Gateway Care and Retirement
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 9 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Above-median deficiencies (11 vs median 9.0)
Above average in OR · Below recommended RN staffing · Above recommended total nurse staffing · Best in SAPPHIRE HEALTH SERVICES chain · No penalties on record
What this means for your family
This facility has received multiple reports of severe neglect and poor hygiene, which should be a major red flag for any family. While administrative staff may be friendly during the admissions process, the consistent pattern of communication failures and patient care issues suggests you should look elsewhere for your loved one's care.
Google Reviews
Google Reviews
9 reviews on Google“Gateway Care and Retirement faces severe criticism regarding patient neglect, hygiene standards, and administrative integrity. Families report significant issues with communication, staffing shortages leading to bedsores, and alleged financial mismanagement, making it a highly concerning option for long-term or rehabilitative care.”
Quality Themes
Tap a score for detailsStrengths
- Responsive admissions staff
- Friendly administrative personnel
Concerns
- Poor hygiene and facility cleanliness (mentioned by 2 reviewers)
- Staffing shortages and neglect of patient needs (mentioned by 2 reviewers)
- Lack of communication with family members (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 10 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about how responsive and friendly your admissions and administrative teams are; how do you ensure that same level of warmth extends to the daily caregiving staff?
- 2What specific protocols do you have in place to ensure the facility and resident rooms are kept impeccably clean and hygienic every day?
- 3How does the nursing team communicate important updates or changes in a resident's health status to family members to ensure we are always in the loop?
- 4With the current staffing levels, how do you ensure that every resident's individual needs and personal care requests are met promptly and without neglect?
- 5Can you walk us through the process for handling medical emergencies or sudden changes in health during the overnight hours?
- 6What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“Facility is dirty and smells. Staff is rude, unhelpful and don’t do their job. Patients are dirty and don’t get cleaned or properly taken care of.”
“First of all, they failed to call me when my mom arrived, despite assurances that they would keep me informed. This lack of communication set the tone for the rest of our experience.”
“They are stealing my friends money. They lied on forms and said he didn't want to get his direct deposit anymore and for them to have it.”
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
9
measures
1
measures
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Gateway Care has faced multiple family complaints that triggered inspections, indicating ongoing concerns about resident safety and care quality. The facility has persistent issues with accident prevention and safety hazards, fire safety systems, and medication management that have recurred across multiple surveys from 2022 to 2025. While all deficiencies show correction dates, the pattern of repeated problems in critical areas like safety and medication errors suggests systemic challenges that families should investigate thoroughly during visits.
Jul 15, 2025Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 12, 2025Routine19
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
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.
Pharmacy Service Deficiencies
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.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Egress Deficiencies
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
May 12, 2025Complaint2
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 6, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 17, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Apr 26, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ownership & Operations
Who Operates This Facility
Gateway Care and Retirement
for profit
Chain Affiliation
Sapphire Health Services
8 facilities nationwide
Chain avg rating: 1.8/5 · Rank 1 of 8 (Best)
Ownership & Management
Owners
Becker, Andy
Owner
Ricker, Kevin
Owner
Hilty, Lisa
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Morris, Bryan
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
9 reviews from families & visitors
Official Website
Visit gatewayhc.com
Medicare data downloads
Original nursing home datasets
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