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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.
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 and Nursing Center is a 160-bed for-profit skilled nursing facility in Gowanda, Cattaraugus County, providing short-term rehabilitation, long-term care, assisted living, and independent living. Medicare and Medicaid certified with occupancy varying between 74.4 and 95.7 percent (119 to 153 residents), it maintains resident councils supporting community voice in governance.
Gowanda’s CMS ratings present sharp discrepancies across reporting sources: NursingHomeSite shows four-star overall (above state average); MyCaringPlan shows two-star overall; FamilyAssets shows one-star overall (lowest quartile). U.S. News designated both short-term rehabilitation and long-term care ratings as “As Expected.” Recent inspections documented 10 deficiencies, 139 complaints, and 31 citations. The facility was fined $61,162 in the last three years. Licensed nursing hours average 1.31 per resident daily (below national 1.4), while total nursing staff (including aides) averages 3.27 hours daily, substantially exceeding national levels. Weekend staffing averages 2.74 hours per resident, maintaining reasonable continuity across the week.
Gowanda provides physical therapy, occupational therapy, speech pathology, dental care, mental health services, social work, and 24-hour physician oversight. U.S. News quality outcomes indicate 1.0 hospitalization and 1.0 emergency room visit per 1,000 patient days. Those are excellent safety metrics, signaling effective preventive care and resident protection.
Family reviews are overwhelmingly positive, consistently praising physical therapy outcomes that restore mobility after surgery, meal quality with personalized dietary accommodations, clean well-maintained facility environment, robust activity programming, and genuine staff-resident relationships. These qualitative assessments align with strong U.S. News outcome metrics despite conflicting star ratings.
The one-star to four-star rating range and 139-complaint-to-10-deficiency disparity suggest either substantial recent quality improvement or significant measurement differences across CMS rating methodologies. Superior outcome metrics and consistent family satisfaction support the higher ratings against historical concerns reflected in the complaint volume.
Gowanda is appropriate for families seeking established rehabilitation and long-term care while verifying current CMS ratings to resolve the one-star to four-star discrepancy, requesting documentation of the $61,162 fine and corrective actions, understanding the 139-complaint record and its resolution status, conducting multiple facility visits to independently assess contemporary care quality, and recognizing that strong outcome metrics and family testimonials support placement decisions despite conflicting star designations.
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.
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.
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.
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.
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.
This home is ranked 73rd out of 387 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 27m per day | ▼ 36% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 44m per day | ▼ 4% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
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 5m per day | ▼ 5% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 2h 55m per day | ▼ 8% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
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 per day | ▼ 43% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
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.
| 11m per day | ▼ 61% State avg: 28m per day · National avg: 28m per day |
Higher than the New York average: 88.3%Gowanda Rehabilitation & Nursing Center is legally operated by GORNC Operating, LLC (For Profit).
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.
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.
10 points below the New York average for nursing homes (83/100)
Inspection score: 73 out of 100. Letter grade C. 10 points below the New York average for nursing homes (83/100)
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.
This facility has 3 enforcement actions. 33% of New York nursing homes have zero, and the statewide average is 1.6.
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.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 27 | 13 | This facility has 108% more total citations than a typical New York nursing home (27 vs. NY avg 13).↑ 108% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 23 | 20 | This facility has 15% more health citations than a typical New York nursing home (23 vs. NY avg 20).↑ 15% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 4 | This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg |
|
Citations per year
Average citations per year since 2021.
| 5.4 | 2.6 | This facility has 108% more citations per year than a typical New York nursing home (5.4 vs. NY avg 2.6).↑ 108% worse |
|
Citations per inspection
Average citations per inspection.
| 1.4 | 1.4 | This facility has citations per inspection in line with the New York average (1.4 vs. NY avg 1.4).— At avg |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 19 | 9 | This facility has 111% more total inspections than a typical New York nursing home (19 vs. NY avg 9).↑ 111% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 2 | 4 | 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
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
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 135 | 79 | This facility has 71% more total complaints than a typical New York nursing home (135 vs. NY avg 79).↑ 71% worse |
|
Complaints per year
Average complaints per year since 2021.
| 27 | 15.8 | 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
Size-adjusted complaint rate based on occupied beds.
| 0.89 | 0.50 | 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
On-site investigations triggered by complaints filed with New York regulators.
| 20 | 15 | This facility has 33% more complaint investigations than a typical New York nursing home (20 vs. NY avg 15).↑ 33% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New York average 3.6
Last Health inspection on May 2025
New York average 18.5
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).
