Elder Care Record

New York › Onondaga County › Syracuse

Bishop Rehabilitation and Nursing Center

918 James Street, Syracuse, NY 13203

CCN 335338 · For-profit, corporation · 440 certified beds

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Bishop Rehabilitation and Nursing Center is a For-profit, corporation nursing home in Syracuse, New York, certified for 440 beds and caring for about 296 residents a day.

CMS gives it 1 of 5 stars overall, below the New York median of 3; the health inspection rating is 1, staffing 2 and quality measures 1.

Inspectors recorded 50 health deficiencies across the three most recent survey cycles (17, 6, 27 by cycle, most recent first), 10 of them at the actual-harm or immediate-jeopardy level. That is 11.4 per 100 beds, about the same as the state median of 11.0.

CMS lists 4 penalties in the period covered: fines totalling $700K and 2 payment denials.

Reported nurse staffing is 3.5 hours per resident per day (0.3 RN), close to the New York median of 3.5; nursing staff turnover is 55.7%.

CMS flags that the facility is a Special Focus Facility candidate.

50health deficiencies, 3 survey cycles10 at actual harm or worse
$700Kfines listed by CMS4 penalties in period
3.5nurse hours per resident per daystate median 3.5
67%occupancy (residents ÷ beds)296 residents a day

Compared with county, state and nation

MeasureThis facilityOnondaga Co. medianNew York medianUS average
Overall star rating1233.0
Health citations, 3 cycles50301728.7
Citations per 100 beds11.419.211.026.8
Total nurse hours per resident day3.53.73.53.9
RN hours per resident day0.30.50.60.7
Nursing staff turnover55.7%46.7%38.4%45.8%
Fines listed$699,602$0$0—

County and state figures are medians across facilities (14 in the county, 593 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)17
Cycle 26
Cycle 327

Dark bar: this facility. Grey bar: New York average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 May 2026, 16 May 2025.

Severity mix: K ×3 G ×2 H ×3 I ×2 D ×27 E ×9 F ×4

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
12 May 2026F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint investigation1 Jul 2026
5 May 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.FComplaint investigation1 Jul 2026
5 May 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey1 Jul 2026
5 May 2026F0908Keep all essential equipment working safely.FStandard survey1 Jul 2026
5 May 2026F0761Ensure 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.EStandard survey1 Jul 2026
5 May 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation1 Jul 2026
5 May 2026F0584Honor 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.DComplaint investigation1 Jul 2026
5 May 2026F0610Respond appropriately to all alleged violations.DStandard survey1 Jul 2026
5 May 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation1 Jul 2026
5 May 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey1 Jul 2026
5 May 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey1 Jul 2026
5 May 2026F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey1 Jul 2026
5 May 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey1 Jul 2026
5 May 2026F0760Ensure that residents are free from significant medication errors.DStandard survey1 Jul 2026
5 May 2026F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey1 Jul 2026
5 May 2026F0880Provide and implement an infection prevention and control program.DStandard survey1 Jul 2026
1 Apr 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation29 May 2026
16 May 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey24 Jun 2025
16 May 2025F0584Honor 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.DStandard survey24 Jun 2025
16 May 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation24 Jun 2025
16 May 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey24 Jun 2025
16 May 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation13 Apr 2025
16 May 2025F0880Provide and implement an infection prevention and control program.DStandard survey24 Jun 2025
20 Dec 2024F0583Keep residents' personal and medical records private and confidential.EStandard survey13 Feb 2025
20 Dec 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint investigation13 Feb 2025
20 Dec 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey13 Feb 2025
20 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey13 Feb 2025
20 Dec 2024F0836Ensure 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.EStandard survey14 Feb 2025
20 Dec 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation13 Feb 2025
20 Dec 2024F0584Honor 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.DComplaint investigation13 Feb 2025
20 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation13 Feb 2025
20 Dec 2024F0732Post nurse staffing information every day.DStandard survey13 Feb 2025
11 Jul 2024F0697Provide safe, appropriate pain management for a resident who requires such services.KComplaint investigation4 Sep 2024
11 Jul 2024F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.KComplaint investigation4 Sep 2024
11 Jul 2024F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.KComplaint investigation4 Sep 2024
11 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.IComplaint investigation4 Sep 2024
11 Jul 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.IComplaint investigation4 Sep 2024
11 Jul 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HComplaint investigation4 Sep 2024
11 Jul 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint investigation4 Sep 2024
11 Jul 2024F0584Honor 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.EComplaint investigation4 Sep 2024
11 Jul 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation4 Sep 2024
11 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation4 Sep 2024
11 Jul 2024F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation4 Sep 2024
11 Jul 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation4 Sep 2024
19 Jan 2024F0836Ensure 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.EComplaint investigation16 Feb 2024
5 Dec 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.HComplaint investigation13 May 2024
5 Dec 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HComplaint investigation28 May 2024
5 Dec 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation13 May 2024
5 Dec 2023F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.GComplaint investigation13 May 2024
5 Dec 2023F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation2 Feb 2024

Penalties

DateTypeAmountDetail
11 Jul 2024Payment denial—50 days
11 Jul 2024Fine$378,437
5 Dec 2023Payment denial—42 days
5 Dec 2023Fine$321,165

Staffing

Total nursing3.52 h
Nurse aides2.19 h
LPN1 h
RN0.33 h
Weekend total2.88 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New York average. Turnover: nursing staff 55.7%, RNs 66.7%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNew York medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.7%13.2%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.0%0.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.7%2.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.6%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.1%11.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay10.2%6.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.1%12.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Clinton Square Operations Llc.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Onondaga County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Nottingham R H C FJamesville40554820.0—12 Sep 2025
Syracuse Home AssociationBaldwinsville12055586.7—27 Jan 2026
Upstate University Hosp At Community General T C USyracuse20555420.0—25 Jul 2025
Iroquois Nursing Home IncJamesville160433148.8—2 Jun 2026
Elderwood At LiverpoolLiverpool1602311710.6$57K10 Feb 2026
Jewish Home of Central New YorkSyracuse1322114231.8$122K20 May 2026
St Camillus Residential Health Care FacilitySyracuse284222248.5$40K9 Jan 2026
Sunnyside Care CenterEast Syracuse802232632.5—12 Sep 2025

All 14 facilities in Onondaga County

Questions and answers

How many deficiencies has Bishop Rehabilitation and Nursing Center been cited for?

50 health deficiencies across the three most recent survey cycles, 10 at the actual-harm or immediate-jeopardy level. The New York median is 17 per facility.

Has Bishop Rehabilitation and Nursing Center been fined?

Yes. CMS lists fines totalling $700K in the period covered, plus 2 payment denials.

How does staffing at Bishop Rehabilitation and Nursing Center compare?

Reported total nurse staffing is 3.5 hours per resident per day against a New York median of 3.5 and a national average of 3.9.

Who operates Bishop Rehabilitation and Nursing Center?

Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was Bishop Rehabilitation and Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 12 May 2026; the most recent standard health survey was 5 May 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.