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Gowanda Rehabilitation & Nursing Center
Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Gowanda, NY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Gowanda Rehabilitation & Nursing Center

Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Gowanda, NY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
100 Miller Street, Gowanda, NY 14070 View map Calculator: See prices in your area
Gowanda Rehabilitation & Nursing Center accepts Medicare, Medicaid, and private pay.
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Gowanda Rehabilitation & Nursing Center accepts Medicare, Medicaid, and private pay.

Overview of Gowanda Rehabilitation & Nursing Center

If you’re looking at Gowanda Rehabilitation & Nursing Center, here’s what the numbers actually say. It’s a 160-bed nursing home on Miller Street in Gowanda, New York, run by GORNC Operating, LLC. The place offers nursing home care, hospice, palliative care, and skilled nursing, so it’s built for people who need real medical support, not just a place to live.

Right now 151 people call it home, which puts it at 94% full. Most residents stay around 105 days, so this isn’t a one-size-fits-all stay. Some people come for a few weeks of rehab after surgery or an illness. Others stay much longer because they need ongoing nursing care. The building offers rehab services, respite care, short-term rehab, a doctor on staff, and someone from the nursing team around the clock.

Two things stood out to me digging through this profile. First, there’s a Nurse Aide Training program right on-site, so staff can get state-certified without leaving the building. That matters because it means the facility is investing in growing its own trained aides instead of just hoping to hire experienced ones. Second, there’s an Active Resident Council. Residents actually meet regularly and have a real say in how things run, not just a suggestion box nobody checks.

On staffing, here’s the daily breakdown per resident: 29 minutes with an RN, 46 minutes with an LPN, and 2 hours and 2 minutes with a nurse aide. Add it up and that’s 4 hours and 9 minutes of nursing care every single day for each person living there.

Money-wise, Gowanda takes Medicare, Medicaid, and private pay. About a quarter of new residents come in on Medicare, usually for short rehab stints around 27 days. Almost 60% pay privately, often for stays of a month or two. The rest come in on Medicaid, typically for long-term care that lasts closer to a year.

New York’s Department of Health inspects the facility as part of routine oversight, and past inspections have touched on fire safety systems, emergency preparedness, and how hazardous materials get handled. That’s pretty standard territory for what state inspectors look at in nursing homes generally.

Gowanda is a working nursing facility juggling both short-term rehab patients and long-term residents, with structured programs like resident governance and in-house aide training that go a little beyond the basics.

Facility Direct Line (716) 532-5700
Facility Direct Line (716) 532-5700 info@gowandarnc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 2.4% Below NY avg. ▼ 2.4% Below NY avg.NY average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 6.0% Above NY avg. ▲ 6.0% Above NY avg.NY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 10.4% Above NY avg. ▲ 10.4% Above NY avg.NY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 21.4% Below NY avg. ▼ 21.4% Below NY avg.NY average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs New York averages

Rank #66 / 389Nurse hours — State benchmarkedThis home is ranked 66th out of 389 homes we track in New York for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the New York average, with a ranking across 389 New York facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 66th out of 389 homes we track in New York for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 9m

16% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
29m
−31% State avg: 42m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
46m
Avg State avg: 46m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 2m
−7% State avg: 2h 11m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 28m
+9% State avg: 3h 10m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
4m
−42% State avg: 7m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
13m
−54% State avg: 28m per day · National avg: 28m per day

4 of 6 metrics below state avg

Standout metric: Weekend Total Nursing is +9% above New York average

Capacity and availability

Residents per day
150
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
105 days
Bed community size
160-bed community Rank #294 / 737Bed count — State benchmarkedThis home is ranked 294th out of 737 homes we track in New York for bed count. Shows this facility's certified or reported bed count compared to other New York facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 60 / 100 Rank #694 / 1149Walk Score — State benchmarkedThis home is ranked 694th out of 1,149 homes we track in New York for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across New York facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
94%
Rank #214 / 408Occupancy rate — State benchmarkedThis home is ranked 214th out of 408 homes we track in New York for occupancy. Shows this facility's occupancy rate versus the New York average, with its Statewide rank out of 408. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the New York average: 88.3%
Occupied beds
150 / 160
Average occupied beds in New York homes 166 beds

License Details

Facility TypeNursing Home
StatusActive
CountyCattaraugus
License Number0427303N

Ownership & Operating Entity

Gowanda Rehabilitation & Nursing Center is legally operated by GORNC Operating, LLC (For Profit).

