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The Osborn is a 286-bed nonprofit Life Plan Community administrated by the Miriam Osborn Memorial Home Association at 101 Theall Road in Rye, New York, in Westchester County. Established by New York State Legislature following Miriam Osborn’s death in 1892, the association operates as a 501(c)(3) organization. The campus opened April 21, 1908, and is the only CCRC in Westchester County. Licensed as a Continuing Care Community with CARF-CCAC accreditation, it is set on 56 acres and encompasses independent living, assisted living, the H.O.P.E. Center for Memory Care, skilled nursing and short-term rehabilitation in the Osborn Pasciuti Pavilion with 84 certified beds, and Osborn Home Care, a licensed New York State home care agency. The Osborn was recognized as a 2025 Best Nursing Home by U.S. News and World Report and ranked among the top 100 CCRCs nationally by Newsweek in 2025.
Occupancy stands at 89.6 percent. Medicare and Medicaid are accepted. Medicare represents approximately 70 percent of new admissions and private pay 30 percent. Annual revenue is $66.8 million against total costs of $74.2 million, with an operating deficit of $18.1 million, consistent with the nonprofit operating model. Total nursing care per resident per day is 4 hours 1 minute.
Named programs include Rehabilitation, Respite Care, Osborn Home Care, and the WellSpring wellness program. The H.O.P.E. Center for Memory Care is the dedicated dementia program on campus.
The New York State Department of Health has conducted 7 inspections, producing 34 deficiencies and 34 total citations. The most recent inspection, a complaint investigation on February 19, 2025, identified multiple Level 2 health and life safety deficiencies, most corrected by April 20, 2025. Top deficiency categories are Resident Rights, Quality of Life and Care, and Environmental. One enforcement action is on record: Stipulation and Order NH-16-100, dated April 18, 2014. Nineteen complaints have been filed at a rate of 22.6 per 100 occupied beds, below the New York state average of 49.9. No complaints are currently open.
Quality measure data presents a mixed profile. Need for help with daily activities is 120 percent worse than state average. Functional decline is 91 percent worse than state average. Falls with major injury are 74 percent better than state average. Depressive symptoms are 100 percent better than state average. Short-stay antipsychotic medication increases are 76 percent better than state average. Greenwich Hospital is approximately 6 miles away.
The Osborn is suited for individuals seeking continuing care with onsite memory care, rehabilitation, or skilled nursing in Rye. Families should ask about the Level 2 deficiencies identified in the February 2025 investigation, current corrective action status, protocols for resident rights compliance, and quality of care measures before placement.
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.
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 51m per day | ▲ 21% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 48m per day | ▲ 4% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 58m per day | ▲ 36% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 3h 54m per day | ▲ 23% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 26m per day | ▲ 271% State avg: 7m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 28m per day | ■ Avg State avg: 28m per day · National avg: 28m per day |
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #11 / 344Payroll — state benchmarkedThis home is ranked 11th out of 344 homes in New York.Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Lower than the New York average: 88.3%The Osborn is legally operated by Miriam Osborn Memorial Home Association (Not for Profit).
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 18 | 29 | This facility has 38% fewer total citations than a typical New York assisted living residence (18 vs. NY avg 29).↓ 38% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 14 | 20 | This facility has 30% fewer health citations than a typical New York assisted living residence (14 vs. NY avg 20).↓ 30% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 4 | This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg |
|
Citations per year
Average citations per year since 2022.
| 4.5 | 7.3 | This facility has 38% fewer citations per year than a typical New York assisted living residence (4.5 vs. NY avg 7.3).↓ 38% better |
|
Citations per inspection
Average citations per inspection.
| 2.3 | 3.2 | This facility has 28% fewer citations per inspection than a typical New York assisted living residence (2.3 vs. NY avg 3.2).↓ 28% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 8 | 9 | This facility has 11% fewer total inspections than a typical New York assisted living residence (8 vs. NY avg 9).↓ 11% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 8 | 5 | This facility has 60% more inspections with citations than a typical New York assisted living residence (8 vs. NY avg 5).↑ 60% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 100% | 56% | This facility has 44 percentage points higher inspection citation rate than a typical New York assisted living residence (100% vs. NY avg 56%).↑ 44% worse |
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 16 | 79 | This facility has 80% fewer total complaints than a typical New York assisted living residence (16 vs. NY avg 79).↓ 80% better |
|
Complaints per year
Average complaints per year since 2022.
| 4 | 19.8 | This facility has 80% fewer complaints per year than a typical New York assisted living residence (4 vs. NY avg 19.8).↓ 80% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.22 | 0.50 | This facility has 56% fewer complaints per bed than a typical New York assisted living residence (0.22 vs. NY avg 0.5).↓ 56% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 6 | 15 | This facility has 60% fewer complaint investigations than a typical New York assisted living residence (6 vs. NY avg 15).↓ 60% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on February 19, 2025, identified multiple level 2 health and life safety code deficiencies, many of which were corrected by April 20, 2025. Earlier inspections showed a pattern of similar issues, including deficiencies in care planning, respiratory care, notification procedures, and facility safety systems, with several related to reporting to the national health safety network during Covid-19 surveys. Complaint investigations did not result in substantiated findings, and no fines or enforcement actions were listed in the available reports. Prior reports noted issues with pressure ulcer treatment and pest control, but these were addressed in a timely manner. The facility’s inspection history shows recurring themes in care planning and safety system maintenance, with some improvement as many deficiencies were corrected promptly after identification.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsSummary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
1
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
0
0.7 miles from city center
Estimated distance in miles from Rye's city center to The Osborn's address, calculated via Google Maps.
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These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.10
36% better than State averageState average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.62
54% better than State averageState average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.2%
32% worse than State averageState average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.7%
10% better than State averageState average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
36% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
73.0%
36% better than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
72.2%
43% better than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
The information below is reported by the New York State Department of Health.
| The Osborn |
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. | Rye | 84 | No | 31 | - |
| Job Haines Home |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomfield (Bloomfield Avenue) | 40 | No | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
| Village Care Homes Assisted Living – Stephen F Austin |
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. | Conroe (Alden Bridge) | 16 | No | 27 | Private / Semi-Private Suite |
| Countryside Manor Assisted Living |
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. | Conroe (Alden Bridge) | 12 | No | 8 | - |
| Anton’s Assisted Living |
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. | Boerne | 10 | No | 45 | - |
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The legal owner and operator of The Osborn is Miriam Osborn Memorial Home Association (Not for Profit).
The Osborn has a walk score of 31. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NY state health department records, The Osborn's license number is 5954300N.
The Osborn's occupancy is 83%.
The Osborn has 84 beds.
The Osborn has had 18 recently reported deficiencies.
Yes — there are 13 photos of The Osborn in the photo gallery on this page.
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