Gowanda Rehabilitation and Nursing Center

Name: Gowanda Rehabilitation and Nursing Center
Address: 100 MILLER STREET, Gowanda, NY, 14070, US
Telephone: 7165325700

100 Miller Street, Gowanda, NY 14070 · Cattaraugus County · 160 certified beds · avg 157 residents/day · certified since Dec 16, 1980

Part of chain: PERSONAL HEALTHCARE MANAGEMENT (21 facilities, chain avg rating 2.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

$23,520

Fines, last 3 years

3.96

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · May 21, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jul 8, 2026 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Jul 25, 2023 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Sep 14, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (15)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 21, 2026	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 16, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
May 16, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
May 16, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jul 25, 2023	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 25, 2023	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jul 25, 2023	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jul 25, 2023	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Jul 25, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jul 25, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jul 25, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jul 25, 2023	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Jul 25, 2023	D · Potential for harm, one-off	The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD).
Jul 25, 2023	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jun 17, 2021	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2021	1	0	D
2023	10	1	J ▲
2025	3	0	D
2026	1	1	J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $23,520.

Date	Type	Amount / length
May 21, 2026	Fine	$23,520

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	New York avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.96	3.58	3.95	top 27% in New York; top 41% in the U.S.
Registered Nurse hours	0.68	0.68	0.69	top 34% in New York; top 39% in the U.S.
Weekend total nurse staffing	3.37	3.13	3.50	top 29% in New York; top 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.48	0.48	bottom 32% in New York; bottom 25% in the U.S.
Total nursing staff turnover (%)	29.9	40.3	45.8	top 29% in New York; top 14% in the U.S.
RN turnover (%)	6.3	39.8	42.9	top 1% in New York; top 3% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.27, RN 0.56, weekend 2.79. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Gornc Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/29/2018
Barnes, Steven	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Barnes, Steven	Individual	ADP of the SNF	NOT APPLICABLE	03/25/2025
Barth, Alexander	Individual	Corporate Officer	NOT APPLICABLE	06/29/2018
Barth, Alexander	Individual	ADP of the SNF	NOT APPLICABLE	06/29/2018
May, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	01/13/2025
May, Jennifer	Individual	ADP of the SNF	NOT APPLICABLE	01/13/2025
Zagelbaum, Ephraim	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	03/25/2025
Zagelbaum, Yoel	Individual	Corporate Officer	NOT APPLICABLE	06/29/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Fiddlers Green Manor Rehab and Nursing Center	13.5 mi	Springville, NY	★★☆☆☆	2/5	abuse
Eden Rehabilitation Nursing Center	14.1 mi	Eden, NY	★★★★★	5/5
Autumn View Health Care Facility L L C	19.8 mi	Hamburg, NY	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Gowanda →

Facility data as of CMS processing date 2026-08-01. CCN 335642.

The Care File

Visit checklist — Gowanda Rehabilitation and Nursing Center

100 Miller Street, Gowanda, NY 14070 · 7165325700

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $23,520

Most serious findings on record:

▲ May 21, 2026 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Jul 25, 2023 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335642 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)