SNF
GARDEN GATE HEALTH CARE FACILITY
CCN: 335634 · CHEEKTOWAGA, NY 14227 · Erie County
Overview
- Address
- 2365 UNION ROAD, CHEEKTOWAGA, NY 14227
- Phone
- 7166688100
- Certified beds
- 184
- Avg daily residents
- 173 (94% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1979-01-29
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.71 | 4.00 | 3.59 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.45 | 0.70 | 0.43 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.25 | 0.89 | 1.20 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.02 | 2.41 | 1.95 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.69 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.15 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.19
hrs / resident / day
RN (weekend)
0.19
hrs / resident / day
Total nurse (adjusted, weekend)
3.08
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
43.4%
annual
RN turnover
22.2%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.42
higher acuity than avg
Case-Mix Index Ratio
1.03
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-03-19 | 9 | 9 | 2 | 52 | 1 | 52 |
| Cycle 2/3 (prior) | 2023-10-18 | 5 | 3 | 2 | 20 | 1 | 20 |
Total weighted health score
44.0
lower is better
Deficiencies (21)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
3 A/B/C No actual harm — minor
18 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-03-19 | 2025-04-12 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-19 | 2025-04-12 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-03-19 | 2025-04-12 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-03-19 | 2025-04-12 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2025-03-19 | 2025-04-12 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-03-19 | 2025-04-12 |
| 0881 | Implement a program that monitors antibiotic use. | D | 2025-03-19 | 2025-04-12 |
| 0584 | 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. | B | 2025-03-19 | 2025-04-12 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-03-19 | 2025-04-12 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-01-14 | 2025-02-06 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-01-14 | 2025-02-06 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-10-18 | 2023-11-24 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-10-18 | 2023-11-24 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2023-10-18 | 2023-11-24 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | B | 2022-02-11 | 2022-03-28 |
| 0584 | 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. | B | 2022-02-11 | 2022-03-28 |
| 0610 | Respond appropriately to all alleged violations. | D | 2022-02-11 | 2022-03-28 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-02-11 | 2022-03-28 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2022-02-11 | 2022-03-28 |
| 0761 | 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. | D | 2022-02-11 | 2022-03-28 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2022-02-11 | 2022-03-28 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 7.1% Medicaid 70.9% Other 22.0%
Operating performance
Operating Margin
-22.1%
Total Margin
-16.3%
Occupancy Rate
91.3%
Cost per Resident Day
$59
Revenue & costs
Net Patient Revenue
$21.8M
Total Costs
$3.7M
Net Income
-$3.7M
Balance sheet
Total Assets
$27.0M
Total Liabilities
$28.0M
Fund Balance
-$1.1M
Current Ratio
0.71
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: THE MCGUIRE GROUP
- Chain ID
510- Facilities in chain
- 6
- Legal business name
- GARDEN GATE HEALTH CARE FACILITY LLC
Chain-average star ratings (for peer context)
Overall
4.2
Health
3.5
Staffing
2.5
QM
4.8
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| VESTRA SPV1 LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/23/2020 |
| VESTRA SPV2 LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/23/2020 |
Owner / manager individuals (7)
| Name | Role | Association |
|---|---|---|
| FARBENBLUM, EDWARD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/23/2020 |
| LIEBERMAN, ORLY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/23/2020 |
| FARBENBLUM, EDWARD | OPERATIONAL/MANAGERIAL CONTROL | since 12/23/2020 |
| GRIGG, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| GRIGG, SUSAN | CORPORATE OFFICER | since 01/01/2024 |
| PHAN, TOM | CORPORATE OFFICER | since 01/01/2024 |
| ROSSO, RALPH | CORPORATE OFFICER | since 01/01/2024 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $59 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.71 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 70.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 7.1% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-3,746,467 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $21,774,686 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 91.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -22.1% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $26,956,869 | metrics.total_assets |
| Cost Report | Total Costs ($) | $3,658,580 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-1,071,294 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $28,028,163 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -16.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.20442 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.94894 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.43326 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.58662 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.08445 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 173.1 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.88670 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.40985 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.69891 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.99546 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.52157 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.5 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.2 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.8 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 510 | Chain ID |
| Provider Information | Chain Name | THE MCGUIRE GROUP | Chain Name |
| Provider Information | City/Town | CHEEKTOWAGA | City/Town |
| Provider Information | CMS Certification Number (CCN) | 335634 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Erie | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1979-01-29 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.8753 | Latitude |
| Provider Information | Legal Business Name | GARDEN GATE HEALTH CARE FACILITY LLC | Legal Business Name |
| Provider Information | Location | 2365 UNION ROAD,CHEEKTOWAGA,NY,14227 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -78.754 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 184 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 6 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.41541 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.02741 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 2365 UNION ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | GARDEN GATE HEALTH CARE FACILITY | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 240 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 52 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 2 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 9 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-03-19 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 52 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 9 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 3 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-10-18 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 20 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 20 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 5 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.19062 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 22.2 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.69474 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.24638 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.01685 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.14756 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.44835 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.71159 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NY | State |
| Provider Information | Telephone Number | 7166688100 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.19192 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 43.4 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 44.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 14227 | ZIP Code |