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Nursing home report

Northtowns Care Center

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.

Facility ratings

Health inspections

Staffing

3.7932 hrs/resident/day

Quality measures

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).

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).

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

  1. PENALTY

    A federal fine of $13,070 was recorded.

  2. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 16 health deficiencies.

    See what inspectors found
  7. 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.