Owner NameGornc Operating, LLC (For Profit)

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Contact Gowanda Rehabilitation & Nursing Center

Inspection History

In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.

Since 2019 · 7 years of data These figures come from state-published inspection data. 3 enforcement actions 27 citations 135 complaints 19 inspections 20 complaint investigations
Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. The score below shows how many points this facility sits above or below the typical New York nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

10 points below the New York average for nursing homes (83/100)

Rank #498 / 616 in New York Inspection Score — State benchmarked This home is ranked 498th out of 616 homes we track in New York for inspection score. Shows this facility's inspection score compared to the New York average among 616 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric. This is a proprietary Assisted Living Magazine score. Inspection score: 73 out of 100. Letter grade C. 10 points below the New York average for nursing homes (83/100)

Enforcement Actions Info Enforcement actions are formal penalties or interventions imposed by New York regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.

Since 2019
3 enforcement actions

This facility has 3 enforcement actions. 33% of New York nursing homes have zero, and the statewide average is 1.6.

  • July 25, 2023 Quality of Care #NH-24-025
  • December 4, 2020 Quality of Care #NH-21-152
  • June 26, 2019 Multiple Deficiencies #NH-19-044

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. New York state average
Overall vs. NY average 5 Worse Metrics worse than New York average:
• Total citations (108% above)
• Health citations (15% above)
• Total complaints (71% above)
• Complaints per year (71% above)
• Complaints per bed (78% above) 2 At Avg Metrics at New York average:
• Life safety citations (at NY avg)
• Citations per inspection (at NY avg) 2 Better Metrics better than New York average:
• Inspections with citations (50% below)
• Inspection citation rate (75% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityNY Averagevs. NY Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 2713 This facility has 108% more total citations than a typical New York nursing home (27 vs. NY avg 13).↑ 108% worse
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 2320 This facility has 15% more health citations than a typical New York nursing home (23 vs. NY avg 20).↑ 15% worse
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 44 This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg
Citations per inspection Info Average citations per inspection. 1.41.4 This facility has citations per inspection in line with the New York average (1.4 vs. NY avg 1.4).— At avg

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNY Averagevs. NY Avg
Total inspections Info Combined count of all inspections conducted at this facility. 199 This facility has had 111% more total inspections than the New York average (19 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↑ 111% more
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 24 This facility has 50% fewer inspections with citations than a typical New York nursing home (2 vs. NY avg 4).↓ 50% better
Inspection citation rate Info Percentage of inspections that resulted in at least one citation. 11%44% This facility has 33 percentage points lower inspection citation rate than a typical New York nursing home (11% vs. NY avg 44%).↓ 33% better

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityNY Averagevs. NY Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 13579 This facility has 71% more total complaints than a typical New York nursing home (135 vs. NY avg 79).↑ 71% worse
Complaints per year Info Average complaints per year since 2021. 2715.8 This facility has 71% more complaints per year than a typical New York nursing home (27 vs. NY avg 15.8).↑ 71% worse
Complaints per bed Info Size-adjusted complaint rate based on occupied beds. 0.890.50 This facility has 78% more complaints per bed than a typical New York nursing home (0.89 vs. NY avg 0.5).↑ 78% worse
Complaint investigations Info On-site investigations triggered by complaints filed with New York regulators. 2015 This facility has had 33% more complaint investigations than the New York average (20 vs. NY avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 33% more
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2021 · 5 years of data
Total health inspections 4

New York average 3.6

Last Health inspection on May 2025

Total health citations
15 Rank #163 / 396Health citations — State benchmarkedThis home is ranked 163rd out of 396 homes we track in New York for health citations. Shows this facility's total health deficiency citations benchmarked to the New York State average, with a ranking across all 396 NY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York average 18.5

Citations per inspection
3.75 Rank #115 / 396Citations per inspection — State benchmarkedThis home is ranked 115th out of 396 homes we track in New York for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the New York mean across 396 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York average 5.05

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 15 citations resulted from standard inspections; 1 of 15 resulted from complaint investigations; and 3 of 15 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 5 years)
Critical health citations
1
400% worse than New York average

New York average: 0.2

Serious health citations
0
100% better than New York average

New York average: 0.2

1 critical citation New York average: 0.2
0 serious citations New York average: 0.2
14 moderate citations New York average: 17.4
0 minor citations New York average: 0.7
Citations history (last 5 years)
Quality of Care moderate citation May 16, 2025
Corrected
Quality of Care moderate citation May 16, 2025
Corrected
Quality of Care moderate citation May 16, 2025
Corrected
Abuse/Neglect moderate citation Jul 25, 2023
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Infection Prevention & Vaccination

How this facility protects residents through staff vaccination policies and immunization practices.

