Best Nursing Homes in Ulster County, NY

Why trust this guide? Our editorial team analyzed 3 nursing homes in Ulster County, NY using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NY
Reviewed by
Last updated
Jun 2026
We analyzed These are the facilities in Ulster County, NY our team has analyzed — not a count of every nursing home provider in Ulster County, NY.
3 homes
Other senior care options in Ulster County:

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

Watch this Video to see Ulster County's Top-rated Senior Communities
Avg Overall CMS Rating: 2.7/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Ulster 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: 3.7/ 5The average Staffing Rating across all CMS-certified nursing homes in Ulster 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: 2.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Ulster 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 Ulster County

Info below is compiled from CMS reports & the NY State Dept. of Health (NYSDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (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. PC (Palliative Care):
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. See the benchmark below for the typical New York score; higher is better. This is a proprietary Assisted Living Magazine score.
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 D or higher — meaning actual harm occurred or residents were placed in immediate jeopardy. Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New York average is: 55.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Woodland Pond at New Paltz
NH
AL
IL
MC
RC
SNF
New Paltz
40
Facility 40
NY AVG 160
Rank #693 / 737
90.0%
Facility 90.0%
NY AVG 87.2
Rank #283 / 408
+3%
5.74
Facility 5.74
NY AVG 3.58
Rank #4 / 389
-2%+60%
$13.1k
Facility $13.1k
NY AVG $67.6k
Rank #324 / 397
92
Facility 92
NY AVG 83
Rank #147 / 616
10
Facility 10
NY AVG 18.5
Rank #75 / 396
5.0
Facility 5.0
NY AVG 5.1
Rank #210 / 396
-36-
89
Facility 89
NY AVG 64
Rank #285 / 1,149
Michelle Gramoglia
$3.9MFiscal year ending 12/2023
Facility $3.9MFiscal year ending 12/2023
NY AVG $29.2M
Rank #378 / 382
$13.7MFiscal year ending 12/2023
Facility $13.7MFiscal year ending 12/2023
NY AVG $15.4M
Rank #176 / 382
349%Fiscal year ending 12/2023
Facility 349%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #2 / 381
335858
Ten Broeck Center for Rehabilitation & Nursing
NH
MC
PC
SNF
Lake Katrine (Town Of Ulster)
258
Facility 258
NY AVG 160
Rank #98 / 737
94.2%
Facility 94.2%
NY AVG 87.2
Rank #196 / 408
+8%
2.74
Facility 2.74
NY AVG 3.58
Rank #335 / 389
-4%-24%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 397
95
Facility 95
NY AVG 83
Rank #95 / 616
19
Facility 19
NY AVG 18.5
Rank #229 / 396
4.8
Facility 4.8
NY AVG 5.1
Rank #200 / 396
-243-
45
Facility 45
NY AVG 64
Rank #823 / 1,149
Kingston Nh Holding LLC
$41.3MFiscal year ending 12/2023
Facility $41.3MFiscal year ending 12/2023
NY AVG $29.2M
Rank #79 / 382
$18.4MFiscal year ending 12/2023
Facility $18.4MFiscal year ending 12/2023
NY AVG $15.4M
Rank #92 / 382
44.5%Fiscal year ending 12/2023
Facility 44.5%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #276 / 381
335765
Northeast Center for Rehabilitation and Brain Injury
NH
SNF
Lake Katrine (Town Of Ulster)
280
Facility 280
NY AVG 160
Rank #75 / 737
100.0%
Facility 100.0%
NY AVG 87.2
Rank #1 / 408
+15%
3.65
Facility 3.65
NY AVG 3.58
Rank #128 / 389
-31%+2%
$25.4k
Facility $25.4k
NY AVG $67.6k
Rank #335 / 397
78
Facility 78
NY AVG 83
Rank #434 / 616
41
Facility 41
NY AVG 18.5
Rank #381 / 396
5.9
Facility 5.9
NY AVG 5.1
Rank #275 / 396
1280-
45
Facility 45
NY AVG 64
Rank #823 / 1,149
Seth Rinn
$34.6MFiscal year ending 12/2023
Facility $34.6MFiscal year ending 12/2023
NY AVG $29.2M
Rank #108 / 382
$19.6MFiscal year ending 12/2023
Facility $19.6MFiscal year ending 12/2023
NY AVG $15.4M
Rank #82 / 382
56.7%Fiscal year ending 12/2023
Facility 56.7%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #137 / 381
335845

Rank badges are statewide: each community is ranked against every NY community we track that reports that metric, not just the 3 analyzed for Ulster County.

