Other senior care options in Suffolk County:

Page 3 of Best Nursing Homes in Suffolk County, NY

Why trust this guide? Our editorial team analyzed 23 nursing homes in Suffolk County, NY using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NY
Reviewed by
Last updated
Jul 2026
We analyzed
23 homes
Other senior care options in Suffolk County:

Video Tour: Top-rated Nursing Homes facilities in Suffolk County, New York State.

Watch this Video to see Suffolk County's Top-rated Senior Communities
Avg Overall CMS Rating: 3.5/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Suffolk 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: 2.7/ 5The average Staffing Rating across all CMS-certified nursing homes in Suffolk 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: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Suffolk 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.
National Average: 3.0/ 5

Compare Nursing Homes around Suffolk County

The information below is reported by the New York State Department of Health.

CMS & NY Dept. of Health data

Milford Health & Rehabilitation Center
NH
HOS
PC
RC
SNF
Milford (Morningside)
120 93.3% +11%3.35 -14%-16%$0-153.8-112- 39 Marvin Ostreicher 2012 Family Trust$19.4MFiscal year ending 09/2023$10.7MFiscal year ending 09/202355.1%Fiscal year ending 09/202375064
Massapequa Center Rehabilitation & Nursing
NH
ADC
PC
SNF
Amityville (Louden Avenue)
320
Facility 320
NY AVG 160
Rank #45 / 742
89.1%
Facility 89.1%
NY AVG 87.2
Rank #305 / 413
+2%
3.01
Facility 3.01
NY AVG 3.58
Rank #267 / 401
-14%-16%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 409
75
Facility 75
NY AVG 83
Rank #435 / 591
11
Facility 11
NY AVG 18.5
Rank #91 / 408
5.5
Facility 5.5
NY AVG 5.1
Rank #262 / 408
-285-
62
Facility 62
NY AVG 63
Rank #677 / 1169
Aharon Bleier
$58.5MFiscal year ending 12/2023
Facility $58.5MFiscal year ending 12/2023
NY AVG $32.0M
Rank #32 / 396
$28.0MFiscal year ending 12/2023
Facility $28.0MFiscal year ending 12/2023
NY AVG $10.7M
Rank #41 / 396
47.8%Fiscal year ending 12/2023
Facility 47.8%Fiscal year ending 12/2023
NY AVG 37%
Rank #245 / 396
335213
John T Mather Memorial Hospital of Port Jefferson New York Inc
NH
Port Jefferson
249
Facility 249
NY AVG 160
Rank #109 / 742
--
8.88
Facility 8.88
NY AVG 3.58
Rank #1 / 401
+7%+148%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 409
-
12
Facility 12
NY AVG 18.5
Rank #108 / 408
4.0
Facility 4.0
NY AVG 5.1
Rank #125 / 408
-13-
73
Facility 73
NY AVG 63
Rank #561 / 1169
----335853
Luxor at Mills Pond Rehabilitation & Nursing Center
NH
HOS
PC
RC
SNF
St James (Saint James)
250
Facility 250
NY AVG 160
Rank #105 / 742
91.2%
Facility 91.2%
NY AVG 87.2
Rank #268 / 413
+5%
2.83
Facility 2.83
NY AVG 3.58
Rank #317 / 401
-47%-21%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 409
77
Facility 77
NY AVG 83
Rank #395 / 591
11
Facility 11
NY AVG 18.5
Rank #91 / 408
3.7
Facility 3.7
NY AVG 5.1
Rank #108 / 408
-228-
20
Facility 20
NY AVG 63
Rank #1024 / 1169
Shaya Bernath
