Erie County, New York · Nursing home
Safire Rehabilitation of Northtowns, L L C
1 of 5 overall from CMS
2799 Sheridan Drive, Tonawanda, NY 14150
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.79 hours Above the state average of 3.63
- Nursing staff who left in a year 39.2% Below the state average of 40.3%
- Health citations, last 3 inspection cycles 37 1 at the harm level or above
- Fines in 3 years $13,070 1 fine
- Certified beds in use 91.8% of 100 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Safire Rehabilitation of Northtowns, L L C is a 100-bed nursing home in Tonawanda, New York (Erie County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.79 nurse staffing hours per resident per day, above the New York average of 3.63. CMS lists 1 fine totaling $13,070 in the past three years.
- Certified beds
- 100
- Residents per day (average)
- 91.8
- Certified since
- 1972 (54 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Sapphire Care Group (8 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Safire Rehabilitation of Northtowns, L L C
Chosen from this home's public data.
- CMS lists 1 fine totaling $13,070 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 20 health deficiencies in the latest inspection cycle (the standard inspection on Mar 28, 2025 plus complaint and infection-control inspections); the New York average is 8.1. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 3.20 hours per resident on weekends against 3.79 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 New York average 3.0
- Health inspections 1 of 5 New York average 2.7
- Staffing 2 of 5 New York average 2.8
- Quality measures 4 of 5 New York average 3.8
The vertical line marks the New York average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.79 h New York average 3.63
- Nurse aides 2.15 h New York average 2.15
- Licensed practical nurses 1.02 h New York average 0.76
- Registered nurses 0.63 h New York average 0.71
- All staff, weekends 3.20 h New York average 3.18
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the New York average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover39.2%
- New York average40.3%
- Registered nurse turnover50.0%
- New York average39.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the New York and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | New York | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 12.1% | 14.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.5% | 5.8% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 84.9% | 19.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 91.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 10.0% | 12.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.0% | 13.2% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 95.3% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.4% | 6.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.7% | 19.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 13.8% | 13.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.67 | 1.70 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.98 | 1.36 | 1.78 |
Short-stay residents
| Measure | This home | New York | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% | 77.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 78.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.9% | 20.6% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 14.0% | 9.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 37 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 13 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 2, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 28, 2025 | 20 | 11 |
| Sep 18, 2023 | 9 | 16 |
| Nov 19, 2021 | 8 | 19 |
New York homes averaged 8.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (37)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 10, 2026)
-
EPotential for more than minimal harm, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Aug 10, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 7, 2026)
-
DPotential for more than minimal harm, isolated
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Apr 7, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 20, 2025)
Show 25 more
-
FPotential for more than minimal harm, widespread
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Complaint investigation · Administration · Deficient, Provider has date of correction (May 20, 2025)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (May 20, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 20, 2025)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 18, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (May 20, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (May 20, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 20, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 20, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 20, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (May 20, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 20, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (May 20, 2025)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (May 20, 2025)
-
DPotential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (May 20, 2025)
-
BPotential for minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 20, 2025)
-
EPotential for more than minimal harm, pattern
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jan 29, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Mar 15, 2024)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Oct 30, 2024)
-
EPotential for more than minimal harm, pattern
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 30, 2023)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 30, 2023)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 30, 2023)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Oct 30, 2023)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 30, 2023)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 30, 2023)
-
DPotential for more than minimal harm, isolated
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 30, 2023)
Showing the 30 most recent of 37.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 2, 2026 | Fine | $13,070 |
New York homes averaged 0.5 fines and $23,070 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New York
- Size466 of 593 by certified beds
- New York average residents per day168.0
- ChainSapphire Care Group
- Chain average overall rating2.6 of 5
- Resident or family councilResident
- Homes in Erie County33
Common questions
What is the CMS star rating for Safire Rehabilitation of Northtowns, L L C?
Safire Rehabilitation of Northtowns, L L C has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 4.
How many beds does Safire Rehabilitation of Northtowns, L L C have?
Safire Rehabilitation of Northtowns, L L C has 100 certified beds. It averages 91.8 residents per day, about 91.8% of its certified beds.
How much nursing care do residents get at Safire Rehabilitation of Northtowns, L L C?
The home reports 3.79 hours of nurse staffing per resident per day, including 0.63 hours from registered nurses. The New York average is 3.63 hours and 0.71 hours from registered nurses.
Has Safire Rehabilitation of Northtowns, L L C been fined?
Yes. CMS lists 1 fine totaling $13,070 in the past three years.
Does Safire Rehabilitation of Northtowns, L L C accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Elderwood at Amherst 92beds 88.2%in use 3.80nurse hours a day
- 4 of 5 Schofield Residence 120beds 86.6%in use 4.20nurse hours a day
- 5 of 5 McAuley Residence 160beds 87.4%in use 4.27nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Erie County
Who to call in New York
These offices serve residents of every nursing home in New York.
- Long-term care ombudsman New York State Long Term Care Ombudsman Program 1-855-582-6769 An advocate for residents and their families.
- File a complaint about a nursing home Nursing Home Complaint and Discharge Appeal Hotline 1-888-201-4563 (staffed 8:30 a.m. to 4:45 p.m. on weekdays) The state agency that inspects nursing homes.
New York staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 335180. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.