Garden Gate Health Care Facility

Garden Gate Health Care Facility

2365 Union Road

Cheektowaga, NY 14227

(716) 668-8100

www.mcguiregroup.com/garden%20gate%20page.html

Services: Outpatient/Occupational Therapy, Outpatient/Physical Therapy, Respite Care (Short Term), Baseline Services

Beds

Behavioral Intervention:
Pediatric:
Pediatric Ventilator Dependent:
Residential Health Care:184
Transitional Care Unit:
Ventilator Dependent:
Total Number of Beds:184

Administrative

Ownership: Proprietary--Individual

Operated by: Garden Gate Health Care Facility LLC
1827 Seneca Street
Buffalo, NY 14210

Permanent Facility Identifier: 294

Operating Certificate: 1455300N

Medicaid Certified

Medicare Certified

Medicare Number: 335634

Statistics

Employee Flu Vaccination Rate: 50%

Occupancy Rate: 94%

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
424Percentage of short-stay residents who self-report moderate to severe pain0.43143/1/2017
425Percentage of short-stay residents with pressure ulcers that are new or worsened1.444263/1/2017
426Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine96.369373/1/2017
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine99.000773/1/2017
434Percentage of short-stay residents who newly received an antipsychotic medication0.763353/1/2017
471Percentage of short-stay residents who made improvements in function47.603223/1/2017

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased8.014572003/1/2017
402Percentage of long-stay residents who self-report moderate to severe pain0.000000003/1/2017
403Percentage of high risk long-stay residents with pressure ulcers4.033971003/1/2017
404Percentage of long-stay residents who lose too much weight2.882882003/1/2017
405Percentage of low risk long-stay residents who lose control of their bowels or bladder26.119401003/1/2017
406Percentage of long-stay residents with a catheter inserted and left in their bladder2.679638003/1/2017
407Percentage of long-stay residents with a urinary tract infection2.517987003/1/2017
408Percentage of long-stay residents who have depressive symptoms0.000000003/1/2017
409Percentage of long-stay residents who were physically restrained0.178254003/1/2017
410Percentage of long-stay residents experiencing one or more falls with major injury0.891266003/1/2017
411Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine99.669421003/1/2017
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.000000003/1/2017
419Percentage of long-stay residents who received an antipsychotic medication10.389611003/1/2017
451Percentage of long-stay residents whose ability to move independently worsened14.948187003/1/2017
452Percentage of long-stay residents who received an antianxiety or hypnotic medication10.573477003/1/2017

Complaints

Number of Standard Health Deficiencies:26
Number of Live Safety Code Deficiencies:12
Number of Total Deficiencies:38
Number of Deficiencies related to Actual Harm or Immediate Jeopardy:0
Percent of Total Deficiencies related to Actual Harm or Immediate Jeopardy :0
Total intakes received (last three years):94
Intakes received per 100 occupied beds (last three years):51.0
Percent of total intakes received that were facility self reported incidents (last three years):70
On-site complaint investigations (last three years):24
Complaint investigations resulting in citations (last three years):6
Complaint investigations resulting in citations per 100 occupied beds (last three years):3.3
Complaint Citations in deficiency category: Administration:1
Complaint Citations in deficiency category: Quality of Care:4
Complaint Citations in deficiency category: Resident Rights:1
Complaint Citations in deficiency category: Dietary Services:0
Complaint Citations in deficiency category: Physical Environment:0
Complaint Citations in deficiency category: Other Services:0
Complaint Citations across all deficiency categories (last three years):6

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
10/1/2014Certification2
11/15/2016Certification2
4/17/2014Complaint2
7/2/2014Complaint2
8/23/2013Certification2
9/24/2015Certification2

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate citation corrected
HealthASSESSMENT AFTER A SIGNIFICANT CHANGE11
LSC211/2/2017
LSC221/2/2017
LSC221/2/2017
LSC221/2/2017
LSC211/2/2017
HealthFACILITY IS FREE OF ACCIDENT HAZARDS211/2/2017
HealthPERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS2110/7/2013
HealthRIGHT TO BE FREE FROM PHYSICAL RESTRAINTS NOT REQUIRED FOR TREATMENT2110/7/2013
HealthHOUSEKEEPING AND MAINTENANCE SERVICES1210/7/2013
HealthCOMPREHENSIVE ASSESSMENTS2110/7/2013
HealthDEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN2110/7/2013
HealthSERVICES PROVIDED MEET PROFESSIONAL STANDARDS2210/7/2013
HealthSERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN2110/7/2013
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS2210/7/2013
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS2210/7/2013
HealthPROPER LABELING OF DRUGS AND BIOLOGICALS2210/7/2013
LSCSMOKE PARTITION CONSTRUCTION2210/7/2013
HealthINFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC.2110/7/2013
LSCCOOKING EQUIPMENT2210/7/2013
LSCMEDICAL GAS SYSTEM2210/7/2013
LSCVENTILATING EQUIPMENT2210/7/2013
HealthNURSE STAFFING1211/2/2015
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING2111/2/2015
HealthRESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS2111/2/2015
HealthDEPARTMENT CRIMINAL HISTORY REVIEW DOH PROPOSED DISAPPROVAL/DIRECT CARE PROHIBITED2111/2/2015
HealthSTORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS2211/2/2015
LSCSMOKE PARTITION CONSTRUCTION2211/2/2015
LSCSMOKE PARTITION CONSTRUCTION2211/2/2015
LSCAUTOMATIC SPRINKLER SYSTEM2111/2/2015
HealthCRIMINAL HISTORY RECORD CHECK NOT PERFORMED PROVIDER SHALL SUBMIT REQUEST FOR CHECK2111/2/2015
HealthDIGNITY2111/2/2015
HealthSELF-DETERMINATION - RESIDENT MAKES CHOICES2111/3/2014
HealthADL CARE PROVIDED FOR DEPENDENT RESIDENTS2111/3/2014
HealthHOUSEKEEPING AND MAINTENANCE SERVICES1211/3/2014
HealthINFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC.1211/3/2014
HealthFACILITY ESTABLISHES INFECTION CONTROL PROGRAM215/27/2014
HealthCLINICAL RECORDS MEET PROFESSIONAL STANDARDS225/27/2014
HealthPROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING218/18/2014