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Garden Gate Health Care FacilityCMS ratings, inspections and fines

Address
2365 Union Road, Cheektowaga, NY 14227
CCN
335634
Ownership type
For-profit, limited liability company
Certified beds
184
Residents per day
177
CMS flags
None in the CMS record
CMS star ratings
Overall rating2 of 5
Health inspection rating2 of 5
Staffing rating2 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Garden Gate Health Care Facility an overall rating of 2 of 5 stars. The last standard survey was on 19 Mar 2025. The latest survey cycle has 9 health citations. The median for nursing homes in New York is 7. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Garden Gate Health Care Facility, with medians
Rating (1 to 5 stars)This homeErie County medianNew York medianUS average (CMS)
Overall rating23.03.03.0
Health inspection rating23.03.02.8
Staffing rating23.03.02.9
Quality measure rating44.04.03.6

A median is the middle value of the homes in the group: 33 homes in the county, 593 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Garden Gate Health Care Facility in the last three survey cycles
Survey cycleStandard surveyCitationsNew York median
Cycle 1 (latest)19 Mar 202597
Cycle 218 Oct 202355
Cycle 3No date75

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 21 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0C0

Survey cycle 1 (latest): 9 citations

Standard survey of this cycle: .

Health citations of Garden Gate Health Care Facility in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
19 Mar 2025F0584Honor 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.BComplaint investigation12 Apr 2025
19 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey12 Apr 2025
19 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey12 Apr 2025
19 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey12 Apr 2025
19 Mar 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey12 Apr 2025
19 Mar 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey12 Apr 2025
19 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation12 Apr 2025
19 Mar 2025F0880Provide and implement an infection prevention and control program.EStandard survey12 Apr 2025
19 Mar 2025F0881Implement a program that monitors antibiotic use.DStandard survey12 Apr 2025

Survey cycle 2: 5 citations

Standard survey of this cycle: .

Health citations of Garden Gate Health Care Facility in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
14 Jan 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation6 Feb 2025
14 Jan 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation6 Feb 2025
18 Oct 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey24 Nov 2023
18 Oct 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey24 Nov 2023
18 Oct 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey24 Nov 2023

Survey cycle 3: 7 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Garden Gate Health Care Facility in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
11 Feb 2022F0554Allow residents to self-administer drugs if determined clinically appropriate.BStandard survey28 Mar 2022
11 Feb 2022F0584Honor 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.BStandard survey28 Mar 2022
11 Feb 2022F0610Respond appropriately to all alleged violations.DStandard survey28 Mar 2022
11 Feb 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey28 Mar 2022
11 Feb 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey28 Mar 2022
11 Feb 2022F0761Ensure 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.DStandard survey28 Mar 2022
11 Feb 2022F0880Provide and implement an infection prevention and control program.DStandard survey28 Mar 2022

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Garden Gate Health Care Facility
StaffThis homeNew York medianNew York average (CMS)
All nurse staff3.703.503.62
Registered nurses (RN)0.390.600.71
Licensed practical nurses (LPN)1.270.76
Nurse aides2.042.15
All nurse staff, weekends3.163.103.18
Nurse staff turnover in a year
52.1%
Nurse staff turnover, New York median
38.4%
RN turnover in a year
33.3%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Garden Gate Health Care Facility, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeNew York medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.2%13.2%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.0%2.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.4%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay16.9%11.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay10.3%6.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.5%12.4%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Garden Gate Health Care Facility LLC
Chain
The McGuire Group (6 homes in the CMS chain file)
Organisations in the CMS ownership record of Garden Gate Health Care Facility
OrganisationRole in the CMS recordInterestSince
Vestra Spv1 LLC5% or greater direct ownership interest50%23 Dec 2020
Vestra Spv2 LLC5% or greater direct ownership interest50%23 Dec 2020

The site shows organisations only. It does not show the names of persons.

Other homes in Erie County

The 12 nearest other nursing homes in Erie County, New York
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Elderwood at CheektowagaCheektowaga1 of 523$023 Apr 2026
Seneca Health Care CenterWest Seneca3 of 55$9,1108 Nov 2024
Elderwood at LancasterLancaster3 of 512$022 Nov 2024
Safire Rehabilitation of Southtowns, L L CBuffalo2 of 511$09 Dec 2025
Mercy Hospital Skilled Nursing FacilityLackawanna5 of 53$024 Jul 2025
Terrace View Long Term Care FacilityBuffalo3 of 57$30,84326 Aug 2024
Williamsville Suburban, L L CWilliamsville1 of 518$43,97328 Oct 2024
Humboldt House Rehabilitation and Nursing CenterSpecial Focus candidateBuffalo2 of 520$270,66610 Oct 2025
Highpointe on Michigan Health Care FacilityBuffalo2 of 513$129,14916 Sep 2024
St Catherine Laboure Health Care CenterBuffalo5 of 50$013 Feb 2026
Comprehensive Rehabilitation and Nursing Center AtWilliamsville1 of 518$37,1386 Dec 2024
Greenfield Health & Rehab CenterLancaster4 of 55$08 Aug 2025

All 33 nursing homes in Erie County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Garden Gate Health Care Facility (CCN 335634). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/garden-gate-health-care-facility-cheektowaga-ny-335634/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Garden Gate Health Care Facility last inspected?
The latest inspection with a citation in the CMS record was on 19 Mar 2025. It was a standard survey and a complaint investigation. It gave 9 citations. The standard survey before the last one was on 18 Oct 2023.
Who operates Garden Gate Health Care Facility?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain The McGuire Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
Is Garden Gate Health Care Facility a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in New York as Special Focus Facilities and 15 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.