Northgate Health Care Facility

    7264 Nash Rd, North Tonawanda, NY, 14120
    2.6 · 69 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Neglect incompetence understaffing fatal outcomes

    I placed my loved one here and had a mixed but mostly alarming experience. Staff frequently ignored call buttons for hours, meds were late or given incorrectly (low BP, delayed pain relief), rooms and bathrooms were filthy/soiled, food came cold and often inedible, and administration was chaotic with billing and communication failures. A few nurses and therapists (Shannon, Mary, Myling, Cierra, Charlie) were compassionate and competent, but understaffing and unprofessional behavior led to hospitalizations and, ultimately, my grandmother's death. I'm documenting everything and would strongly advise extreme caution.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.58 · 69 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.2
    • Staff

      2.5
    • Meals

      2.0
    • Amenities

      1.9
    • Value

      1.4

    Pros

    • Skilled and effective physical therapy staff
    • Some occupational therapists praised (Charlie mentioned positively)
    • Compassionate and attentive dayshift nursing staff
    • Dignified end-of-life and hospice care in some cases
    • Staff who provide clear explanations and discharge teaching
    • Successful transitions home for some residents
    • Engaging group activities (games, singing, dancing, bingo, nails)
    • Veteran honors and respectful ceremonies
    • Cleanliness and well-kept areas reported by multiple reviewers
    • Pleasant outdoor courtyards and sitting areas
    • Helpful, friendly staff and individual caregivers in many cases
    • Strong teamwork and knowledgeable staff cited by some families
    • Library and cable/TV services (though limited for some)
    • Good rehab outcomes for many patients
    • Some reviewers noted residents being well-groomed and comfortable
    • Responsive administration in individual positive reports
    • On-time meals and medication administration reported for some
    • Pleasant dining experiences described by a subset of families
    • Overall high quality dementia unit reported by one reviewer
    • Many reviewers said staff tried their best despite limitations

    Cons

    • Premature discharges and denied rehab placement
    • Lack of necessary equipment and oxygen availability
    • Allegations of MRSA and other infection risks
    • Withholding of test results and medical records
    • Failure to consult primary physicians or external doctors
    • Delays in setting up home care and post-discharge services
    • Missed or incorrect medications, including blood pressure meds
    • Accusations of falsified records and poor documentation
    • Poor oversight, lack of investigation into incidents
    • Delayed or withheld wound care and wound-vac management
    • Frequent rude, mean, or unprofessional staff behavior
    • Long delays for pain medication and other time-sensitive meds
    • Ignored call lights and hours-long waits for assistance
    • Unsafe bathroom conditions and locked bathroom incidents
    • Soiled linens, feces on floors and sinks, and maggot infestation reports
    • Poor overall cleanliness and odor in some rooms
    • Overflowing trash and garbage left for days
    • Short-staffing, especially at night and on weekends
    • Residents found on the floor after falls or left unattended
    • Accidents and skin issues including bedsores and open wounds
    • Infection outbreaks mentioned (COVID, Legionnaires', MRSA)
    • Food served cold, poor quality, repetitive menu, limited alternatives
    • Charges perceived as high for low value and disputed billing
    • Administrative uncooperativeness and billing/executor disputes
    • Privacy and HIPAA concerns and incorrect billing addresses
    • Screening/denial practices perceived as profit-driven
    • Staff on personal phones, smoking on premises, unprofessional conduct
    • Maintenance problems: broken beds, heater hazards, TV and equipment issues
    • Reports of residents sitting in urine or waste for prolonged periods
    • Night staff unresponsive or described as crabby
    • Inconsistent therapy scheduling and missed therapy sessions
    • Allegations of life-threatening neglect including untreated obstructions
    • Deaths and serious adverse outcomes linked in multiple reviews
    • Claims of state investigations and calls for regulatory intervention
    • Inconsistent cleanliness improvements and recurring problems
    • Poor communication with families about belongings and care status
    • Staff training gaps and medication administration errors
    • Mixed experiences indicate large variability in care quality