$42.0MFiscal year ending 12/2023
Facility $42.0MFiscal year ending 12/2023
NY AVG $32.0M
Rank #88 / 396
$15.2MFiscal year ending 12/2023
Facility $15.2MFiscal year ending 12/2023
NY AVG $10.7M
Rank #95 / 396
36%Fiscal year ending 12/2023
Facility 36%Fiscal year ending 12/2023
NY AVG 37%
Rank #216 / 396
335739
Oasis Rehabilitation and Nursing, LLC
NH
SNF
Center Moriches
100
Facility 100
NY AVG 160
Rank #501 / 742
94.0%
Facility 94.0%
NY AVG 87.2
Rank #207 / 413
+8%
2.62
Facility 2.62
NY AVG 3.58
Rank #373 / 401
+9%-27%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 409
91
Facility 91
NY AVG 83
Rank #144 / 591
8
Facility 8
NY AVG 18.5
Rank #42 / 408
2.7
Facility 2.7
NY AVG 5.1
Rank #42 / 408
-94-
57
Facility 57
NY AVG 63
Rank #723 / 1169
Brenainn Flanagan
$23.7MFiscal year ending 12/2023
Facility $23.7MFiscal year ending 12/2023
NY AVG $32.0M
Rank #224 / 396
$13.1MFiscal year ending 12/2023
Facility $13.1MFiscal year ending 12/2023
NY AVG $10.7M
Rank #220 / 396
55.3%Fiscal year ending 12/2023
Facility 55.3%Fiscal year ending 12/2023
NY AVG 37%
Rank #204 / 396
335402
Quantum Rehabilitation and Nursing LLC
NH
SNF
Middle Island
120
Facility 120
NY AVG 160
Rank #409 / 742
--
2.92
Facility 2.92
NY AVG 3.58
Rank #292 / 401
+27%-19%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 409
78
Facility 78
NY AVG 83
Rank #381 / 591
7
Facility 7
NY AVG 18.5
Rank #31 / 408
1.8
Facility 1.8
NY AVG 5.1
Rank #13 / 408
-3-
54
Facility 54
NY AVG 63
Rank #752 / 1169
Mohammud Alam
$18.8MFiscal year ending 12/2023
Facility $18.8MFiscal year ending 12/2023
NY AVG $32.0M
Rank #269 / 396
$10.7MFiscal year ending 12/2023
Facility $10.7MFiscal year ending 12/2023
NY AVG $10.7M
Rank #272 / 396
56.7%Fiscal year ending 12/2023
Facility 56.7%Fiscal year ending 12/2023
NY AVG 37%
Rank #212 / 396
335719
Acadia Center for Nursing and Rehabilitation
NH
HOS
PC
RC
SNF
Riverhead (North Fork)
181
Facility 181
NY AVG 160
Rank #265 / 742
55.8%
Facility 55.8%
NY AVG 87.2
Rank #383 / 413
-36%
3.37
Facility 3.37
NY AVG 3.58
Rank #172 / 401
-30%-6%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 409
84
Facility 84
NY AVG 83
Rank #277 / 591
10
Facility 10
NY AVG 18.5
Rank #76 / 408
3.3
Facility 3.3
NY AVG 5.1
Rank #84 / 408
-101-
35
Facility 35
NY AVG 63
Rank #906 / 1169
Mary Ann Mangels
$18.0MFiscal year ending 12/2023
Facility $18.0MFiscal year ending 12/2023
NY AVG $32.0M
Rank #274 / 396
$10.0MFiscal year ending 12/2023
Facility $10.0MFiscal year ending 12/2023
NY AVG $10.7M
Rank #284 / 396
55.6%Fiscal year ending 12/2023
Facility 55.6%Fiscal year ending 12/2023
NY AVG 37%
Rank #245 / 396
335254
Westhampton Care Center
NH
MC
PC
SNF
Westhampton (Remsenburg)
180
Facility 180
NY AVG 160
Rank #266 / 742
97.2%
Facility 97.2%
NY AVG 87.2
Rank #87 / 413
+11%
2.96
Facility 2.96
NY AVG 3.58
Rank #267 / 401
-36%-17%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 409
84
Facility 84
NY AVG 83
Rank #277 / 591
15
Facility 15
NY AVG 18.5
Rank #166 / 408
5.0
Facility 5.0
NY AVG 5.1
Rank #215 / 408
