Federal inspection record · CMS data as of October 1, 2026
Degraff Memorial Hospital-Skilled Nursing Facility
445 Tremont Street, North Tonawanda, NY · (716) 690-2080
- Certified beds
- 80
- Residents per day
- 78
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1984
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New York homes
Degraff Memorial Hospital-Skilled Nursing Facility carries 17 inspection points. That is fewer than 81% of New York's 589 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–12 pts
- 4★ 12–27 pts
- 3★ 27–46 pts
- 2★ 46–82 pts
- 1★ over 82 pts
Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
7 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care2F
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- F
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation2D
- B
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Rights1D
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-06-02
3 health deficiencies · 7 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-10-03
4 health deficiencies · 6 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2023-02-22
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 4 h 3 min of nursing staff time a day, 1 h 4 min of it from a registered nurse.
This home
4 h 3 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 18% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.0 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.5 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.2 pts better | 100.0% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.8 pts better | 100.0% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 2.9% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.6 pts better | 1.5% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 3.4% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.1 pts better | 8.1% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7 pts better | 6.7% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.8 pts better | 8.3% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts better | 7.8% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.3% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts worse | 2.9% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts worse | 21.9% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 5.0% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.4 pts better | 100.0% | 77.6% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.1 pts better | 100.0% | 78.9% | 80.1% |
·
Who owns and runs it
33 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Kaleida Health | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Akkinepally, Sita | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Akkinepally, Sita | Adp Of The SNF · Individual | 0% | 2 facilities |
| Bagneschi, Christopher | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bagneschi, Christopher | Adp Of The SNF · Individual | 0% | 1 facilities |
| Barrett, Ian | Corporate Officer · Individual | 0% | 2 facilities |
| Beauford, Thomas | Corporate Director · Individual | 0% | 2 facilities |
| Boyd, Donald | Corporate Director · Individual | 0% | 2 facilities |
| Boyd, Donald | Corporate Officer · Individual | 0% | 2 facilities |
| Bryant, Shannon | Corporate Officer · Individual | 0% | 2 facilities |
| Chevli, K | Corporate Director · Individual | 0% | 2 facilities |
| Chisholm, Hugh | Corporate Officer · Individual | 0% | 2 facilities |
| Clemo, Lorrie | Corporate Director · Individual | 0% | 2 facilities |
| Crosby, Gary | Corporate Director · Individual | 0% | 2 facilities |
| Drake, Matthew | Corporate Officer · Individual | 0% | 2 facilities |
| Dunn, Jennifer | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Eddib, Abeer | Corporate Director · Individual | 0% | 2 facilities |
| Hughes, Michael | Corporate Officer · Individual | 0% | 2 facilities |
| Javed, Muhammed | Corporate Director · Individual | 0% | 3 facilities |
| Matthews, George | Corporate Director · Individual | 0% | 2 facilities |
| Mcevoy, Timothy | Corporate Director · Individual | 0% | 2 facilities |
| Mineo, Michael | Corporate Officer · Individual | 0% | 2 facilities |
| Nadler, Jamie | Corporate Officer · Individual | 0% | 2 facilities |
| O'leary, Paul | Corporate Director · Individual | 0% | 2 facilities |
| Ormond, Jo Ann | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Persons, John | Corporate Director · Individual | 0% | 2 facilities |
| Prudential Huntoon Paige Associates Ltc Isaoa | 5% Or Greater Mortgage Interest · Organization | 0% | 2 facilities |
| Quint-Bouzid, Marjorie | Corporate Officer · Individual | 0% | 2 facilities |
| Ross, Christopher | Corporate Director · Individual | 0% | 2 facilities |
| Rusin, Mary Lou | Corporate Director · Individual | 0% | 2 facilities |
| Silvestrini, Corin | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Snyder, Kenneth | Corporate Officer · Individual | 0% | 2 facilities |
| Spaulding, Alyson | Corporate Officer · Individual | 0% | 2 facilities |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems5E
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that testing and maintenance of electrical equipment is performed.
Smoke3E
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress2E
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Install proper backup exit lighting.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction1E
- E
Meet other general requirements.
·
Other homes nearby
-
Schofield Residence
Kenmore, NY
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0
-
North Gate Health Care Facility
North Tonawanda, NY · The Mcguire Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 41 min
- Fines
- $0
-
Safire Rehabilitation Of Northtowns, L L C
Tonawanda, NY · Sapphire Care Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 7 min
- Fines
- $13,070