We arrange tours, appointments, and even moving support so you don’t have to
2
Ranked on Data, Not Dollars
We rank communities on objective measures like inspection records, quality scores, and care data, so you can find trusted options without the guesswork.
3
Personalized Guidance
From lifestyle matching to help with insurance and financial assistance, we make sure the community is the right fit
Explore Open Rooms
1Contact details
2What type of senior care service are you looking for?
3What budget do you have in mind for senior care?
4How soon do you need to find care?
5Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Why trust this guide?
Our editorial team analyzed 462 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.
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.
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.
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.
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 462 on this page. See how we rank facilities
Laconia Nursing Home understands that aging can come with its challenges, and they are committed to providing innovative solutions to address these hurdles. With a wide range of services, including rehabilitation, long-term care, nutritional counseling, and a hospice care program, residents can receive comprehensive care tailored to their individual needs. Their team consists of highly skilled professionals, including nurses, physicians, dietitians, recreation staff, therapists, certified assistants, psychiatrists, and psychologists, who work collaboratively to ensure residents receive the best care possible.
One of the core values of Laconia Nursing Home is its commitment to anti-discrimination, creating an inclusive and accepting environment for all residents. Choosing them means trusting a place where seniors can experience excellent care, support, and respect, regardless of their background or identity. Indeed, residents can age gracefully and live their best lives at Laconia Nursing Home.
The Hurlbut is a nursing home and skilled nursing facility in Rochester, NY, offering palliative care. Skilled nursing provides licensed nursing care for residents with ongoing medical needs, while palliative care focuses on comfort and symptom management during serious illness. Short term rehabilitation and long term care are available, supporting recovery after an illness or injury as well as ongoing nursing needs.
The home has 160 beds and staff are present around the clock. Assistance is available at any time of day or night. Total nurse staffing is 3 hours 48 minutes per resident per day, representing the daily nursing time allocated to each resident.
Medicare, Medicaid, and private pay are accepted. Medicare can help cover short term skilled care after a hospital stay, while Medicaid can support eligible residents whose resources do not cover a long stay. Private pay allows families to fund care directly. The Hurlbut may be a good fit for someone who needs short term rehabilitation or ongoing nursing care, including palliative support when comfort is a priority.
Overview of Pine Valley Center for Rehabilitation and Nursing
Pine Valley Center for Rehabilitation and Nursing occupies 661 N Main St in Spring Valley, a 160-bed facility that’s been Medicare and Medicaid certified since 1969, more than five decades of continuous operation under Pine Valley Center, LLC. Occupancy runs near capacity, 99 percent, 158 of 160 beds filled.
This is a very walkable part of Spring Valley, Walk Score of 81, and the facility takes Medicare, Medicaid, and private pay. The care model here isn’t narrow. Long-term care, short-term rehabilitation, sub-acute care, hospice, and respite services all coexist, backed by physician oversight and staff on-site around the clock.
Staffing numbers back up the range of care offered. Total nursing time runs 4 hours and 12 minutes per resident, per day, with licensed practical nurses handling 51 minutes of that. Dining includes kosher meals, a detail that matters for residents whose dietary needs come with real specificity, not just a generic accommodation.
Inspections here have tended to center on infection prevention and control and staffing and staff credentials, the kind of operational areas regulators routinely review at large skilled nursing facilities offering this breadth of care.
Pine Valley Center is a long-running, near-full facility built around real staffing depth and a genuinely broad service model, spanning long-term care through hospice, in a walkable Spring Valley location.
Meadowbrook Healthcare provides nursing home, assisted living, palliative care, and skilled nursing in Plattsburgh, New York. Nursing home and skilled nursing services support residents who need ongoing nursing supervision and daily care, while assisted living helps with tasks such as dressing, bathing, and medication management. Palliative care focuses on comfort and symptom relief, and this range of care can suit a resident whose needs change over time without requiring a move to another community.
Meadowbrook Healthcare has 287 beds. Its subacute rehabilitation and restorative therapy programs support recovery or help residents maintain daily function, while rehabilitation services make therapy available as part of care at the community. The Dietary Program addresses residents’ nutritional needs within the care setting.
Total nurse staffing is 3 hours and 5 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted, giving families payment routes for covered or privately funded care, and the community is operated by CGSR. A private dining room provides a separate space for dining, while Le Grand Room is also available among the community’s amenities. With a Walk Score of 86, the area 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.
Overview of Smithtown Center for Rehabilitation & Nursing Care
Smithtown Center for Rehabilitation & Nursing Care provides nursing home and skilled nursing care in Smithtown, NY. Skilled nursing includes licensed nursing care on site around the clock. Short term rehabilitation and long term care support residents recovering from a health event or needing ongoing nursing support.
The community has 162 beds, supporting a larger resident population with more staff and usually more programming than a smaller home. Occupancy is 99%, meaning nearly all beds are in use. Total nurse staffing is 2h 36m per resident per day, representing the nursing time allocated to each resident across a day.
Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care, depending on eligibility and coverage. Rehabilitation services and Therapeutic Recreation Services are available on site, so residents can access therapy and recreation within the care setting. Smithtown Center for Rehabilitation & Nursing Care may be a good fit for someone who needs short term rehabilitation or ongoing skilled nursing care. Smithtown Health Care Management operates the community.
