Home / New York / North Tonawanda
445 Tremont Street, North Tonawanda, NY 14120 · Niagara County · (716) 690-2080
80 certified beds, about 77 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335669 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 2, 2026, inspectors cited 1 health deficiency (the New York average is 8.1, the national average 9.2).
None of its 7 health citations since February 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
53.6% of nursing staff left within the year CMS measured (New York average 40.3%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Inspectors wroteBased on observation, interview, and record review conducted during a survey, the facility failed to follow the manufacturers' recommendations and specifications for installing and maintaining bed rails for two (2) (Resident #2 and Resident #74) of two (2) residents reviewed. Specifically, Resident #2 and Resident #74 had a bed assist rail that was not secured to its bed frame.
Inspectors wroteBased on interview and record review during a survey, the facility failed to implement written policies and procedures for screening employees that would prohibit and prevent abuse, neglect, and exploitation of residents, and misappropriation of resident property. Specifically, an employee that worked in the facility and was subject to the New York State Nurse Aide Registry Verification, was not reviewed through the New York State Nurse Aide Registry prior to their employment as required. This affected one (1) (Environmental service Aide #1) of five (5) employees that worked in the facility and were subject to being reviewed through the New York State Nurse Aide Registry prior to their employment as required.
Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated survey (Complaint #2678647), the facility did not ensure that all alleged abuse violations were reported immediately but not later than two (2) hours after the allegation was made to the Administrator of the facility and to the State Survey Agency for one (1) (Resident #1) of three (3) residents reviewed. Specifically, staff did not report an allegation of physical abuse to the Administrator immediately which resulted in delayed reporting to the New York State Department of Health within the required time frames. [...]
Inspectors wroteBased on observations, interviews, and record reviews conducted during a complaint investigation (NY00346092) conducted during an extended standard survey from 9/26/2024 to 10/3/2024, the facility did not to ensure that each resident receives adequate supervision to prevent accidents for three (Residents #12, 14, and 29) of three reviewed. Specifically, the facility did not monitor the wander guard signaling device's (tag/bracelet) battery life/functionality of those that were assigned (#12, 14, 29) and Resident #14 exited the building unsupervised without staff's knowledge. In addition, the facility staff lacked education and training regarding the wander alert system and policy.
Inspectors wroteBased on interview and record review conducted during an extended survey completed on 10/3/24, the facility's quality assurance and performance improvement program did not perform improvement activities that tracked adverse resident events, analyze their causes, and implement preventative actions and mechanisms that include feedback and learning throughout the facility. Specifically, the facility did not ensure their WanderGuard policy was updated; that staff were educated about the wander guard system, and did not ensure preventive actions were implemented to ensure resident safety. The finding is: Refer to: [...]
Inspectors wroteBased on observation, record review, and interviews conducted during the Extended survey completed on 10/3/24, the facility did not exercise reasonable care for the protection of the resident's property from loss or theft for one (Resident #51) of three residents reviewed for personal property. Specifically, Resident #51 had no pants available to wear in their closet and their inventory sheets documented the resident had 17 pairs of pants. The finding is: Resident #51 had diagnoses including dementia, age related physical debility, and high blood pressure. The Minimum Data Set (a resident assessment tool) dated 8/11/24 documented the resident had moderately impaired cognition. The comprehensive care plan dated 8/21/24 documented the resident required extensive assistance with dressing, was non ambulatory, and was not able to make their needs known. [...]
Inspectors wroteBased on observation, interview, and record review conducted during an Extended Recertification survey completed on 10/3/24, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (Resident #2) of four residents reviewed for infection control processes during care. Specifically, staff did not wear proper personal protective equipment during hands on care and transfer of the resident, who required enhanced barrier precautions. The finding is: The policy and procedure titled Enhanced Barrier Precautions dated 6/18/24 documented personal protective equipment is used to prevent the spread of multi-drug resistant organism transmission. [...]
