Deficiency Index

Niagara Rehabilitation and Nursing Center

Niagara Falls, New York · CCN 335742

35 surveys since 2010, 6 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
166
Surveys
35
Harm or worse
6
Immediate jeopardy
3
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file27/35

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
160
Ownership
For profit - Corporation
Chain
THE SHERMAN FAMILY
County
Niagara
Medicare-certified since
1992

CMS ratings

Overall
2
Health inspection
2
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 259 for-profit facilities with 128 or more beds in New York.

Last survey on record

Apr 8, 2026

215 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.723.37
Registered-nurse hours per resident day0.39—
Annual nurse turnover32.7%33.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1460.9%E834.8%F14.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 23 of the 166 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5611×

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

In the surveyor’s words

From the most serious findings on record at Niagara Rehabilitation and Nursing Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF925Apr 8, 2026

    Based on observations, interviews, and record review conducted during the survey the facility failed to maintain an effective pest control program for the Main Kitchen and one (1) of three (3) resident floors. Issues included observations of rodent droppings in the dry storage room of the main kitchen, and complaints of rodent sightings in the main kitchen, resident rooms and halls. Additionally, on the exterior of the building, garbage and the contents of the kitchen grease traps, were stored in a manner that had the potential to attract rodents. Residents #3, 25, 47, 63, 65, 80, 94, 97, and #115 were involved. […]

  • No harm, potential for more than minimal, patternF728Nov 20, 2024

    Based on observation, interview, and record review conducted during an Abbreviated survey (Complaint #NY00354751), the facility did not ensure any individual working in the facility as a nurse aide on a full time basis for more than 4 months was competent to provide nursing and nursing related services and that individual has completed a training and competency evaluation program or a competency evaluation program approved by the State meeting the requirements for two (certified nurse aide trainee #1 and #2) of seven staff members reviewed for training. Specifically Certified Nurse Aide Trainee #1 and #2 had been employed by the facility and functioned in the role of a nurse aide for greater than 4 months without receiving a nurse aide certification. […]

  • No harm, potential for more than minimal, patternF584Jul 15, 2024

    Based on observation, interview, and record review conducted during a Complaint investigation (NY00344362 and NY00345636) conducted during a Standard survey completed on 7/15/24, the facility did not ensure that housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for three (Second, Third, and Fourth Floors) of three resident units and one of one main dining room. Specifically, multiple windows had dried leaves, dead insects, spider webs white and grey colored debris on the inside and outside on windowpanes and brown/black debris on the window sash in between the panes of glass; privacy curtains with reddish brown stains; tan stains and cracks on the ceilings; water dripping from the ceiling into a resident's room on the Third Floor;… […]

  • No harm, potential for more than minimal, patternF658Jul 15, 2024

    Based on interview and record review conducted during the Standard survey completed on 7/15/24, the facility did not ensure that services provided by the facility as outlined in the comprehensive care plan, met professional standards of quality for one of (Resident #23) of six residents reviewed. Specifically, medications were known to be transcribed erroneously which resulted in duplicate orders. The medication orders were not clarified or reported to a medical provider. In addition, the nursing staff signed both of the medications as being administered on multiple occasions. […]

  • No harm, potential for more than minimal, patternF812Jul 15, 2024

    Based on observation, interview, and record review conducted during a Standard survey completed on [DATE], the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, two (Unit 2 and Unit 4) of three unit nourishment refrigerators, one of one main kitchen observed had issues. The nourishment room refrigerators contained undated, unlabeled, and out of date food and drink items. The kitchen walk-in, beverage reach-in and tray line coolers contained undated and unlabeled items. […]

Read 26 findings in full →The most serious and the most recent: 26 of 166 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 8, 2026Standard and complaint4 findings
  • Dec 30, 2024Complaint1 finding
  • Nov 20, 2024Complaint1 finding
  • Jul 15, 2024Standard7 findings
  • Feb 22, 2024Complaint1 finding
  • Dec 21, 2023Complaint2 findings
  • Feb 6, 2023Complaint1 finding
  • Aug 3, 2022Complaint2 findings
Show the 27 earlier surveys
  • Jun 16, 2022Standard5 findings
  • Feb 28, 2020Standard5 findings
  • Jul 15, 2019Complaint2 findings
  • Mar 8, 2019Standard10 findings
  • Sep 13, 2018Complaint1 finding
  • Mar 16, 2018Complaint1 finding
  • Feb 1, 2018Standard13 findings
  • Aug 21, 2017Complaint1 finding
  • Jun 28, 2017Complaint1 finding
  • Jun 13, 2017Complaint1 finding · 1 harm
  • Dec 5, 2016Standard and complaint13 findings
  • Jan 21, 2016Standard and complaint24 findings · 1 harm
  • Aug 13, 2015Complaint9 findings · 3 harm
  • Jul 14, 2015Complaint2 findings
  • Jan 28, 2015Complaint2 findings
  • Jan 9, 2015Standard and complaint17 findings
  • Aug 22, 2014Complaint1 finding
  • Feb 20, 2014Standard7 findings
  • Oct 9, 2013—1 finding · 1 harm
  • Jun 11, 2013—1 finding
  • Apr 16, 2013—7 findings
  • Feb 12, 2013—1 finding
  • Dec 26, 2012—1 finding
  • May 23, 2012—14 findings
  • Jul 18, 2011—5 findings
  • Apr 14, 2011—1 finding
  • Sep 27, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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