Cattaraugus County, New York · Nursing home
Gowanda Rehabilitation and Nursing Center
3 of 5 overall from CMS
100 Miller Street, Gowanda, NY 14070
At a glance
- Overall rating 3 of 5 Same as the state average of 3.0
- Nurse time per resident, per day 3.27 hours Below the state average of 3.63
- Nursing staff who left in a year 29.9% Below the state average of 40.3%
- Health citations, last 3 inspection cycles 15 2 at the harm level or above
- Fines in 3 years $23,520 1 fine
- Certified beds in use 97.8% of 160 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Gowanda Rehabilitation and Nursing Center is a 160-bed nursing home in Gowanda, New York (Cattaraugus County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.27 nurse staffing hours per resident per day, below the New York average of 3.63. CMS lists 1 fine totaling $23,520 in the past three years.
- Certified beds
- 160
- Residents per day (average)
- 156.5
- Certified since
- 1980 (46 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Personal Healthcare Management (21 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Gowanda Rehabilitation and Nursing Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $23,520 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 2.79 hours per resident on weekends against 3.27 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 97.8% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 New York average 3.0
- Health inspections 3 of 5 New York average 2.7
- Staffing 4 of 5 New York average 2.8
- Quality measures 3 of 5 New York average 3.8
The vertical line marks the New York average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.27 h New York average 3.63
- Nurse aides 1.95 h New York average 2.15
- Licensed practical nurses 0.76 h New York average 0.76
- Registered nurses 0.56 h New York average 0.71
- All staff, weekends 2.79 h New York average 3.18
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the New York average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover29.9%
- New York average40.3%
- Registered nurse turnover6.3%
- New York average39.8%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the New York and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | New York | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 16.1% | 14.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.5% | 5.8% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.2% | 1.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 19.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% | 91.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 16.6% | 12.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.6% | 13.2% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% | 95.3% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.3% | 6.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.0% | 19.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 14.0% | 13.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.86 | 1.70 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.34 | 1.36 | 1.78 |
Short-stay residents
| Measure | This home | New York | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.1% | 77.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 3.5% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.6% | 78.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.6% | 20.6% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 12.2% | 9.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 15 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level; the rest were graded as no actual harm. 1 was cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 21, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 16, 2025 | 4 | 6 |
| Jul 25, 2023 | 10 | 12 |
| Jun 17, 2021 | 1 | 4 |
New York homes averaged 8.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (15)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 8, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 10, 2025)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 14, 2023)
Show 10 more
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 14, 2023)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 14, 2023)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Sep 14, 2023)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Sep 14, 2023)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 14, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 14, 2023)
-
DPotential for more than minimal harm, isolated
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 14, 2023)
-
DPotential for more than minimal harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 14, 2023)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Sep 14, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 11, 2021)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| May 21, 2026 | Fine | $23,520 |
New York homes averaged 0.5 fines and $23,070 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New York
- Size310 of 593 by certified beds
- New York average residents per day168.0
- ChainPersonal Healthcare Management
- Chain average overall rating2.9 of 5
- Resident or family councilResident
- Homes in Cattaraugus County5
Common questions
What is the CMS star rating for Gowanda Rehabilitation and Nursing Center?
Gowanda Rehabilitation and Nursing Center has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 4 and quality measures is 3.
How many beds does Gowanda Rehabilitation and Nursing Center have?
Gowanda Rehabilitation and Nursing Center has 160 certified beds. It averages 156.5 residents per day, about 97.8% of its certified beds.
How much nursing care do residents get at Gowanda Rehabilitation and Nursing Center?
The home reports 3.27 hours of nurse staffing per resident per day, including 0.56 hours from registered nurses. The New York average is 3.63 hours and 0.71 hours from registered nurses.
Has Gowanda Rehabilitation and Nursing Center been fined?
Yes. CMS lists 1 fine totaling $23,520 in the past three years.
Does Gowanda Rehabilitation and Nursing Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Fiddlers Green Manor Rehab and Nursing Center 82beds 92.0%in use 2.90nurse hours a day
- 5 of 5 Eden Rehabilitation Nursing Center 40beds 91.5%in use 3.42nurse hours a day
- 5 of 5 Autumn View Health Care Facility L L C 230beds 96.5%in use 3.33nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Cattaraugus County
Who to call in New York
These offices serve residents of every nursing home in New York.
- Long-term care ombudsman New York State Long Term Care Ombudsman Program 1-855-582-6769 An advocate for residents and their families.
- File a complaint about a nursing home Nursing Home Complaint and Discharge Appeal Hotline 1-888-201-4563 (staffed 8:30 a.m. to 4:45 p.m. on weekdays) The state agency that inspects nursing homes.
New York staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 335642. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.