Helen Hayes Hospital
Nursing Home & Skilled Nursing · West Haverstraw, NY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Helen Hayes Hospital

Nursing Home & Skilled Nursing · West Haverstraw, NY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Overview of Helen Hayes Hospital

Operating at 51 North Route 9W in West Haverstraw, Helen Hayes Hospital represents a unique institutional asset: a state-owned specialty physical rehabilitation hospital established in 1900 through gubernatorial act, now a 125-year-old cornerstone of American rehabilitation medicine. Chartered by the New York State Department of Health, the facility maintains affiliation with New York-Presbyterian Healthcare System and holds preferred provider status in the Montefiore Health System Skilled Nursing Facility Collaborative. Joint Commission accreditation and the 2025 Press Ganey Human Experience Award (HX NDNQI) underscore institutional standards.

CMS assigns perfect 5-star ratings across health inspection, staffing, and quality measures.

Staffing depth is extraordinary for the rehabilitation specialty: 8 hours 3 minutes daily nursing/resident (ranking #2 in New York, +138% above baseline).

Registered nurses work 2 hours 59 minutes/resident daily; 326% above standard. Nursing aides contribute 3 hours 12 minutes, 47% above state. Weekend nursing maintains 7 hours daily, with registered nurse presence at 2 hours 20 minutes (400% above state). Physical therapy spans 53 minutes/resident daily (657% above average).

The Q4 2025 workforce comprises 54 RNs, 56 CNAs, and 1 LPN; all direct hires, zero contractors.

One May 2018 inspection yielded two Level 2 resident rights citations, since corrected. A September 2025 inspection found no deficiencies. Zero complaints exist in the registry against an average of 79. No enforcement actions or fines appear on record.

The facility operates 28 specialty program tracks, encompassing spinal cord injury, stroke, traumatic brain injury, amputee care, cardiopulmonary, orthopedic, and multi-trauma rehabilitation. Adjunctive services include Parkinson’s, oncology, pediatric, and pulmonary rehabilitation; aquatic therapy; assistive technology consultation; a driving rehabilitation program; lymphedema management; osteoporosis treatment; prosthetics and orthotics fabrication; recreational therapy; dental medicine; and a wellness center. Inpatient and outpatient modalities are both available. An updated pediatric outpatient suite opened in October 2024. U.S.

News & World Report designates short-term rehabilitation performance as High Performing (5/5).

Pneumococcal vaccination rates reach 99.8% (30% above state). Antipsychotic medication initiation is 0% (100% better than state). Influenza vaccination spans 99.5%.

Hospital readmission occurs in 12% of short-stay discharges (42% below state). Emergency department visits are documented in only 4.7% (52% better). Major injury falls total 0%.

Self-care recovery at discharge measures 82% (53% better than state). Community return rates reach 72.2% (43% better).

Occupancy stands at 72% (18 of 130 beds), with current census 100% Medicare-funded.

Litigation activity is documented: 27 total cases since 2012 (25 disposed, 2 active), with next court proceeding scheduled April 24, 2026.

The facility operates car-dependent location (walk score 8).

Helen Hayes Hospital’s is a premier option for intensive inpatient rehabilitation in the lower Hudson Valley, particularly for those prioritizing specialized depth and post-acute recovery outcomes.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 62.7% Above NY avg. ▲ 62.7% Above NY avg.NY average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 76.7% Above NY avg. ▲ 76.7% Above NY avg.NY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 84.0% Above NY avg. ▲ 84.0% Above NY avg.NY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 30.9% Above NY avg. ▲ 30.9% Above NY avg.NY average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to New York state averages

Total nursing care / resident Info This home is ranked 2nd out of 394 homes in New York for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
8h 18m per day
Rank #2 / 394Nurse hours — State benchmarkedThis home is ranked 2nd out of 394 homes in New York for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the New York average, with a ranking across 394 New York facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility New York avg (3h 35m per day)
vs New York avg
+132%

1 of 6 metrics below state avg

Standout metric Physical Therapist is +573% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 3h 27m per day ▲ 394% State avg: 42m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 13m per day ▼ 73% State avg: 46m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 3h 57m per day ▲ 81% State avg: 2h 11m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 6h 16m per day ▲ 98% State avg: 3h 10m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 47m per day ▲ 573% State avg: 7m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 2h 32m per day ▲ 441% State avg: 28m per day · National avg: 28m per day
Bed community size
25-bed community Rank #730 / 739Bed count — State benchmarkedThis home is ranked 730th out of 739 homes in New York for bed count. Shows this facility's certified or reported bed count compared to other New York facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score
Walk Score: 8 / 100 Rank #1093 / 1169Walk Score — State benchmarkedThis home is ranked 1093rd out of 1169 homes in New York for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across New York facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
72%
Rank #368 / 410Occupancy rate — State benchmarkedThis home is ranked 368th out of 410 homes in New York for occupancy. Shows this facility's occupancy rate versus the New York average, with its Statewide rank out of 410. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the New York average: 88.3%
Occupied beds
18 / 25
Average occupied beds in New York homes 166 beds

