New York’s Nursing Home Accountability Index

New York is home to roughly 600 nursing homes caring for tens of thousands of vulnerable residents. The Centers for Medicare and Medicaid Services, the federal agency that runs Medicare and Medicaid and publishes nursing-home ratings, rates each certified home on a five-star scale and tracks its staffing, inspection history, abuse findings, and fines. This analysis covers all 596 New York nursing homes in the June 2026 release of that data. It shows how public ratings and enforcement records vary across the state.

The Syracuse problem

Onondaga County, home to Syracuse, recorded $1.79 million in federal nursing-home penalties across 14 homes in the June 2026 Centers for Medicare and Medicaid Services file. The county includes $699,602 in recorded federal fines against Bishop Rehabilitation and Nursing Center and $619,590 against Van Duyn Center for Rehabilitation and Nursing.

Analysis. In 2025, the New York Attorney General announced a $12 million settlement against Van Duyn over alleged chronic understaffing and alleged diversion of Medicaid funds. The federal fines data and the Attorney General settlement are separate records, and neither record alone proves what happened to any individual resident.

Understaffing runs through it all

Staffing is a core nursing-home quality measure, and New York's typical home reports 0.57 hours of registered-nurse care per resident per day in the June 2026 Centers for Medicare and Medicaid Services file. At the low end of this dataset, a handful of homes report about 0.20 registered-nurse hours per resident per day, roughly twelve minutes across an entire day.

Analysis. The staffing field is useful for comparison, but it is not a finding that any specific resident was neglected. Staffing measures should be read alongside inspection records, resident needs, ownership, and facility size.

If your loved one was harmed in a nursing home

Nursing-home neglect and abuse cases are fact specific. Records may need to address staffing, fall prevention, pressure injuries, medication errors, and residents' rights under New York Public Health Law. This report does not evaluate whether any resident has a claim or what any case may be worth.

Methodology

Figures come from the Centers for Medicare and Medicaid Services Provider Information file, June 2026 release, covering all 596 certified nursing homes in New York and reviewed June 24, 2026. The Centers for Medicare and Medicaid Services is the federal agency that runs Medicare and Medicaid and publishes nursing-home ratings. The overall rating is the agency's five-star measure, and below average means a rating of one or two stars. Fines are the total federal civil monetary penalties on record, which generally cover about three years. Staffing is reported registered-nurse hours per resident per day. Counties with fewer than eight rated homes are marked as small samples. Three homes lacked an overall rating and are excluded from the rating calculations.