Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at North Gate Health Care Facility during CMS and state inspections, most recent first.
A resident with a chronic left lower leg vascular ulcer did not receive proper wound assessments or physician-ordered treatments. The facility failed to document necessary wound details and apply dressings with a physician's order. Staff interviews revealed inconsistencies in following treatment protocols and communication gaps regarding the resident's wound care.
A facility failed to provide appropriate care and documentation for a resident with an indwelling catheter, leading to inconsistent records and a subsequent hospital admission for sepsis secondary to a urinary tract infection.
Deficiency in Wound Care Management
Penalty
Summary
The facility failed to ensure that Resident #2 received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan. Resident #2, who has a chronic left lower leg vascular ulcer, did not receive weekly and comprehensive wound assessments as required. Additionally, dressings were applied to the wound without a physician's order. The facility's policy mandates weekly skin assessments for chronic wounds, but these were not consistently documented with necessary details such as measurements and wound characteristics. Resident #2 has a medical history that includes diabetes mellitus, schizophrenia, and a right above-the-knee amputation. The Minimum Data Set inaccurately assessed the resident's chronic ulcer, indicating only one unstageable pressure ulcer and no other skin issues. Observations revealed that the resident had a dressing on the left lower leg, which was not dated or signed, and the resident occasionally refused dressing changes. Despite the chronic nature of the wound, there was no specific physician's order for the daily wound dressings, and the wound was not consistently evaluated by the facility's wound consultant. Interviews with facility staff, including nurses and the Director of Nursing, highlighted a lack of adherence to proper documentation and treatment protocols. The wound was not assessed with the required detail, and there was confusion regarding the need for physician orders for dressings. The Adult Nurse Practitioner, serving as a wound consultant, was not aware of the resident's vascular wound, indicating a communication gap within the facility. The Medical Doctor emphasized the necessity of documenting all wound characteristics and obtaining physician orders for treatments, which was not followed in this case.
Inadequate Catheter Care and Documentation
Penalty
Summary
The facility did not ensure that a resident with an indwelling catheter received appropriate care and services. Specifically, there was no provider order for the catheter, no documented urine outputs, and no evidence of catheter care being provided. The resident had diagnoses including post laminectomy syndrome, depression, and colitis, and was documented as occasionally incontinent of urine. However, the resident's medical records and care plans did not consistently reflect the presence of a foley catheter, and there were discrepancies in staff documentation regarding the catheter's existence and care provided. The Nursing Admission Evaluation and Kardex did not document the presence of a foley catheter, and there were no provider orders addressing the use or discontinuation of the catheter. Nursing progress notes and the 24-hour Nursing Services Supervisor Report contained inconsistent documentation about the catheter, with some entries noting its presence and others not. There was also no documentation of urine outputs or catheter care in the Treatment Administration Record, and the facility could not provide certified nurse aide task documentation related to these aspects of care. Interviews with various staff members, including LPNs, an occupational therapist, and the Director of Nursing, revealed a lack of clarity and consistency regarding the resident's catheter status and care. The Director of Nursing admitted that the medical record should have clearly indicated whether the resident had a catheter and whether catheter care was provided. The resident was later admitted to the hospital with sepsis secondary to a urinary tract infection, indicating a serious lapse in care and documentation at the facility.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near North Tonawanda
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elderwood At Wheatfield | 2.5 mi | — | 0 | 0 |
| Degraff Memorial Hospital-skilled Nursing Facility | 3.1 mi | — | 1 | 0 |
| Rosa Coplon Jewish Home And Infirmary | 5.5 mi | — | 0 | 0 |
| Schofield Residence | 5.7 mi | — | 0 | 0 |
| Elderwood At Grand Island | 6.2 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.