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Nursing homeFAID #8678

Garden Gate Health Care Facility

2365 UNION ROAD, CHEEKTOWAGA, NY, 14227

(716) 668-8100

www.livinglegendshealth.com

184 licensed beds

CMS rates Garden Gate Health Care Facility 3 out of 5 overall. Federal inspectors issued 44 citations across 8 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of GARDEN GATE HEALTH CARE FACILITY

Photo via Google · Garden Gate Health Care Facility

Address

2365 Union Road

Cheektowaga, NY 14227

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Public record summary

What we can show you for free.

Bed capacity

184

CMS facility ID

335634

Care type

Nursing home

County

Erie

Facility name

Garden Gate Health Care Facility

Street address

2365 UNION ROAD

City / state / ZIP

Cheektowaga, NY 14227

Phone

(716) 668-8100

Website

www.livinglegendshealth.com

About this facility — Garden Gate Health Care Facility

Garden Gate Health Care Facility is a Medicare/Medicaid-certified skilled nursing facility in Cheektowaga, New York. It is licensed for 184 beds — above the median for skilled nursing facilities in New York (160 beds).

It is one of 8 senior care facilities in Cheektowaga and 596 skilled nursing facilities across New York. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Garden Gate Health Care Facility 44 times across 8 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Mcguire Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Vestra Spv1 Llc

Direct owner — 50% stake — since 2020

Vestra Spv2 Llc

Direct owner — 50% stake — since 2020

Farbenblum, Edward

Indirect owner · Operational control — since 2020

Grigg, Susan

Officer · Operational control — since 2024

Lieberman, Orly

Indirect owner — since 2020

Phan, Tom

Officer — since 2024

Rosso, Ralph

Officer — since 2024

Regulatory standing

Federal court records

4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1979-01-29

CMS overall rating

3 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-03-19

Nurse staffing

3.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$682 per day (≈ $20,730/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

71% Medicaid · 7% Medicare · 22% private/other

Occupancy

91% (fiscal year 2023)

Vs. state median

40% above the NY median of $486/day — full state cost breakdown

Services & coverage

Licensed beds

184

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Monday: 8:00 AM – 8:00 PM · Tuesday: 8:00 AM – 8:00 PM · Wednesday: 8:00 AM – 8:00 PM · Thursday: 8:00 AM – 8:00 PM · Friday: 8:00 AM – 8:00 PM · Saturday: Closed · Sunday: Closed

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2025-03-19Health inspectionComplaint-triggered9 citations

F-0584

B · No harm foundFrom a complaint

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.

Corrected 2025-04-12

F-0677

D · No harm found

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

Corrected 2025-04-12

F-0684

D · No harm found

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

Corrected 2025-04-12

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-12

F-0756

D · No harm found

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

Corrected 2025-04-12

F-0804

F · No harm foundFood safety

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

Corrected 2025-04-12

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-12

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-12

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2025-04-12

2025-01-14Health inspectionComplaint-triggered2 citations

F-0690

D · No harm foundFrom a complaint

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

Corrected 2025-02-06

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-02-06

4 earlier / fire-safety inspections (33 citations)

2023-10-18Health inspection3 citations

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-24

F-0677

D · No harm found

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

Corrected 2023-11-24

F-0804

D · No harm foundFood safety

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

Corrected 2023-11-24

2022-02-11Health inspection7 citations

F-0554

B · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2022-03-28

F-0584

B · No harm found

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.

Corrected 2022-03-28

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2022-03-28

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-03-28

F-0690

D · No harm found

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

Corrected 2022-03-28

F-0761

D · No harm found

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.

Corrected 2022-03-28

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-03-28

2025-03-19Fire-safety inspection5 citations

K-0211

E · No harm found

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

Corrected 2025-04-12

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-04-12

K-0345

D · No harm found

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

Corrected 2025-04-12

K-0754

E · No harm found

Provide properly sized and located linen or trash receptacles.

Corrected 2025-04-12

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-12

2023-10-18Fire-safety inspection18 citations

K-0100

D · No harm found

Meet other general requirements.

Corrected 2023-11-24

K-0200

E · No harm found

Meet other general requirements.