400% worse than New York averageNew York average: 0.2
100% better than New York averageNew York average: 0.2
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
26
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
8
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
18
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 filing on record. Recent activity means legal disputes are still being raised against this facility.
2025
Next scheduled court appearance on record across active cases.
Apr 30, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
524% more staff per resident than New York average
0% compared with New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 19 RN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
All 26 LPN Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
All 96 CNA Staff are full-time employees. No contractors work on this role.
96
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 96 | 0 | 96 | 29,143 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 26 | 0 | 26 | 10,991 | 92 | 100% | 8.9 |
| Registered Nurse | 19 | 0 | 19 | 6,428 | 92 | 100% | 7.9 |
| Other Dietary Services Staff | 10 | 0 | 10 | 1,637 | 92 | 100% | 6.7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,389 | 71 | 77% | 7.8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 963 | 73 | 79% | 7.4 |
| Mental Health Service Worker | 2 | 0 | 2 | 864 | 62 | 67% | 7.6 |
| Speech Language Pathologist | 1 | 0 | 1 | 484 | 61 | 66% | 7.9 |
| Physical Therapy Aide | 1 | 0 | 1 | 469 | 61 | 66% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 451 | 63 | 68% | 7.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 440 | 47 | 51% | 9.4 |
| Qualified Social Worker | 1 | 0 | 1 | 437 | 63 | 68% | 6.9 |
| Dietitian | 1 | 0 | 1 | 402 | 53 | 58% | 7.6 |
| Administrator | 1 | 0 | 1 | 90 | 12 | 13% | 7.5 |
Includes penalties issued in 2023
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)
8% lower than New York averageNew York average: $66K
51% fewer fines than New York averageNew York average: 2.0
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 averageNew York average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 25, 2023 · $61K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 25, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.6
25% worse than New York averageNew York average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
22.7%
38% worse than New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
23.8%
43% worse than New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
In line with New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
55% better than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
4.5%
37% better than New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.6%
58% better than New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
6.3%
In line with New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
11.1%
11% better than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
9% better than New York averageNew York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
In line with New York averageNew York average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.89
11% worse than New York averageNew York average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.74
29% worse than New York averageNew York average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.6%
12% better than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
40% worse than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.6%
14% better than New York averageNew York average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.8%
25% worse than New York averageNew York average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.9%
8% better than New York averageNew York average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.1%
6% better than New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
39.4%
22% worse than New York averageNew York average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
24% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
151Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Gowanda Rehabilitation & Nursing Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #298 / 382Payroll — State benchmarkedThis home is ranked 298th out of 382 homes in New York for payroll. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Gowanda's city center to Gowanda Rehabilitation & Nursing Center's address, calculated via Google Maps.
Add your location
Gowanda Rehabilitation & Nursing Center is located in Gowanda, New York.
Here are the financial assistance programs available to residents in New York.
The information below is reported by the New York State Department of Health.
| Greenfield Health & Rehab Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Lancaster | 160
Facility
160
NY AVG
160
Rank
#298 / 748 | 93.8% | +6% | 5.08 | -57% | +42% | $22.3k | 66 | 11 | 3.7 | - | 152 |
77
Facility
77
NY AVG
63
Rank
#503 / 1173 | Candyce Ingwersen | $34.6M | $17.5M | 50.6% | 335182 | ||||
| Gowanda Rehabilitation & Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Gowanda | 160
Facility
160
NY AVG
160
Rank
#298 / 748 | 93.8% | +6% | 4.15 | -9% | +16% | $61.2k | 73 | 15 | 3.8 | 1 | 151 |
60
Facility
60
NY AVG
63
Rank
#696 / 1173 | Gornc Holdings LLC | $23.4M | $8.6M | 36.6% | 335642 |
The legal owner and operator of Gowanda Rehabilitation & Nursing Center is GORNC Operating, LLC (For Profit).
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.
According to NY state health department records, Gowanda Rehabilitation & Nursing Center's license number is 0427303N.
Gowanda Rehabilitation & Nursing Center's occupancy is 94%.
Gowanda Rehabilitation & Nursing Center has 160 beds.
Gowanda Rehabilitation & Nursing Center has had 27 recently reported deficiencies.
Gowanda Rehabilitation & Nursing Center is located at 100 Miller Street.
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