    Summary review

    Overall sentiment: Reviews for Northgate Health Care Facility are highly polarized and inconsistent, with a large volume of serious negative reports counterbalanced by multiple strongly positive accounts. The negative reports are substantial and specific: allegations of neglect, infection risk, medication errors, unacceptable hygiene, billing and administrative failures, and even deaths and life-threatening conditions. Positive accounts frequently praise therapists, some nursing staff, activities, and dignified end-of-life care. Taken together, the reviews paint a facility with pockets of strong, compassionate care and rehabilitation success but also recurring and serious systemic problems that pose safety and quality-of-care concerns.

    Care quality and clinical safety: A dominant theme across the negative reviews is clinical neglect and safety failures. Multiple reviewers describe missed or incorrect medications (including blood pressure meds), long delays for pain medications, failure to timely change wound vacs, and missed scheduled therapies. Specific infection-related allegations include MRSA risk, withheld MRSA test results, and outbreaks such as COVID and at least one reported Legionnaires' disease case. There are alarming accounts of untreated bowel obstruction, maggots on a resident's leg, bedsores, feces in bathrooms and on sinks, and residents left sitting in urine. Several reviews claim premature discharges or wrongful denial of rehab, and some suggest record withholding or falsification and lack of physician consultation. These reports, particularly when taken together, indicate possible systemic gaps in clinical oversight, infection control, medication management, and incident investigation.

    Staff behavior and staffing patterns: Staffing and staff behavior are described inconsistently. Many reviewers praise individual caregivers, physical therapists, and dayshift nursing teams for compassionate, knowledgeable care, timely teaching, successful rehabilitation, and dignified hospice services. Conversely, numerous reviewers report rude, mean, or unprofessional employees, staff who ignore call lights for hours, and night staff who are unresponsive or short-staffed. Several reviews specifically note differences between dayshift (often praised) and nightshift (often criticized) performance. Reports of staff using personal phones, smoking on premises, and playing outside during shifts, as well as allegations of harassment, indicate concerns about supervision, culture, and enforcement of professional standards.

    Facilities, cleanliness, and maintenance: Facility cleanliness and maintenance are inconsistent across reviews. Some families describe a clean facility, pleasant courtyards, and well-kept common areas. However, many detailed negative accounts cite rooms and bathrooms soiled with feces or urine, overflowing trash, odors, dirty linens, and maintenance failures such as broken beds, bed wheels off the floor, and heater hazards leading to burns. Several reviewers planned to document conditions with photos and called attention to potential health violations. The coexistence of positive and negative cleanliness reports suggests variability between units, shifts, or over time rather than uniformly good or poor facility condition.

    Dining and therapy services: Therapy services (PT/OT) receive mixed but often positive mentions: physical therapy is frequently praised as excellent and respectful, and rehabilitation outcomes are singled out as a major strength by many reviewers. Occupational therapy reports are mixed—some OT staff receive praise (named individuals), while others are described as rude or failing to provide scheduled therapy. Dining receives predominantly negative feedback: many reviewers describe cold, poor-quality, and repetitive meals with limited alternatives. A few reviewers enjoyed homemade-tasting meals and timely service, again pointing to variability. Activities and programming receive positive comments in multiple reviews: games, singing, dancing, and specialized dementia programming are cited as strengths that contribute to resident quality of life.

    Administration, billing, and communication: Administrative issues are a recurrent concern. Complaints include denial of care or opaque screening practices perceived as cost-driven, billing errors, incorrect billing addresses, unwanted calls to relatives, refusal to accept bill payment without executor paperwork, and difficulties resolving disputes without attorney involvement. Privacy and HIPAA issues are also alleged. Positive reviewers do note responsive administration in individual cases, but the frequency and specificity of negative administrative reports—especially those involving deceased residents or executor disputes—are significant and may indicate systemic process problems.