Awards

2025 HX NDNQI Award
Press Ganey
Human Experience Winner

License Details

Facility TypeNursing Home
StatusActive
CountyRockland
License Number4322000H
AccreditationsAccredited by The Joint Commission.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Services

3 services
Inpatient Services
Outpatient Services
Specialty Services

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Amputee Rehabilitation
Cardiopulmonary Rehabilitation
Joint & Orthopedic Rehabilitation
Multi-Trauma Rehabilitation
Neurological Rehabilitation
Spinal Cord Injury Rehabilitation
Stroke Rehabilitation
Subacute Rehabilitation
Transitional Care Unit
Traumatic Brain Injury Rehabilitation
Physical Therapy
Occupational Therapy
Speech Therapy
Cardiac Rehabilitation
Oncology Rehabilitation
Parkinson’s Rehabilitation
Pediatric Rehabilitation
Pulmonary Rehabilitation
Adapted Sports & Recreation
Aquatic Therapy & Wellness
Assistive Technology & Seating
Dental Medicine
Driving Rehabilitation Program
Lymphedema Program
Osteoporosis Treatment
Prosthetics & Orthotics Center
Recreational Therapy
Wellness Center
Specific ProgramsPatient Financial Services

Contact Helen Hayes Hospital

Inspection History

In New York State, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.

Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York State state average. The score below shows how many points this facility sits above or below the typical New York State nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

17 points above the New York State average for nursing homes (83/100)

Rank #1 / 608 in New York State Inspection Score — State benchmarked This home is ranked 1st out of 608 homes in New York State for inspection score. Shows this facility's inspection score compared to the New York State average among 608 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York State that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 100 out of 100. Letter grade A+. 17 points above the New York State average for nursing homes (83/100)

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. New York State state average
Overall vs. NY average 0 Worse No metrics in this bucket. 5 Better Metrics better than New York State average:
• Total citations (85% below)
• Citations per inspection (64% below)
• Inspections with citations (100% below)
• Inspection citation rate (100% below)
• Complaint investigations (100% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityNY Averagevs. NY Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 213 This facility has 85% fewer total citations than a typical New York State nursing home (2 vs. NY avg 13).↓ 85% better
Citations per inspection Info Average citations per inspection. 0.51.4 This facility has 64% fewer citations per inspection than a typical New York State nursing home (0.5 vs. NY avg 1.4).↓ 64% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNY Averagevs. NY Avg
Total inspections Info Combined count of all inspections conducted at this facility. 49 This facility has had 56% fewer total inspections than the New York State average (4 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 56% fewer
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 04 This facility has 100% fewer inspections with citations than a typical New York State nursing home (0 vs. NY avg 4).↓ 100% better
Inspection citation rate Info Percentage of inspections that resulted in at least one citation. 0%44% This facility has 44 percentage points lower inspection citation rate than a typical New York State nursing home (0% vs. NY avg 44%).↓ 44% better

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityNY Averagevs. NY Avg
Complaint investigations Info On-site investigations triggered by complaints filed with New York State regulators. 015 This facility has 100% fewer complaint investigations than a typical New York State nursing home (0 vs. NY avg 15).↓ 100% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on September 30, 2025 found no deficiencies or enforcement actions.
  • No citations or complaints were reported from October 1, 2021 through September 30, 2025.
  • The facility maintained a clean record with no documented deficiencies or substantiated complaints during this entire period.

Health Inspection History

Inspections since 2018
Total health inspections 1

New York State average 3.6


Last Health inspection on May 2018

Total health citations
2 Rank #2 / 401Health citations — State benchmarkedThis home is ranked 2nd out of 401 homes in New York for health citations. Shows this facility's total health deficiency citations benchmarked to the New York State average, with a ranking across all 401 NY facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York State average 18.5

Citations per inspection
2 Rank #14 / 401Citations per inspection — State benchmarkedThis home is ranked 14th out of 401 homes in New York for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the New York mean across 401 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York State average 5.05


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 2 citations resulted from standard inspections.

