How to file a complaint about care →

1 fine totaling $125,453.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.76, RN 0.49, weekend 3.35.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.76 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - County

All 7 owning or managing parties CMS has on file are shown — none excluded.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
• "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
• "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
• "What were the findings behind this administration citation, and what has leadership changed since?"
• "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
• "Can you show me an example care plan, and how are families included when it's created and updated?"
• "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
• "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"

Also worth asking anywhere

• "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 37% total nursing staff turnover here — who on the care team has been with you longest?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Cattaraugus, NY — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

• Absolut Center for Nursing and Rehabilitation at a — Allegany, NY · overall 5/5
• Gowanda Rehabilitation and Nursing Center — Gowanda, NY · overall 3/5
• Salamanca Rehabilitation & Nursing Center — Salamanca, NY · overall 4/5
• The Pines Healthcare & Rehab Centers Olean Campus — Olean, NY · overall 4/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Machias →