Overview of Northern Metropolitan Residential Health Care Facility
Memory care, Palliative care, nursing home care, and skilled nursing are on offer by Northern Metropolitan Residential Health Care Facility, in Monsey, NY. Licensed nursing stays on duty whatever the clock says. Memory care adds supervision in a secured setting, for the point where a building somebody has lived in for years stops being navigable alone. Palliative care keeps its attention on comfort while a serious illness runs its course.
Four separate situations are answered here. Those being the need for steady nursing, dementia supervision, comfort as the priority, and a brief stay while a usual caregiver is elsewhere. Rehabilitation services plus a short-stay therapy track give somebody recovering from illness or injury a place to do that work. Respite covers the family caregiver who needs a stretch off.
Named programs run to cardiac care, pain management, and stroke care. There are 120 beds under the license. Medicare, Medicaid, and private funds all reach eligible care, or a family pays directly. A day’s nursing per resident is 3 hours and 1 minute.
Walking here rates 69 out of 100, which is nicely in the somewhat walkable range. Some errands close on foot, so a resident without a car can still reach a few nearby destinations alone.
Fort Hudson Nursing Center offers nursing home care, adult day care, home care, independent living, memory care, palliative care, and skilled nursing in Fort Edward, NY. Nursing home care provides a residential setting, while skilled nursing provides licensed nursing care around the clock for residents who need ongoing clinical support. Memory care offers a secured setting with supervision for someone at risk of wandering.
Independent living provides private living with community services and no daily care. Home care brings support to a person’s home, while adult day care provides care during daytime hours. Palliative care focuses on comfort and symptom support, making this range of services a possible fit for someone whose needs include supervised memory support or ongoing nursing.
The home has 196 beds, so residents live in a community with more residents, staff, and programming than a smaller home. Total nurse staffing is 3 hours and 35 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Rehabilitation services are available for residents working to regain or maintain function.
Individualized Care Services, Day Services, and Care Management are specific programs at Fort Hudson Nursing Center. Day Services provide structured daytime support, Care Management helps coordinate care and services, and Individualized Care Services address a resident’s particular care needs. The community accepts Medicare, Medicaid, and private pay, giving families payment routes based on the resident’s coverage or resources.
Fort Hudson Nursing Center opened in 1970. Its Walk Score is 38 out of 100, placing it in a car dependent setting where most errands require a car or a ride.
As the proud community that has blazed the trail for adult care for over 100 years, Isabella Center for Rehabilitation provides short-term and long-term services. Isabella Center boasts their proactive services and attention, ensuring that residents get the best care possible. As a partner of the Metropolitan Jewish Health System (MJHS), the rehabilitation center also offers the Isabella House that caters to independent living adults. Isabella Center for Rehabilitation is one of the safe centers for seniors looking for comprehensive additional support. Isabella Center offers a modest lifestyle in a large community that mainly provides services for nursing homes residents. The flexible community accepts insurance, so long as detailed documents are provided. As a 705-bed community, they offer private rooms for a more comfortable setting. Community programs at Isabella are centered on health and wellness– striving to meet the mental, emotional, and physical needs of each resident. They provide a list of activities and programs that residents can participate in, contributing to their vibrant stay in the community.
Elderwood at Liverpool—a respected skilled nursing care facility situated in the serene community of Liverpool, New York. With a vibrant and uplifting environment, residents can bask in the sunlight and relish the rejuvenating fresh air that this skilled nursing home offers. The home stands as a beacon of comprehensive care, delivering round-the-clock nursing services and a range of therapies, including short-term subacute physical, occupational, and speech therapy. An essential aspect of this facility is its dedicated memory care program, catering to those with dementia.
The capacity of 160 beds ensures ample space for residents. The facility’s specialist rehabilitation gym, equipped with state-of-the-art tools, highlights their commitment to comprehensive care. Purposefully designed common spaces foster connections, and conveniences like Wi-Fi and a diverse selection of social activities enrich daily life. An inviting patio, ensconced by lush gardens, further enhances the experience. Elderwood at Liverpool presents a holistic haven that extends beyond typical care, providing a welcoming and nurturing environment in which residents can thrive.
Overview of Seagate Rehabilitation and Nursing Center
Situated in the heart of Brooklyn, New York, Seagate Rehabilitation & Nursing Center presents a dedicated team of professionals that can deliver unparalleled short and long-term rehabilitative and skilled nursing services, focusing on the comprehensive well-being of residents. Families can place their trust in this reliable team, ensuring their loved ones receive the highest standard of care. With round-the-clock nursing home care, a remarkable staff-to-resident ratio, and award-winning healthcare, the facility stands out for its commitment to excellence.
Specializing in restorative care for short-term rehabilitation, they help seniors regain their optimal functional condition. Additionally, their long-term skilled nursing care provides a high-quality residential living experience, instilling a sense of ease in every resident. The facility also boasts enticing amenities, including an outdoor patio overlooking the boardwalk, ocean views, a computer lounge, and secure premises with guest parking. Cultural events, religious services, pastoral care, and more enrich the residents’ lives. Seagate Rehabilitation & Nursing Center also accepts a variety of insurances, ensuring their services are accessible to those in need.
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:3.1/ 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.
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 462 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
Need Help?
Let us help you or a loved one find the perfect senior home.
