Registered name: SAFIRE REHABILITATION OF NORTHTOWNS, L L C
TONAWANDA, NY · Medicare-certified · 100 beds
Needs attention
For-profitChain member
Data as of September 1, 2026·
★★★★★1 of 5 overall
Northtowns Care Center in Tonawanda, NY has a 1-star overall rating, with a 1-star health inspection rating and a 2-star staffing rating; reported staffing is 3.79 hours per resident per day versus the 4.1 federal benchmark, and it had $13,070 in fines in the last 24 months plus a recent federal penalty.
Last inspection: July 2, 2026Penalties, last 24 months: $13,070recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7932.
Staffing detail
Registered nurses
0.63
Licensed practical nurses
1.02
Nurse aides
2.15
Weekend nursing
3.20
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
11.5%16.9%Worsening
Residents with a fall causing major injury
2.4%2.5%No change
Residents with pressure ulcers (bedsores)
7.2%7.7%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.3%8.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12%11%Improving
Residents whose ability to walk got worse
12.3%15.7%Worsening
Long-stay residents on antianxiety or sleep medication
12.5%16.7%Worsening
Short-stay residents newly given an antipsychotic
0%3.6%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.4%7.4%Improving
Residents with depressive symptoms
88.6%84.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
98.3%94.4%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure it was properly licensed and following all required laws, rules, and professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 836 — 42 CFR §483.70(a) — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
PENALTY
A federal fine of $13,070 was recorded.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $13,070 in total fines.
Federal fine
Jul 2, 2026
$13,070
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of SAPPHIRE CARE GROUP · 8 homes · 2.6 stars avg
Occupancy
91.8 residents on an average day (92% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 54 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.