility
NH
ADC
HC
HOS
PC
SNF
Buffalo (Elmwood North)
120
Facility 120
NY AVG 160
Rank #405 / 736
86.6%
Facility 86.6%
NY AVG 90.6%
Rank #329 / 392
-4%
4.40
Facility 4.40
NY AVG 3.58
Rank #44 / 395
-69%+23%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
15
Facility 15
NY AVG 18.5
Rank #164 / 397
3.8
Facility 3.8
NY AVG 5.1
Rank #115 / 397
-104-
60
Facility 60
NY AVG 64
Rank #694 / 1,150
James Cambell
$15.6MFiscal year ending 12/2023
Facility $15.6MFiscal year ending 12/2023
NY AVG $29.2M
Rank #285 / 383
$8.9MFiscal year ending 12/2023
Facility $8.9MFiscal year ending 12/2023
NY AVG $15.4M
Rank #256 / 383
57.3%Fiscal year ending 12/2023
Facility 57.3%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #128 / 382
335603
Beacon Rehabilitation and Nursing Center
NH
MC
SNF
Rockaway Park
120
Facility 120
NY AVG 160
Rank #405 / 736
91.7%
Facility 91.7%
NY AVG 90.6%
Rank #260 / 392
+1%
3.49
Facility 3.49
NY AVG 3.58
Rank #139 / 395
+45%-3%
$8.5k
Facility $8.5k
NY AVG $67.6k
Rank #300 / 398
9
Facility 9
NY AVG 18.5
Rank #57 / 397
4.5
Facility 4.5
NY AVG 5.1
Rank #174 / 397
-110-
83
Facility 83
NY AVG 64
Rank #412 / 1,150
Miriam Kessler
$18.8MFiscal year ending 12/2023
Facility $18.8MFiscal year ending 12/2023
NY AVG $29.2M
Rank #242 / 383
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
NY AVG $15.4M
Rank #250 / 383
48.5%Fiscal year ending 12/2023
Facility 48.5%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #237 / 382
335726
Salamanca Rehabilitation & Nursing Center
NH
HOS
PC
RC
SNF
Salamanca
120
Facility 120
NY AVG 160
Rank #405 / 736
90.8%
Facility 90.8%
NY AVG 90.6%
Rank #275 / 392
0%
3.77
Facility 3.77
NY AVG 3.58
Rank #100 / 395
-2%+5%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
26
Facility 26
NY AVG 18.5
Rank #324 / 397
5.2
Facility 5.2
NY AVG 5.1
Rank #237 / 397
-109-
53
Facility 53
NY AVG 64
Rank #762 / 1,150
Esther Beim
$11.6MFiscal year ending 12/2023
Facility $11.6MFiscal year ending 12/2023
NY AVG $29.2M
Rank #330 / 383
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
NY AVG $15.4M
Rank #354 / 383
42%Fiscal year ending 12/2023
Facility 42%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #297 / 382
335534

Rank badges are statewide: each community is ranked against every NY community we track that reports that metric, not just the 457 on this page.

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Overview of Pathways Nursing and Rehabilitation Center

Located on Providence Avenue in Niskayuna, New York, Pathways Nursing and Rehabilitation Center is a skilled nursing facility operated by Niskayuna Operating Company, LLC. The 110-bed facility accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover both short-term rehabilitation and longer-term skilled nursing care. The community has an occupancy rate of 96%. Residents stay an average of 302 days, which is a mix of post-acute rehabilitation patients and those receiving longer-term care.

Rehabilitation is the facility’s primary focus. It has specialized programs for pediatric patients and residents recovering from traumatic brain injuries. These services make the center a practical choice for families looking for intensive therapy and specialized clinical care.

Daily nurse staffing averages 2 hours and 9 minutes per resident. Registered nurses provide 1 hour and 39 minutes of that care. Residents also get additional support from licensed practical nurses and nurse aides. Nursing staff is available 24 hours a day.

