Worst Nursing Homes in Rockland County
Across New York, the abuse and neglect of senior citizens in nursing homes and assisted living facilities is widespread and often goes unreported. In Rockland County, several nursing homes have received one-star ratings from Medicare for issues like inadequate staffing, neglect, unsafe living conditions, and more.
Understanding Nursing Home Quality in Rockland County
Nursing homes are assessed by several agencies in New York State, including Medicare. Over the past five years, the state has had numerous issues and scandals involving nursing homes. In late 2024, Centers Health Care, the owner and operator of four major nursing homes in New York, was ordered to pay $45 million to settle claims that they embezzled more than $83 million in Medicare and Medicaid funding from their facilities. This left the nursing homes severely understaffed, leading to widespread neglect and abuse of patients.
Nursing home abuse and neglect are widespread issues in New York, and Rockland County is no exception.
Rockland County’s Worst-Rated Nursing Homes
As of early 2026, there are four one-star nursing homes in Rockland County. Additionally, recent lawsuits, settlements, and safety issues have surfaced involving several other higher-rated nursing homes in the county. These incidents, including a January 2026 fire at the Friedwald nursing home in New City, show an overall management issue and other underlying problems with nursing facilities in Rockland County.
In November 2025, the owner of the Evergreen Court Home for Adults Nursing Home in Spring Valley was ordered to pay more than $700,000 in civil penalties for building code and safety violations after a fire at the facility. The fire killed two people—one resident and one firefighter—and the owners then left the building as an unsecured, burned-out site, repeatedly ignoring the city’s orders to clean it up. Earlier the same year, the town of Haverstraw filed a lawsuit against the owners of the Green Hills Adult Care and Assisted Living Facility for alleged supervision failures that caused chaos in the local town.
Northern Manor Geriatric Center Inc. (Nanuet)
Northern Manor Geriatric Center Inc. in Nanuet is a 231-bed nursing facility with nonprofit corporate ownership. The facility has an overall rating of 1 star, a health inspection rating of 1 star, and a staffing rating of 1 star. It reported a total staff turnover rate of 24.3% in 2024, with a 50% turnover rate for registered nurses, and had 10 health deficiencies cited that year.
Tolstoy Foundation Rehabilitation and Nursing Center (Valley Cottage)
The Tolstoy Foundation Rehabilitation and Nursing Center in Valley Cottage is a 96-bed nursing facility with nonprofit corporate ownership. The facility has an overall rating of 1 star, a health inspection rating of 1 star, and a staffing rating of 1 star. There were 21 reported health deficiencies at the facility at its latest inspection in September 2025.
Nyack Ridge Rehabilitation and Nursing Center (Valley Cottage)
The Nyack Ridge Rehabilitation and Nursing Center in Valley Cottage is a 160-bed nursing facility owned by a for-profit entity. The facility has an overall rating of 1 star, a health inspection rating of 1 star, and a staffing rating of 3 stars. It had the highest staff turnover rate of any one-star-rated facility in Rockland County, with 31.3% total turnover and 51.9% registered nurse turnover. A January 2025 inspection found 21 health deficiencies, and it paid more than $39,000 in fines for regulatory violations.
Northern Riverview Health Care, Inc. (Haverstraw)
Northern Riverview Health Care Inc. is a 182-bed nursing facility in Haverstraw with nonprofit corporate ownership. The facility has an overall rating of 1 star, a health inspection rating of 1 star, and a staffing rating of 2 stars. A February 2024 inspection found 19 health deficiencies.
Get Legal Help
At Nursing Homes Abuse LLC, we partner with experienced nursing home abuse attorneys who can assist you and your loved ones to get the justice you deserve.
Mathew Shooshtary
The Sanders Law Firm
Jay Kenneth Margolis
The Sanders Law Firm
How To Identify Warning Signs of Poor Care at a Nursing Home
There are different types of nursing home abuse, including physical abuse, emotional abuse, neglect, sexual abuse, and financial exploitation. Each type of abuse has unique warning signs and symptoms for family members and caregivers to watch out for.
Physical Abuse
- Bruises, abrasions, welts, lacerations, or rope marks
- Head trauma or bone fractures
- Open wounds, cuts, punctures, or untreated injuries in various stages of healing
- Sprains, dislocations, internal injuries, or bleeding
- Bite marks, strangulation marks, burn marks, or other patterns of injury
- Signs of falls, including broken eyeglasses or frames
- Physical indications of punishment, such as evidence of physical restraints
- Medication overdose or chemical restraints
- Sudden behavioral changes
Emotional Abuse
- Depression and withdrawal
- Refusal to interact or speak with others
- Sudden change in personality or behavior
- Agitation
- Excessive fear or nervousness
- Unusual behavior such as sucking, biting, or rocking
Sexual Abuse
- Bruises, lacerations, or abrasions around the genital area or breasts
- Depression
- Unexplained vaginal or anal bleeding
- Agitation
- Incontinence
- Sleep disturbances or restlessness
- Anxiety
Neglect
- Bedsores
- Dehydration
- Malnutrition
- Burns
- Bruising
- Change in sleeping habits
- Drastic change in personality
- Depression
- Failure to maintain personal hygiene
Legal Rights of Victims in the Rockland County Nursing Homes
In Rockland County and nationwide, residents have a right to expect to receive a reasonable standard of care in nursing homes, and facilities that fail to meet these standards can be held legally liable. If you believe your loved one has suffered abuse or neglect in a Rockland County nursing home, the first step is to contact an experienced New York nursing home abuse attorney.
An experienced nursing home attorney can help you gather the required evidence and advise you on what is needed for your specific case. A lawyer can assist you with reporting abuse to the facility, as well as guide you through the process of filing a civil nursing home abuse lawsuit. Effective legal counsel will increase your chances of proving that the neglect was caused by the intentional or unintentional actions of staff members.
In New York, complaints against nursing homes can be made through the New York State Department of Health’s Division of Nursing Home and ICF/IID Surveillance. All complaints are confidential and can be made anonymously.
How Nursing Homes Abuse LLC Can Help
If you or a loved one has experienced nursing home abuse in Rockland County, you may be entitled to compensation. At Nursing Homes Abuse LLC, we work to inform families of the risks of nursing home abuse and connect them with legal aid if a loved one has been injured. Contact our experienced nursing home abuse attorneys today for a free consultation. We’ll fight to hold those responsible accountable.
