Cycle 1
Health 2024-03-13 · Fire 2024-03-13
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
North Tonawanda, NY
North Gate Health Care Facility
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
7264 Nash Road, North Tonawanda, NY
(716) 694-7700
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
200
Certified beds
Average residents
190
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Mcguire Group
Operator or chain grouping
Approved since
1982-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 4 overall / 4 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.23
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.35
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.95
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.53
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.58
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.02
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.07
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.19
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.24
CMS adjusted RN staffing hours
Adjusted total hours
3.71
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
61%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,558
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.77
Composite VBP score used to determine payment impact.
Payment multiplier
0.9968
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.84
Baseline 23.74% · Performance 19.48% · Measure score 5.84 · Achievement 4.20 · Improvement 5.84
Healthcare-associated infections
6.09
Baseline 5.43% · Performance 6.02% · Measure score 6.09 · Achievement 6.09 · Improvement 0
Total nurse turnover
2.92
Baseline 75.00% · Performance 57.85% · Measure score 2.92 · Achievement 1.43 · Improvement 2.92
Adjusted total nurse staffing
2.66
Baseline 4.06 hours · Performance 3.83 hours · Measure score 2.66 · Achievement 2.66 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.66% |
10.72%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 203 · Observed rate 14.78% · Lower 95% interval 9.63% |
| Discharge to community | 51.42% |
50.57%
0.9 pts better
|
No Different than the National Rate · Eligible stays 209 · Observed rate 45.45% · Lower 95% interval 43.35% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 145 · Denominator 145 |
| Falls with major injury | 1.38% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 145 |
| Discharge self-care score | 46.96% |
53.69%
6.7 pts worse
|
Numerator 54 · Denominator 115 |
| Discharge mobility score | 37.39% |
50.94%
13.5 pts worse
|
Numerator 43 · Denominator 115 |
| Pressure ulcers or injuries, new or worsened | 0.69% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 145 · Adjusted rate 1.04% |
| Healthcare-associated infections requiring hospitalization | 6.02% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 117 · Observed rate 3.42% · Lower 95% interval 3.39% |
| Staff COVID-19 vaccination coverage | 1.47% |
8.2%
6.7 pts worse
|
Numerator 6 · Denominator 407 |
| Staff flu vaccination coverage | 51.61% |
42%
9.6 pts better
|
Numerator 256 · Denominator 496 |
| Discharge function score | 52.17% |
56.45%
4.3 pts worse
|
Numerator 60 · Denominator 115 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 26 · Denominator 26 |
| Transfer of health information to patient | 97.67% |
96.28%
1.4 pts better
|
Numerator 84 · Denominator 86 |
| Resident COVID-19 vaccinations up to date | 5.88% |
25.2%
19.3 pts worse
|
Numerator 4 · Denominator 68 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.7
1 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.3
0.4 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
91.2%
8.1 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.7% · Q4 98.7% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
95.3%
2.7 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
3.0%
1.5 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.6% · Q3 4.0% · Q4 5.7% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.6% |
18.5%
9.9 pts better
|
11.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 6.1% · Q3 6.8% · Q4 8.7% · 4Q avg 8.6% |
| Percentage of long-stay residents who lose too much weight | 2.9% |
6.1%
3.2 pts better
|
5.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 3.3% · Q3 5.1% · Q4 2.1% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.0% |
13.5%
3.5 pts worse
|
19.6%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 16.4% · Q3 20.3% · Q4 17.0% · 4Q avg 17.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.2% |
14.8%
3.4 pts worse
|
16.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 16.0% · Q3 17.4% · Q4 18.5% · 4Q avg 18.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.5% |
15.1%
4.6 pts better
|
16.3%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 19.6% · Q3 6.7% · Q4 5.2% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.5% |
15.5%
5 pts better
|
14.9%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 15.0% · Q3 11.9% · Q4 4.3% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.6%
0.6 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 0.7% · Q4 2.5% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.4%
0.7 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.7% · Q4 1.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.2% |
20.8%
13.6 pts better
|
19.8%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 4.7% · Q3 7.6% · Q4 8.4% · 4Q avg 7.2% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
6.9%
1 pts better
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.9% · Q3 5.1% · Q4 5.6% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.6% |
76.7%
16.9 pts better
|
81.7%
11.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 91.7% · Q3 91.9% · Q4 94.2% · 4Q avg 93.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% |
9.7%
3.4 pts worse
|
12.0%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 12.6% · Expected 10.8% · Used in QM five-star |
| 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 · Q1 0.5% · Q2 0.5% · Q3 0.5% · Q4 0.5% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.2% |
78.8%
0.4 pts better
|
79.7%
0.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 79.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.1% |
20.6%
11.5 pts worse
|
23.9%
8.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.1% · Observed 28.4% · Expected 21.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-17 · Fire 2022-05-17
3 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2019-07-24 · Fire 2019-07-24
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-03-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-30
E · Potential for more than minimal harm
2024-03-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-04-30
E · Potential for more than minimal harm
2024-03-13
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-13
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-30
E · Potential for more than minimal harm
2022-05-17
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-07-11
E · Potential for more than minimal harm
2022-05-17
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 2022-07-11
E · Potential for more than minimal harm
2022-05-17
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-07-11
D · Potential for more than minimal harm
2022-05-17
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-07-11
D · Potential for more than minimal harm
2022-05-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-11
D · Potential for more than minimal harm
2022-05-17
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2022-07-11
D · Potential for more than minimal harm
2019-07-24
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2019-08-26
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-01-30
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-21
D · Potential for more than minimal harm
2024-05-30
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 2024-06-19
D · Potential for more than minimal harm
2024-03-13
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-13
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 2024-04-30
D · Potential for more than minimal harm
2024-03-13
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-13
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 2024-04-30
D · Potential for more than minimal harm
2024-03-13
F839 · Administration Deficiencies
Health
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2024-04-30
D · Potential for more than minimal harm
2022-05-17
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 2022-07-11
D · Potential for more than minimal harm
2019-07-24
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 2019-08-26
D · Potential for more than minimal harm
2019-07-24
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-08-26
Penalties and ownership
What sits behind the stars
Ownership
Vestra Spv1 LLC
5% Or Greater Direct Ownership Interest · Organization
Vestra Spv2 LLC
5% Or Greater Direct Ownership Interest · Organization
Farbenblum, Edward
5% Or Greater Indirect Ownership Interest · Individual
Farbenblum, Edward
Operational/Managerial Control · Individual
Grigg, Susan
Operational/Managerial Control · Individual
Grigg, Susan
Corporate Officer · Individual
Lieberman, Orly
5% Or Greater Indirect Ownership Interest · Individual
Pawlowski, David
Operational/Managerial Control · Individual
Phan, Tom
Corporate Officer · Individual
Rosso, Ralph
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Elderwood At Wheatfield
Niagara Falls, NY
2-star overall rating with 2-star inspections with 12 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
Degraff Memorial Hospital-Skilled Nursing Facility
North Tonawanda, NY
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Schofield Residence
Kenmore, NY
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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