Corrected 2023-11-24

K-0293

E · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2023-11-24

K-0321

E · No harm found

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

Corrected 2023-11-24

K-0341

D · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-11-24

K-0345

D · No harm found

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

Corrected 2023-11-24

K-0347

E · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-11-24

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-24

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-11-24

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-11-24

K-0372

E · No harm found

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

Corrected 2023-11-24

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-11-24

K-0521

E · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-11-24

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-11-24

K-0754

E · No harm found

Provide properly sized and located linen or trash receptacles.

Corrected 2023-11-24

K-0911

E · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-11-24

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-11-24

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-11-24

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 335634.

Quality of care & staffing

How it compares in New York.

Inspection citations, 3 years

More than 75% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.8

Higher than 70% of nursing homes in the state

State median: 3.6

Nursing staff turnover, annual

49%

Higher than 73% of nursing homes in the state

State median: 38%

Resident outcomes

On 21 federal quality measures, this facility does better than the New York average on 15 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	11.2%	13.7%	13.5%	Better than state
Lose too much weight	4.1%	5.7%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.5%	0.7%	Better than state
With a urinary tract infection	0.0%	1.2%	1.5%	Better than state
Have depressive symptoms	3.4%	20.1%	13.5%	Better than state
Were physically restrained	0.0%	0.2%	0.1%	Better than state
Experiencing one or more falls with major injury	1.8%	3.1%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	99.6%	91.8%	93.7%	Near state average
Ability to walk independently worsened	12.3%	11.1%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	9.8%	13.2%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	98.1%	95.2%	95.3%	Near state average
With pressure ulcers	9.4%	6.5%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	17.4%	18.6%	18.3%	Near state average
Received an antipsychotic medication	9.0%	13.7%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.09	1.67	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.01	1.29	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.7%	77.6%	82.3%	Better than state
Newly received an antipsychotic medication	0.4%	1.1%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	98.7%	78.9%	80.1%	Better than state
Were rehospitalized after a nursing home admission	26.4%	20.6%	23.4%	Worse than state
Had an outpatient emergency department visit	7.0%	9.4%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0584 2 inspections. 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.
F-0677 2 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0804 2 inspections. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
K-0293 2 inspections. Have properly located and lighted "Exit" signs.

What its owners also hold

Vestra Spv2 Llc has an ownership stake on file at 6 nursing homes, averaging 4.2 of 5 on CMS's overall rating.
Vestra Spv1 Llc has an ownership stake on file at 6 nursing homes, averaging 4.2 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in New York

Licensing: New York State Department of Health
File a complaint: 888-201-4563 · Online
Long-Term Care Ombudsman: 855-582-6769. A free advocate for residents and families.
Adult Protective Services: 844-697-3505. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Mercy Hospital of Buffalo, about 3.5 miles. CMS rating 2 of 5.
Erie County Medical Center, about 5.2 miles. CMS rating 2 of 5.
Kaleida Health, about 6.0 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Glenwell, Cheektowaga, about 0.3 miles. 9 state visits on record.
Peregrine's Landing Senior Community, Cheektowaga, about 0.6 miles. 21 state visits on record.
Elderwood Village At Maplewood, Cheektowaga, about 1.0 miles. 17 state visits on record.
Elderwood At Cheektowaga, Cheektowaga, about 1.1 miles. CMS rating 1 of 5.
Seneca Health Care Center, West Seneca, about 2.9 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

3.4181 ratings on Google

★★★★★Irene Kaczmarski · 2026-08-02 · via Google
“Since my sister has been moved here from Delaware Oaks she is a new person. She is under Hospice care and everyone involved with her is wonderful. Her aide is tremendous. She braids her hair, makes she is clean and dressed nice. She even brings her Tim Hortons coffee. The staff are all kind and welcoming.”

★★★★Erika Karovski · 2026-07-09 · via Google
“My mother was recent in post acute rehab at Garden Gate. All of the staff, from aides, to nursing to physical therapy, were so kind to her. They were all very responsive to her needs and made sure that she was comfortable during the time she spent there. These situations are never easy but my family’s experience at Garden Gate was truly a positive one!”

★★★★★Karen Gorczyca · 2026-04-06 · via Google
“The last five months of my 91 year old father’s precious life were lived and celebrated at Garden Gate. Getting older is tough physically, mentally and spiritually for everyone involved. It is not for the faint of heart! The nurses and staff are warriors for the people in their care! My family and I always had peace of mind knowing he was being taken care of by dedicated loving staff! Is it perfec…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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The 44 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

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