Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

GARDEN GATE HEALTH CARE FACILITY

CHEEKTOWAGA, NY · 184 certified beds · Last Life Safety survey March 19, 2025

CMS Certification Number 335634 · first certified January 1979

Ownership

Operated by THE MCGUIRE GROUP · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

23
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within NY

23 citations — more than 80% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to May 2027. This facility’s last Life Safety survey was March 2025. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 23 Life Safety citations above. The Physical Environment Index

  • F-0584 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

This facility23NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility23
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
02022-02182023-1052025-03
Citations at each Life Safety survey
Survey dateCitations
February 11, 20220
October 18, 202318
March 19, 20255

Most-cited tags

Most-cited tags at this facility
K-07542K-09202K-02932K-03452K-01001K-02001K-03531K-03471
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0754Provide properly sized and located linen or trash receptacles.22025-03-19
K-0920Ensure proper usage of power strips and extension cords.22025-03-19
K-0293Have properly located and lighted "Exit" signs.22025-03-19
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-03-19
K-0100Meet other general requirements.12023-10-18
K-0200Meet other general requirements.12023-10-18
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-10-18
K-0347Properly provide smoke detection systems in areas open to corridors.12023-10-18

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 4
  • Miscellaneous Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies4
Miscellaneous Deficiencies3
Services Deficiencies1
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 19, 2025 — 5 citations

Citations issued on March 19, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 12, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (April 12, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 12, 2025)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (April 12, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 12, 2025)

October 18, 2023 — 18 citations

Citations issued on October 18, 2023
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (November 24, 2023)
K-0200Meet other general requirements.Deficient, Provider has date of correction (November 24, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (November 24, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 24, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (November 24, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 24, 2023)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (November 24, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 24, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (November 24, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 24, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (November 24, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (November 24, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 24, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (November 24, 2023)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (November 24, 2023)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (November 24, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 24, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 24, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.