New York

Nursing Home Staffing Profile — 2025Q3

589 facilities97,950 residents3.65 avg HPRD

vs National Average

-0.24 HPRD

National avg: 3.90 · New York: 3.65

📋

New York ranks among the lower-performing states for nursing home staffing, with an average of 3.65 HPRD — 0.24 hours below the national average. Only 52.1% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.70 HPRD, with 25.8% of facilities meeting the 0.75 research recommendation.

3.65

Average Total HPRD

All nursing staff combined

▼ 0.24 vs national

0.70

Average RN HPRD

Recommended: 0.75

▲ 0.01 vs national

52.1%

Meet CMS Benchmark

307 of 589 facilities

17.9%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

9.0%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.53

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How New York's 589 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.47

avg HPRD

409 facilities (69%)

Non-Profit

4.00

avg HPRD

151 facilities (26%)

Government

4.47

avg HPRD

29 facilities (5%)

💡 Non-profit facilities in New York average 0.53 more HPRD than for-profit ones — about 15% higher staffing.

▲ Best Staffed in New York

Top 5 by total nurse HPRD

A+

ELIZABETH SETON CHILDREN'S CENTER

SUNSHINE CHILDREN'S HOME AND REHAB CENTER

JOHN T MATHER MEMORIAL HOSP T C U

UPSTATE UNIVERSITY HOSP AT COMMUNITY GENERAL T C U

SYRACUSE

8.54 HPRD

RN: 6.42

▼ Most Understaffed in New York

Bottom 5 by total nurse HPRD

589

SAMARITAN KEEP NURSING HOME INC

SAMARITAN SENIOR VILLAGE, INC

HAVEN MANOR HEALTH CARE CENTER, L L C

LIVINGSTON HILLS NURSING AND REHABILITATION CENTER

RENAISSANCE REHABILITATION AND NURSING CARE CENTER

STAATSBURG

2.09 HPRD

RN: 0.27

⚖️

Compare Two Facilities Side by Side

Pick any two New York nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in New York — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Queens	54	3.44	0.76	42.6%	Mixed B/C
▸Westchester	42	4.16	1.19	57.1%	Mixed C/B
▸Bronx	42	3.23	0.65	26.2%	Mixed D/C
▸Suffolk	41	3.84	0.81	58.5%	Mixed B/C
▸Kings	40	3.56	0.71	50.0%	Mixed B/C
▸Nassau	36	3.72	0.80	58.3%	Mixed C/B
▸Erie	34	3.81	0.62	70.6%	Mixed C/B
▸Monroe	32	3.93	0.49	78.1%	Mixed C/D
▸Oneida	17	3.52	0.42	52.9%	Mixed C/D
▸New York	16	3.78	0.99	50.0%	Mixed C/B
▸Onondaga	14	4.17	0.93	78.6%	Mixed C/B
▸Dutchess	12	3.19	0.43	33.3%	Mixed D/C
▸Albany	11	4.37	0.71	72.7%	Mixed D/A
▸Richmond	10	3.47	0.75	50.0%	Mixed D/C
▸Niagara	10	3.38	0.53	50.0%	Mixed C/F
▸Rockland	10	4.15	1.06	70.0%	Mixed B/A+
▸Orange	10	3.67	0.71	60.0%	Mixed C/B
▸Broome	9	3.93	0.53	66.7%	Mixed B/C
▸Rensselaer	9	3.58	0.53	66.7%	Mixed C/B
▸Ulster	7	3.82	0.61	71.4%	Mixed C/B
▸Steuben	6	3.42	0.43	16.7%	Mixed C/D
▸Schenectady	5	3.94	0.71	80.0%	Mixed C/A
▸Cattaraugus	5	3.59	0.51	40.0%	Mostly C
▸Chautauqua	5	2.88	0.43	0.0%	Mixed C/D
▸Montgomery	5	3.30	0.47	40.0%	Mostly C
▸Ontario	5	3.96	0.52	60.0%	Mixed B/D
▸Tompkins	5	3.87	0.62	80.0%	Mixed D/A
▸Allegany	4	3.58	0.63	50.0%	Mixed B/C
▸Herkimer	4	3.31	0.51	50.0%	Mixed C/B
▸Genesee	4	3.24	0.41	0.0%	Mixed D/C
▸Oswego	4	3.21	0.41	0.0%	Mixed C/D
▸Columbia	4	2.69	0.46	25.0%	Mixed D/C
▸St. Lawrence	4	3.37	0.64	25.0%	Mostly C
▸Clinton	4	3.37	0.72	25.0%	Mixed C/A
▸Chemung	4	3.96	0.52	75.0%	Mixed B/C
▸Cayuga	4	3.62	0.46	25.0%	Mixed D/B
▸Warren	4	3.23	0.57	25.0%	Mostly C
▸Washington	4	3.39	0.49	0.0%	Mostly C
▸Wayne	4	3.72	0.47	50.0%	Mixed D/B
▸Essex	3	2.91	0.45	0.0%	Mostly D
▸Delaware	3	3.38	0.57	66.7%	Mixed B/C
▸Cortland	3	3.84	0.56	33.3%	Mixed A/C
▸Livingston	3	3.50	0.59	33.3%	Mostly C
▸Chenango	3	3.93	0.75	100.0%	Mostly B
▸Jefferson	3	1.42	0.36	0.0%	Mostly F
▸Madison	3	3.55	0.69	33.3%	Mostly C
▸Sullivan	3	3.39	0.49	33.3%	Mostly C
▸Orleans	3	3.48	0.50	33.3%	Mixed B/C
▸Otsego	3	3.38	0.57	33.3%	Mixed B/C
▸Franklin	2	4.12	0.96	100.0%	Mixed A/B
▸Putnam	2	3.32	0.50	50.0%	Mixed B/C
▸Greene	2	3.53	0.41	50.0%	Mixed C/D
▸Tioga	2	3.07	0.43	50.0%	Mixed C/F
▸Yates	2	3.61	0.39	50.0%	Mixed C/D
▸Saratoga	2	3.88	0.56	100.0%	Mixed B/C
▸Fulton	2	3.90	0.60	100.0%	Mixed A/D
▸Wyoming	2	3.36	0.45	50.0%	Mixed C/D
▸Lewis	1	4.26	0.85	100.0%	Mostly A
▸Schuyler	1	4.13	0.65	100.0%	Mostly B
▸Seneca	1	3.85	0.36	100.0%	Mostly D

HPRD Range in New York

The spread between best and worst staffed facilities

3.21

25th pctile

3.53

Median

3.93

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.