Cheektowaga, NY

Garden Gate Health Care Facility

3-star overall rating with 2-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

2365 Union Road, Cheektowaga, NY

(716) 668-8100

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

184

Certified beds

Average residents

173

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Mcguire Group

Operator or chain grouping

Approved since

1979-01-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing

LPN hours / resident day

1.25

Licensed practical nurse staffing

Aide hours / resident day

2.02

Nurse aide staffing

Weekend hours

3.19

Weekend nurse staffing

RN turnover

22%

Annual RN turnover

Total nurse turnover

43%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.0
1.7
0.7 pts better
1.9
0.9 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.3
0.7 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.3%
91.2%
7.1 pts better
93.4%
4.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.9%
95.3%
1.4 pts worse
95.5%
1.6 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.7%
3.0%
1.3 pts better
3.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 4.6%
18.5%
13.9 pts better
11.4%
6.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.8%
6.1%
2.3 pts better
5.4%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.0%
13.5%
4.5 pts better
19.6%
10.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 8.5%
14.8%
6.3 pts better
16.7%
8.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 14.9%
15.1%
0.2 pts better
16.3%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 11.4%
15.5%
4.1 pts better
14.9%
3.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.1%
0.6%
0.5 pts better
1.0%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.2%
1.4%
1.2 pts better
1.7%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 15.1%
20.8%
5.7 pts better
19.8%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 12.6%
6.9%
5.7 pts worse
5.1%
7.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.9%
76.7%
20.2 pts better
81.7%
15.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.0%
9.7%
1.3 pts worse
12.0%
1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.2%
0.7 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92.7%
78.8%
13.9 pts better
79.7%
13 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.7%
20.6%
5.1 pts worse
23.9%
1.8 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-19 · Fire 2025-03-19

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2023-10-18 · Fire 2023-10-18

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

18 fire-safety deficiencies

Top issue: Smoke (9 deficiencies)

Cycle 3 Health 2022-02-11 · Fire 2022-02-11

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-19

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-04-12

E · Potential for more than minimal harm 2025-03-19

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2025-04-12

E · Potential for more than minimal harm 2025-03-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-12

D · Potential for more than minimal harm 2025-03-19

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-04-12

D · Potential for more than minimal harm 2025-03-19

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-04-12

E · Potential for more than minimal harm 2023-10-18

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-18

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-11-24

D · Potential for more than minimal harm 2023-10-18

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-11-24

D · Potential for more than minimal harm 2023-10-18

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-11-24

D · Potential for more than minimal harm 2023-10-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-11-24

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-19

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-04-12

E · Potential for more than minimal harm 2025-03-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-12

E · Potential for more than minimal harm 2025-03-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-12

D · Potential for more than minimal harm 2025-03-19

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-12

D · Potential for more than minimal harm 2025-03-19

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-12

D · Potential for more than minimal harm 2025-03-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-12

D · Potential for more than minimal harm 2025-03-19

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-04-12

D · Potential for more than minimal harm 2025-03-19

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-04-12

B · Minimal harm 2025-03-19

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-04-12

D · Potential for more than minimal harm 2025-01-14

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-06

D · Potential for more than minimal harm 2023-10-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-24

D · Potential for more than minimal harm 2023-10-18

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-11-24

D · Potential for more than minimal harm 2023-10-18

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-11-24

D · Potential for more than minimal harm 2022-02-11

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-03-28

D · Potential for more than minimal harm 2022-02-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-03-28

D · Potential for more than minimal harm 2022-02-11

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-03-28

D · Potential for more than minimal harm 2022-02-11

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-03-28

D · Potential for more than minimal harm 2022-02-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-03-28

B · Minimal harm 2022-02-11

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2022-03-28

B · Minimal harm 2022-02-11

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2022-03-28

Penalties and ownership

What sits behind the stars

Ownership

Vestra Spv1 LLC

5% Or Greater Direct Ownership Interest · Organization

50% 6 facilities 2020-12-23
Vestra Spv2 LLC

5% Or Greater Direct Ownership Interest · Organization

50% 6 facilities 2020-12-23
Farbenblum, Edward

5% Or Greater Indirect Ownership Interest · Individual

0% 15 facilities 2020-12-23
Farbenblum, Edward

Operational/Managerial Control · Individual

0% 15 facilities 2020-12-23
Grigg, Susan

Operational/Managerial Control · Individual

0% 8 facilities 2025-01-01
Grigg, Susan

Corporate Officer · Individual

0% 8 facilities 2024-01-01
Lieberman, Orly

5% Or Greater Indirect Ownership Interest · Individual

0% 8 facilities 2020-12-23
Phan, Tom

Corporate Officer · Individual

0% 8 facilities 2024-01-01
Rosso, Ralph

Corporate Officer · Individual

0% 13 facilities 2024-01-01

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