Here are 5 Nursing Homes in Cattaraugus County, NY
Nursing homes across Cattaraugus County, New York, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Absolut Center For Nursing And Rehabilitation At A is a small for-profit home in Allegany run by a limited liability company, and its inspection record is genuinely strong, a five-star health inspection rating, no deficiencies at the harm or jeopardy level, and the most recent inspection done in March 2024. The catch is staffing: 3.28 nurse hours per resident day sits about 15 percent under the national average, weekends run roughly 6 percent thinner than weekdays, and CMS gives it only two stars there. Turnover is 37.9 percent, actually better than the 45.8 percent national figure, which matters in a 37-bed building where you know the aides by name. Two abuse-related deficiencies appear on the current record, worth asking about directly.
Gowanda Rehabilitation and Nursing Center runs 160 beds under for-profit LLC ownership, and its staffing sits at 3.27 nurse hours per resident day, roughly 15 percent under the national average of 3.86. Weekends dip about 15 percent below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is the brighter spot at 29.9 percent, well below the 45.8 percent national figure, which suggests less churn in who's actually at the bedside. Against that, the current record carries 15 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $61,162 fine. The last inspection was May 2025.
Salamanca Rehabilitation & Nursing Center runs 120 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a recent December 2025 survey, 14 total deficiencies with none at the harm or jeopardy level. The catch is on the floor: 3.19 nurse hours per resident day sits about 17% under the national average, weekends drop roughly 18% below weekday coverage, and 46.3% annual turnover means nearly half the staff leaves each year. Two abuse-related deficiencies also appear on the current record. Strong surveys and quality scores, thinner daily staffing than most homes, and a workforce that keeps cycling through.
The Pines in Olean is county-owned, which matters less than what the numbers show. Nurses provide 3.50 hours of care per resident per day, about 9% under the national average of 3.86, and weekends run roughly a tenth thinner than weekdays, so the weakest coverage lands when families tend to visit. Annual turnover sits at 60.8% against a national 45.8%, meaning most of the staff you meet this year likely won't be there next. The good news: inspections are recent, the health inspection rating is strong at 4 of 5, and none of the nine deficiencies on record reached harm or jeopardy level. Three are abuse-related, though, which is worth asking about directly.
The county runs this 115-bed home in Machias, and its strongest number is staffing: 3.76 nurse hours per resident day, close to the national average, with turnover at 36.8% against a national 45.8%, people here tend to stay. Weekends tell a different story, running about 11% thinner than weekdays. The trouble sits on the inspection side: 12 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, plus a $125,453 fine, with the last inspection in February 2025. CMS rates quality measures 1 out of 5. Staffing is not the problem here; oversight and resident safety are what the record keeps flagging.