Niagara Falls · 2.5 mi
Elderwood at Wheatfield
2 of 5 · Medicare
View facility →North Gate Health Care Facility
⌖ North Tonawanda, NY · Niagara County · Medicare data as of September 2026
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Medicare overall rating 4 of 5 stars
Certified beds200
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About North Gate Health Care Facility
North Gate Health Care Facility is a 200-bed for-profit nursing home in North Tonawanda, NY. Medicare rates it 4 out of 5 stars overall (above average); the average in New York is 3.0.
- Inspections: 4 problems at its last full inspection (May 2026), fewer than 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 33 min a day with each resident, about the same as the New York average of 3 hr 38 min. About 64% 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 nameNorth Gate Health Care Facility
LocationNiagara County, New York
Phone(716) 694-7700
Address7264 Nash Road, North Tonawanda, NY 14120 · Niagara County
Medicare provider number335649
Ownership typeFor-profit (limited liability company)
Operating companyThe Mcguire Group · 6 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 1, 1982 (44 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.
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
3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since May 2026No citations for actual harm or immediate jeopardy since May 2026.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection4 (May 2026)New York average: 8.1.Strength
About average
- Nurse staffing per resident3 hr 33 min a dayNew York average: 3 hr 38 minAbout average
Things to ask about
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- Registered nurse time per resident22 min a dayNew York average: 43 minWorse than state average
- Nursing staff turnover64% 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.
- Sent back to the hospital32.8%State average: 20.6%Worse than average
- Needed an emergency room visit11.2%State average: 9.6%About average
- Newly given antipsychotic drugs0.9%State average: 1.2%Better than average
Physical therapist time: about 11 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.
- Falls with a major injury4.5%State average: 3.1%Worse than average
- Pressure sores (bedsores)6.3%State average: 6.5%About average
- Given antipsychotic drugs18.2%State average: 13.7%Worse than average
- Hospital stays per 1,000 resident days0.4State average: 1.7Better 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.
- 68% Medicaid
- 6% Medicare
- 26% Private pay, insurance and other
Beds in use, on average93%New York typical: 92%
Facility operating cost per resident day$387New 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.
What a stay may cost
- Short-term rehab with Medicare: after a qualifying hospital stay, Medicare pays in full for days 1–20. From day 21 to day 100 you pay $217 a day (2026), unless other coverage pays it. Medicare stops after day 100. Estimate a rehab stay →
- Paying privately: ask the home for its daily rate and what it includes. As a guide, New York’s Medicaid program uses about $13,765 a month as the average cost of nursing home care in this home’s region (January 2026); see the state’s figure.
- Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in New York →
Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.
Ratings over time
Its overall Medicare rating is 4 stars now, the same as 4 stars in January 2019. It has ranged from 3 to 5 stars and changed 8 times.
Overall rating4★
Health inspections4★
Staffing2★
Quality of care3★
Nurse hours per resident per day3.6
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 3 | 3 | 5 | 3.9 |
| Jan 2020 | 5 | 5 | 3 | 5 | 4.0 |
| Jan 2021 | 5 | 4 | 3 | 5 | 4.2 |
| Jan 2022 | 4 | 4 | 2 | 4 | 3.4 |
| Jan 2023 | 4 | 5 | 1 | 3 | 4.3 |
| Jan 2024 | 4 | 5 | 1 | 3 | 3.7 |
| Feb 2025 | 5 | 4 | 2 | 5 | 3.6 |
| Feb 2026 | 4 | 4 | 2 | 4 | 3.5 |
| Sep 2026 | 4 | 4 | 2 | 3 | 3.6 |
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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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.