North Gate Health Care Facility

In the surveyor’s words

From the most serious findings on record at North Gate Health Care Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF686May 13, 2026

  Based on observations, interviews and record reviews conducted during a survey, the facility failed to ensure that a resident with pressure ulcers (ulcers on the skin due to prolong pressure) received necessary treatment and services, consistent with professional standards of practice, to promote healing, and prevent infection for three (3) (Residents #14, #57, and #207) of eight (8) residents reviewed for pressure ulcers. Specifically, there was lack of initial staging, description and measurements of pressure ulcers upon admission (Resident #57), there was a delay in initiating treatment and lack of an assessment to determine the type of wound present upon admission (Resident #207), and lack of weekly monitoring, including a description and measurements of pressure ulcers (Resident #14). […]

• No harm, potential for more than minimal, isolatedF583May 13, 2026

  Based on observation, interview, and record review conducted during the survey, the facility failed to ensure residents have the right to personal privacy including accommodations for one (1) (Resident #5) of one (1) resident reviewed. Specifically, a privacy curtain in the resident's room did not fully enclose Resident #5's bed. The findings include: The policy and procedure titled Dignity, Respect and Privacy in Treatment and Care dated 10/2023 documented the resident has a right to be treated with dignity, respect, privacy and security. Privacy is provided for Residents while being examined and treated. Curtains are drawn and people not involved in the care or treatment are not present while the Resident is being examined or treated without Resident's permission. […]

• No harm, potential for more than minimal, isolatedF657May 13, 2026

  Based on interview and record review conducted during the survey, the facility failed to ensure that comprehensive care plans included to the extent practicable, the participation of the resident and the resident's representative(s); an explanation must be included in a resident's medical record if the participation of the resident and their resident representative is determined not practicable for the development of the resident's care plan for one (1) (Resident #112) of one (1) reviewed for care plan participation. Specifically, Resident #112 was not invited to participate in their care plan meetings. […]

• No harm, potential for more than minimal, isolatedF685May 13, 2026

  Based on observation, interview, and record review conducted during the survey, the facility failed to ensure that each resident received proper treatment and assistive devices to maintain vision; and if necessary, must assist the resident in making appointments for one (1) (Resident #99) of one (1) resident reviewed. Specifically, Resident #99's glasses were reported missing on 03/04/2026 to facility staff and the resident was not seen by an eye doctor until it was arranged by the family 05/05/2026. Resident #99 complained that they were unable to see well without their glasses and were unable to read without their glasses. […]

• No harm, potential for more than minimal, isolatedF684Jan 30, 2025

  Based on observation, interview and record review conducted during a Complaint (#NY00338861) investigation completed on 1/30/25 the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for one (Resident #2) of three resident reviewed. Specifically, Resident #2 did not receive weekly and comprehensive wound assessments and received applied dressings without a physician's order for a chronic left lower leg vascular ulcer (a chronic skin wound that develops due to poor blood circulation). […]