New York ›North Tonawanda

North Gate Health Care Facility

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7264 Nash Road, North Tonawanda, NY 14120 (opens Google Maps) · Niagara County · (716) 694-7700· 200 certified beds · avg 191 residents/day · certified since Jan 1, 1982 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

4/5
Health inspection rating (on-site)
inspected May 13, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.88
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint F-0686

  2. D · Potential for more than minimal harm, isolated

    The facility did not keep residents' personal and medical information private and confidential. F-0583

  3. D · Potential for more than minimal harm, isolated

    The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. F-0657

View all 12 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
May 13, 2026E · Potential for more than minimal harm, patternThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
May 13, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
May 13, 2026D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
May 13, 2026D · Potential for more than minimal harm, isolatedThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685
Jan 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
May 30, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0690
Mar 13, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Mar 13, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Mar 13, 2024D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Mar 13, 2024D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0677
Mar 13, 2024D · Potential for more than minimal harm, isolatedThe facility employed staff who were not licensed, certified, or registered as required by state law. · F-0839
May 17, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0690

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations: 1
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
2026
All citations: 4
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202210D
202460D
202510D
202640E

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNew York averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.88
New York average: 3.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.39
New York average: 0.68
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.16
New York average: 3.13
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNew York avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.883.583.95top 29% in New York; top 45% in the U.S.
Registered Nurse hours0.390.680.69bottom 13% in New York; bottom 21% in the U.S.
Weekend total nurse staffing3.163.133.50top 39% in New York; bottom 40% in the U.S.
Weekend RN hours (not acuity-adjusted)0.100.480.48bottom 1% in New York; bottom 1% in the U.S.
Total nursing staff turnover (%)63.840.345.8bottom 7% in New York; bottom 11% in the U.S.
RN turnover (%)50.039.842.9bottom 27% in New York; bottom 39% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.55, RN 0.36, weekend 2.90.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.55 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for North Gate Health Care Facility. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Farbenblum, EdwardIndividual5% or Greater Indirect Ownership Interest—12/23/2020
Lieberman, OrlyIndividual5% or Greater Indirect Ownership Interest—12/23/2020
Vestra SPV1 LLCOrganization5% or Greater Direct Ownership Interest50%12/23/2020
Vestra SPV2 LLCOrganization5% or Greater Direct Ownership Interest50%12/23/2020
Farbenblum, EdwardIndividualOperational/Managerial ControlNOT APPLICABLE12/23/2020
Grigg, SusanIndividualCorporate OfficerNOT APPLICABLE01/01/2024
Grigg, SusanIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2025
Pawlowski, DavidIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2025
Phan, TomIndividualCorporate OfficerNOT APPLICABLE01/01/2024
Rosso, RalphIndividualCorporate OfficerNOT APPLICABLE01/01/2024

All 10 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain The McGuire Group — 6 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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

  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
  • "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
  • "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 64% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 35 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Elderwood at Wheatfield2.5 miNiagara Falls, NY★★☆☆☆2/5
Degraff Memorial Hospital-Skilled Nursing Facility3.1 miNorth Tonawanda, NY★★★☆☆3/5
Schofield Residence5.7 miKenmore, NY★★★★☆4/5
Elderwood at Grand Island6.2 miGrand Island, NY★★★☆☆3/5
Beechwood Health Care Center, INC.6.3 miGetzville, NY★★★★★5/5
Safire Rehabilitation of Northtowns, L L C6.5 miTonawanda, NY★☆☆☆☆1/5
McAuley Residence6.5 miKenmore, NY★★★★★5/5
Elderwood at Amherst7.0 miAmherst, NY★★☆☆☆2/5abuse
Elderwood at Williamsville8.5 miWilliamsville, NY★★☆☆☆2/5
Canterbury Woods9.0 miWilliamsville, NY★★★☆☆4/5
Comprehensive Rehabilitation and Nursing Center at9.3 miWilliamsville, NY★☆☆☆☆1/5
Schoellkopf Health Center9.4 miNiagara Falls, NY★★★☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Niagara, NY — 10 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in North Tonawanda →

Facility data as of CMS processing date 2026-08-01. CCN 335649.

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