New York senior care research
New York Senior Care Research
SeniorTrustHub organizes New York State Department of Health Adult Care Facility identities, Nursing Home Profile evidence, and the Do Not Refer list, then overlays CMS Nursing Homes, Home Health, and Hospice without combining them. Adult Care is not a nursing home. No score and no ranking.
Separate official universes
Source families, not one New York senior-provider total
Adult Care Facilities, nursing homes, Do Not Refer observations, CMS Home Health, and CMS Hospice are not added together. Adult Home is not Enriched Housing. ALP is not ALR. LHCSA is not CMS Home Health. No score and no ranking.
527
Adult Care Facility identities
381 Adult Homes + 146 Enriched Housing. Not nursing homes.
597
NYSDOH Nursing Home Profile facilities
Facility_Info grain. Not the CMS directory count.
6,036
Nursing-home survey observations
Surveys.csv rows. Not a deficiency count.
117
Do Not Refer observations
Official PDF blocks. Not a blacklist score.
100
CMS Home Health Agencies in New York
CMS HHA CCN overlay. Not LHCSA.
39
CMS Hospice providers in New York
CMS Hospice overlay. Not Home Health.
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381 Adult Homes + 146 Enriched Housing Programs; overlap 0; 527 distinct operating certificates.
- Source: Health Facility General Information (AH + EHP)
- Agency clock: 2026-09-01
- Source grain: NYSDOH Facility ID with operating certificate; Adult Home or Enriched Housing
- Coverage: PARTIAL_SOURCE_COVERAGE
- Limitation: Not nursing homes. Not a sum of ALR/EALR/SNALR/ALP designations. Currentness is partial — no source ACTIVE flag.
Trace this number
Count Facility_Info rows (FACILITY_ID unique). Distinct source-native MEDICARE_NUMBER = 594.
- Source: Nursing Home Profile Facility_Info.csv
- Agency clock: 2026-08-19
- Source grain: one Facility_Info row = one FACILITY_ID
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Limitation: Not the CMS directory count (593). Not Adult Care Facilities. Inspection count is a different grain.
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Count Surveys.csv rows covering all 597 Facility IDs. Types include COMPLAINT, CERTIFICATION/COMPLAINT, COVID19, CERTIFICATION.
- Source: Nursing Home Profile Surveys.csv
- Agency clock: 2026-08-19
- Source grain: one Surveys.csv row = one survey observation
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Limitation: Survey observation is not a deficiency count and is not a quality score.
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Count Facility Name blocks in the 2026-09-10 PDF. Exact current GI operating-certificate matches = 6. Name-only remainder not attached.
- Source: NYSDOH Adult Care Facility Do Not Refer List PDF
- Agency clock: 2026-09-10
- Source grain: one Facility Name block = one observation
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Limitation: Do Not Refer is not a criminal conviction, not a TrustHub blacklist, and not every enforcement action.
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Accepted national geography partition for NY.
- Source: CMS Home Health Care Agencies NY overlay
- Agency clock: 2026-08-27
- Source grain: CMS Home Health CCN
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Limitation: CMS HHA is not LHCSA. State CHHA Facility IDs (97) are a different class.
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Accepted national geography partition for NY.
- Source: CMS Hospice General Information NY overlay
- Agency clock: 2026-08-27
- Source grain: CMS Hospice CCN
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Limitation: Hospice is not Home Health. State HSPC Facility IDs (39) were not name-matched to CMS.
Nursing homes
The Nursing Home Profile lists 597 facilities (597 distinct Facility IDs). Source-native Medicare numbers appear on 595 rows (594 distinct CCNs; 2 without CCN). CMS New York nursing homes are 593 — a different directory grain, not forced equal.
Surveys: 6,036 observations covering every Profile facility. Citations: 19,032 rows; IS_COMPLAINT=1 on 4,244 citation rows — that flag is not a complaint filing count. State enforcement/fine rows: 2,036 covering 583 facilities. A fine is not a criminal conviction.
Adult Care / assisted living
381 Adult Homes and 146 Enriched Housing Programs (527 Facility IDs; 527 operating certificates). Certification Bed rows (1,146 Adult Home + 466 Enriched Housing) are credentials, not extra facilities. Capacity is not occupancy.
Designations at those sites: ALR 271, EALR 220, SNALR 203, residential ALP 162. These are not summed as “assisted living facilities.” LHCSA specialty ALP (155) is a home-care class, not an Adult Home.
Do Not Refer
117 official observations as of 2026-09-10. Exact operating-certificate matches to the current GI Adult Care universe: 6. Name-only remainder is not attached. Placement is not a criminal conviction and is not a TrustHub blacklist.
Home care and hospice
State LHCSA Facility IDs: 1,258. State CHHA Facility IDs: 97. CMS Home Health remains 100. LHCSA is not CMS HHA. State hospice Facility IDs (39) were not name-matched to CMS hospice.
Current verification
What these numbers do not mean
- There is no combined New York senior-provider total.
- Adult Care Facility is not a nursing home. CMS CCN is not a state operating certificate.
- Inspection is not a deficiency count. Complaint-related citation is not a substantiated complaint.
- Missing ACF current-status flag is unknown, not zero. Search-only is not zero.
- No Trust Score. No ranking. New York City is not a separate route.