Provider Name: DEGRAFF MEMORIAL HOSPITAL-SKILLED NURSING FACILITY
Address: 445 TREMONT STREET, NORTH TONAWANDA, NY 14120
Phone: (716) 690-2080
County: Niagara (500)
Ownership Type: For profit - Corporation
Certified Beds: 80
Average Residents Per Day: 72.2 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: KALEIDA HEALTH
First Approved Date: April 1, 1984
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.47592, LPN Staff Hours Per Day: 1.0802, RN Staff Hours Per Day: 1.0371, Licensed Staff Hours Per Day: 2.1173
Total Nurse Staff Hours Per Day, per resident: 4.59330
Weekend Nurse Staff Hours: 3.54769, Weekend RN Staff Hours: 0.4683
PT Staff Hours Per Day, per resident: 0.1683
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.3559, Case Mix LPN Hours Per Day: 0.8729, Case Mix RN Hours Per Day: 0.4675
Adjusted Nurse Aide Hours Per Day, per resident: 2.14102, Adjusted LPN Hours Per Day: 0.9132, Adjusted RN Hours Per Day: 0.8358
Total Adjusted Nurse Hours Per Day, per resident: 3.91683
Adjusted Weekend Nurse Hours Per Day, per resident: 3.02520
Health Survey Dates and Scores: Cycle 1: 2023-02-22 (Score: 0), Cycle 2: 2021-05-14 (Score: 24), Cycle 3: 2019-03-27 (Score: 4)
Total Weighted Health Score: 8.667
Reported Incidents: 1, Substantiated Complaints: 1
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 3, Total Fines in Dollars: 2945.68, Payment Denials Number: 0, Total Penalties Number: 3
Location and GPS: 445 TREMONT STREET,NORTH TONAWANDA,NY,14120 (43.0262, -78.863)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-02-07
Type: Health, Deficiency: Respond appropriately to all alleged violations.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-10
Type: Health, Deficiency: Provide activities to meet all resident's needs.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-10
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-10
Type: Health, Deficiency: 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.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-10
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-10
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-24
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: