Nursing HomeInspections

Degraff Memorial Hospital-Skilled Nursing Facility

Nursing home in North Tonawanda, NY

Medicare & Medicaid certified5★ overall (CMS)

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Public-record details

Address
445 Tremont Street, North Tonawanda, NY 14120
Phone
(716) 690-2080
Listed under
For-profit, 4–5 star overall rating, No fines or payment denials in 3 years
Medicare CCN
335669
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
80
Average residents per day
78
Ownership
For-profit, corporation
Legal business name
Kaleida Health
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1984
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 335669. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jun 2, 2026. CMS lists 7 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 3, 2024 to Jun 2, 2026): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 2, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation
B
Potential for minimal harm, pattern
Jun 2, 2026Try 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…
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Dec 8, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 3, 2024Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Oct 3, 2024Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Oct 3, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
F
Potential for more than minimal harm, widespread
Oct 3, 2024Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration
F
Potential for more than minimal harm, widespread

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.04 hours
Registered nurse (RN) time per resident per day
1.06 hours
Nurse aide time per resident per day
2.06 hours
Total nurse staffing on weekends
3.20 hours
Nursing staff turnover (yearly)
55%
RN turnover (yearly)
18%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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