North Gate Health Care Facility

7264 Nash Road · North Tonawanda, NY · 14120 · 7166947700

200 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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 75
Serious harm & abuse 20% 100
Staffing 20% 56
Federal penalties 15% 100
Trend 10% 41
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.583.48 min · 4.1 strong
RN hours / resident-day0.340.55–0.75
Weekend hours / resident-day2.86≈ weekday level
Nursing turnover / year53%median 45%
Fines (3-yr window)none

Inspection citations (10 in the current record)

  • Potential for harm · D January 30, 2025 · found via complaint

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

    Corrected March 21, 2025 · Quality of Life and Care

  • Potential for harm · D May 30, 2024 · 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 June 19, 2024 · Quality of Life and Care

  • Potential for harm · D March 13, 2024

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

    Corrected April 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 13, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected April 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 13, 2024

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Corrected April 30, 2024 · Administration

  • Potential for harm · D March 13, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 13, 2024 · found via complaint

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

    Corrected April 30, 2024 · Quality of Life and Care

  • Potential for harm · D May 17, 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 July 11, 2022 · Quality of Life and Care

  • Potential for harm · D July 24, 2019

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

    Corrected August 26, 2019 · Pharmacy Service

  • Potential for harm · D July 24, 2019

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

    Corrected August 26, 2019 · Nutrition and Dietary

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335649 · certified since January 1, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.