Deficiency Index

Safire Rehabilitation of Northtowns, L L C

Tonawanda, New York · CCN 335180

31 surveys since 2011, 7 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
161
Surveys
31
Harm or worse
7
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file24/31

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
100
Ownership
For profit - Limited Liability company
Chain
SAPPHIRE CARE GROUP
County
Erie
Medicare-certified since
1972

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 79 for-profit facilities of 100–127 beds in New York.

Last survey on record

Jul 2, 2026

130 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.793.37
Registered-nurse hours per resident day0.63—
Annual nurse turnover39.2%47.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$13,070 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ12.7%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2156.8%E924.3%F513.5%
No harm, potential for minimalA—B12.7%C—
CMS’s current file: 37 of the 161 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5612×

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  • F6072×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • F6092×

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

  • F6892×

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

In the surveyor’s words

From the most serious findings on record at Safire Rehabilitation of Northtowns, L L C, in the surveyor’s own words.

  • Immediate jeopardy, patternF689Feb 10, 2022

    Based on observation, interview, and record review conducted during an Abbreviated survey (#NY 918), completed on [DATE], the facility failed to have an environment free of accident hazards and adequate supervision for one (Resident #1) of three residents reviewed. Specifically, on [DATE] at 9:17 AM Resident #1 identified as moderately cognitively impaired, requiring supervision and a rolling walker for ambulation was found by staff, outside the building in the courtyard-directly below resident room #306, lying face down on the ground deceased . Resident #1 was last seen on [DATE] at 6:00 PM in the dining room by Licensed Practical Nurse (LPN) #1. […]

  • Immediate jeopardy, isolatedF689Jul 2, 2026

    Based on observation, record review, and interview during survey, the facility failed to ensure that a resident received adequate supervision and assistive devices to prevent accidents/hazards for two (Resident #1 and Resident #2) of five residents reviewed for accidents. a.) Specifically, on 06/04/2026 Resident #1 who was severely cognitively impaired, wore a wander alert device due to being at high risk for elopement, exited the facility undetected through doors that were not secured by the wander alert system. Resident #1 was located 12 hours later approximately three miles away by local police. […]

  • Actual harm, isolatedF600Jan 13, 2021

    Based on observation, interview and record review conducted during an Abbreviated survey (Complaint # NY 166) completed on 1/13/21, the facility did not ensure the resident's right to be free from abuse for one (Resident #1) of three residents reviewed for physical abuse. Specifically, the residents' plan of care guide documented Resident #1 required total assistance of two staff for toileting and activities of daily living (ADL - personal hygiene, bathing, grooming). Certified Nursing Assistant (CNA) #1 did not implement the care plan and provided incontinent care independently. Immediately after CNA #1 provided incontinent care, Resident #1 was found bleeding from the mouth with a laceration to the lower lip, a missing lower tooth, a bruise under the chin, and a swollen, tender nose. […]

  • No harm, potential for more than minimal, widespreadF812Mar 28, 2025

    Based on observation, interview, and record review conducted during a Standard survey completed 3/28/25 the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one main Kitchen and three (Unit 1, Unit 2, and Unit 3) of three Nourishment Kitchens. Specifically, the main Kitchen had issues with opened undated, outdated, and/ or unlabeled foods. The floors throughout the Kitchen and dry storage room had copious amounts of debris under the equipment, storage racks, and the floors had areas of dark black buildup. The equipment was dirty and sticky. The steam table was being held up by a canned good in one corner. Hoods and pipes along the ceiling had a thick layer of dust and grease buildup. […]

  • No harm, potential for more than minimal, widespreadF836Mar 28, 2025

    Based on interview and record review conducted during a Complaint investigation (#NY00348183, #NY00338640) during a Standard survey completed on [DATE], the facility did not operate and provide services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards and principles that apply to professionals providing services in such a facility. Specifically, the facility did not have sufficient nurse staffing on a 24-hour basis to adequately care for residents' needs 15 out of 30 days and falling below the State average daily staffing hours per resident per day. […]

Read 26 findings in full →The most serious and the most recent: 26 of 161 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 2, 2026Complaint2 findings · 1 harm
  • Feb 26, 2026Complaint2 findings
  • Mar 28, 2025Standard16 findings
  • Nov 12, 2024Complaint1 finding
  • Feb 15, 2024Complaint1 finding
  • Sep 18, 2023Standard and complaint8 findings
  • Jan 24, 2023Complaint2 findings
  • Feb 10, 2022Complaint2 findings · 1 harm
Show the 23 earlier surveys
  • Nov 19, 2021Standard7 findings
  • Sep 29, 2021Complaint1 finding
  • Feb 26, 2021Infection control1 finding
  • Jan 13, 2021Complaint4 findings · 1 harm
  • Jan 11, 2021Infection control2 findings
  • Jun 18, 2020Complaint1 finding
  • Feb 18, 2020Standard9 findings
  • Jun 11, 2019Standard and complaint7 findings
  • Feb 27, 2019Complaint1 finding
  • Mar 16, 2018Standard16 findings
  • Sep 26, 2017Complaint1 finding
  • Jul 6, 2017Complaint1 finding
  • Dec 14, 2016Standard and complaint12 findings
  • Sep 15, 2016Complaint3 findings · 2 harm
  • May 19, 2016Complaint1 finding
  • Oct 2, 2015Standard and complaint19 findings
  • Mar 26, 2015Complaint2 findings
  • Sep 29, 2014Standard and complaint8 findings
  • Dec 5, 2013—9 findings
  • Jan 25, 2013—3 findings
  • Nov 13, 2012—3 findings
  • Feb 15, 2012—1 finding
  • May 5, 2011—15 findings · 2 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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