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Best Nursing Homes in Syracuse, NY

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 8 homes in Syracuse, NY

Sources: CMS Centers for Medicare and Medicaid Services, and New York State Department of Health, Office of Aging and Long Term Care.

Explore home photos

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

Watch this Video to see Syracuse's Top-rated Senior Communities

Compare Nursing Homes around Syracuse (Metro Area)

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

8 facilities compared · CMS & NY Dept. of Health data · Updated May 2026

Click column headers to sort
The Nottingham
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Jamesville (Nottingham Road)
64
88.7%
Facility 88.7%
NY AVG 88.3%
Rank #218 / 348
0%
3.50
Facility 3.50
NY AVG 3.58
Rank #144 / 347
-18% -2%
0
Facility 0
NY AVG 0.7
8
Facility 8
NY AVG 18.5
Rank #39 / 353
2.7
Facility 2.7
NY AVG 5.1
Rank #37 / 353
-
Facility -
NY AVG 0.4
38 -
0
Facility 0
NY AVG 61
Kevin Bryans
$8.3M
Facility $8.3M
NY AVG $32.0M
Rank #333 / 344
$2.9M
Facility $2.9M
NY AVG $10.7M
Rank #335 / 344
34.9%
Facility 34.9%
NY AVG 37%
Rank #149 / 343
335800
Elderwood at Liverpool
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Liverpool (Bear Road)
160
91.0%
Facility 91.0%
NY AVG 88.3%
Rank #185 / 348
+3%
3.21
Facility 3.21
NY AVG 3.58
Rank #190 / 347
-27% -10%
1
Facility 1
NY AVG 0.7
11
Facility 11
NY AVG 18.5
Rank #83 / 353
3.7
Facility 3.7
NY AVG 5.1
Rank #97 / 353
-
Facility -
NY AVG 0.4
154 A
20
Facility 20
NY AVG 61
Rank #98 / 116
Cherlyn Deleonabreu
$29.7M
Facility $29.7M
NY AVG $32.0M
Rank #172 / 344
$11.7M
Facility $11.7M
NY AVG $10.7M
Rank #130 / 344
39.3%
Facility 39.3%
NY AVG 37%
Rank #99 / 343
335678
St. Camillus Residential Health Care Facility
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Syracuse (Fay Road)
284
7.0%
Facility 7.0%
NY AVG 88.3%
Rank #348 / 348
-92%
3.47
Facility 3.47
NY AVG 3.58
Rank #144 / 347
-47% -3%
1
Facility 1
NY AVG 0.7
18
Facility 18
NY AVG 18.5
Rank #191 / 353
6.0
Facility 6.0
NY AVG 5.1
Rank #249 / 353
-
Facility -
NY AVG 0.4
20 -
18
Facility 18
NY AVG 61
Rank #100 / 116
Tracy Balduzzi
$58.9M
Facility $58.9M
NY AVG $32.0M
Rank #49 / 344
$18.3M
Facility $18.3M
NY AVG $10.7M
Rank #48 / 344
31%
Facility 31%
NY AVG 37%
Rank #194 / 343
335283
Loretto Health and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Syracuse (Valley)
583
83.7%
Facility 83.7%
NY AVG 88.3%
Rank #260 / 348
-5%
3.38
Facility 3.38
NY AVG 3.58
Rank #161 / 347
-34% -6%
0
Facility 0
NY AVG 0.7
40
Facility 40
NY AVG 18.5
Rank #337 / 353
10.0
Facility 10.0
NY AVG 5.1
Rank #340 / 353
-
Facility -
NY AVG 0.4
537 -
48
Facility 48
NY AVG 61
Rank #76 / 116
John Brennan
$124.9M
Facility $124.9M
NY AVG $32.0M
Rank #6 / 344
$31.8M
Facility $31.8M
NY AVG $10.7M
Rank #16 / 344
25.5%
Facility 25.5%
NY AVG 37%
Rank #252 / 343
335136
Menorah Park of Central New York
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Syracuse (Eastside)
132
89.2%
Facility 89.2%
NY AVG 88.3%
Rank #215 / 348
+1%
3.43
Facility 3.43
NY AVG 3.58
Rank #161 / 347
-44% -4%
3
Facility 3
NY AVG 0.7
47
Facility 47
NY AVG 18.5
Rank #346 / 353
11.8
Facility 11.8
NY AVG 5.1
Rank #346 / 353
2
Facility 2
NY AVG 0.4
115 -
48
Facility 48
NY AVG 61
Rank #76 / 116
Mary Ellen Bloodgood
$27.1M
Facility $27.1M
NY AVG $32.0M
Rank #199 / 344
$9.6M
Facility $9.6M
NY AVG $10.7M
Rank #167 / 344
35.3%
Facility 35.3%
NY AVG 37%
Rank #119 / 343
335190
Central Park Rehabilitation and Nursing Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Syracuse (Southside)
160
97.1%
Facility 97.1%
NY AVG 88.3%
Rank #21 / 348
+10%
4.62
Facility 4.62
NY AVG 3.58
Rank #28 / 347
-35% +29%
0
Facility 0
NY AVG 0.7
42
Facility 42
NY AVG 18.5
Rank #341 / 353
7.0
Facility 7.0
NY AVG 5.1
Rank #289 / 353
1
Facility 1
NY AVG 0.4
162 -
60
Facility 60
NY AVG 61
Rank #68 / 116
Lawrence Koenig
$30.4M
Facility $30.4M
NY AVG $32.0M
Rank #163 / 344
$8.7M
Facility $8.7M
NY AVG $10.7M
Rank #189 / 344
28.7%
Facility 28.7%
NY AVG 37%
Rank #234 / 343
335253
Van Duyn Center for Rehabilitation and Nursing
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Syracuse (West Seneca Turnpike)
513
69.8%
Facility 69.8%
NY AVG 88.3%
Rank #316 / 348
-21%
4.77
Facility 4.77
NY AVG 3.58
Rank #20 / 347
- -48% +33%
4
Facility 4
NY AVG 0.7
65
Facility 65
NY AVG 18.5
Rank #350 / 353
8.1
Facility 8.1
NY AVG 5.1
Rank #321 / 353
7
Facility 7
NY AVG 0.4
358 A+
8
Facility 8
NY AVG 61
Rank #108 / 116
Jack Augenstein
$71.7M
Facility $71.7M
NY AVG $32.0M
Rank #27 / 344
$18.8M
Facility $18.8M
NY AVG $10.7M
Rank #44 / 344
26.2%
Facility 26.2%
NY AVG 37%
Rank #276 / 343
335184
Bishop Rehabilitation & Nursing Center -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Syracuse (Northside)
440
56.4%
Facility 56.4%
NY AVG 88.3%
Rank #332 / 348
-36%
4.72
Facility 4.72
NY AVG 3.58
Rank #23 / 347
- - - -45% +32%
3
Facility 3
NY AVG 0.7
68
Facility 68
NY AVG 18.5
Rank #351 / 353
7.6
Facility 7.6
NY AVG 5.1
Rank #304 / 353
14
Facility 14
NY AVG 0.4
215 -
75
Facility 75
NY AVG 61
Rank #53 / 116
Margaret Wagner
$36.9M
Facility $36.9M
NY AVG $32.0M
Rank #121 / 344
$12.6M
Facility $12.6M
NY AVG $10.7M
Rank #107 / 344
34.1%
Facility 34.1%
NY AVG 37%
Rank #166 / 343
335338

