Every one of the 10 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
1 of these hold the top CMS rating of five. 1 sit at one. Registered nurse cover averages 0.48 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| OUR LADY OF PEACE NURSING CARE RESIDENCE | Lewiston | 5 | 4 | 3 | 0.44 | 250 | $0 |
| ELDERWOOD AT LOCKPORT | Lockport | 4 | 4 | 3 | 0.70 | 126 | $94,185 |
| Lockport Rehab & Health Care Center | Lockport | 4 | 4 | 3 | 0.51 | 82 | $0 |
| North Gate Health Care Facility | North Tonawanda | 4 | 4 | 2 | 0.36 | 200 | $0 |
| Schoellkopf Health Center | Niagara Falls | 3 | 2 | 3 | 0.43 | 120 | $0 |
| Degraff Memorial Hospital-Skilled Nursing Facility | North Tonawanda | 3 | 3 | 1 | 0.00 | 80 | $0 |
| Elderwood at Wheatfield | Niagara Falls | 2 | 2 | 2 | 0.69 | 123 | $0 |
| NEWFANE REHAB & HEALTH CARE CENTER | Newfane | 2 | 2 | 3 | 0.45 | 165 | $0 |
| Niagara Rehabilitation and Nursing Center | Niagara Falls | 2 | 2 | 2 | 0.39 | 160 | $0 |
| Absolut Center for Nursing and Rehabilitation at G | Gasport | 1 | 2 | 1 | 0.31 | 83 | $8,281 |
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Limited Liability company | 6 |
| Non profit - Corporation | 2 |
| For profit - Corporation | 2 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.