Gowanda Rehabilitation and Nursing Center — nursing home in Gowanda, NY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 160 CMS-certified beds (not state-licensed beds)
Licensed beds: 160 state-licensed beds · New York State Department of Health
State license: 0427303N active · licensee GORNC Operating, LLC
Average residents per day: 153.1 CMS, MDS-derived
CMS Certification Number: 335642
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 16, 1980
Ownership type: For profit - Limited Liability company
Operator (legal business name): Gornc Operating LLC
CMS chain: Personal Healthcare Management 21 facilities
Phone: (716) 532-5700
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest May 21, 2026

Citations

37

15 health · 22 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E21	F1
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$23,520

Payment denials

0

Latest

May 21, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 335642
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 160
First approved: Dec 16, 1980
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 1, 2026
Evidence: Verified

State license

Authority: New York State Department of Health (NYSDOH)
License number: 0427303N
State facility ID: 1032
License type: Residential Health Care Facility - SNF
License status: active
Licensed beds: 160
Bed certifications: RHCF: 160
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: GORNC Operating, LLC · LLC
Initially licensed: Feb 1, 1989
As of: Oct 23, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 21, 2026	Health	Health Complaint	1	Immediate jeopardy	—	Open →
May 16, 2025	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
May 16, 2025	Health	Health Standard	3	Potential harm	—	Open →
Jul 25, 2023	Fire safety	Fire Safety Standard	12	Potential harm	—	Open →
Jul 25, 2023	Health	Health Standard	10	Immediate jeopardy	—	Open →
Jun 17, 2021	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jun 17, 2021	Health	Health Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
May 21, 2026	Civil money penalty (fine)	$23,520	—	335642\|Fine\|141590

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E21	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 21, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Jul 8, 2026	Complaint
May 16, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 10, 2025
May 16, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 10, 2025
May 16, 2025	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 10, 2025
May 16, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 10, 2025
May 16, 2025	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 10, 2025
May 16, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 10, 2025
May 16, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 10, 2025
May 16, 2025	F-0690	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 Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 10, 2025
May 16, 2025	F-0700	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 Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 10, 2025
Jul 25, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Sep 14, 2023
Jul 25, 2023	K-0100	Meet other general requirements. Construction Deficiencies · Environment & life safety	E · Potential harm Pattern	Waiver granted
Jul 25, 2023	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 14, 2023
Jul 25, 2023	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 14, 2023
Jul 25, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 14, 2023
Jul 25, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 14, 2023
Jul 25, 2023	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 14, 2023
Jul 25, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 14, 2023
Jul 25, 2023	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 14, 2023
Jul 25, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 14, 2023
Jul 25, 2023	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 14, 2023
Jul 25, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 14, 2023
Jul 25, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 14, 2023
Jul 25, 2023	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 14, 2023
Jul 25, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 14, 2023
Jul 25, 2023	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 14, 2023
Jul 25, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 14, 2023
Jul 25, 2023	F-0690	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 Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 14, 2023
Jul 25, 2023	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 14, 2023
Jul 25, 2023	F-0725	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 Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Sep 14, 2023
Jul 25, 2023	F-0742	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 Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 14, 2023
Jul 25, 2023	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 14, 2023
Jun 17, 2021	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 11, 2021
Jun 17, 2021	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 11, 2021
Jun 17, 2021	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 11, 2021
Jun 17, 2021	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 11, 2021
Jun 17, 2021	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 11, 2021

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 2.9

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.44

State avg 3.69US avg 3.90

Registered nurse (RN)0.59

State avg 0.73US avg 0.69

Licensed practical nurse0.81

State avg 0.76US avg 0.86

Nurse aide2.04

State avg 2.20US avg 2.35

Weekend total nurse2.70

State avg 3.20US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.21 (case-mix index 1.14).

Staff turnover

Total nursing staff turnover31.9%

State avg 40.3%US avg 45.3%

Registered nurse turnover6.7%

State avg 39.6%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 16, 2025
Cycle 1 health score: 87
Total weighted score: 96

Operating entity

Gornc Operating LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Personal Healthcare Management

21 facilities in 2 states. CMS chain ID 677.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.9

Ownership disclosures

Disclosures

9

Organizations

1

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Gornc Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 29, 2018

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Gornc Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 29, 2018
Ephraim Zagelbaum	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Mar 25, 2025
Steven Barnes	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2024
Jennifer May	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 13, 2025
Alexander Barth	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 29, 2018
Yoel Zagelbaum	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 29, 2018
Steven Barnes	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 25, 2025
Alexander Barth	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 29, 2018
Jennifer May	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 13, 2025

Same chain in New York

All 20 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Auburn Rehabilitation & Nursing Center 85 Thornton Avenue, Auburn, NY 13021 CCN 335004	92	Jan 7, 2025	571 harm	$11k
Yorktown Rehabilitation & Nursing Center 2300 Catherine Street, Cortlandt Manor, NY 10567 CCN 335078	200	Mar 11, 2026	451 harm	—
Sodus Rehabilitation & Nursing Center 6884 Maple Avenue, Sodus, NY 14551 CCN 335378	130	Oct 11, 2024	35	—
Orchard Rehabilitation & Nursing Center 600 Bates Road, Medina, NY 14103 CCN 335397	160	Sep 2, 2025	24	—
Tarrytown Hall Care Center 20 Wood Court, Tarrytown, NY 10591 CCN 335421	120	Sep 28, 2024	27	—
Utica Rehabilitation & Nursing Center 2535 Genesee Street, Utica, NY 13501 CCN 335471	120	Feb 23, 2026	815 IJ	$197k
Highland Rehabilitation and Nursing Center 120 Highland Avenue, Middletown, NY 10940 CCN 335526	98	Jul 14, 2026	593 open	—
Plattsburgh Rehabilitation and Nursing Center 8 Bushey Boulevard, Plattsburgh, NY 12901 CCN 335528	89	Oct 24, 2024	29	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 100 Miller Street, Gowanda, NY 14070
ZIP: 14070
County: Cattaraugus County FIPS 36009
State: New York
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	335642	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	335642	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
New York DOH Health Facility Information NY	1032	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Oct 23, 2026	Nov 7, 2026
New York DOH Bed Certifications NY	1032	capacity, bed_certifications	Verified	Nov 1, 2026	Nov 7, 2026

Record-level source links for CCN 335642

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction