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New York skilled nursing distress & acquisition radar

This page counts 594 New York nursing homes from CMS's Care Compare provider file. The New York market page counts Medicare enrolment records, which is a slightly different population — recently certified facilities appear in Care Compare before the enrolment file catches up. Both figures are correct for their source.

Every Medicare-certified nursing home in New York, scored 0–100 on operational, regulatory, financial and corporate stress — built entirely from CMS payroll, inspection, penalty and ownership files. 10 facilities score elevated or worse.

Scored
594
New York nursing homes
Critical
0
Score 70+
Elevated
10
Score 55–69
Watch
84
Score 40–54

Highest-scoring facilities — free preview

FacilityCountyBedsOccupancyScore
Finger Lakes HealthOntario34536%66
BISHOP REHABILITATION AND NURSING CENTEROnondaga44067%65
Van Duyn Center For Rehabilitation And NursingOnondaga51384%65
Grand Manor Nursing & Rehabilitation CenterBronx24078%60
Hudson Valley Rehabilitation & Extended Care CtrUlster20362%58
Ontario Center for Rehabilitation and HealthcareOntario9896%57

The full New York radar — 94 scored facilities

Every facility above a score of 40, with all four component scores, the specific drivers behind each one, corporate family attribution, occupancy, staffing hours per resident day, agency-labour share, turnover, deficiency and penalty history. Delivered as CSV plus a print-ready PDF.

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How the score is built

Operational (30%) — resident census trend, total nurse hours per resident day, RN coverage, share of hours filled by agency staff, day-to-day staffing volatility, nursing turnover.
Regulatory (30%) — deficiency count and severity, civil monetary penalties, star ratings, special focus status, abuse flag.
Financial (20%) — Medicare cost reports (HCRIS): operating margin and its three-year trend, contract-labour share of salaries, payer mix, cost per resident day against the state median, leverage and current ratio. Occupancy and agency dependence remain as a current-quarter overlay, because cost reports lag roughly two years while payroll data is current.
Corporate (20%) — size of the controlling family, how many of its facilities are deteriorating at once, and how much it has been selling.

Data vintage differs by component, and that matters. Payroll and census data is current to CY2026 Q1. Medicare cost reports (HCRIS) are final through FY2023 — roughly a two-year lag — so the financial component describes structure, not this quarter. Inspection and penalty data is current to July 2026.

What this is and is not. A high score is a screening signal — where to look first — not a finding about quality of care and not a prediction that any facility will be sold. Payroll data is nursing staff only and is self-reported. Corporate family attribution is our analysis, not a CMS designation.

Sources for this page
Home Health Agency Enrollments — CMS file HHA_Enrollments_2026.07.17.csv, published 2026-07-27, retrieved 2026-08-20. Original file
Home Health Agency All Owners — CMS file HHA_All_Owners_2026.07.17.csv, published 2026-08-19, retrieved 2026-08-20. Original file
Hospice Enrollments — CMS file Hospice_Enrollments_2026.07.17.csv, published 2026-07-27, retrieved 2026-08-20. Original file
Hospice All Owners — CMS file Hospice_All_Owners_2026.07.17.csv, published 2026-08-19, retrieved 2026-08-20. Original file
Skilled Nursing Facility Change of Ownership — CMS file SNF_CHOW_2026.07.17.csv, published 2026-07-27, retrieved 2026-08-20. Original file
Skilled Nursing Facility Change of Ownership - Owner Information — CMS file SNF_CHOW_Owners_2026.07.17.csv, published 2026-07-27, retrieved 2026-08-20. Original file
Skilled Nursing Facility Enrollments — CMS file SNF_Enrollments_2026.07.31.csv, published 2026-08-17, retrieved 2026-08-20. Original file
Skilled Nursing Facility All Owners — CMS file SNF_All_Owners_2026.07.31.csv, published 2026-08-17, retrieved 2026-08-20. Original file