1175A+
5
Facility 5
NY AVG 63
Rank #1117 / 1169
Kelly Brady
$35.8MFiscal year ending 12/2023
Facility $35.8MFiscal year ending 12/2023
NY AVG $32.0M
Rank #147 / 396
$13.2MFiscal year ending 12/2023
Facility $13.2MFiscal year ending 12/2023
NY AVG $10.7M
Rank #218 / 396
36.9%Fiscal year ending 12/2023
Facility 36.9%Fiscal year ending 12/2023
NY AVG 37%
Rank #357 / 396
335782
Brookside Multicare Nursing Center
NH
ADC
HOS
MC
PC
SNF
Smithtown
353
Facility 353
NY AVG 160
Rank #38 / 742
86.1%
Facility 86.1%
NY AVG 87.2
Rank #331 / 413
-1%
3.92
Facility 3.92
NY AVG 3.58
Rank #95 / 401
+10%+10%
$3.1k
Facility $3.1k
NY AVG $67.6k
Rank #297 / 409
68
Facility 68
NY AVG 83
Rank #520 / 591
16
Facility 16
NY AVG 18.5
Rank #188 / 408
5.3
Facility 5.3
NY AVG 5.1
Rank #245 / 408
-304-
16
Facility 16
NY AVG 63
Rank #1046 / 1169
Emm Healthcare Group LLC
$61.3MFiscal year ending 12/2023
Facility $61.3MFiscal year ending 12/2023
NY AVG $32.0M
Rank #31 / 396
$34.1MFiscal year ending 12/2023
Facility $34.1MFiscal year ending 12/2023
NY AVG $10.7M
Rank #29 / 396
55.7%Fiscal year ending 12/2023
Facility 55.7%Fiscal year ending 12/2023
NY AVG 37%
Rank #122 / 396
335175
Maria Regina Rehabilitation and Nursing
NH
ADC
HOS
MC
PC
SNF
Brentwood
188
Facility 188
NY AVG 160
Rank #250 / 742
93.1%
Facility 93.1%
NY AVG 87.2
Rank #234 / 413
+7%
3.73
Facility 3.73
NY AVG 3.58
Rank #120 / 401
-13%+4%
$8.5k
Facility $8.5k
NY AVG $67.6k
Rank #308 / 409
90
Facility 90
NY AVG 83
Rank #165 / 591
17
Facility 17
NY AVG 18.5
Rank #203 / 408
5.7
Facility 5.7
NY AVG 5.1
Rank #268 / 408
-175-
49
Facility 49
NY AVG 63
Rank #784 / 1169
Sister Of Saint Joseph
$20.7MFiscal year ending 12/2023
Facility $20.7MFiscal year ending 12/2023
NY AVG $32.0M
Rank #172 / 396
$14.8MFiscal year ending 12/2023
Facility $14.8MFiscal year ending 12/2023
NY AVG $10.7M
Rank #189 / 396
71.5%Fiscal year ending 12/2023
Facility 71.5%Fiscal year ending 12/2023
NY AVG 37%
Rank #290 / 396
335837
St. James Rehabilitation & Healthcare Center
NH
MC
RC
SNF
St James
230
Facility 230
NY AVG 160
Rank #136 / 742
97.0%
Facility 97.0%
NY AVG 87.2
Rank #95 / 413
+11%
2.84
Facility 2.84
NY AVG 3.58
Rank #317 / 401
-18%-21%
$63.2k
Facility $63.2k
NY AVG $67.6k
Rank #371 / 409
92
Facility 92
NY AVG 83
Rank #120 / 591
9
Facility 9
NY AVG 18.5
Rank #57 / 408
3.0
Facility 3.0
NY AVG 5.1
Rank #59 / 408
1223-
66
Facility 66
NY AVG 63
Rank #642 / 1169
Tanya Kelly
$25.9MFiscal year ending 12/2023
Facility $25.9MFiscal year ending 12/2023
NY AVG $32.0M
Rank #218 / 396
$10.8MFiscal year ending 12/2023
Facility $10.8MFiscal year ending 12/2023
NY AVG $10.7M
Rank #269 / 396
41.5%Fiscal year ending 12/2023
Facility 41.5%Fiscal year ending 12/2023
NY AVG 37%
Rank #342 / 396
335312
Brookhaven Health Care Facility
NH
HOS
MC
PC
RC
SNF
East Patchogue
160
Facility 160
NY AVG 160
Rank #296 / 742
93.8%
Facility 93.8%
NY AVG 87.2
Rank #216 / 413
+8%
4.23
Facility 4.23
NY AVG 3.58
Rank #60 / 401
-24%+18%
$7.9k
Facility $7.9k
NY AVG $67.6k
Rank #304 / 409
78
Facility 78
