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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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 |
|
Total Nursing (Weekend)
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 |
|
RN (Weekend)
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 |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #275 / 353Payroll — State benchmarkedThis home is ranked 275th out of 353 homes in New York.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.
Higher than the New York average: 88.3%Gowanda Rehabilitation & Nursing Center is legally operated by GORNC Operating, LLC (For Profit).
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
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.
Enforcement actions are formal penalties or interventions imposed by New York regulators when an assisted living residence fails to meet state care, safety, or regulatory standards. They may include stipulations and orders, civil monetary penalties, operational restrictions, or appointment of temporary management.
This facility has 3 enforcement actions. 57% of New York assisted living residences have zero, and the statewide average is 0.9.
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 are formal regulatory issues recorded during state inspections.
State inspections evaluate whether the facility meets health and safety standards.
| Metric | 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 assisted living residence (19 vs. NY avg 9). Click this badge to view the full New York ranking.↑ 111% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 2 | 5 | This facility has 60% fewer inspections with citations than a typical New York assisted living residence (2 vs. NY avg 5). Click this badge to view the full New York ranking.↓ 60% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 11% | 56% | This facility has 45 percentage points lower inspection citation rate than a typical New York assisted living residence (11% vs. NY avg 56%). Click this badge to view the full New York ranking.↓ 45% better |
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on May 16, 2025, identified multiple quality of care and life safety code deficiencies, all of which were corrected by July 10, 2025. Earlier inspections showed fewer issues, with the April 24, 2023 inspection citing a single quality of care deficiency that was also corrected promptly. The main themes of deficiencies involved resident care practices and safety measures such as fire alarm maintenance and hazardous area enclosures. No fines, enforcement actions, or substantiated complaints were listed in the available reports. The facility appears to address identified issues in a timely manner, with no clear pattern of worsening or recurring deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsState average N/A
Last Health inspection on May 2025
State average N/A
State average N/A
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).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
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
8 active
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
18
18 Disposed
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2017
Year of the most recent filing. Recent activity means legal disputes are still being raised against this facility.
2025
Next scheduled court appearance on record across active cases.
Apr 30, 2026
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.
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0:0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 95 | 0 | 95 | 30,214 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 27 | 0 | 27 | 10,761 | 91 | 100% | 9 |
| Registered Nurse | 15 | 0 | 15 | 6,467 | 91 | 100% | 8 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,522 | 91 | 100% | 6.2 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,030 | 69 | 76% | 8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 984 | 73 | 80% | 7.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 938 | 64 | 70% | 7.7 |
| Physical Therapy Aide | 1 | 0 | 1 | 498 | 64 | 70% | 7.8 |
| Speech Language Pathologist | 1 | 0 | 1 | 491 | 62 | 68% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 66 | 73% | 7.3 |
| Qualified Social Worker | 1 | 0 | 1 | 460 | 60 | 66% | 7.7 |
| Dietitian | 1 | 0 | 1 | 441 | 60 | 66% | 7.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 420 | 45 | 49% | 9.3 |
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.
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 State averageState average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.6
25% worse than State averageState 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 State averageState average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
23.8%
43% worse than State averageState average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
In line with State averageState average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
55% better than State averageState average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
4.5%
37% better than State averageState average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.6%
58% better than State averageState average: 1.4%
Percent of long-stay residents who lose too much weight
6.3%
In line with State averageState average: 6.1%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
11.1%
11% better than State averageState average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
9% better than State averageState average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
In line with State averageState average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.89
11% worse than State averageState average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.74
29% worse than State averageState 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 State averageState average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
40% worse than State averageState average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.6%
14% better than State averageState average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.8%
25% worse than State averageState average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.9%
8% better than State averageState average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.1%
6% better than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
39.4%
22% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 State averageState average: $66K
51% fewer fines than State averageState 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 State averageState 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
The information below is reported by the New York State Department of Health.
| 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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Gowanda | - | 160 | 60 | - |
| Job Haines Home |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomfield (Bloomfield Avenue) | - | 40 | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
Historical financial and operational data for Gowanda Rehabilitation & Nursing Center based on CMS SNF Cost Reports.
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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.
Yes — there are 4 photos of Gowanda Rehabilitation & Nursing Center in the photo gallery on this page.
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