Degraff Memorial Hospital-Skilled Nursing Facility
445 Tremont Street, North Tonawanda, NY 14120 · Niagara County · 80 certified beds · avg 77 residents/day · certified since Apr 1, 1984
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 8, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 3, 2024 | F · Potential for harm, facility-wide | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 3, 2024 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Oct 3, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 3, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 14, 2021 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| May 14, 2021 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 14, 2021 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| May 14, 2021 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| May 14, 2021 | B · Minimal risk, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 5 | 0 | D |
| 2024 | 4 | 0 | F |
| 2025 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 0.00 | 3.58 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.68 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.13 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.48 | 0.48 | — |
| Total nursing staff turnover (%) | 53.6 | 40.3 | 45.8 | bottom 19% in New York; bottom 28% in the U.S. |
| RN turnover (%) | 17.6 | 39.8 | 42.9 | top 7% in New York; top 11% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kaleida Health | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/1998 |
| Aquino, Nicholas | Individual | Corporate Director | NOT APPLICABLE | 05/01/2015 |
| Barrett, Ian | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2022 |
| Beauford, Thomas | Individual | Corporate Director | NOT APPLICABLE | 04/01/2022 |
| Boyd, Donald | Individual | Corporate Director | NOT APPLICABLE | 07/11/2022 |
| Boyd, Donald | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2009 |
| Bryant, Shannon | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2020 |
| Chevli, K | Individual | Corporate Director | NOT APPLICABLE | 04/01/2022 |
| Chisholm, Hugh | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/01/2024 |
| Chisholm, Hugh | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2024 |
| Clemo, Lorrie | Individual | Corporate Director | NOT APPLICABLE | 05/01/2017 |
| Crosby, Gary | Individual | Corporate Director | NOT APPLICABLE | 05/01/2017 |
| Drake, Matthew | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/05/2021 |
| Drake, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 12/05/2021 |
| Dunn, Jennifer | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/01/2024 |
| Eddib, Abeer | Individual | Corporate Director | NOT APPLICABLE | 05/01/2019 |
| Hardy, Stephen | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/11/2019 |
| Hardy, Stephen | Individual | Corporate Officer | NOT APPLICABLE | 03/11/2019 |
| Hart, Jonathan | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/01/2024 |
| Hughes, Michael | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Schofield Residence | 2.8 mi | Kenmore, NY | ★★★★☆ | 4/5 | |
| North Gate Health Care Facility | 3.1 mi | North Tonawanda, NY | ★★★★☆ | 4/5 | |
| Safire Rehabilitation of Northtowns, L L C | 3.5 mi | Tonawanda, NY | ★☆☆☆☆ | 1/5 | |
| McAuley Residence | 3.5 mi | Kenmore, NY | ★★★★★ | 5/5 | |
| Elderwood at Amherst | 4.2 mi | Amherst, NY | ★★☆☆☆ | 2/5 | abuse |
| Beechwood Health Care Center, INC. | 4.6 mi | Getzville, NY | ★★★★★ | 5/5 | |
| Elderwood at Wheatfield | 5.1 mi | Niagara Falls, NY | ★★☆☆☆ | 2/5 | |
| Elderwood at Grand Island | 6.0 mi | Grand Island, NY | ★★★☆☆ | 3/5 | |
| St Catherine Laboure Health Care Center | 6.7 mi | Buffalo, NY | ★★★★★ | 5/5 | |
| Elderwood at Williamsville | 6.9 mi | Williamsville, NY | ★★☆☆☆ | 2/5 | |
| Comprehensive Rehabilitation and Nursing Center at | 7.0 mi | Williamsville, NY | ★☆☆☆☆ | 1/5 | |
| Terrace View Long Term Care Facility | 7.1 mi | Buffalo, NY | ★★★☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 335669.