Garden Gate Health Care Facility
2365 Union Road · Cheektowaga, NY · 14227 · 7166688100
184 certified beds For profit - Limited Liability company Chain: The McGuire Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.20 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (21 in the current record)
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Potential for harm · D March 19, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 12, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 12, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 12, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 12, 2025 · Pharmacy Service
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Potential for harm · F March 19, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 12, 2025 · Nutrition and Dietary
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Potential for harm · E March 19, 2025
Provide and implement an infection prevention and control program.
Corrected April 12, 2025 · Infection Control
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Potential for harm · D March 19, 2025
Implement a program that monitors antibiotic use.
Corrected April 12, 2025 · Infection Control
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Potential for harm · E March 19, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 12, 2025 · Nutrition and Dietary
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No harm found · B March 19, 2025 · found via complaint
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 April 12, 2025 · Resident Rights
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Potential for harm · D January 14, 2025 · found via complaint
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 February 6, 2025 · Quality of Life and Care
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Potential for harm · D January 14, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 6, 2025 · Infection Control
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Potential for harm · D October 18, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 24, 2023 · Quality of Life and Care
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Potential for harm · D October 18, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 24, 2023 · Nutrition and Dietary
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Potential for harm · D February 11, 2022
Respond appropriately to all alleged violations.
Corrected March 28, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 11, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 28, 2022 · Quality of Life and Care
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Potential for harm · D February 11, 2022
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 March 28, 2022 · Quality of Life and Care
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Potential for harm · D February 11, 2022
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 March 28, 2022 · Pharmacy Service
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Potential for harm · D February 11, 2022
Provide and implement an infection prevention and control program.
Corrected March 28, 2022 · Infection Control
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No harm found · B February 11, 2022
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 28, 2022 · Resident Rights
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No harm found · B February 11, 2022
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 March 28, 2022 · Resident Rights
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335634 · certified since January 29, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.