North Gate Health Care Facility

Name: North Gate Health Care Facility
Address: 7264 Nash Road, North Tonawanda, NY, 14120, US
Telephone: 7166947700

7264 Nash Road, North Tonawanda, NY 14120 · Niagara County · 200 certified beds · avg 191 residents/day · certified since Jan 1, 1982

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.88

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 (12)

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 13, 2026	E · Potential for harm, repeated	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
May 13, 2026	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
May 13, 2026	D · Potential for harm, one-off	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.
May 13, 2026	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jan 30, 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. · from a complaint
May 30, 2024	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
Mar 13, 2024	D · Potential for harm, one-off	The 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
Mar 13, 2024	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.
Mar 13, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 13, 2024	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. · from a complaint
Mar 13, 2024	D · Potential for harm, one-off	The facility employed staff who were not licensed, certified, or registered as required by state law.
May 17, 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.

Inspection trend by year

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

Year	Citations	Worst severity that year
2022	1	D
2024	6	D
2025	1	D
2026	4	E

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)	3.88	3.58	3.95	top 29% in New York; top 45% in the U.S.
Registered Nurse hours	0.39	0.68	0.69	bottom 13% in New York; bottom 21% in the U.S.
Weekend total nurse staffing	3.16	3.13	3.50	top 39% in New York; bottom 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.10	0.48	0.48	bottom 1% in New York; bottom 1% in the U.S.
Total nursing staff turnover (%)	63.8	40.3	45.8	bottom 7% in New York; bottom 11% in the U.S.
RN turnover (%)	50.0	39.8	42.9	bottom 27% in New York; bottom 39% 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 3.55, RN 0.36, weekend 2.90. 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: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5

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
Pawlowski, David	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.

"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?"
"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 Wheatfield	2.5 mi	Niagara Falls, NY	★★☆☆☆	2/5
Degraff Memorial Hospital-Skilled Nursing Facility	3.1 mi	North Tonawanda, NY	★★★☆☆	3/5
Schofield Residence	5.7 mi	Kenmore, NY	★★★★☆	4/5
Elderwood at Grand Island	6.2 mi	Grand Island, NY	★★★☆☆	3/5
Beechwood Health Care Center, INC.	6.3 mi	Getzville, NY	★★★★★	5/5
Safire Rehabilitation of Northtowns, L L C	6.5 mi	Tonawanda, NY	★☆☆☆☆	1/5
McAuley Residence	6.5 mi	Kenmore, NY	★★★★★	5/5
Elderwood at Amherst	7.0 mi	Amherst, NY	★★☆☆☆	2/5	abuse
Elderwood at Williamsville	8.5 mi	Williamsville, NY	★★☆☆☆	2/5
Canterbury Woods	9.0 mi	Williamsville, NY	★★★☆☆	4/5
Comprehensive Rehabilitation and Nursing Center at	9.3 mi	Williamsville, NY	★☆☆☆☆	1/5
Schoellkopf Health Center	9.4 mi	Niagara Falls, NY	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in North Tonawanda →

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

The Care File

Visit checklist — North Gate Health Care Facility

7264 Nash Road, North Tonawanda, NY 14120 · 7166947700

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "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 335649 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)