Rochester Senior AdvisorHow many nursing homes are in the Rochester area, and how are they rated?
Monroe County has 32 licensed nursing homes with 4,709 beds on the state roster; of the 31 with a CMS overall rating, 8 have five stars, 6 four, 5 three, 4 two and 8 one.
| City or town | Nursing homes | Beds | Rated 4-5 stars by CMS |
|---|---|---|---|
| City of Rochester | 10 | 2097 | 0 |
| Greece | 5 | 359 | 4 |
| Irondequoit | 1 | 376 | 1 |
| Brighton | 6 | 931 | 4 |
| Pittsford | 1 | 122 | 0 |
| Penfield | 1 | 48 | 1 |
| Webster | 2 | 146 | 2 |
| Perinton & Fairport | 3 | 357 | 1 |
| Gates | 1 | 124 | 0 |
| Brockport, Sweden & Clarkson | 1 | 120 | 1 |
Are any Rochester-area nursing homes on CMS's Special Focus list?
Yes: CMS currently lists Waterview Heights Rehabilitation and Nursing Center (SFF) under its Special Focus Facility program for nursing homes with persistent serious quality problems.
The latest inspection date, deficiency counts, fines and staffing for every certified home are on each facility's page, reproduced from CMS Care Compare.
How well staffed are Rochester-area nursing homes?
Across the 30 Monroe County nursing homes with CMS staffing data, total nurse staffing ranges from 2.99 to 5.22 hours per resident per day, with a median of 3.88; 4 report less than New York's 3.5-hour minimum on CMS's figures.
Median nursing staff turnover is 54.2%. CMS figures are quarterly averages from payroll data; the state checks the 3.5-hour minimum quarter by quarter and can fine homes that fall short.
Which are the largest nursing homes in Monroe County?
The largest homes on the state roster are Monroe Community Hospital (566 beds), St Johns Health Care Corporation (455 beds), St Anns Community (376 beds), Jewish Home of Rochester (328 beds); Monroe Community Hospital, despite its name, is the county-owned nursing home.
Size cuts both ways: large homes often have specialized units and therapy departments, smaller ones a more familiar feel.
Who owns Rochester-area nursing homes?
Among Monroe County's CMS-certified nursing homes, CMS lists 11 as nonprofit, 20 as for-profit and 1 as government-owned, among them the county-owned Monroe Community Hospital.
Ownership alone does not predict quality, but it shapes how a home answers to its community. Each facility page shows CMS's ownership type and whether the home belongs to a multi-facility chain.
Nursing homes around Rochester at a glance
| Nursing homes around Rochester is | Nursing homes around Rochester is not | |
|---|---|---|
| Ratings | CMS overall, inspection, staffing and quality stars | Ratings we invent |
| Staffing floor | 3.5 hours per resident per day in New York | A posted per-shift ratio |
| Payment | Medicare short stays, Medicaid long stays | Free under Medicare for long stays |
| New York median (2025) | $15,528/month semi-private | A Rochester-specific price |
