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Nursing HomeMedicaid

North Gate Health Care Facility

Strong Medicare quality ratings; families often praise dedicated and professional therapy (pt/ot) teams. Still worth an in-person visit.

7264 Nash Road, North Tonawanda, NY 14120200 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
2.8/5

based on 76 Google reviews

5
4
3
2
1
North Gate Health Care Facility Nursing Home in North Tonawanda, NY — Street View
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What this means for your family

North Gate shows a clear divide in quality; while the therapy and memory care units receive praise, the facility struggles significantly with basic nursing response times and hygiene. If you choose this facility, we strongly recommend frequent, unannounced visits to ensure your loved one's needs are being met in a timely manner.

Google Reviews

Google Reviews

76 reviews on Google
North Gate Health Care Facility receives highly polarized feedback, with some families praising the dedicated nursing and therapy staff, while others report severe neglect and systemic issues. Common criticisms include extreme delays in responding to call lights, poor medication management, and substandard food quality. Families should be aware that while some units are described as caring, there are consistent reports of understaffing and hygiene concerns.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean3.0Activities7.0Meds2.0Memory8.0Comms4.0ValueN/A

Strengths

  • Dedicated and professional therapy (PT/OT) teams
  • Compassionate nursing staff in specific units
  • Well-organized admissions and respite care process
  • Clean and well-maintained common areas/courtyards

Concerns

  • Excessive wait times for call light response (mentioned by 14 reviewers)
  • Poor medication management and timing (mentioned by 7 reviewers)
  • Substandard food quality and temperature (mentioned by 6 reviewers)
  • Hygiene and cleanliness issues (soiled linens, trash, odors) (mentioned by 8 reviewers)
  • Understaffing leading to neglect (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'16(3)'18(4)'20(1)'22(3)'24(8)'26(16)

Distribution · 65 analyzed

5
18
4
8
3
7
2
3
1
29

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility is quite active with therapy services; could you explain how the nursing and therapy teams coordinate to ensure a resident's care plan is consistently followed?
  • 2With a 200-resident capacity, what specific protocols are in place to ensure that call lights are answered promptly and that residents receive timely assistance?
  • 3I understand that medication management is a critical part of daily health; what is your process for ensuring medications are administered on time and accurately?
  • 4How does your team manage the dining experience to ensure that meals are served at the proper temperature and meet the nutritional preferences of the residents?
  • 5I appreciate that your team is active in responding to feedback online; how do you use that family input to improve the daily cleanliness and hygiene standards in the living areas?
  • 6Given the current staffing levels, how do you ensure that residents receive consistent attention and support throughout the evening and overnight shifts?

Personalized based on this facility's data


Key Review Excerpts

Both of my parents were/are there. Their dementia unit is second to none! The nursing staff is compassionate and they love the patients.

Memory care family member · 2016★★★★★

The first night my grandmother was there it took them hours to get her pain medicine... You hit the call button, expect it to take an hour before someone responds.

Long-term resident's family · 2024☆☆☆☆

My husband was a resident at Northgate for the last 25 months of his life. I spent 2 to 4 hours, of almost every day of those 2+ years at his room.

Long-term resident's family · 2026★★★★
Source: 76 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
46%
Registered nurses for medical care
Total Nursing
3.58hrs
87%
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
53%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.7%
Better than Avg
Here
6.7%
US
19.4%
NY
20.2%
Niagara
23.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.8%
Mixed vs Avgs
Here
5.8%
US
12.1%
NY
18.9%
Niagara
5.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.6%
Better than Avg
Here
9.6%
US
15.3%
NY
13.8%
Niagara
17.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
93.4%
NY
91.3%
Niagara
96.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.5%
Better than Avg
Here
11.5%
US
14.4%
NY
14.8%
Niagara
16.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
95.5%
NY
95.3%
Niagara
93.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.9%
Better than Avg
Here
92.9%
US
81.8%
NY
77.0%
Niagara
79.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility79.2%
Mixed vs Avgs
Here
79.2%
US
79.8%
NY
78.8%
Niagara
81.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
NY
1.2%
Niagara
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (7.6)
4 complaint-triggered

North Gate Health Care Facility has concerning patterns of fire safety violations and care quality issues, with families filing reports that triggered inspections for resident protection failures and inadequate daily care assistance. The facility shows recurring problems with fire safety systems, resident care planning, and basic care delivery across multiple surveys from 2019-2024. While all deficiencies show correction dates, the repeated nature of safety and care issues suggests ongoing challenges with maintaining consistent standards.

Jan 30, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

May 30, 2024Complaint
1
0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Mar 13, 2024Routine
7
0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0656Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0839Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Mar 13, 2024Complaint
2
0600Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

May 17, 2022Routine
7
0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0929Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Jul 24, 2019Routine
3
0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Ownership & Operations

Who Operates This Facility

Owner / Operator

North Gate Health Care Facility

Organization Type

for profit

Chain Affiliation

Chain Name

The Mcguire Group

Chain Size

6 facilities nationwide

Chain avg rating: 4.2/5 · Rank 4 of 6

Ownership & Management

Owners

Vestra Spv1 LLC

Owner · Organization

50%

Vestra Spv2 LLC

Owner · Organization

50%

Farbenblum, Edward

Owner (parent company)

Lieberman, Orly

Owner (parent company)

Key personnel

Grigg, SusanOfficer / DirectorPhan, TomOfficer / DirectorRosso, RalphOfficer / DirectorFarbenblum, EdwardManagerGrigg, SusanManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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