Skilled nursing facility · CMS certification number 335634
GARDEN GATE HEALTH CARE FACILITY
GARDEN GATE HEALTH CARE FACILITY is a skilled nursing facility. It has 184 certified beds and $24,128,319 in net patient revenue (FY2024).
CHEEKTOWAGA, New York · Medicare and Medicaid · 184 certified beds in Care Compare
GARDEN GATE HEALTH CARE FACILITY: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on December 16, 2025.
- Net patient revenue rose from $21.8M in fiscal year 2023 to $24.1M in fiscal year 2024.
- Its result from service to patients: −$5.2M (2022), −$4.8M (2023), −$1.9M (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $24.1M ranks 242nd of the 539 nursing facilities in New York whose latest cost report on file is fiscal year 2024.
- 4 of the 5 nursing facilities in New York closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
GARDEN GATE HEALTH CARE FACILITY: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1444728 | 2023 · report 1401920 | 2022 · report 1372814 | 2021 · report 1336507 | 2020 · report 1303859 | 2019 · report 1265465 | 2018 · report 1238106 | 2017 · report 1196376 | 2016 · report 1172815 | 2015 · report 1137750 | 2014 · report 1098705 | 2013 · report 1075610 | 2012 · report 1041283 | 2011 · report 1011142 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Processed by CMS | December 16, 2025 | January 7, 2025 | February 1, 2024 | November 17, 2022 | November 10, 2021 | August 28, 2020 | July 24, 2019 | June 27, 2018 | August 11, 2017 | July 25, 2016 | June 19, 2015 | August 11, 2014 | July 23, 2013 | September 21, 2012 |
| Total patient revenue | $42,681,743 | $42,263,099 | $39,744,743 | $40,004,418 | $36,129,377 | $37,881,724 | $37,240,177 | $35,591,317 | — | — | — | $25,330,824 | $24,829,818 | $24,462,776 |
| Contractual allowances and discounts | $18,553,424 | $20,488,413 | $17,201,427 | $16,926,761 | $13,938,063 | $16,111,756 | $15,611,240 | $14,672,321 | — | — | — | $7,133,903 | $7,019,151 | $5,553,742 |
| Net patient revenue | $24,128,319 | $21,774,686 | $22,543,316 | $23,077,657 | $22,191,314 | $21,769,968 | $21,628,937 | $20,918,996 | — | — | — | $18,196,921 | $17,810,667 | $18,909,034 |
| Total operating expenses | $26,069,399 | $26,595,531 | $27,699,303 | $22,910,552 | $23,014,293 | $21,512,181 | $21,415,927 | $20,491,032 | — | — | — | $17,588,435 | $16,771,958 | $17,080,364 |
| Net income from service to patients | −$1,941,080 | −$4,820,845 | −$5,155,987 | $167,105 | −$822,979 | $257,787 | $213,010 | $427,964 | — | — | — | $608,486 | $1,038,709 | $1,828,670 |
| Total other income | $1,103,343 | $1,154,557 | $602,380 | $157,090 | $1,707,565 | $600,116 | $374,803 | $293,741 | — | — | — | $1,646,330 | $1,662,614 | $552,823 |
| Net income after other income | −$837,737 | −$3,666,288 | −$4,553,607 | $324,195 | $884,586 | $857,903 | $587,813 | $721,705 | — | — | — | $2,254,816 | $2,701,323 | $2,381,493 |
| Net income | −$910,986 | −$3,746,467 | −$4,554,333 | $319,617 | $884,196 | $854,777 | $576,639 | $687,583 | — | — | — | $2,254,816 | $2,701,323 | $2,381,493 |
| Total facility beds, all components | 186 | 186 | 186 | 186 | 186 | 186 | 186 | 186 | — | — | — | 186 | 186 | 186 |
| Bed days available, all components | 68,076 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 5,232 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 40,782 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 16,427 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 62,441 | 62,006 | 62,459 | 64,056 | 58,834 | 64,183 | 64,603 | 64,564 | — | — | — | 64,158 | 65,127 | 65,538 |
| Medicare discharges | 145 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 264 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 529 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 938 | 911 | 835 | 727 | 1,032 | 914 | 933 | 825 | — | — | — | 726 | 643 | 668 |
| Average length of stay, Medicare, in days | 36.08 | 29.85 | 37.68 | 35.16 | 33.65 | 28.55 | 25.62 | 26.21 | — | — | — | 35.48 | 39.11 | 37.64 |
| Average length of stay, Medicaid, in days | 154.48 | 181.73 | 234.44 | 264.51 | 234.13 | 287.49 | 370.86 | 429.19 | — | — | — | 649.07 | 641.7 | 729.97 |
| Average length of stay, all patients, in days | 66.57 | 68.06 | 74.8 | 88.11 | 57.01 | 70.22 | 69.24 | 78.26 | — | — | — | 88.37 | 101.29 | 98.11 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
