Absolut Center for Nursing and Rehabilitation at a
2178 North Fifth Street, Allegany, NY 14706 · Cattaraugus County · (716) 373-2238
37 certified beds, about 34 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335610 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 28, 2024, inspectors cited 0 health deficiencies (the New York average is 8.1, the national average 9.2).
None of its 8 health citations since October 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.28 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.
37.9% of nursing staff left within the year CMS measured (New York average 40.3%).
CMS links it to Absolut Care, an affiliated group of 5 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
July 9, 2025Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interviews and record review conducted during the Abbreviated survey (Complaint #NY00385514) the facility did not ensure that residents were free from abuse and mistreatment for one (1) (Resident #1) of three (3) residents reviewed. Specifically, Certified Nurse Aide #3 was witnessed to slap Resident #1's head during care. The finding is:The policy Abuse Prohibition revised 2/2023, documented residents have the right to be free from physical abuse and mistreatment. The facility will not condone any form of resident abuse. The policy and procedure Facility Incident/Abuse Investigation and Reporting revised 6/7/23, documented mistreatment means inappropriate treatment of a resident. Physical abuse includes, but is not limited to hitting, slapping, punching, biting, and kicking. Corporal punishment, which is physical punishment, is used as a means to correct or control behavior. [...]
March 28, 2024Standard inspection · 0 citations
June 10, 2022Standard inspection · 4 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview and record review conducted during the Standard survey started 6/6/22 and complete 6/10/22, the facility did not promote care for residents in a manner that maintains or enhances his or her quality of life, recognizing each resident's individuality for one (Resident #7) of three residents reviewed for dignity with dining. Specifically, staff was observed standing while feeding, conversing with other staff, and leaving the resident unattended/unassisted to circulate the dining room.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review completed during a Standard survey conducted from 6/6/22 through 6/10/22, the facility did not ensure that each resident who was unable to carry out activities of daily living (ADL's) receives the necessary services to maintain grooming and personal hygiene. Specifically, two (Resident #2 and #27) of two residents reviewed for ADL's had lack of hand hygiene and glove changes during morning (AM) care (Resident #27), and long whiskers on upper lip and chin (Resident #2).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey started 6/6/22 and completed 6/10/22, the facility did not ensure each resident receives adequate supervision and assistance devices to prevent accidents for one (Resident #27) of one resident's reviewed. Specifically, Resident (#27) with a history of falls, was observed to be transferred without the use of a gait belt (assistive device used to help safely transfer a resident) as planned. The finding is: The facility policy and procedure (P&P) titled Transfer & Ambulation, revised date 7/2014 documented all reasonable steps are taken to keep patients safe from accident and injury. Gait belts are provided to assist staff to safely transfer or ambulate patients. 1. [...]
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview and record review conducted during the Standard survey started 6/6/22 and completed 6/10/22, the facility did not maintain drugs and biologicals labeled in accordance with current accepted professional standards, and include the appropriate accessory and cautionary instruction, and the expiration date when applicable for one medication cart of one medication cart reviewed. Specifically, the medication cart had multi-dose eye drop bottles that were open and in use, that were not labeled with open/discard date. This involved Residents #20, 26 and 32. The finding is: The facility policy and procedure (P&P) titled Medication/Treatment Labeling and Storage dated 3/1/20 documented it shall be the policy of the facility to maintain proper labels for medications and proper storing instructions. [...]
October 10, 2019Standard inspection · 3 citations
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review conducted during a Standard survey completed on 10/10/19, the facility did not ensure that all alleged violations of abuse, neglect, exploitation, or mistreatment are thoroughly investigated for one (Residents #8) of one resident reviewed for verbal abuse. Specifically, the facility did not complete a thorough investigation to rule out verbal abuse after Resident #8 filed a complaint. The facility's investigation lacked staff and resident's statements. The finding is: The facility policy titled Abuse, Neglect, Mistreatment and Misappropriation of Resident Property dated 8/1/17 documented abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. [...]
- D 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.
Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 10/10/19, the facility did not ensure each resident's drug regimen is free from unnecessary drugs, and residents who have not used psychotropic drugs are not given these drugs unless the medication is necessary to treat a specific condition as diagnoses and documented in the clinical record. An unnecessary drug includes drugs used without adequate indications for its use and without adequate monitoring for one (Resident #9) of five residents reviewed for unnecessary medications. Specifically, there was a lack of revised non pharmacological interventions and behavioral documentation to support the increased dose of Abilify (antipsychotic medication). The finding is: [...]
