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Why trust this guide?
Our editorial team analyzed 521 nursing homes in NY using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NY
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.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
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.
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: 55.5% 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.
$14.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$7.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
54.3%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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 521 on this page. See how we rank facilities
Mount Sinai South Nassau is a nursing home in Oceanside, NY. Nursing home care includes ongoing nursing oversight and help with daily care, making the home a possible fit for a loved one who needs continuing support. There are 455 beds, so this is a large setting with more residents, staff and usually more programming than a small community.
Total nurse staffing is 5 hours and 21 minutes per resident each day. That figure represents the daily hands on nursing time associated with each resident. Staff are available throughout the day and night, providing round the clock coverage.
Rehabilitation services allow therapy to be part of a resident’s care at the facility. A hospital eldercare program and animal assisted therapy are also available, giving residents access to those additional forms of support. Religious services provide opportunities for worship or spiritual support.
Mount Sinai South Nassau accepts residents who need this level of care in an acute care, not for profit teaching hospital setting.
Overview of Absolut Center for Nursing and Rehabilitation at Three Rivers
Absolut Center for Nursing and Rehabilitation at Three Rivers is a nursing home in Painted Post, NY, offering skilled nursing, short-term rehabilitation, and respite care. Around-the-clock staffing supports residents who need ongoing care, while short-term rehabilitation provides a setting for recovery before returning home or moving to another level of care. Respite care offers a short stay when a usual caregiver needs time away to travel or recover, so the community may be a good fit for families needing either ongoing nursing support or temporary care.
The home has 120 beds and provides 3h 52m of total nurse staffing per resident per day. This represents the daily hands-on nurse time allocated to each resident. Rehabilitation services, dialysis, blood transfusion services, cardiac care, chronic disease management, bariatric care, and hospice and palliative care are available for residents with these documented medical needs.
A seven-days-a-week activities department serves all units, including evenings, weekends, and holidays, so organized activities are scheduled beyond standard weekdays. Medicare, Medicaid, and private pay are accepted: Medicare applies to short-term skilled care after a hospital stay, Medicaid offers a payment route for a qualifying resident whose savings may not cover a long stay, and private pay allows a family to cover charges directly. Sara Constable, LNHA, is the director, and the community is operated by Absolut Center for Nursing & Rehabilitation at Three Rivers.
Overview of Tupper Lake Center for Nursing and Rehabilitation
Tupper Lake Center for Nursing and Rehabilitation is a nursing home in Tupper Lake, NY, offering skilled nursing care. Licensed nursing care is available on site around the clock, while postacute rehabilitation supports recovery after a hospital stay, so the center may be a good fit for someone who needs ongoing nursing care or rehabilitation.
The home has 60 beds. An 88% occupancy rate means most beds are in use, and availability can change. Total nurse staffing is 5 hours and 29 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.
Rehabilitation services include physical, occupational and speech therapy, allowing residents to receive these therapies as part of their care at the center. A salon and barber service provides personal grooming services on site. Tupper Lake Center operates the community.
Situated in So Setauket, NY, Jefferson’s Ferry offers nursing home, assisted living, independent living, memory care, and skilled nursing. The community provides continuous clinical support through nursing services. Specialized care is also provided for those living with memory-related conditions in a supervised environment.
The community has 60 beds, with a current occupancy of 88.3%. Rehabilitation services also provide recovery-focused care to help improve residents’ ability to function. Payment options include Medicare, Medicaid, and private pay.
Total nurse staffing is 4 hours and 59 minutes per resident per day, representing the daily nursing time allocated to each resident. The community also allows pets, so residents can bring a small animal companion.
Sapphire Nursing and Rehab at Goshen is a nursing home and Adult Day Care community in Goshen, NY. Nursing home services include help with daily activities, personal care, medication supervision, and mobility support, so residents can receive assistance with routine needs while remaining in a care setting. Adult Day Health Care offers daytime health services for people who do not use nursing home care as their primary setting.
The community has 120 beds, with two bedroom apartments and shared rooms available. A two bedroom apartment can suit residents moving in with a companion, while a shared room means living with another resident. Rehabilitation and short term rehabilitation support recovery, including care after a hospital stay. Respite care provides a temporary stay when a usual caregiver needs time away.