None of these figures is carried on the report for fiscal years 2016, 2015, 2014.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 411139 | 2009 · report 384475 | 2008 · report 353142 | 2007 · report 329222 | 2006 · report 294641 | 2005 · report 264026 | 2004 · report 233944 | 2003 · report 194334 | 2002 · report 169145 | 2001 · report 140948 | 2000 · report 113895 | 1999 · report 38635 | 1998 · report 38633 | 1997 · report 38631 | 1996 · report 38630 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | March 1, 2003 | January 1, 2002 | January 1, 2001 | January 1, 2000 | January 1, 1999 | January 1, 1998 | January 1, 1997 | January 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 | December 31, 2000 | December 31, 1999 | December 31, 1998 | December 31, 1997 | December 31, 1996 |
| Processed by CMS | July 19, 2011 | July 30, 2010 | July 29, 2009 | December 1, 2008 | October 16, 2007 | September 28, 2006 | September 30, 2005 | September 21, 2004 | February 18, 2004 | April 7, 2003 | February 11, 2003 | March 22, 2001 | October 3, 2000 | June 24, 1999 | August 31, 1998 |
| Net patient revenue | $16,301,444 | $16,831,396 | $18,003,573 | $16,029,241 | $14,413,694 | $15,017,524 | $12,300,660 | $9,866,446 | $10,491,324 | $9,901,689 | $8,670,788 | $8,217,313 | $8,209,701 | $7,476,957 | $7,117,753 |
| Total operating expenses | $16,483,278 | $16,824,535 | $16,608,103 | $15,664,852 | $14,202,385 | $13,724,521 | $13,309,603 | $11,069,461 | $11,969,484 | $10,211,223 | $9,387,924 | $8,744,321 | $7,306,131 | $6,524,815 | $6,405,418 |
| Net income from service to patients | −$181,834 | $6,861 | $1,395,470 | $364,389 | $211,309 | $1,293,003 | −$1,008,943 | −$1,203,015 | −$1,478,160 | −$309,534 | −$717,136 | −$527,008 | $903,570 | $952,142 | $712,335 |
| Total other income | $201,856 | $190,077 | $199,245 | $235,150 | $159,432 | $149,129 | $205,529 | $250,571 | $270,155 | $162,191 | $164,943 | $144,437 | $139,493 | $88,197 | $425,435 |
| Net income | $20,022 | $196,938 | $1,594,715 | $599,539 | $370,741 | $1,442,132 | −$803,414 | −$952,444 | −$1,208,005 | −$147,343 | −$552,193 | −$382,571 | $1,043,063 | $1,040,339 | $1,137,770 |
| Total facility beds, all components | 186 | 186 | 186 | 186 | 186 | 162 | 162 | 162 | 162 | 162 | 162 | 162 | 162 | 162 | 162 |
| Total patient days, all components | 65,965 | 66,122 | 65,721 | 65,806 | 59,970 | 57,386 | 57,255 | 47,478 | 56,824 | 56,999 | 56,608 | 55,288 | 55,987 | 57,441 | 57,033 |
| Total discharges, all components | 620 | 676 | 801 | 720 | 716 | 737 | 709 | 638 | 757 | 720 | 654 | 440 | 390 | 206 | 74 |
| Average length of stay, Medicare, in days | 13.12 | 14.98 | 16.15 | 16.87 | 33.99 | 30.8 | 31.03 | 26.53 | 19.06 | 21.26 | 20.44 | 29.03 | 34.87 | 61.94 | 206.1 |
| Average length of stay, Medicaid, in days | 1,146.34 | 711.46 | 769.37 | 737.57 | 862.45 | 1,068.73 | 819.61 | 653.03 | 920.86 | 808.17 | 825.72 | 1,092.61 | 918.53 | 518.01 | 1,591.46 |
| Average length of stay, all patients, in days | 106.4 | 97.81 | 82.05 | 91.4 | 83.76 | 77.86 | 80.75 | 74.42 | 75.06 | 79.17 | 86.56 | 125.65 | 143.56 | 278.84 | 770.72 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
GARDEN GATE HEALTH CARE FACILITY: nurse staffing hours by quarter →
Who owns GARDEN GATE HEALTH CARE FACILITY, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: VESTRA SPV1 LLC (organization), 50%%, since 12/23/2020; VESTRA SPV2 LLC (organization), 50%%, since 12/23/2020
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: FARBENBLUM, EDWARD (individual), NO PERCENTAGE PROVIDED, since 12/23/2020; LIEBERMAN, ORLY (individual), NO PERCENTAGE PROVIDED, since 12/23/2020
- CORPORATE OFFICER: GRIGG, SUSAN (individual), NOT APPLICABLE, since 01/01/2024; PHAN, TOM (individual), NOT APPLICABLE, since 01/01/2024; ROSSO, RALPH (individual), NOT APPLICABLE, since 01/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: FARBENBLUM, EDWARD (individual), NOT APPLICABLE, since 12/23/2020; GRIGG, SUSAN (individual), NOT APPLICABLE, since 01/01/2025
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of GARDEN GATE HEALTH CARE FACILITY LLC (enrollment ID O20090901000461).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: VESTRA SPV1 LLC (organization), 50.00%, since 12/23/2020; VESTRA SPV2 LLC (organization), 50.00%, since 12/23/2020
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: EDWARD OSCAR FARBENBLUM (individual), 100.00%, since 12/23/2020; ORLY LIEBERMAN (individual), 100.00%, since 12/23/2020
- CORPORATE OFFICER: RALPH ROSSO (individual), 100.00%, since 01/01/2024; SUSAN GRIGG (individual), 100.00%, since 01/01/2024; TOM PHAN (individual), 100.00%, since 01/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: EDWARD OSCAR FARBENBLUM (individual), 99.50%, since 12/23/2020; SUSAN GRIGG (individual), since 01/01/2025
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: VESTRA SPV1 LLC; VESTRA SPV2 LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: EDWARD OSCAR FARBENBLUM; ORLY LIEBERMAN; RALPH ROSSO; SUSAN GRIGG; TOM PHAN; EDWARD OSCAR FARBENBLUM; SUSAN GRIGG.