- B Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on interview and record review conducted during the Standard survey completed on 10/10/19, the physician must sign and dated all orders, with the exception of influenza and pneumococcal vaccines during visits. Three (Residents #2, #23 and #24) of fifteen residents reviewed for physician had issues. Specifically, the facility did not ensure the physician or non-physician provider signed and dated all orders during visits. The finding is: The policy and procedure (P&P) titled Medication and Treatment Orders with a revision date of 4/2014 documented drug and biological orders shall be written, dated, and signed by the person lawfully authorized to give such an order. The signing of the orders shall be by signature or a personal computer key. Signature stamps may not be used. 1. [...]
Fire safety inspections
1 fire safety citation on file: 1 on June 10, 2022.
Every fire safety citation1 citation
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New York | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.28 | 3.63 | 3.86 |
| Registered nurses | 0.56 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.09 | 3.18 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 0.81 | ||
| Nursing staff turnover (share who left in a year) | 37.9% | 40.3% | 45.8% |
| Registered nurse turnover | 57.1% | 39.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.77 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.35 on weekdays and 3.09 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.13 in April to June 2025 to 3.28 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.28 | 0.56 | 3.35 | 3.09 | 0.0% | 0 of 90 | 34 |
| Oct to Dec 2025 | 3.37 | 0.60 | 3.47 | 3.10 | 0.0% | 1 of 92 | 34 |
| Jul to Sep 2025 | 3.36 | 0.58 | 3.51 | 2.97 | 0.0% | 0 of 92 | 34 |
| Apr to Jun 2025 | 3.13 | 0.50 | 3.37 | 2.55 | 0.0% | 0 of 91 | 35 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New York, Jan to Mar 2026 | 3.55 | 0.68 | 3.72 | 3.13 | 9.8% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New York | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.1 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.5 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.9 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.3 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.4 | 13.7 | 15.4 |
Owners and operators
Legal business name: ABSOLUT CENTER FOR NURSING AND REHABILITATION AT ALLEGANY LLC. CMS links this home to Absolut Care, a group of 5 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sherman, Israel | 5% or greater direct ownership interest | Individual | 45% | 06/07/2007 |
| Jastrzab, Diane | W-2 managing employee | Individual | 01/01/2017 | |
| Rosso, Ralph | Corporate officer | Individual | 01/01/2024 | |
| Sherman, Samuel | Limited partnership interest | Individual | 06/07/2007 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on July 9, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on June 10, 2022: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 10, 2022: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 10, 2022: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 hours per resident per day, below the New York average of 3.18.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- The Pines Healthcare & Rehabilitation Centers Olea Olean, 2.1 mi · 4 of 5 stars · 9 citations
- Bradford Ecumenical Home, Inc Bradford, 11.1 mi · 5 of 5 stars · 1 citation
- Pavilion at Brmc, the Bradford, 12.7 mi · 5 of 5 stars · 12 citations
- Salamanca Rehabilitation & Nursing Center Salamanca, 13.1 mi · 4 of 5 stars · 14 citations
- Cuba Memorial Hospital Inc SNF Cuba, 13.2 mi · 1 of 5 stars · 18 citations
- Bradford Manor Nursing and Rehab Bradford, 14.4 mi · 4 of 5 stars · 11 citations
- Sena Kean Nursing and Rehabilitation Smethport, 19.9 mi · 1 of 5 stars · 19 citations
- Amaryllis Nursing and Rehab Smethport, 20.1 mi · 4 of 5 stars · 17 citations
New York contacts for a concern about a nursing home
These are the official offices in New York. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: New York State Department of Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: NYS Health Profiles: Nursing Homes, where New York publishes its own records on licensed homes.
Common questions
- What is Absolut Center for Nursing and Rehabilitation at a's Medicare star rating?
- CMS rates Absolut Center for Nursing and Rehabilitation at a 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Absolut Center for Nursing and Rehabilitation at a get at its last inspection?
- 0 health deficiencies at the standard inspection on March 28, 2024. The New York average is 8.1.
- Has Absolut Center for Nursing and Rehabilitation at a been fined?
- CMS lists no fines in the last three years.
- Does Absolut Center for Nursing and Rehabilitation at a accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Absolut Center for Nursing and Rehabilitation at a?
- CMS lists 4 owners and managers, and links the home to Absolut Care. Legal business name: ABSOLUT CENTER FOR NURSING AND REHABILITATION AT ALLEGANY LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.