Medicare, Medicaid, and private pay are accepted. Medicare can help cover short term skilled care after a qualifying hospital stay, Medicaid can assist eligible residents with longer term nursing home costs, and private pay allows a family to pay directly. Total nurse staffing is 3h 7m per resident/day, representing the daily hands on nursing time allocated per resident.
Baseline Services is another named program, and transportation is available. Sapphire Nursing and Rehab at Goshen is operated by Goshen Operations. Its combination of nursing home care, rehabilitation, respite care, and Adult Day Care may suit a resident whose needs range from temporary recovery support to ongoing daily assistance.
Chapin Home for the Aging is a nursing home in Jamaica, NY, with skilled nursing care available around the clock. That level of support can suit a resident who needs ongoing clinical care rather than help with daily tasks alone. The home has 220 beds, so more residents and staff are part of the community, and its size usually supports more programming.
Occupancy is 90%, meaning most beds are in use. Medicare, Medicaid and private pay are accepted, giving families several listed ways to cover care. Total nurse staffing is 2 hours and 56 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Chapin Home for the Aging may be a good fit for someone who needs 24-hour skilled nursing care in a nursing home setting.
The Maplewood Nursing Home is a nursing home in Webster, NY, providing ongoing nursing oversight and help with health needs in a residential setting. Private rooms give residents a personal living space, so the home may be a good fit for someone who needs ongoing nursing care and prefers a private room.
The home has 72 beds and accepts Medicare, Medicaid, and private pay, giving families several listed ways to cover care. Total nurse staffing is 6 hours 49 minutes per resident per day, representing the daily nursing time allocated to each resident. Private suites include private bathrooms, while living room lounges provide shared areas within the community. Restaurant style dining is available through multiple dining venues, with in room dining, vegetarian options, gluten free options, and an on site bistro or café; a full service bar offers beers, wines, and spirits.
Penfield Place is a nursing home in Penfield, NY, with 48 beds. Nursing home care provides nursing oversight and assistance with daily care needs, while the smaller community may suit someone who prefers an environment where staff and residents can get to know one another.
Medicare, Medicaid, and private pay are accepted. Medicare can apply to short term skilled care after a hospital stay, Medicaid can matter when savings do not cover a long stay, and private pay allows a family to pay directly.
Private rooms give each resident an individual sleeping space rather than a shared room. A wheelchair accessible bus supports trips for residents who use wheelchairs, while beauty shop and barber services provide grooming within the community.
Slate Valley Center is a nursing home in Granville, New York, offering short term rehabilitation and long term nursing care. Short term rehabilitation can support a resident recovering after an illness or injury, while long term nursing care serves someone who needs ongoing clinical support. The combination may suit a resident whose needs range from temporary rehabilitation to continuing nursing care.
The home has 88 beds, providing nursing home care within a community of that size. Medicare, Medicaid and private pay are accepted, giving families several listed ways to cover care. Total nurse staffing is 2 hours and 50 minutes per resident per day, representing the daily hands on nursing time assigned per resident. Slate Valley Center is operated by CLR Granville. Residents may have pets, and the community has gardens, gardening activities, music entertainment and outside trips, giving residents opportunities for outdoor time, interest based activities and outings.
Father Baker Manor is a nursing home in Orchard Park, NY, with on-site nursing care for residents who need ongoing medical support and help with daily needs. The community has 160 beds, giving families a clear sense of its residential capacity, and Catholic Health System operates the home. Nurse staffing totals 4 hours and 25 minutes per resident each day, representing the daily hands-on nursing time assigned to each resident.
Several payment options are available. Medicare, Medicaid, and private pay are accepted, giving families different ways to consider covering a nursing home stay. Residents can join shopping trips, entertainment outings, seasonal and holiday celebrations, and a morning exercise program, while Catholic religious services provide an on-site option for those who participate in that tradition. Father Baker Manor may be a good fit for someone whose needs require ongoing nursing support and daily assistance, including a resident whose care needs are too complex for settings without on-site nursing care.
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:3.0/ 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:2.8/ 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:2.7/ 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.
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 521 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.
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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