The Nottingham

1301 Nottingham Rd, Jamesville, NY 13078
Overview of The Nottingham

The Nottingham is a retirement community in Jamesville, NY, that offers comprehensive care options, including independent living, assisted living, memory care, and skilled nursing. Here, older adults are well-cared for, accompanied by a supportive and welcoming environment. Excellent services, including housekeeping, nutritious meals, and 24-hour assistance, are also provided to improve residents’ living experiences. Dedicated to understanding residents’ unique needs and habits, the community provides customized care plans.

Indoor games, light exercises, and a variety of recreational opportunities ensure residents can stay active. An indoor pool, a coffee lounge, and the Clubhouse are among the state-of-the-art amenities available, so residents can rest and create meaningful moments with friends. Surrounded by trees and green spaces in Jamesville, the community guarantees a laid-back lifestyle. As one of the trusted options for senior living in New York, this retirement community ensures older adults can live to their potential in retirement.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: Two-story

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Transportation Services

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Fitness and Recreation

Contact The Nottingham

Overview of Elderwood at Liverpool

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.

Contact Elderwood at Liverpool

Overview of St. Camillus Residential Health Care Facility

St. Camillus Residential Health Care Facility is a remarkable community dedicated to senior living services. Situated in Syracuse, New York, this center holds the distinction of being both Medicaid and Medicare certified, reflecting its commitment to comprehensive care that aligns with nursing homes around me. The home not only focuses on care, but also empowers residents to reach their highest potential while preserving their cherished independence.

With an impressive capacity of 284 beds, this not-for-profit establishment, under church ownership, provides a nurturing environment that prioritizes resident well-being. As you explore options, it’s worth noting that St. Camillus offers a holistic experience that transcends nursing home cost, embracing the values of compassion, support, and a pathway to vibrant and fulfilling senior living—a haven where you or your loved ones can thrive with the utmost care and attention.

What does this home offer?

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Total Residents: 284

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Building Type: 3-story

Contact St. Camillus Residential Health Care Facility

Overview of Loretto Health and Rehabilitation Center

Loretto Health and Rehabilitation Center in Syracuse, New York is a comprehensive establishment that encompasses a memory care facility, short-term rehabilitation, and skilled nursing services. With a strong commitment to resident well-being, this center provides a haven where families can find assurance in the care their loved ones receive. Residents can expect private or semi-private air-conditioned rooms equipped with modern amenities like free Wi-Fi and cable TV.

