For spending 143 days in the combat zone, and operating North of 28.30 N and West of 49.30 E between 17 January–28 February 1991 the ship was awarded the Combat Action Ribbon. During the course of the war the "Niagara Falls" primary assignment was and her battlegroup, however she also serviced , the Amphibious Group, and the hospital ships. During this period "Niagara Falls" would mainly resupply from Jebel Ali near Dubai, however stops were also made at Bahrain and Abu Dhabi.