State inspections by the New York Department of Health have reviewed nursing documentation, staffing practices, and facility operations. The center has made timely improvements in identified areas, helping to sustain its clinical and operational standards.

The facility is located in a car-dependent area where most errands require a vehicle. Families considering post-acute rehabilitation or specialized long-term care for a loved one with neurological or pediatric needs should tour the facility to learn more about its therapy programs, daily nursing routines, and individualized care plans.

Contact Pathways Nursing and Rehabilitation Center

Overview of Island Nursing and Rehab Center

Owned by Audrey Marchand, Island Nursing and Rehab Center is a skilled nursing facility in Holtsville, New York. The home is operated by Island Rehabilitation and Nursing Center, Inc. Medicare, Medicaid, and private pay are accepted, giving families multiple pathways to cover short-term rehabilitation and longer stays. Operating at full occupancy with an average length of stay of 95 days, the 120-bed facility serves post-acute rehabilitation residents and those receiving ongoing skilled care.

The center focuses on short-term rehabilitation and recovery. It offers rehabilitation services, respite care, and specialized programs through a Social Adult Day Care and Medical Adult Day Program. Daily nursing support averages about 3 hours and 9 minutes per resident, including registered nurse care, nurse aide support, and LPN/LVN coverage. The level of hands-on staffing reflects a strong clinical approach to post-hospital care and recovery.

Department of Health inspections focused on medication and pharmacy management, care planning accuracy, and nursing competencies. Most deficiencies identified during inspections were isolated issues corrected within the required timeframes. There were no systemic concerns found in the facility’s overall care system.

The facility is located on Expressway Drive North in Holtsville, a car-dependent area with a Walk Score of 4. Visitors and staff should expect to drive for most errands and transportation needs.

Families seeking a nursing home centered on skilled rehabilitation and recovery, the facility’s intensive staffing model and adult day programs provide structured support for both short-term transition care and ongoing management.

Contact Island Nursing and Rehab Center

Overview of Forest Hills Care Center

Operated by Forest Hills Care Center, LLC under owner Shaya Landa, Forest Hills Care Center is a 100-bed skilled nursing home in Forest Hills, Queens. The facility accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover both short-term rehabilitation and ongoing skilled nursing care. The home has an occupancy rate of 90%. Residents stay an average of 96 days, which reflects a focus on post-acute rehabilitation and recovery.

Rehabilitation is the center’s primary focus. There are dedicated short-term rehabilitation services and a full range of therapy programs. Daily nurse staffing averages 3 hours and 29 minutes per resident, including 35 minutes of registered nurse care each day. The level of staffing supports residents recovering from surgery, hospitalization, or other acute medical conditions.

State inspections by the Department of Health have cited issues with infection prevention, care planning, medication management, resident rights, and environmental maintenance. These findings have appeared across multiple inspection cycles, and the facility has addressed them over time. Families touring the home should ask how these areas are monitored and managed daily.

Residents have access to an on-site hair salon, housekeeping, laundry and linen services, and engaging outdoor spaces. Meals are served in a large communal dining room for residents who keep kosher, as well as for residents who are seeking healthy, daily meal options. Outdoor spaces and activities are also available to promote cognitive, social, and emotional engagement.

The neighborhood has a Walk Score of 94, meaning it is very walkable. Family members visiting residents will find it easy to walk to nearby services and amenities, making frequent visits simple.

Contact Forest Hills Care Center

Overview of Long Beach Nursing and Rehabilitation Center

At 375 East Bay Drive in Long Beach, Nassau County, MLAP Acquisition I, LLC operates Long Beach Nursing and Rehabilitation Center, a 150-bed facility with 93% occupancy; notably higher than the state’s 88.3% average. The community blends short-term post-acute rehabilitation with longer-term Medicaid-funded care, reflecting a payer mix where 68% of current residents are Medicaid-covered.

Its 4-star CMS overall rating ranks 27% above the state average, with matching 4-star scores across health inspection, staffing, and quality measures. The facility has had 35 citations since 2021, nearly three times the typical New York nursing home.

