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Nursing HomeMedicaid

Degraff Memorial Hospital-Skilled Nursing Facility

Strong Medicare quality ratings; families often praise effective physical and occupational therapy. Still worth an in-person visit.

445 Tremont Street, North Tonawanda, NY 1412080 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 14 Google reviews

5
4
3
2
1
Degraff Memorial Hospital-Skilled Nursing Facility Nursing Home in North Tonawanda, NY — Street View
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What this means for your family

This facility shows strong results for short-term rehab therapy, but families considering long-term placement should be cautious. We strongly recommend visiting during off-hours and weekends to verify staffing levels and hygiene standards, as multiple reviewers have raised concerns about neglect and communication responsiveness.

Google Reviews

Google Reviews

14 reviews on Google
DeGraff Memorial Hospital-Skilled Nursing Facility receives highly polarized feedback, with some families praising the therapy teams and cleanliness, while others report severe neglect and unprofessional conduct. Critical concerns include infrequent bathing, slow response times, and poor communication regarding medical records. Prospective families should be aware of the significant disparity between positive rehab experiences and reports of substandard long-term care.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean6.0Activities7.0Meds8.0MemoryN/AComms2.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Clean and well-maintained facility environment
  • Responsive nursing staff for some residents
  • Dedicated care for short-term rehab patients

Concerns

  • Infrequent bathing and hygiene neglect (mentioned by 2 reviewers)
  • Poor communication and difficulty reaching staff (mentioned by 2 reviewers)
  • Understaffing leading to neglect (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02021(2)4.02022(3)2.52023(2)1.02024(1)3.42025(5)5.02026(1)

Distribution · 14 analyzed

5
8
4
1
3
0
2
1
1
4

How They Respond to Reviews

21%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that the facility has 80 residents, how do you ensure consistent communication with family members when we have questions or need updates on our loved one's care?
  • 2I noticed the facility has a strong reputation for physical and occupational therapy; could you walk us through how you coordinate these sessions with daily nursing care?
  • 3Hygiene and personal grooming are very important to our family; what is the standard schedule for bathing and assistance with daily hygiene tasks?
  • 4With the current staffing levels, how does the team balance the needs of short-term rehab patients with the long-term residents to ensure everyone receives timely attention?
  • 5I see that dining is an area you are working to improve; could you tell us about the current meal service and how you accommodate individual dietary preferences or needs?
  • 6In the event of a medical emergency, what is your protocol for stabilizing a resident and how quickly are family members notified?

Personalized based on this facility's data


Key Review Excerpts

My experience at DeGraff was way better then expected. I didn't have a bad caregiver. Everyone was competent to excellent. The physical/occupational therapy staff was great.

Rehab patient · 2026★★★★★

They Will leave them sitting soiled and wet for hours at a time and if you say something they give you rude looks and comments. They barley take showers it's rare if they get them once a week !

Long-term resident's family · 2025☆☆☆☆

Physical therapy as well as the occupational therapy was very good compared to other places I've been in the nursing staff there were very very friendly as well as very responsive.

Rehab patient · 2025★★★★★
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.95hrs
OK
Registered nurses for medical care
Total Nursing
4.27hrs
OK
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
29%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
12.1%
NY
18.9%
Niagara
5.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.5%
Better than Avg
Here
8.5%
US
19.5%
NY
13.3%
Niagara
14.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
15.4%
NY
13.8%
Niagara
18.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NY
91.3%
Niagara
96.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.8%
Better than Avg
Here
10.8%
US
15.3%
NY
13.8%
Niagara
17.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
14.4%
NY
14.8%
Niagara
16.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
NY
77.0%
Niagara
78.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.3%
Better than Avg
Here
96.3%
US
79.7%
NY
78.8%
Niagara
79.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
NY
1.2%
Niagara
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (7.6)
2 complaint-triggered

Families have filed complaints that triggered inspections, including concerns about accident prevention and abuse reporting procedures. The facility has faced recurring issues with resident safety, care quality (including wound care and mobility assistance), and building safety systems across multiple surveys from 2021 to 2024. While all deficiencies show correction dates, the pattern of safety-related problems warrants careful consideration during any visit.

Dec 8, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Oct 3, 2024Routine
9
0867Potential for harm · WidespreadCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0100Potential for harm · PatternCorrected

Construction Deficiencies

Meet other general requirements.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 3, 2024Complaint
1
0689Potential for harm · WidespreadCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 14, 2021Routine
5
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0679Minimal · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Degraff Memorial Hospital-Skilled Nursing Facility

Organization Type

for profit

Ownership & Management

Owners

Kaleida Health

Owner · Organization

100%

Key personnel

Prudential Huntoon Paige Associates Ltc Isaoa5% or Greater Mortgage InterestPal, AmandeepContracted Managing EmployeeChisholm, HughW-2 Managing EmployeeDrake, MatthewW-2 Managing EmployeeDunn, JenniferW-2 Managing Employee
Source: Medicare provider data

Contact

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References & Resources

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