Best Nursing Homes in Westchester County, NY

Rosary Hill Home is a 54-bed nursing home in Hawthorne, NY, that offers a wide range of skilled nursing services and palliative care. Operated by the Dominican Sisters of Hawthorne, the community continuously fosters a home-like atmosphere for older adults’ comfort, especially those with a diagnosis of incurable cancer. Specialized diets, regular physician visits, and 24-hour support are among the exceptional services provided to improve residents’ quality of life. The community focuses on residents’ holistic well-being to ease their discomfort and pain.

Therapeutic recreation also allows residents to interact with friends and gain meaningful experiences. Medical equipment and barber and beautician services are also provided for residents’ wellness. Surrounded by lush trees in the quiet residential area of Hawthorne, the community ensures a stress-free living. This nursing home strives to help older adults age gracefully in their later years, making it one of the best options for senior care in New York.

Overview of The Osborn

The Osborn occupies a unique position in the Westchester County senior care landscape. Established in 1892, operating from its 56-acre campus since 1908, it is the region’s sole CCRC; a nonprofit infrastructure that distinguishes it fundamentally from typical for-profit nursing facilities. In 2025, both U.S. News & World Report and Newsweek recognized it as one of the country’s highest-performing senior communities.

The nursing data underscores resource allocation: 4 hours 1 minute of care per resident per day places this facility materially above state and national norms. RNs, LPNs, and aides all exceed their respective state averages. The PT allocation is remarkable: 26 minutes daily against a state average of 7 minutes, a 271 percent differential. Short-stay residents return home successfully at 72.2 percent, with 73 percent achieving or exceeding expected self-care ability at discharge.

Long-stay resident outcomes in hospitalization prevention are striking: 1.10 hospitalizations per 1,000 resident-days, 36 percent better than state average. Emergency department visits run 54 percent below state baseline.

There have been eight inspections since 2022 and eight resulted in citations; a 100 percent citation rate. Each inspection averages 2.3 citations, 64 percent higher than the state mean. The February 2025 complaint investigation identified multiple Level 2 deficiencies in health and life safety domains, including care planning, notification procedures, respiratory care protocols, and facility safety systems.

The deficiency categories: care planning documentation, notification procedures, safety system maintenance, pressure ulcer protocols, cluster in the administrative and systems domain rather than direct care failures. The facility’s responsiveness (February deficiencies corrected by April 20) and the absence of substantiated complaints in investigations suggest that citations reflect execution gaps in procedural compliance and documentation requirements rather than resident harm.

For prospective residents or families, The Osborn presents a facility with demonstrated clinical competency, resident satisfaction, strong outcomes for post-acute rehabilitation, and excellent long-stay stability and safety.

The inspection citation pattern warrants discussion with administration regarding ongoing corrective action status, particularly in care planning and safety documentation, to understand whether citation patterns reflect resolved procedural gaps or recurring systems challenges.

Overview of Meadowview at the Wartburg

Meadowview at the Wartburg is a licensed 105-bed enriched housing program at 2 Wartburg Place, Mount Vernon, Westchester County, New York. Owned by Wartburg Senior Housing, Inc., it provides independent living, assisted living, memory care, rehabilitation services, respite care, hospice and palliative care, and an adult day program. The facility emphasizes affordable senior living with programs in wellness, spiritual care, creative aging, intergenerational learning, and advanced life planning.

The facility maintains a clean regulatory record. One inspection conducted by the New York State Department of Health, Office of Aging and Long Term Care on October 5, 2022, a complaint investigation, found zero violations or citations. This represents only 1 inspection during the period August 1, 2021 through July 31, 2025, far below the New York average of 9 inspections over the same timeframe. Zero deficiencies have been reported.

The facility received 1 documented complaint, translating to 1 per 100 occupied beds, substantially below the state average of 49.9. No enforcement actions, fines, or license restrictions have been imposed.

Nursing services and licensed nurses and CNAs provide on-site support. Rehabilitation services and respite care are available. The facility describes its approach as compassionate care in a comfortable environment, offering memory care specialization, hospice and palliative care, and an adult day program. This is a state-licensed enriched housing program, not Medicare-certified.

The single inspection on record, while showing compliance, provides limited data for assessing the facility’s broader performance trends. The long operational history and clean compliance status suggest an established community with strong administrative oversight.

Families evaluating Meadowview at the Wartburg should request protocols for memory care and hospice services and ask about occupancy rates and average length of stay.

Overview of Maplewood Commons

Maplewood Commons is an 80-bed enriched housing program at 1015 Saw Mill River Road, Ardsley, Westchester County, New York. Owned by ATR New York LH, Inc., it provides independent living, assisted living, memory care, long-term care, skilled nursing and rehabilitation services, and respite care designed to support older adults across multiple care levels in one community setting.

Maplewood Commons maintains a clean recent compliance record with the New York State Department of Health, Office of Aging and Long Term Care. From August 1, 2021 through July 31, 2025, no citations or deficiencies have been recorded. The most recent inspection on July 31, 2025, identified zero deficiencies. Zero complaints have been filed over this period, substantially below the New York average of 79.

One Stipulation and Order (#ACF-22-045) was issued on September 2, 2022, representing a formal agreement with the state to correct identified issues. No fines or license suspensions have been documented. Subsequent inspections have shown clean compliance, indicating responsive corrective action following the 2022 enforcement action.

Skilled nursing services with licensed nurses and CNAs provide on-site care. Rehabilitation services and respite care are available across the continuum. Memory care programming is offered alongside independent and assisted living. This is a state-licensed enriched housing program, not Medicare-certified.

The clean compliance record since 2021, zero complaints, and absence of deficiencies on recent inspections reflect effective operational management. The 2022 Stipulation and Order was resolved without subsequent enforcement issues.

Families evaluating Maplewood Commons should verify current compliance status and any follow-up from the 2022 Stipulation and Order.

Bayberry Nursing Home is located in New Rochelle, NY. It offers a range of services including skilled nursing care, rehabilitation, and specialized treatments. The facility is dedicated to improving the lives of its residents through high standards of care.

Overview of Andrus on Hudson

Andrus on Hudson is a nonprofit skilled nursing facility located in Hastings-on-Hudson, New York. It specializes in compassionate care, short-term rehabilitation, long-term care, skilled nursing, and memory care. The facility has been serving the needs of older adults for over 70 years, providing a supportive and inclusive environment.