Employee Flu Vaccination Rate: 60%

Percentage of facility employees vaccinated against influenza.

Lawsuit overview for Gowanda Rehabilitation & Nursing Center

Summary of court-record activity tied to this facility, compiled from publicly available case dockets.

Source: State court e-filing records

Total Cases Info Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure. 26
Active Cases Info Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture. 8
Closed Info Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes. 18
Since Info Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure. 2017
Most Recent Info Most recent filing on record. Recent activity means legal disputes are still being raised against this facility. 2025
Next Court Date Info Next scheduled court appearance on record across active cases. Apr 30, 2026
View full lawsuit report

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 165
Employees 165
Contractors 0
Staff to resident ratio 1.09 : 1
524% more staff per resident than New York average
New York average ratio: 0.18 : 1 New York average ratio: 0.18 : 1See full New York ranking
Avg staff/day 75
Average shift 7.9 hours
0% compared with New York average
New York average: 7.7 hours New York average shift: 7.7 hoursSee full New York ranking
Total staff hours (quarter) 54,188

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 19 RN Staff are full-time employees. No contractors work on this role. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 26 LPN Staff are full-time employees. No contractors work on this role. 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 96 CNA Staff are full-time employees. No contractors work on this role. 96
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant9609629,14392100%7.6
Licensed Practical Nurse2602610,99192100%8.9
Registered Nurse190196,42892100%7.9
Other Dietary Services Staff100101,63792100%6.7
Physical Therapy Assistant3031,3897177%7.8
Respiratory Therapy Technician2029637379%7.4
Mental Health Service Worker2028646267%7.6
Speech Language Pathologist1014846166%7.9
Physical Therapy Aide1014696166%7.7
Nurse Practitioner1014516368%7.2
Occupational Therapy Aide1014404751%9.4
Qualified Social Worker1014376368%6.9
Dietitian1014025358%7.6
Administrator101901213%7.5
96 Certified Nursing Assistant
% of Days 100%
26 Licensed Practical Nurse
% of Days 100%
19 Registered Nurse
% of Days 100%
10 Other Dietary Services Staff
% of Days 100%
View All Staffing Data in Erie County

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $61K Rank #359 / 397Federal fines — State benchmarkedThis home is ranked 359th out of 397 homes we track in New York for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the New York average among facilities with fines, and where it ranks among 397 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
8% lower than New York average

New York average: $66K

Number of fines 1
51% fewer fines than New York average

New York average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than New York average

New York average: 0.1

Fines amount comparison
Fines amount comparison
This facility $61K
New York average $66K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 11.7
19% worse than New York average

New York average: 9.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.6
25% worse than New York average

New York average: 18.1

Long-stay resident measures
Above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 22.7%
38% worse than New York average

New York average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 23.8%
43% worse than New York average

New York average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 21.3%
In line with New York average

New York average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.3%
55% better than New York average

New York average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.5%
37% better than New York average

New York average: 7.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
58% better than New York average

New York average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.3%
In line with New York average

New York average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than New York average

New York average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 11.1%
11% better than New York average

New York average: 12.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
9% better than New York average

New York average: 91.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.6%
In line with New York average

New York average: 95.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.89
11% worse than New York average

New York average: 1.71

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.74
29% worse than New York average

New York average: 1.35

Short-stay resident measures
Below average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.6%
12% better than New York average

New York average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.8%
40% worse than New York average

New York average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 89.6%
14% better than New York average

New York average: 78.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.8%
25% worse than New York average

New York average: 20.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.9%
8% better than New York average

New York average: 9.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than New York average

New York average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 57.1%
6% better than New York average

New York average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 39.4%
22% worse than New York average

