Elderwood

Phoebe J
PBJ Takeaway: Elderwood

17 Facilities3 States100% For-ProfitAvg. Overall Rating: 2.7Avg. Staffing Rating: 2.1Staffing Rating: 2.1

Elderwood operates 17 nursing homes across 3 states, all classified as for-profit. Its average CMS overall rating is 2.7 stars.

Across the portfolio, facilities report an average of 3.20 total nurse HPRD, including 0.70 RN hours, below the national ratio of 3.77 HPRD.

29% of Elderwood facilities meet PBJ320 high-riskPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 10 fines ($593,928) for the chain's nursing homes.

320 Consulting
Elderwood Key Metrics
Providers
17
States
3
Avg. Rating
2.7
Total Fines
$593,928
High-Risk FacilitiesPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. – Elderwood
Special Focus Facilities (SFFs)
0
SFF Candidates
1
1-Star Overall
4
Cited for Abuse
0
Avg. CMS 5-Star Rating – Elderwood
Overall
2.7
Health Inspection
2.7
Staffing
2.1
Quality Measures
3.5
Elderwood Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

StateProviderCityTotal HPRDRN HPRDOverall RatingStaffing Rating
NYElderwood at Amherst AbuseAmherst3.970.5133
NYElderwood at LancasterLancaster3.131.0132
RIElderwood of Scallop Shell at WakefieldSouth Kingstown3.611.3823
NYElderwood at WheatfieldNiagara Falls3.130.7122
NYElderwood at CheektowagaCheektowaga3.480.4633
NYElderwood at HornellHornell2.770.5352
NYElderwood at HamburgHamburg3.020.5732
NYElderwood at LiverpoolLiverpool3.220.5321
NYElderwood of Lakeside at BrockportBrockport3.100.6542
NYElderwood of Uihlein at Lake Placid 1 starLake Placid2.630.4911
NYElderwood at LockportLockport3.620.9243
NYElderwood at Ticonderoga 1 starTiconderoga2.880.5511
NYElderwood at North CreekNorth Creek2.720.4632
NYElderwood at Grand IslandGrand Island3.210.7743
NYElderwood at Waverly 1 starWaverly2.410.4311
NYElderwood at WilliamsvilleWilliamsville3.391.0223
VTElderwood at Burlington 1 star, SFF CandidateBurlington3.730.8811
Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

  • Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
  • Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
  • Contract Staff %: Share of hours provided by contract staff.
  • Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

Request custom PBJ analysis for litigation and investigative reporting.Request custom PBJ analysis.