    Notable patterns and red flags: Several specific red flags emerge from the reviews: repeated allegations of infection risks (MRSA, Legionnaires'), multiple accounts of residents left unsupervised resulting in falls or prolonged exposure to bodily waste, reports of delayed or wrong medications, and serious charges such as record falsification or withholding test results. Multiple reviewers explicitly called for state health department intervention or reported that state investigations were underway. The presence of both glowing praise for certain staff and severe complaints about basic care suggests high variability in staff competence, training, supervision, or resourcing across shifts or units.

    Conclusion and considerations for families: Reviews show Northgate can deliver excellent rehabilitation, compassionate individualized care, and meaningful activities, often driven by highly capable therapists and some committed nursing staff. At the same time, there are numerous, specific, and severe complaints about neglect, infection control, medication errors, poor sanitation, and administrative dysfunction. Because of this variability and the presence of safety-related allegations, families should approach placement decisions with caution: tour the facility during both day and night shifts, ask about infection control policies and recent inspection reports, request documentation on staffing ratios and training, verify medication administration protocols, check state inspection and enforcement records, and insist on written incident reporting and communication policies. If serious problems are observed, document them with photos and dates, escalate to facility leadership, and consider contacting local ombudsman or state regulatory authorities. The mixed nature of the reviews means some families have very positive experiences, but the recurring systemic issues reported by many others are significant and merit careful scrutiny before choosing this facility.

    Location

    Map showing location of Northgate Health Care Facility

    About Northgate Health Care Facility

    Northgate Health Care Facility sits at 7264 Nash Road in North Tonawanda, New York, and a person walking in will notice right away the rooms with big windows and the clean, safe atmosphere, though some of the rooms can be small and have older beds that sometimes break down, and the place is certainly due for updates here and there, but the staff works hard to keep everything well cared for and pleasant. The grounds have nice outdoor spots and a courtyard with furniture, and there's a lounge area inside and plenty of places where people can gather for activities, which happen both on and off the property, with devotional gatherings and music therapy often on the schedule, and folks can see that there's always a team of dedicated health care professionals around-they offer 24/7 care, from 8:00 in the morning to 8:00 at night, every day.

    Northgate is a skilled nursing home and rehabilitation center that has 200 beds available for short-term rehabilitation or longer stays, with a therapy department known for always being helpful and available, with occupational and physical therapy on-site thanks to a state-of-the-art therapy suite, and there's even a special wing called Wesley for dementia care, with a secured Memory Care unit and special programs for those residents. The place has a lot of specialty care, including on-site gentle dialysis five days a week in the Dialysis Den, in-facility blood transfusions-which hardly any other long-term care centers in New York offer-and they have approval for advanced pain and symptom management including IV therapy. Medical services stretch from 24-hour nursing care, diabetic and incontinence care, pharmacy consultations, and oxygen therapy to regular advance care planning and onsite kidney dialysis, and there's a hospice unit, known as "Hospice at Jeanne's House - A Northgate and Niagara Hospice Collaboration," built in 2012, which is recognized as a center of excellence and serves those needing end-of-life care in a safe, home-like setting, providing specialized staff, massage, pet and music therapy, volunteer companion visits, and bereavement services for families.

    The facility is locally owned and operated by McGuire Group and is part of a larger family with Absolut Care, Taconic Health Care, and VestraCare. People can find both private and semi-private rooms decorated nicely, though as mentioned, some feel cramped, and there are meals, non-ambulatory and respite care, help with activities of daily living, diabetic and incontinence services, and more. For people who want to stay active or spiritual, the place offers activities, devotional gatherings, and both indoor and secure outdoor common areas. Northgate has been awarded a 5-star rating by the Federal Government, and many see the progressive programs, such as dialysis within the facility and the trained hospice staff, as making a difference for the residents. Social connections are supported through volunteer visits and companion services, and daily life is organized to offer as much comfort, safety, and engagement as possible for everyone who lives there.

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