New York average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

59% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

17% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 151
Medicare
9
6% of residents
Medicaid
139
92.1% of residents
Private pay or other
3
2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$15.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$401.1K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$15.1M Rank #287 / 382Net patient revenue — State benchmarkedThis home is ranked 287th out of 382 homes we track in New York. Shows this facility's net patient revenue compared to the New York average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$401.1K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$228
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #297 / 382Payroll costs — State benchmarkedThis home is ranked 297th out of 382 homes we track in New York. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New York average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$7.7M 50.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #205 / 381Payroll % of net patient revenue — State benchmarkedThis home is ranked 205th out of 381 homes we track in New York. Shows payroll as a percentage of net patient revenue versus the New York average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$7.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$14.7M
How we calculate these figures

This home is owned by Gornc Holdings LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 335642

Show certification details

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (59% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
471 total

Coverage residents most often arrive under.

Medicare 24%
Private pay 59%
Medicaid 17%
Discharges
449 total

Coverage residents most often leave under.

Medicare 16%
Private pay 52%
Medicaid 32%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.0 miles from city center Info Estimated distance in miles from Gowanda's city center to Gowanda Rehabilitation & Nursing Center's address, calculated via Google Maps.

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Compare Nursing Homes around Erie County

Info below is compiled from CMS reports & the NY State Dept. of Health (NYSDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care):
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the state average. See the benchmark below for the typical score in this state; higher is better. This is a proprietary Assisted Living Magazine score.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level D or higher — meaning actual harm occurred or residents were placed in immediate jeopardy. Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New York average is: 55.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Beechwood Homes
NH
HOS
IL
SNF
Getzville (Town Of Amherst)
220
Facility 220
NY AVG 160
Rank #144 / 737
70.0%
Facility 70.0%
NY AVG 87.2
Rank #369 / 408
-20%
4.12
Facility 4.12
NY AVG 3.58
Rank #66 / 389
 -13%+15%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 397
85
Facility 85
NY AVG 83
Rank #293 / 616
7
Facility 7
NY AVG 18.5
Rank #31 / 396
2.3
Facility 2.3
NY AVG 5.1
Rank #29 / 396
-154A+
34
Facility 34
NY AVG 64
Rank #925 / 1,149
Daniel O'neill
$27.1MFiscal year ending 12/2023
Facility $27.1MFiscal year ending 12/2023
NY AVG $29.2M
Rank #168 / 382
$21.0MFiscal year ending 12/2023
Facility $21.0MFiscal year ending 12/2023
NY AVG $15.4M
Rank #70 / 382
77.4%Fiscal year ending 12/2023
Facility 77.4%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #30 / 381
335468
Greenfield Health & Rehab Center
NH
AL
IL
MC
PC
RC
SNF
Broadway Lancaster
160
Facility 160
NY AVG 160
Rank #294 / 737
93.8%
Facility 93.8%
NY AVG 87.2
Rank #214 / 408
+8%
5.08
Facility 5.08
NY AVG 3.58
Rank #17 / 389
 -57%+42%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 397
66
Facility 66
NY AVG 83
Rank #578 / 616
11
Facility 11
NY AVG 18.5
Rank #90 / 396
3.7
Facility 3.7
NY AVG 5.1
Rank #106 / 396
-150-
77
Facility 77
NY AVG 64
Rank #500 / 1,149
Candyce Ingwersen
$24.7MFiscal year ending 12/2023
Facility $24.7MFiscal year ending 12/2023
NY AVG $29.2M
Rank #187 / 382
$14.7MFiscal year ending 12/2023
Facility $14.7MFiscal year ending 12/2023
NY AVG $15.4M
Rank #159 / 382
59.6%Fiscal year ending 12/2023
Facility 59.6%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #112 / 381
335182
Fox Run at Orchard Park
NH
AL
IL
MC
SNF
Orchard Park
60
Facility 60
NY AVG 160
Rank #639 / 737
86.7%
Facility 86.7%
NY AVG 87.2
Rank #321 / 408
-1%
4.58
Facility 4.58
NY AVG 3.58
Rank #28 / 389
 +1%+28%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 397
90
Facility 90
NY AVG 83
Rank #196 / 616
2
Facility 2
NY AVG 18.5
Rank #2 / 396
1.0
Facility 1.0
NY AVG 5.1
Rank #1 / 396
-52-
13
Facility 13
NY AVG 64
Rank #1,063 / 1,149
Craig Clark
$18.3MFiscal year ending 12/2023
Facility $18.3MFiscal year ending 12/2023
NY AVG $29.2M
Rank #247 / 382
$8.3MFiscal year ending 12/2023
Facility $8.3MFiscal year ending 12/2023
NY AVG $15.4M
Rank #278 / 382
45.2%Fiscal year ending 12/2023
Facility 45.2%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #269 / 381
335854
Brothers of Mercy Nursing & Rehabilitation Center
NH
AL
HOS
IL
MC
SNF
Clarence
240
Facility 240
NY AVG 160
Rank #109 / 737
87.9%
Facility 87.9%
NY AVG 87.2
Rank #316 / 408
+1%
4.25
Facility 4.25
NY AVG 3.58
Rank #55 / 389
 -51%+19%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 397
91
Facility 91
NY AVG 83
Rank #173 / 616
6
Facility 6
NY AVG 18.5
Rank #21 / 396
3.0
Facility 3.0
NY AVG 5.1
Rank #59 / 396
-211-
51
Facility 51
NY AVG 64
Rank #773 / 1,149
Teresa Dillsworth
$25.9MFiscal year ending 12/2023
Facility $25.9MFiscal year ending 12/2023
NY AVG $29.2M
Rank #178 / 382
$18.7MFiscal year ending 12/2023
Facility $18.7MFiscal year ending 12/2023
NY AVG $15.4M
Rank #89 / 382
72%Fiscal year ending 12/2023
Facility 72%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #42 / 381
335112
Gowanda Rehabilitation & Nursing Center
NH
HOS
PC
SNF
Gowanda
160
Facility 160
NY AVG 160
Rank #294 / 737
93.8%
Facility 93.8%
NY AVG 87.2
Rank #214 / 408
+8%
4.15
Facility 4.15
NY AVG 3.58
Rank #66 / 389
 -9%+16%
$61.2k
Facility $61.2k
NY AVG $67.6k
Rank #359 / 397
73
Facility 73
NY AVG 83
Rank #498 / 616
15
Facility 15
NY AVG 18.5
Rank #163 / 396
3.8
Facility 3.8
NY AVG 5.1
Rank #115 / 396
1150-
60
Facility 60
NY AVG 64
Rank #694 / 1,149
Gornc Holdings LLC
$15.1MFiscal year ending 12/2023
Facility $15.1MFiscal year ending 12/2023
NY AVG $29.2M
Rank #287 / 382
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
NY AVG $15.4M
Rank #297 / 382
50.8%Fiscal year ending 12/2023
Facility 50.8%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #205 / 381
335642
Nursing Home Explorer