Overview of Woodland Pond at New Paltz

Located in Ulster County, Woodland Pond at New Paltz is a skilled nursing home owned by Michelle Gramoglia and operated by Woodland Pond, Inc. The 40-bed community is in New Paltz, a college town with a walkable downtown, scoring 89 out of 100 for walkability. That accessibility makes it convenient for family and visitors, who will find most errands and local services easily within walking distance.

The home accepts Medicare, Medicaid, and private pay, giving families several ways to cover the cost of care. Residents usually stay an average of 122 days, including post-acute rehabilitation residents and those in ongoing skilled nursing. At 90% occupancy, the home is nearly full with 36 residents.

Woodland Pond focuses on rehabilitation and respite care, so it’s a practical choice for those recovering from surgery, illness, or hospitalization. Total nurse staffing averages 5 hours and 44 minutes per resident each day. That level of staffing includes registered nurses, nursing aides, and licensed practical nurses, distributed throughout the day. They work together to provide consistent hands-on support and oversight.

State inspections conducted by the New York Department of Health over the past six years found no citations, enforcement actions, or substantiated complaints. The facility’s clean inspection record means it consistently complies with regulatory requirements and pays attention to resident care and operational standards.

Residents’ dining options extend beyond usual nursing home meals. It features gourmet dining, casual bistro selections, and private options.

The facility’s strong clinical staffing, clean regulatory record, and welcoming neighborhood setting make Woodland Pond a great option for families seeking skilled nursing care in the Hudson Valley.

Contact Woodland Pond at New Paltz

Overview of Ten Broeck Center for Rehabilitation & Nursing

Operated by Kingston NH Operation LLC and owned by Kingston NH Holding LLC, Ten Broeck Center for Rehabilitation & Nursing is a skilled nursing home in New York. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover both short-term rehabilitation and longer-term nursing care. With a 94% occupancy rate and an average length of stay of 127 days, the 258-bed home serves a mix of post-acute rehabilitation residents and those needing ongoing skilled care.

Rehabilitation is a major focus of the center. Dedicated orthopedic and neurological rehabilitation programs support residents recovering from surgery, injury, or stroke. The average nurse staffing is 2 hours and 44 minutes per day per resident, consisting of 30 minutes of registered nurse care, 1 hour and 52 minutes of nurse aide support, and 30 minutes of licensed practical or vocational nurse care. This staffing pattern provides consistent hands-on support throughout the day.

Beyond traditional nursing and rehabilitation services, the facility offers complementary and alternative medicine programs. An intergenerational program encourages connections between residents and younger generations.

The neighborhood has a Walk Score of 45, meaning that it is somewhat walkable. Some errands can be accomplished on foot, but most require a car.

Recent inspections by the New York Department of Health have found deficiencies in fire safety, life safety code compliance, and quality of care measures. The facility has taken corrective action on a number of issues, but recurring findings show these areas still need close attention. Families interested in the home should inquire about safety practices, quality standards, and ongoing improvement efforts during a tour.

Contact Ten Broeck Center for Rehabilitation & Nursing

Overview of Northeast Center for Rehabilitation and Brain Injury

Northeast Center for Rehabilitation and Brain Injury is a nursing home located in Lake Katrine, an area of Ulster County, New York. NCRNC, LLC operates the 280-bed facility under the ownership of Seth Rinn. It provides rehabilitation and specialized care for residents with brain injuries and neurological conditions. Families can choose from Medicare, Medicaid, and private pay to access care.

The center provides short-term rehabilitation and longer-term skilled nursing care. It specifically focuses on brain injury recovery, with a dedicated neurobehavioral program and services like ventilator weaning. Care plans are tailored to each resident’s recovery goals and circumstances. Staffing is available 24 hours a day to provide continuous support for residents undergoing brain injury rehabilitation.

Daily nurse staffing averages 3 hours and 39 minutes per resident. Registered nurses provide 40 minutes, nurse aides contribute 2 hours and 13 minutes, and licensed practical nurses provide another 40 minutes. This level of hands-on support shows the intensity of care provided.

The facility is currently at full occupancy, and residents stay an average of 180 days. This longer average of stay is due to the ithe intensive rehabilitation journey many undergo before returning home or transitioning to lower levels of care.

The home’s inspection records are clean, with no deficiencies, citations, or substantiated complaints over the data period. The facility’s location in a somewhat walkable area means some errands can be done on foot, but most trips require transportation.

Contact Northeast Center for Rehabilitation and Brain Injury

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

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
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  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Memory care specialists
  • Finding and ranking the best independent living communities

Frequently Asked Questions about Nursing Homes in Ulster 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 3 nursing homes in Ulster County, NY. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

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