Breakdown of citation severity (last 8 years)
Critical health citations
0
100% better than New York State average

New York State average: 0.2


Serious health citations
0
100% better than New York State average

New York State average: 0.2

0 critical citations New York State average: 0.2

0 serious citations New York State average: 0.2

2 moderate citations New York State average: 17.4

0 minor citations New York State average: 0.7
Citations history (last 8 years)
Resident Rights moderate citation May 07, 2018
Corrected

Resident Rights moderate citation May 07, 2018
Corrected

Lawsuit overview for Helen Hayes Hospital

Summary of court-record activity tied to this facility, compiled from publicly available case dockets.

Source: State court e-filing records

Total Cases Info Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure. 27
Active Cases Info Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture. 2
Closed Info Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes. 25
Since Info Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure. 2012
Most Recent Info Most recent filing on record. Recent activity means legal disputes are still being raised against this facility. 2025
Next Court Date Info Next scheduled court appearance on record across active cases. Apr 24, 2026

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 175
Employees 175
Contractors 0
Staff to resident ratio 9.72 : 1
5449% more staff per resident than New York average
New York average ratio: 0.18 : 1 New York average ratio: 0.18 : 1See full New York ranking
Avg staff/day 32
Average shift 6.2 hours
19% worse than New York average
New York average: 7.7 hours New York average shift: 7.7 hoursSee full New York ranking
Total staff hours (quarter) 18,281

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 54 RN Staff are full-time employees. No contractors work on this role. 54
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 1 LPN Staff are full-time employees. No contractors work on this role. 1
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 56 CNA Staff are full-time employees. No contractors work on this role. 56
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant560566,50092100%7.6
Registered Nurse540545,23192100%8
Physical Therapy Assistant200201,5468289%5.1
Respiratory Therapy Technician150151,2908390%4.6
Speech Language Pathologist9098817278%3.9
Mental Health Service Worker3036526368%6.1
Other Social Services Staff3035519098%3.2
Clinical Nurse Specialist1014495661%8
Physical Therapy Aide5053686267%3.6
Licensed Practical Nurse1013433538%9.8
Occupational Therapy Aide4042876267%3.4
Qualified Social Worker4041834246%3.5
56 Certified Nursing Assistant
% of Days 100%
54 Registered Nurse
% of Days 100%
20 Physical Therapy Assistant
% of Days 89%
15 Respiratory Therapy Technician
% of Days 90%
9 Speech Language Pathologist
% of Days 78%
3 Mental Health Service Worker
% of Days 68%
3 Other Social Services Staff
% of Days 98%
1 Clinical Nurse Specialist
% of Days 61%
5 Physical Therapy Aide
% of Days 67%
1 Licensed Practical Nurse
% of Days 38%
4 Occupational Therapy Aide
% of Days 67%
4 Qualified Social Worker
% of Days 46%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Short-stay resident measures
Significantly above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
30% better than New York State average

New York State average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than New York State average

New York State average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 99.5%
26% better than New York State average

New York State average: 78.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 12.0%
42% better than New York State average

New York State average: 20.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 4.7%
52% better than New York State average

New York State average: 9.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than New York State average

New York State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 82.0%
53% better than New York State average

New York State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 72.2%
43% better than New York State average

New York State average: 50.6%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 18
Medicare
18
100% of residents
Programs & Services
Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Places of interest near Helen Hayes Hospital

Address 1.0 miles from city center Info Estimated distance in miles from West Haverstraw's city center to Helen Hayes Hospital's address, calculated via Google Maps.

Calculate Travel Distance to Helen Hayes Hospital

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Address

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----335873

Financial Assistance for
Nursing Home in New York

Helen Hayes Hospital is located in West Haverstraw, New York State.
Here are the financial assistance programs available to residents in New York State.

Get Financial aid guidance

Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled
General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $30,182 individual, higher due to NY Medicaid expansion
NY

Higher asset limit; urban density increases demand.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+
General New York resident, at risk of decline but not nursing home level.
Income Limits ~$2,500/month individual, varies
Asset Limits $15,000 individual
NY

Cost-sharing required above certain income; urban/rural balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Frequently Asked Questions about Helen Hayes Hospital

Is Helen Hayes Hospital in a walkable area?

Helen Hayes Hospital has a walk score of 8. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Helen Hayes Hospital?

According to NY state health department records, Helen Hayes Hospital's license number is 4322000H.

What is the occupancy rate at Helen Hayes Hospital?

Helen Hayes Hospital's occupancy is 72%.

Are pets allowed at Helen Hayes Hospital?

No, Helen Hayes Hospital has a no-pet policy.

Is Helen Hayes Hospital a government-operated facility?

Helen Hayes Hospital is a government-operated nursing facility in NY.

How many beds does Helen Hayes Hospital have?

Helen Hayes Hospital has 25 beds.

Are there photos of Helen Hayes Hospital?

Yes — there are 4 photos of Helen Hayes Hospital in the photo gallery on this page.

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