Financial Assistance for
Nursing Home in New York

Gowanda Rehabilitation & Nursing Center is located in Gowanda, New York State.
Here are the financial assistance programs available to residents in New York State.

Get Financial aid guidance

Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled
General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $30,182 individual, higher due to NY Medicaid expansion
NY

Higher asset limit; urban density increases demand.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+
General New York resident, at risk of decline but not nursing home level.
Income Limits ~$2,500/month individual, varies
Asset Limits $15,000 individual
NY

Cost-sharing required above certain income; urban/rural balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Frequently Asked Questions about Gowanda Rehabilitation & Nursing Center

Who is the owner of Gowanda Rehabilitation & Nursing Center?

Gowanda Rehabilitation & Nursing Center is legally operated by GORNC Operating, LLC (For Profit).

Is Gowanda Rehabilitation & Nursing Center in a walkable area?

Gowanda Rehabilitation & Nursing Center has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Gowanda Rehabilitation & Nursing Center?

According to NY state health department records, Gowanda Rehabilitation & Nursing Center's license number is 0427303N.

What is the occupancy rate at Gowanda Rehabilitation & Nursing Center?

Gowanda Rehabilitation & Nursing Center's occupancy is 94%.

Are pets allowed at Gowanda Rehabilitation & Nursing Center?

No, Gowanda Rehabilitation & Nursing Center has a no-pet policy.

Does Gowanda Rehabilitation & Nursing Center operate as a for-profit or non-profit?

Gowanda Rehabilitation & Nursing Center is registered as a for-profit in NY.

How many beds does Gowanda Rehabilitation & Nursing Center have?

Gowanda Rehabilitation & Nursing Center has 160 beds.

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