All states › New York › North Tonawanda › North Gate Health Care Facility
7264 Nash Road North Tonawanda, NY 14120 · Niagara County
All 2 nursing homes in North Tonawanda, NY (2 take Medicaid)
CMS certification number 335649 · See this home on Medicare Care Compare
Is North Gate Health Care Facility a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for North Gate Health Care Facility as of October 2026.
CMS rates it 4 out of 5 stars overall, above the New York average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.68 hours per resident per day at North Gate Health Care Facility, above the New York median of 3.57 (US median: 3.72). About 0.37 of those hours are from registered nurses. On weekends it falls to 3.01 hours, 18% below its all-week average. Ask how weekends are staffed. 61.2% of nursing staff left within a year (New York median 38.3%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at North Gate Health Care Facility: Medicare and Medicaid
North Gate Health Care Facility is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New York's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 13, 2026 and found 3 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 12 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 12 citations at North Gate Health Care Facility across 5 inspection dates, 5 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 12 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (6) and resident assessment and care planning (3). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level E, May 13, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
May 13, 2026 · 4 citations · includes complaint inspection
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DKeep residents' personal and medical records private and confidential.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DAssist a resident in gaining access to vision and hearing services.
January 30, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
May 30, 2024 · 1 citation · includes complaint inspection
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
March 13, 2024 · 5 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEmploy staff that are licensed, certified, or registered in accordance with state laws.
May 17, 2022 · 1 citation
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Questions to ask on a tour of North Gate Health Care Facility
- CMS cited the home under its abuse and neglect rules on March 13, 2024. How are staff trained, and how are concerns reported?
- Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 61.2% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 3/5 |
| August 2026 | 4/5 | 4/5 | 2/5 | 3/5 |
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Location
Hospitals near North Gate Health Care Facility
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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6.5 mi
Kenmore Mercy Hospital BuffaloEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 56m for patients treated and sent home
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8.7 mi
Upstate New York VA Healthcare System (Western Ny VA Healthcare System) BuffaloEmergency room ★★★★★ Medicare overall 5 of 5
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9.4 mi
Niagara Falls Memorial Medical Center Niagara FallsEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 3h 49m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near North Gate Health Care Facility › All nursing homes in North Tonawanda ›
Compare North Gate Health Care Facility with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Degraff Memorial Hospital-Skilled Nursing Facility · North Tonawanda · 5 stars · 3.1 mi
- Beechwood Health Care Center · Getzville · 5 stars · 6.3 mi
- McAuley Residence · Kenmore · 5 stars · 6.5 mi
- St Catherine Laboure Health Care Center · Buffalo · 5 stars · 9.8 mi
Other The Mcguire Group nursing homes in New York
- Brookhaven Health Care Facility · East Patchogue · 5 stars
- Autumn View Health Care Facility · Hamburg · 5 stars
- Harris Hill Nursing Facility · Williamsville · 5 stars
- Seneca Health Care Center · West Seneca · 3 stars
- Garden Gate Health Care Facility · Cheektowaga · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 The Mcguire Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.