13 fire safety citations on file: 7 on June 2, 2026, 6 on October 3, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New York | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | not reported | 3.63 | 3.86 |
| Registered nurses | not reported | 0.71 | 0.69 |
| All nursing staff on weekends | not reported | 3.18 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | 53.6% | 40.3% | 45.8% |
| Registered nurse turnover | 17.6% | 39.8% | 42.9% |
| Administrators who left | 2 |
CMS note on this home's staffing data: The accuracy of the staffing data for this measure could not be validated by CMS.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.22 on weekdays and 3.34 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.21 in April to June 2025 to 3.96 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.96 | 0.96 | 4.22 | 3.34 | 0.0% | 0 of 90 | 77 |
| Oct to Dec 2025 | 4.27 | 0.95 | 4.60 | 3.43 | 0.0% | 0 of 92 | 76 |
| Jul to Sep 2025 | 4.61 | 1.26 | 5.16 | 3.22 | 0.0% | 0 of 92 | 77 |
| Apr to Jun 2025 | 4.21 | 0.77 | 4.52 | 3.45 | 0.0% | 0 of 91 | 76 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New York, Jan to Mar 2026 | 3.55 | 0.68 | 3.72 | 3.13 | 9.8% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New York, all employers | |||
| CNAs (nursing assistants) | $23.36 | $21.04 to $24.99 | 87,990 |
| LPNs and LVNs | $32.30 | $29.52 to $37.00 | 39,400 |
| Registered nurses | $52.62 | $45.60 to $62.34 | 205,810 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New York | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.4 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.6 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.7 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.8 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.0 | 13.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 8.6 | 20.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.0 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Degraff Memorial Hospital-Skilled Nursing Facility's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.8% this home
No different from the national rate
US median of homes 51.5% · New York: 101 better, 157 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 78 eligible stays.
10.3% this home
No different from the national rate
US median of homes 10.7% · New York: 12 better, 5 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 80 eligible stays.
5.9% this home
No different from the national rate
US median of homes 7.1% · New York: 7 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 44 eligible stays.
46.7% this home
Median of homes: New York60.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 30 residents counted.
0.0% this home
Median of homes: New York0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 42 residents counted.
9.2% this home
Median of homes: New York2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 42 residents counted.
100.0% this home
Median of homes: New York98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 21 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: KALEIDA HEALTH.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Kaleida Health | 5% or greater direct ownership interest | Organization | 100% | 04/01/1998 |
| Prudential Huntoon Paige Associates LTC Isaoa | 5% or greater mortgage interest | Organization | 04/01/1998 | |
| Beauford, Thomas | Corporate director | Individual | 04/01/2022 | |
| Boyd, Donald | Corporate director | Individual | 07/11/2022 | |
| Chevli, K | Corporate director | Individual | 04/01/2022 | |
| Clemo, Lorrie | Corporate director | Individual | 05/01/2017 | |
| Crosby, Gary | Corporate director | Individual | 05/01/2017 | |
| Eddib, Abeer | Corporate director | Individual | 05/01/2019 | |
| Javed, Muhammed | Corporate director | Individual | 10/01/2019 | |
| Matthews, George | Corporate director | Individual | 06/01/2008 | |
| McEvoy, Timothy | Corporate director | Individual | 06/01/2019 | |
| O'Leary, Paul | Corporate director | Individual | 06/01/2018 | |
| Persons, John | Corporate director | Individual | 04/01/2022 | |
| Ross, Christopher | Corporate director | Individual | 05/01/2015 | |
| Rusin, Mary Lou | Corporate director | Individual | 05/01/2015 | |
| Barrett, Ian | Corporate officer | Individual | 10/01/2022 | |
| Boyd, Donald | Corporate officer | Individual | 05/01/2009 | |
| Bryant, Shannon | Corporate officer | Individual | 12/01/2020 | |
| Chisholm, Hugh | Corporate officer | Individual | 04/01/2024 | |
| Drake, Matthew | Corporate officer | Individual | 12/05/2021 | |
| Hughes, Michael | Corporate officer | Individual | 09/01/2014 | |
| Mineo, Michael | Corporate officer | Individual | 07/01/2022 | |
| Nadler, Jamie | Corporate officer | Individual | 04/01/2022 | |
| Quint-Bouzid, Marjorie | Corporate officer | Individual | 04/01/2024 | |
| Snyder, Kenneth | Corporate officer | Individual | 04/01/2022 | |
| Spaulding, Alyson | Corporate officer | Individual | 08/01/2014 | |
| Akkinepally, Sita | Operational/managerial control | Individual | 01/01/2026 | |
| Bagneschi, Christopher | Operational/managerial control | Individual | 01/01/2026 | |
| Dunn, Jennifer | Operational/managerial control | Individual | 01/01/2026 | |
| Ormond, Jo Ann | Operational/managerial control | Individual | 01/01/2026 | |
| Silvestrini, Corin | Operational/managerial control | Individual | 02/01/2024 | |
| Akkinepally, Sita | Adp of the SNF | Individual | 08/06/2026 | |
| Bagneschi, Christopher | Adp of the SNF | Individual | 08/06/2026 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its New York inspection record.
These are the official offices in New York. NursingHomeClear cannot take or act on complaints.