Niagara Rehabilitation and Nursing Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 93 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (7 vs median 6.0)
Bottom 25% in NY · Critically understaffed (RN) · Significantly below average staffing · Worst in THE SHERMAN FAMILY chain · No penalties on record
What this means for your family
While the facility's physical therapy department is frequently praised, the recurring reports of severe neglect, understaffing, and unsanitary conditions are major red flags. If you are considering this facility, we strongly recommend requesting a tour of the specific floor where your loved one would reside and asking for a direct meeting with the nursing supervisor to discuss staffing ratios.
Google Reviews
Google Reviews
93 reviews on Google“Niagara Rehabilitation and Nursing Center receives highly polarized feedback, with some families praising specific staff members for their kindness and effective physical therapy, while others report severe neglect and unsanitary conditions. Recurring complaints focus on chronic understaffing, poor communication, and issues with basic hygiene and wound care. Potential families should be aware that experiences appear to vary significantly depending on the specific floor or staff members involved.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Specific staff members noted for kindness
- Cleanliness improvements noted in some areas
Concerns
- Chronic understaffing leading to delayed care (mentioned by 8 reviewers)
- Unsanitary facility conditions and odors (mentioned by 7 reviewers)
- Poor communication and difficulty reaching staff (mentioned by 5 reviewers)
- Inadequate wound care and hygiene (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 97 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the current staffing levels, what specific protocols are in place to ensure that residents receive timely assistance with daily needs like hygiene and call-bell response?
- 2I noticed some feedback regarding facility cleanliness; could you walk me through your current housekeeping schedule and how you maintain sanitation in resident living areas?
- 3How does your nursing team coordinate care and communicate updates to families, especially when we are trying to reach someone for a status update?
- 4With your focus on physical and occupational therapy, how do you integrate these rehabilitation services into the resident's daily routine to ensure they stay active?
- 5What is your process for monitoring and documenting wound care and medication administration to ensure accuracy and resident safety?
- 6How do you ensure that residents have a positive and engaging dining experience, and what steps are you taking to improve the quality and variety of the meals provided?
Personalized based on this facility's data
Key Review Excerpts
“The therapy i received was excellent i came in by wheelchair and walked out the staff was very considerate and humble toward,me.”
“The two i was most impressed with in the care of my sister were her aides, Jessica and Chandler from the third floor. She is a very caring person who you can tell she loves her job.”
“Although there was a minor mishap in the care of my mother, Nicole Hansen along with other staff members rallied to come up with an action plan with my sister and I to ensure an ideal care plan.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
7
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has faced recurring challenges with families filing multiple complaints related to abuse protection, medication management, and staff training. Recent deficiencies include issues with wound care, medication oversight, and emergency preparedness, though most problems appear to be addressed with correction plans. The facility has consistently struggled with fire safety systems and building infrastructure across multiple surveys, suggesting ongoing maintenance concerns that families should discuss during visits.
Apr 8, 2026Complaint1
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Dec 30, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nov 20, 2024Complaint1
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Jul 15, 2024Routine19
Construction Deficiencies
Use approved construction type or materials.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Electrical Deficiencies
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Jul 15, 2024Complaint1
Resident Rights Deficiencies
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.
Feb 22, 2024Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ownership & Operations
Who Operates This Facility
Niagara Rehabilitation and Nursing Center
for profit
Chain Affiliation
The Sherman Family
7 facilities nationwide
Chain avg rating: 2.3/5 · Rank 7 of 7 (Worst)
Ownership & Management
Owners
Niagara Investors, LLC
Owner · Organization
Goldstein, Jeffrey
Owner
Sherman, Israel
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
93 reviews from families & visitors
Official Website
Visit niagararehab.com
Medicare data downloads
Original nursing home datasets
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