Changes in ownership
- April 1, 2025, enrollment ownership file; no longer listed: KELLY C MCGUIRE (5% OR GREATER DIRECT OWNERSHIP INTEREST); JACQUELYN M GURNEY (5% OR GREATER DIRECT OWNERSHIP INTEREST); JEANNIE M MCGUIRE (5% OR GREATER DIRECT OWNERSHIP INTEREST); JAMIE INGHAM (CORPORATE OFFICER); F JAMES MCGUIRE (CORPORATE OFFICER); F JAMES MCGUIRE (5% OR GREATER DIRECT OWNERSHIP INTEREST); SUSAN GRIGG (W-2 MANAGING EMPLOYEE); THE MCGUIRE GROUP, INC. (OTHER); STEPHEN M EATON MERCURIO (CORPORATE OFFICER); STEPHEN M EATON MERCURIO (5% OR GREATER DIRECT OWNERSHIP INTEREST); first listed: SUSAN GRIGG (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2025; SUSAN GRIGG (CORPORATE OFFICER), associated since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- March 1, 2024, enrollment ownership file; first listed: TOM PHAN (OFFICER), associated since January 1, 2024; RALPH ROSSO (OFFICER), associated since January 1, 2024; SUSAN GRIGG (W-2 MANAGING EMPLOYEE), associated since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
Inspections of GARDEN GATE HEALTH CARE FACILITY
- Cycle 1: health March 19, 2025 (9 deficiencies), fire safety March 19, 2025 (5)
- Cycle 2: health October 18, 2023 (5 deficiencies), fire safety October 18, 2023 (18)
- Cycle 3: health February 11, 2022 (7 deficiencies), fire safety February 11, 2022 (0)
Deficiencies cited at GARDEN GATE HEALTH CARE FACILITY
21 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 4 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0584, resident rights: March 19, 2025 (B, from a complaint, corrected April 12, 2025); February 11, 2022 (B, corrected March 28, 2022).
- F 0677, quality of life and care: March 19, 2025 (D, corrected April 12, 2025); October 18, 2023 (D, corrected November 24, 2023).
- F 0684, quality of life and care: March 19, 2025 (D, corrected April 12, 2025).
- F 0689, quality of life and care: March 19, 2025 (D, corrected April 12, 2025); February 11, 2022 (D, corrected March 28, 2022).
- F 0756, pharmacy service: March 19, 2025 (D, corrected April 12, 2025).
- F 0804, nutrition and dietary: March 19, 2025 (F, corrected April 12, 2025); October 18, 2023 (D, corrected November 24, 2023).
- F 0812, nutrition and dietary: March 19, 2025 (E, from a complaint, corrected April 12, 2025).
- F 0880, infection control: March 19, 2025 (E, corrected April 12, 2025); January 14, 2025 (D, from a complaint, corrected February 6, 2025); February 11, 2022 (D, corrected March 28, 2022).
- F 0881, infection control: March 19, 2025 (D, corrected April 12, 2025).
- F 0690, quality of life and care: January 14, 2025 (D, from a complaint, corrected February 6, 2025); February 11, 2022 (D, corrected March 28, 2022).
- F 0656, resident assessment and care planning: October 18, 2023 (D, corrected November 24, 2023).
- F 0554, resident rights: February 11, 2022 (B, corrected March 28, 2022).
- F 0610, freedom from abuse, neglect, and exploitation: February 11, 2022 (D, corrected March 28, 2022).
- F 0761, pharmacy service: February 11, 2022 (D, corrected March 28, 2022).
GARDEN GATE HEALTH CARE FACILITY in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: GARDEN GATE HEALTH CARE FACILITY LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1979-01-29
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Erie
- Telephone Number: 7166688100
- Chain Name: THE MCGUIRE GROUP
- Chain ID: 510
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 178.8
- Overall Rating: 3
- Health Inspection Rating: 2
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 4
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for GARDEN GATE HEALTH CARE FACILITY: no penalty in Care Compare.
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Report a figure on GARDEN GATE HEALTH CARE FACILITY’s record that differs from its CMS file, quoting 335634.