Albany Senior AdvisorHow many nursing homes does the Albany metro have, and how are they rated?
Albany, Schenectady, Rensselaer and Saratoga counties have 33 licensed nursing homes with 5,299 beds on the state roster; of the 25 with a CMS overall rating, 0 have five stars, 6 four, 2 three, 6 two and 11 one.
| City or town | Nursing homes | Beds | CMS 4-5 stars |
|---|---|---|---|
| City of Albany | 4 | 802 | 2 |
| Colonie | 2 | 500 | 0 |
| Bethlehem & Delmar | 3 | 168 | 1 |
| Guilderland | 3 | 447 | 0 |
| Cohoes & Watervliet | 2 | 384 | 0 |
| Schenectady | 2 | 400 | 1 |
| Niskayuna | 1 | 112 | 1 |
| Glenville & Scotia | 2 | 462 | 0 |
| Troy | 5 | 478 | 1 |
| East Greenbush, North Greenbush & Schodack | 4 | 762 | 0 |
| Saratoga Springs, Wilton & Malta | 1 | 342 | 0 |
| Clifton Park, Halfmoon & Waterford | 2 | 240 | 0 |
Is any Capital Region nursing home on CMS's Special Focus list?
Yes: CMS currently lists Eddy Heritage House Nursing and Rehabilitation Center (SFF Candidate), Livingston Hills Nursing and Rehabilitation Center (SFF Candidate), Rosewood Rehabilitation and Nursing Center (SFF Candidate), Shaker Place Rehabilitation and Nursing Center (SFF Candidate), The Grand Rehabilitation and Nursing at Barnwell (SFF Candidate), The Grand Rehabilitation and Nursing at Guilderland (SFF Candidate) in its Special Focus Facility program, which targets homes with a persistent record of serious quality problems.
Each certified home's page shows its latest inspection date, deficiencies, fines and staffing, copied from CMS Care Compare.
How well staffed are nursing homes around Albany?
Across the 25 core-county nursing homes with CMS staffing data, total nurse staffing runs from 2.70 to 8.52 hours per resident per day, median 3.85; 7 report less than New York's 3.5-hour minimum in CMS's figures.
Median nursing staff turnover is 47.8%. CMS figures are quarterly payroll averages; New York checks its 3.5-hour rule quarter by quarter and can fine homes that miss it.
Which are the largest nursing homes in the Albany metro?
By beds on the state roster, the largest are Van Rensselaer Manor (362 beds), Wesley Health Care Center Inc (342 beds), Teresian House Nursing Home Co Inc (300 beds), Baptist Health Nursing and Rehabilitation Center (262 beds).
Bigger homes tend to offer specialized units and in-house therapy; smaller ones can feel more personal. Neither is automatically better, so read the inspection and staffing record for each.
Who owns the nursing homes around Albany?
Among the core counties' CMS-certified nursing homes, CMS lists 10 as nonprofit, 13 as for-profit and 2 as government-owned.
Ownership does not predict quality by itself. Each facility page shows CMS's ownership type and any chain affiliation.
Nursing homes around Albany, side by side
| Nursing homes around Albany is | Nursing homes around Albany is not | |
|---|---|---|
| Ratings | CMS overall, inspection, staffing and quality stars | Ratings we make up |
| Staffing floor | 3.5 hours per resident per day in New York | A posted ratio per shift |
| Payment | Medicare for short stays, Medicaid for long stays | Free under Medicare for long stays |
| Regional Medicaid rate | $14,783/month (Northeastern, 2026) | An Albany price list |