The most recent April 2024 inspection found one Level 2 deficiency for reporting to the national health safety network, citing potential for more than minimal harm but no actual harm to residents. A September 2023 complaint investigation uncovered seven deficiencies across nursing competence, medication management, infection control, physician oversight, and physical plant conditions; the facility corrected all of these by November 2023.

No federal penalties or payment denials were recorded in the past three years.

On the positive side, registered nurses staff at 1 hour 14 minutes per resident daily, 76% above the state average, and a clear strength in clinical oversight and responsiveness. Long-stay quality metrics stand out: high-risk clinical event scores of 4.1 run 58% better than the state figure, and functional decline tracking is 46% above average.

Cardiac rehabilitation, palliative care, hospice partnerships, and on-site speech pathology anchor the clinical services; religious observance, pet visitation, beauty services, and family transportation support daily life.

Five active medical malpractice and tort lawsuits are pending in Nassau courts.

The community’s 164-day average length of stay and heavy reliance on Medicaid funding position it for residents requiring extended skilled nursing with strong RN presence and ongoing functional support.

Contact Long Beach Nursing and Rehabilitation Center

Overview of Elderwood at Lockport

Elderwood at Lockport is an SNF that 104 Old Niagara Road Operating Company, LLC operates at 104 Old Niagara Road in Lockport, New York. It’s found in a highly walkable neighborhood with a Walk Score of 80, so it’s easy for visiting family members to navigate on foot and access nearby services. Medicare, Medicaid, and private pay are accepted to provide multiple coverage pathways. The 126-bed facility currently maintains a 79 percent occupancy rate. Averaging a stay length of 132 days, Elderwood at Lockport serves a blend of residents, including those recuperating from acute illness and those requiring longer-term skilled care.

Daily nursing support averages 3 hours 4 minutes per resident, with registered nurses providing 52 minutes of that care alongside nurse aides, LPNs, and LVNs. The community specializes in subacute rehabilitation, oncology, and palliative care, so it suits residents recovering from surgery or managing serious illness with a focus on comfort and recovery. For families needing short-term support, the home offers respite care. Daily amenities include complimentary Wi-Fi, daily housekeeping and laundry service, and lively social activities. The facility features spacious patios and a park-like backyard setting with gardens, providing occupants with outdoor space for relaxation and fresh air.

Over recent years, state inspections have noted deficiencies in areas including ADL care, infection prevention, fire and electrical safety, and nurse staffing compliance, with most issues subsequently corrected.

For families touring Elderwood at Lockport, inquiring about how it manages infection control and safety protocols is a good way to examine its current standards.

Contact Elderwood at Lockport

Overview of Highfield Gardens Care Center

Situated in Great Neck, New York, Highfield Gardens Care Center rises as a meticulously maintained facility offering top-notch rehabilitation and subacute services. With a focus on holistic care, they boast a team of dedicated therapists proficient in physical, occupational, and speech therapies. Beyond the exceptional healthcare services, Highfield Gardens takes pride in its delectable cuisine, ensuring residents enjoy not only nourishing meals but also a delightful dining experience.

Residents can engage in various recreational activities, and the availability of concierge services adds an extra layer of convenience to their daily lives. With 200 beds and participation in Medicare and Medicaid programs, Highfield Gardens Care Center provides a comfortable, supportive, and caring environment for individuals in need of rehabilitation and subacute care.

Contact Highfield Gardens Care Center

Overview of Elmhurst Care Center

Elmhurst Care Center is a dedicated nursing home in Elmhurst, NY, that focuses on skilled nursing and rehabilitation. Promoting a stress-free setting, the community ensures older adults receive the utmost care for their healthcare needs around the clock. 24-hour care, therapy services, and a nutrition program are also offered to enrich residents’ living experiences. With its commitment to residents’ holistic welfare, the community also participates in Medicaid and Medicare to ease financial burdens while ensuring high standards of care. 

