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Garden Gate Health Care Facility

⌖ Cheektowaga, NY · Erie County
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Medicare overall rating 2 of 5 stars
Certified beds184
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)

About Garden Gate Health Care Facility

Garden Gate Health Care Facility is a 184-bed for-profit nursing home in Cheektowaga, NY. Medicare rates it 2 out of 5 stars overall (below average); the average in New York is 3.0.

  • Inspections: 9 problems at its last full inspection (Mar 2025), close to the New York average of 8.1. None of its recent citations were for residents being harmed.
  • Staffing: nurses and aides spend about 3 hr 42 min a day with each resident, about the same as the New York average of 3 hr 38 min. About 52% of nursing staff left in the past year.
  • Fines: no federal fines in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

Key details

Facility nameGarden Gate Health Care Facility
LocationErie County, New York
Address2365 Union Road, Cheektowaga, NY 14227 · Erie County
Medicare provider number335634
Ownership typeFor-profit (limited liability company)
Operating companyThe Mcguire Group · 6 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 29, 1979 (47 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating2 of 5Below average
Health inspections2 of 5Below average
Quality measures4 of 5Above average
Staffing2 of 5Below average

Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone since Mar 2025No citations for actual harm or immediate jeopardy since Mar 2025.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength

About average

  • Health citations at last inspection9 (Mar 2025)New York average: 8.1.
    About average
  • Nurse staffing per resident3 hr 42 min a dayNew York average: 3 hr 38 min
    About average

Things to ask about

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  • Registered nurse time per resident24 min a dayNew York average: 43 min
    Worse than state average
  • Nursing staff turnover52% a yearNew York average: 40%
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the New York average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 3 of 5 (average)

  • Sent back to the hospital26.5%State average: 20.6%
    Worse than average
  • Needed an emergency room visit10.0%State average: 9.6%
    About average
  • Newly given antipsychotic drugs0.4%State average: 1.2%
    Better than average

Physical therapist time: about 10 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is more than the state average of 7 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 5 of 5 (much above average)

  • Falls with a major injury2.0%State average: 3.1%
    Better than average
  • Pressure sores (bedsores)10.3%State average: 6.5%
    Worse than average
  • Given antipsychotic drugs9.5%State average: 13.7%
    Better than average
  • Hospital stays per 1,000 resident days0.9State average: 1.7
    Better than average

Source: Medicare (CMS) quality measures, compared with the New York average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In New York, Medicaid pays for 64% of resident days at a typical home.

  • 65% Medicaid
  • 8% Medicare
  • 26% Private pay, insurance and other
Beds in use, on average92%New York typical: 92%
Facility operating cost per resident day$418New York typical: $432

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 8 times.

Overall rating2★
Health inspections2★
Staffing2★
Quality of care4★
Nurse hours per resident per day3.7
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201954454.6
Jan 202055454.5
Jan 202155354.2
Jan 202254253.6
Jan 202354254.3
Jan 202444153.6
Feb 202554353.8
Feb 202632353.7
Sep 202622243.7

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.