Skilled Nursing / Long-Term Care New York, New York
NYC Health + Hospitals/Gouverneur runs a 295-bed skilled nursing facility on Madison Street on the Lower East Side of Manhattan, providing both short-term rehabilitation and long-term skilled nursing care. The wider Gouverneur site has served the neighborhood for more than 140 years.
It is publicly listed as a 2025 Long-Term Care Equality Index Leader by the Human Rights Campaign Foundation, reflecting documented LGBTQIA+ policies and staff training rather than a clinical quality rating.
As part of the public system, Medicaid, Medicare and financial assistance all apply, and nobody is turned away for inability to pay. The Lower East Side location also means a genuinely multilingual service area.
Confirm admission routes and current bed availability directly, and check the facility's inspection record on Medicare's Care Compare before deciding.
Recognized as a 'Leader' in the Human Rights Campaign Long-Term Care Equality Index for LGBTQIA+-inclusive policies and practices.
A policy benchmark scored by HRC in a given year; not a care-quality rating.
SourceWe don't yet have documented couples or chosen-family policy details for this organization. Ask them directly, and let us know what you learn.
No trans-inclusive care documentation is on file yet. This does not indicate exclusion, ask the provider about their specific practices.
No LGBTQIA+ aging staff-training credential is on file for this organization. That is not evidence of exclusion, so ask them directly what training their staff receive.
Work here? How to earn a credential.
227 Madison Street
New York, New York
Serves New York, NY
Exact street addresses are shown only where a provider has opted in.
This provider is a Medicare and Medicaid certified nursing home, which means federal and state inspectors visit it and publish what they find. It has 295 certified beds.
Certified with Medicare as New Gouverneur Hospital SNF.
Built mainly from the health inspection rating, then adjusted by staffing and quality measures.
Based on what state inspectors found on their last three annual visits and any complaint investigations. The only one of the four measured entirely by an outsider.
Nursing hours per resident per day, drawn from payroll records rather than self-report, and adjusted for how much care the residents need.
Clinical outcomes the home reports itself, such as falls, pressure sores and hospital readmissions.
These ratings do not measure affirming care. Nothing an inspector checks asks whether staff will use your name, treat your partner as your partner, or respect a trans resident's body and history. A five-star home can get all of that wrong, and a home that has trained every member of staff can still be short of nurses. Read the two together, and ask about the second one yourself.
Source: CMS Care Compare provider data, July 29, 2026. CMS certification number 335461. Ratings and citations change between inspections, so check Care Compare for the current record before you decide.
In New York, nursing homes and hospices are licensed by the New York State Department of Health. Its public register is the place to confirm this provider holds a current licence and to read whatever inspection history the state publishes.
Health Profiles carries inspection and enforcement history for each facility.
Search NY Health ProfilesWe link the register rather than copying records out of it. State licensing data is published in a different shape in every state, updated on its own schedule, and a stale copy of a licence is worse than no copy.
9 things worth asking before you decide, chosen because the public record does not answer them. A blank means nobody has published the answer, not that the answer is bad.
Brooklyn, NY
NYC Health + Hospitals/McKinney is publicly listed as a 2025 Long-Term Care Equality Index Leader. Current services, pricing and availability still require direct confirmation.
Staten Island, NY
NYC Health + Hospitals/Sea View is publicly listed as a 2025 Long-Term Care Equality Index Leader. Current services, pricing and availability still require direct confirmation.
East Providence, RI
Winslow Gardens Assisted Living & Independent Living is publicly listed as a 2025 Long-Term Care Equality Index Leader. Current services, pricing and availability still require direct confirmation.
Brooklyn, NY
NYC Health + Hospitals/McKinney is publicly listed as a 2025 Long-Term Care Equality Index Leader. Current services, pricing and availability still require direct confirmation.
Staten Island, NY
NYC Health + Hospitals/Sea View is publicly listed as a 2025 Long-Term Care Equality Index Leader. Current services, pricing and availability still require direct confirmation.
Syracuse, NY
SAGE Upstate is a SAGECollab-connected organization serving or advocating for LGBTQIA+ older adults. Confirm current programs and service area directly.
Rights and safety
A rainbow in the brochure is marketing. Here is how to read the real evidence behind an LGBTQIA+-affirming claim, and what each credential does and does not prove.
Choosing senior living
The questions that reveal whether a senior living community is genuinely affirming, not just polite on a tour. Bring this list, and write down who answers.
Choosing senior living
A step-by-step way to find senior living where you can age as yourself: define your needs, learn the affirming signals that matter, and pressure-test the shortlist.
About this information: Evidence labels describe documented policies, credentials or public recommendations as of the reviewed date shown, they are not a guarantee of care quality, and a paid listing plan never influences them. Details can change; please confirm anything important directly with the provider.
Last updated August 6, 2026. Suggest a correction.
We would like to measure how the site is used. That part uses Google Analytics, which sets its own cookies, and it is entirely your choice. Nothing about your search or anything you type is sent to it.
Either way we count anonymous visits to each listing so providers can see whether anyone found them. Those counts have no way to identify you. Read the privacy policy.