Housekeeping ensures a comfortable living environment, while an array of engaging recreational activities is offered. Spiritual care is supported by an on-site chapel, and the inclusion of a salon and barbershop enhances the overall experience. As a testament to its dedication, the center offers specialized services, including podiatry, psychiatry, palliative care, and diabetes management. Moreover, the Loretto Health and Rehabilitation Center addresses the needs of those requiring nursing homes with memory care. These offerings align seamlessly with nursing home requirements, providing residents with tailored care in a nurturing environment that supports both recovery and quality of life.

What does this home offer?

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Total Residents: 583

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Housing Options: Private / Semi-Private Rooms

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Building Type: High-rise

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Transportation Services

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Fitness and Recreation

Contact Loretto Health and Rehabilitation Center

Overview of Menorah Park of Central New York

Step into Menorah Park of Central New York, situated in Syracuse, where a legacy dating back to 1912 speaks to their unwavering dedication in providing exceptional nursing home services to seniors in the Central New York community. This haven is a testament to their commitment to ensuring the best possible care for each resident.

Among their comprehensive offerings, nursing home physical therapy plays a pivotal role, supported by occupational, speech and language therapists, as well as skilled nursing professionals. This multifaceted expertise makes Menorah Park a sought-after destination for various needs, including post-surgery rehabilitation, stroke care, and long-term support. In addition to offering free Wi-Fi for connectivity, the facility enhances residents’ well-being with a range of services, from a beauty and barbershop to delicious meals adhering to strict kosher guidelines. By integrating an on-site stamp purchase and outgoing mail service, Menorah Park of Central New York creates an environment that values individualized attention.

What does this home offer?

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Housing Options: Studio / 1 Bed

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Building Type: 3-story

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Fitness and Recreation

Contact Menorah Park of Central New York

Overview of Central Park Rehabilitation and Nursing Center

Central Park Rehabilitation and Nursing Center is a vibrant community that becomes a true home away from home. Nestled in Syracuse, New York, this center offers a range of services including adult daycare programs, palliative care, rehabilitation services, short-term rehabilitation, transitional care, skilled nursing, and long-term care. At Central Park, simplicity and authenticity shine through, creating a home-like atmosphere where residents find comfort.

With 10-foot ceilings and ample windows, the spaces are flooded with natural light, and the residents are encouraged to personalize their living quarters to their liking. The center’s strategic location near local hospitals, Syracuse University, and major highways adds to its convenience. Central Park stands as a well-lit and secure facility, boasting spacious living floor plans that foster socialization and enjoyment.

What does this home offer?

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Total Residents: 160

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Building Type: Mid-rise

Contact Central Park Rehabilitation and Nursing Center

Overview of Van Duyn Center for Rehabilitation and Nursing

Van Duyn Center for Rehabilitation and Nursing is a recognized name among the best care nursing homes, situated in Syracuse, New York. As a certified skilled nursing facility, their steadfast commitment to care is evident. The center serves those requiring short-term rehab or long-term care, providing top-tier medical nursing services that streamline the journey to recovery.

Within this establishment, you’ll find thoughtfully furnished accommodations, embodying an impressive sense of style. Residents can add their personal touch, with the option to bring their own furnishings and decorations, making it their own. Private bathrooms, cable TV, local phone service, and a suite of amenities enhance the living experience. Culinary excellence shines through with chef-prepared nutritious meals, complementing the spectrum of recreation and therapy offerings. Alongside these offerings, the center provides essential services such as housekeeping, laundry, Wi-Fi, access to a resident library, beautician services, and even nutritional counseling. The reputation of the Van Duyn Center for Rehabilitation and Nursing is further reinforced by positive nursing home reviews, showcasing its dedication to enriching lives and setting a high standard of care.

What does this home offer?

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Total Residents: 513

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Housing Options: Private / Semi-Private Rooms

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Building Type: Mid-rise

Contact Van Duyn Center for Rehabilitation and Nursing

Overview of Bishop Rehabilitation & Nursing Center

Bishop Rehabilitation & Nursing Center in Syracuse is a community dedicated to embracing the journey of graceful aging. This center boasts cutting-edge rehabilitation technology and a team of highly skilled therapists, ensuring residents receive top-notch nursing home care that caters to their holistic growth. Committed to providing a nurturing environment, Bishop Rehabilitation & Nursing Center thrives with a devoted care staff, including hands-on caregivers and clinical specialists, all aligned with stringent nursing home qualifications.

The integration of the latest EMR and charting technologies reflects the center’s dedication to state-of-the-art solutions. Comfortable accommodations and refined amenities complement residents’ quality of life. Security and limited phone service create a tranquil setting, and private rooms equipped with TV and Wi-Fi offer both privacy and connectivity. Dining takes on a new dimension, offering stylish and comfortable settings. Transportation services and beautician services contribute to the comprehensive nursing home care offered by Bishop Rehabilitation & Nursing Center, making it a distinguished destination where residents can age gracefully while benefiting from the highest standards of care and comfort.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: Mid-rise

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Transportation Services

Contact Bishop Rehabilitation & Nursing Center

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
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Frequently Asked Questions about Nursing Homes in Syracuse, 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 8 nursing homes in Syracuse, NY. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Syracuse, 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 Syracuse, 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 Syracuse, 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.