Garden Gate Health Care Facility

Name: Garden Gate Health Care Facility
Address: 2365 UNION ROAD, Cheektowaga, NY, 14227, US
Telephone: 7166688100

2365 Union Road, Cheektowaga, NY 14227 · Erie County · 184 certified beds · avg 177 residents/day · certified since Jan 29, 1979

Part of chain: THE MCGUIRE GROUP (6 facilities, chain avg rating 3.7★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.64

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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.

All citations in the current public record (21)

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
Mar 19, 2025	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Mar 19, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Mar 19, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 19, 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.
Mar 19, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 19, 2025	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.
Mar 19, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Mar 19, 2025	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.
Mar 19, 2025	B · Minimal risk, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jan 14, 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. · from a complaint
Jan 14, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Oct 18, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 18, 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.
Oct 18, 2023	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Feb 11, 2022	D · Potential for harm, one-off	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.
Feb 11, 2022	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.
Feb 11, 2022	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.
Feb 11, 2022	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 11, 2022	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 11, 2022	B · Minimal risk, repeated	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Feb 11, 2022	B · Minimal risk, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 9).

Year	Citations	Worst severity that year
2022	7	D
2023	3	D
2025	11	F

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)

No fines or payment denials in the published 3-year window.

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)	3.64	3.58	3.95	top 38% in New York; bottom 44% in the U.S.
Registered Nurse hours	0.39	0.68	0.69	bottom 12% in New York; bottom 20% in the U.S.
Weekend total nurse staffing	3.11	3.13	3.50	top 43% in New York; bottom 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.15	0.48	0.48	bottom 4% in New York; bottom 5% in the U.S.
Total nursing staff turnover (%)	52.1	40.3	45.8	bottom 22% in New York; bottom 32% in the U.S.
RN turnover (%)	33.3	39.8	42.9	top 38% in New York; top 33% 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 3.70, RN 0.39, weekend 3.16. Staffing rating: 2/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Farbenblum, Edward	Individual	5% or Greater Indirect Ownership Interest	—	12/23/2020
Lieberman, Orly	Individual	5% or Greater Indirect Ownership Interest	—	12/23/2020
Vestra SPV1 LLC	Organization	5% or Greater Direct Ownership Interest	50%	12/23/2020
Vestra SPV2 LLC	Organization	5% or Greater Direct Ownership Interest	50%	12/23/2020
Farbenblum, Edward	Individual	Operational/Managerial Control	NOT APPLICABLE	12/23/2020
Grigg, Susan	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Grigg, Susan	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Phan, Tom	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Rosso, Ralph	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024

Questions to ask on your visit

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

"Could I join residents for a meal to see the food quality and temperature for myself?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"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
Elderwood at Cheektowaga	1.1 mi	Cheektowaga, NY	★☆☆☆☆	1/5
Seneca Health Care Center	2.9 mi	West Seneca, NY	★★★☆☆	3/5
Elderwood at Lancaster	3.7 mi	Lancaster, NY	★★★☆☆	2/5
Safire Rehabilitation of Southtowns, L L C	4.2 mi	Buffalo, NY	★★☆☆☆	2/5
Mercy Hospital Skilled Nursing Facility	4.8 mi	Lackawanna, NY	★★★★★	4/5
Terrace View Long Term Care Facility	5.2 mi	Buffalo, NY	★★★☆☆	2/5	abuse
Williamsville Suburban, L L C	5.5 mi	Williamsville, NY	★☆☆☆☆	1/5
Humboldt House Rehabilitation and Nursing Center	5.7 mi	Buffalo, NY	★★☆☆☆	1/5	abuseSFF
Highpointe on Michigan Health Care Facility	5.8 mi	Buffalo, NY	★★☆☆☆	1/5	abuse
St Catherine Laboure Health Care Center	6.1 mi	Buffalo, NY	★★★★★	5/5
Comprehensive Rehabilitation and Nursing Center at	6.2 mi	Williamsville, NY	★☆☆☆☆	1/5
Greenfield Health & Rehab Center	6.4 mi	Lancaster, NY	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Cheektowaga →

Facility data as of CMS processing date 2026-08-01. CCN 335634.

The Care File

Visit checklist — Garden Gate Health Care Facility

2365 Union Road, Cheektowaga, NY 14227 · 7166688100

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "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 335634 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)