NY AVG 83
Rank #381 / 591
14
Facility 14
NY AVG 18.5
Rank #149 / 408
4.7
Facility 4.7
NY AVG 5.1
Rank #195 / 408
1150-
12
Facility 12
NY AVG 63
Rank #1070 / 1169
Brookhaven Health Care Facility LLC (For Profit)
$32.8MFiscal year ending 12/2023
Facility $32.8MFiscal year ending 12/2023
NY AVG $32.0M
Rank #93 / 396
$16.9MFiscal year ending 12/2023
Facility $16.9MFiscal year ending 12/2023
NY AVG $10.7M
Rank #164 / 396
51.5%Fiscal year ending 12/2023
Facility 51.5%Fiscal year ending 12/2023
NY AVG 37%
Rank #355 / 396
335694
Smithtown Center for Rehabilitation & Nursing Care
NH
SNF
Smithtown
162
Facility 162
NY AVG 160
Rank #293 / 742
98.8%
Facility 98.8%
NY AVG 87.2
Rank #31 / 413
+13%
2.54
Facility 2.54
NY AVG 3.58
Rank #386 / 401
-32%-29%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 409
82
Facility 82
NY AVG 83
Rank #316 / 591
15
Facility 15
NY AVG 18.5
Rank #166 / 408
3.8
Facility 3.8
NY AVG 5.1
Rank #117 / 408
-160-
16
Facility 16
NY AVG 63
Rank #1046 / 1169
Bracha Weits
$33.8MFiscal year ending 12/2023
Facility $33.8MFiscal year ending 12/2023
NY AVG $32.0M
Rank #137 / 396
$15.6MFiscal year ending 12/2023
Facility $15.6MFiscal year ending 12/2023
NY AVG $10.7M
Rank #145 / 396
46.3%Fiscal year ending 12/2023
Facility 46.3%Fiscal year ending 12/2023
NY AVG 37%
Rank #210 / 396
335756
Ross Center for Nursing and Rehabilitation
NH
SNF
Brentwood
120
Facility 120
NY AVG 160
Rank #409 / 742
90.0%
Facility 90.0%
NY AVG 87.2
Rank #287 / 413
+3%
3.12
Facility 3.12
NY AVG 3.58
Rank #243 / 401
-33%-13%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 409
83
Facility 83
NY AVG 83
Rank #302 / 591
22
Facility 22
NY AVG 18.5
Rank #282 / 408
5.5
Facility 5.5
NY AVG 5.1
Rank #262 / 408
-108-
49
Facility 49
NY AVG 63
Rank #784 / 1169
Ssny Holdco LLC
$17.2MFiscal year ending 12/2023
Facility $17.2MFiscal year ending 12/2023
NY AVG $32.0M
Rank #299 / 396
$12.6MFiscal year ending 12/2023
Facility $12.6MFiscal year ending 12/2023
NY AVG $10.7M
Rank #199 / 396
73.6%Fiscal year ending 12/2023
Facility 73.6%Fiscal year ending 12/2023
NY AVG 37%
Rank #5 / 396
335159
Apex Rehabilitation & Care Center
NH
SNF
Huntington Station
195
Facility 195
NY AVG 160
Rank #237 / 742
93.8%
Facility 93.8%
NY AVG 87.2
Rank #216 / 413
+8%
3.22
Facility 3.22
NY AVG 3.58
Rank #208 / 401
+52%-10%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 409
77
Facility 77
NY AVG 83
Rank #395 / 591
30
Facility 30
NY AVG 18.5
Rank #360 / 408
10.0
Facility 10.0
NY AVG 5.1
Rank #395 / 408
-183-
74
Facility 74
NY AVG 63
Rank #540 / 1169
David Efroymson
$30.9MFiscal year ending 12/2023
Facility $30.9MFiscal year ending 12/2023
NY AVG $32.0M
Rank #84 / 396
$12.1MFiscal year ending 12/2023
Facility $12.1MFiscal year ending 12/2023
NY AVG $10.7M
Rank #234 / 396
39.2%Fiscal year ending 12/2023
Facility 39.2%Fiscal year ending 12/2023
NY AVG 37%
Rank #393 / 396
335067
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Nursing Home Explorer
Overview of Cold Spring Hills Center for Nursing & Rehabilitation

Cold Spring Hills Center for Nursing & Rehabilitation is a large residential community in Woodbury, NY, that offers nursing and rehabilitation. The community provides a wide range of care, including adult day care, memory care, cardiac rehabilitation, palliative care, long-term care, and hospice care. With round-the-clock care and assistance, residents enjoy the highest quality of life with their needs and preferences provided.

To keep residents from being lonely, fun recreational activities and engaging programs are also conducted, tailored to their leisure and wellness. Promoting a cozy and welcoming environment, residents can rest assured of spending their later years without worries. The community is ideal for those who need supplementary care to improve their living conditions in their golden years.

Contact Cold Spring Hills Center for Nursing & Rehabilitation

Overview of Medford Multicare Center for Living

Owned by Barry Cozier, Medford Multicare Center for Living is a nursing home in Medford, New York, in Suffolk County. The Nursing Care Center at Medford, Inc operates the large facility with 320 beds. Its current occupancy is 94%, with just over 300 residents. It accepts Medicare, Medicaid, and private pay, so families have flexible options for payment and coverage.

The home specializes in rehabilitative and post-acute care. It usually admits patients who are undergoing recovery from stroke, orthopedic surgery, or other acute episodes requiring skilled nursing support. Most stay for an average of 149 days.

The facility’s range of targeted programs includes post-stroke rehabilitation, a dedicated respiratory program, dialysis services, and medical care. With these, residents can stay for ongoing treatment without leaving the facility. Residents with cognitive decline can access dementia and Alzheimer’s care. The facility also offers palliative and hospice care for those in the final stage of illness.

Daily nurse staffing averages 2 hours and 45 minutes per resident. It’s made up of registered nurse care, nurse aide assistance, and licensed practical nurse time. The home has 24-hour staffing, so residents can receive assistance throughout the day.

Recent Inspections by the New York Department of Health found no deficiencies or citations because the facility consistently adheres to care and safety standards. It also operates The Medford Experience and Mindful Wellness at Medford, programs that support residents’ overall well-being.

Horseblock Road is a car-dependent area, with a Walk Score of 22. Visiting family members can accomplish most errands, but most trips require a vehicle. The facility’s size and range of medical services make it a full-service option in the region, especially for residents and families seeking a skilled nursing home with a strong focus on rehabilitation and specialty care programs.

Contact Medford Multicare Center for Living

Overview of Momentum at South Bay for Rehabilitation and Nursing

Momentum at South Bay for Rehabilitation and Nursing sits at 340 East Montauk Highway in East Islip, a 160-bed skilled nursing facility run by Suffolk Restorative Therapy and Nursing, LLC. Occupancy runs high here, 97 percent, with 155 of 160 beds filled. That’s about as close to full as a facility gets.

Staffing is where this place actually distinguishes itself. Total nursing care averages 3 hours and 49 minutes per resident, per day, and registered nurses alone account for 53 minutes of that. Those aren’t vague promises about “attentive care,” they’re concrete numbers that reflect real clinical depth. The area itself is car-dependent, Walk Score of 17, so getting around means getting behind the wheel.

The clinical programming backs up that staffing investment. Diabetes Management and Education, Amputee Rehabilitation, and a 30-Day Medicare track are all named, structured programs, not generic service categories. Cardiology and vascular monitoring, wound care, and post-COVID-19 rehabilitation round out the specialized care lineup. Outside the clinical side, there are gardens, a bakery, and a gym, small things, but they matter for daily quality of life.

Inspections here have tended to focus on infection prevention and control and care planning and documentation, the kind of operational areas regulators routinely review at facilities handling complex medical cases.

What this shows is a skilled nursing facility built for residents who need real clinical intensity: strong staffing numbers, named specialty programs, and a structure clearly calibrated for more complicated medical needs than a typical long-term care setting.

Contact Momentum at South Bay for Rehabilitation and Nursing

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 Suffolk 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 23 nursing homes in Suffolk County, NY. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Suffolk 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 Suffolk 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 Suffolk 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.