Musical entertainment, games, and exciting trips accompany residents during their stay, providing them with more opportunities to learn and gain meaningful experiences. State-of-the-art rehabilitation equipment and lively gathering spaces are among the community’s top amenities that make it an ideal place for a worry-free retirement. With its ideal location near Grand Central Parkway and various public transportation options, the community is easily accessible. This nursing home is one of the trusted options for retirement in New York, especially with its high-quality services. 

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Overview of Schofield Residence Nursing Facility

Catering to Erie and Niagara counties in New York State, Schofield Residence Nursing Facility is an esteemed independent and not-for-profit senior community. This exceptional assisted living community is a beacon of quality care, encompassing short-term rehabilitation, home care, adult day health care, and skilled nursing services. With its roots tracing back to 1910, Schofield remains committed to delivering care precisely when and where it’s needed.

Nestled in the serene residential neighborhood of Kenmore, New York, Schofield Residence accommodates 120 residents in a welcoming environment. Complementing its remarkable offerings, the Home Health teams extend a wide array of comprehensive services, including private duty aides, occupational and physical therapy, and nursing assistance.

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Overview of Beacon Rehabilitation and Nursing Center

Serving residents across Queens County, Beacon Rehabilitation and Nursing Center is a skilled nursing facility in Rockaway Park, New York. The 120-bed community is owned and operated by OPOP, LLC under Miriam Kessler. It offers skilled nursing, short-term rehabilitation, memory care, wound care, and respite care, and accepts Medicare, Medicaid, and private pay.

CMS gives the facility a 4-star overall rating, about 27% above New York averages. The Health Inspection sub-rating also scores above the state benchmarks. RN staffing averages 53 minutes per resident per day, 26% above the state’s average of 42 minutes, a meaningful gap in licensed clinical oversight for a community handling higher-acuity residents.

The facility’s inspection record is more mixed. It receives an average of 13.5 deficiencies per year, 165% above New York’s average of 5.1. A March 2024 complaint investigation identified an actual-harm deficiency involving abuse and neglect, along with failures to investigate and report the incident properly. All were corrected by March 2024.

A separate February 2024 complaint investigation cited nine deficiencies involving care planning, resident rights, and life safety systems. Those findings were also corrected by spring 2024. Three enforcement actions have been in the facility’s record since 2017.

Residents have access to amenities including a courtyard and garden, private family rooms, a beauty and barber salon, and spiritual programming. Therapy, recreation, and cultural services are also available.

Beacon Rehabilitation and Nursing Center’s rehabilitation capacity, memory care unit, and long-term skilled nursing track are best suited for residents seeking a clinically supported placement in the Rockaway Park area of Queens.

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Overview of Salamanca Rehabilitation & Nursing Center

Salamanca Rehabilitation & Nursing Center operates a 120-bed nursing facility in Salamanca, New York, at 91% occupancy; 109 residents with an average stay of 170 days. The community manages both short-term rehabilitation and ongoing skilled nursing care. A physician is on staff; 24-hour nursing coverage is continuous. Rehabilitation services and respite stays are available, making it suited for older adults in transition from hospitalization or those requiring extended skilled care.

The neighborhood presents as moderately walkable (Walk Score 53). Visiting family can accomplish some errands on foot, though the surrounding area skews car-dependent. This matters for families planning frequent visits or for community integration during the stay.

State inspections have identified recurring themes touching on safety hazards, care practices, and facility maintenance. The facility’s response pattern shows prompt correction of deficiencies, with no documented trajectory of worsening or unresolved issues across the inspection window.

Payment options include Medicare, Medicaid, and private pay, the standard coverage channels for nursing facility residents. This payer mix supports the facility’s dual role in short-stay rehabilitation (typically Medicare-funded) and longer-term skilled nursing (often Medicaid or private-pay supported).

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Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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
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Frequently Asked Questions about Nursing Homes in New York State

What's the difference between assisted living and a nursing home in New York State?

Assisted living in New York State 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 State Medicaid cover nursing home care?

Yes — New York State 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 457 nursing homes in New York State. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in New York State?

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 New York State, 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 New York State?

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.