Starfile / New York

BISHOP REHABILITATION AND NURSING CENTER

918 JAMES STREET, SYRACUSE, NY 13203 · CCN 335338

Inspection history vs New York & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$699,602

Number of fines

2

Number of penalties

4

Payment denials

2

Inspection citations (62)4 immediate jeopardy9 actual harm

1. DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-16 · Health · corrected 2025-06-24

   Potential for more than minimal harm

2. DF0584Honor 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.2025-05-16 · Health · corrected 2025-06-24

   Potential for more than minimal harm

3. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-16 · Health · corrected 2025-06-24

   Potential for more than minimal harm

4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-16 · Health · corrected 2025-06-24

   Potential for more than minimal harm

5. DF0760Ensure that residents are free from significant medication errors.2025-05-16 · Health · corrected 2025-04-13

   Potential for more than minimal harm

6. DF0880Provide and implement an infection prevention and control program.2025-05-16 · Health · corrected 2025-06-24

   Potential for more than minimal harm

7. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-20 · Health · corrected 2025-02-13

   Potential for more than minimal harm

8. EF0583Keep residents' personal and medical records private and confidential.2024-12-20 · Health · corrected 2025-02-13

   Potential for more than minimal harm

9. DF0584Honor 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.2024-12-20 · Health · corrected 2025-02-13

   Potential for more than minimal harm

10. EF0585Honor 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.2024-12-20 · Health · corrected 2025-02-13

    Potential for more than minimal harm

11. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-20 · Health · corrected 2025-02-13

    Potential for more than minimal harm

12. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-12-20 · Health · corrected 2025-02-13

    Potential for more than minimal harm

13. DF0732Post nurse staffing information every day.2024-12-20 · Health · corrected 2025-02-13

    Potential for more than minimal harm

14. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-20 · Health · corrected 2025-02-13

    Potential for more than minimal harm

15. EF0836Ensure 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.2024-12-20 · Health · corrected 2025-02-14

    Potential for more than minimal harm

16. KF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-07-11 · Health · corrected 2024-09-04

    Immediate jeopardy

17. IF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-07-11 · Health · corrected 2024-09-04

    Actual harm

18. EF0584Honor 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.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

19. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

20. EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

21. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

22. IF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-11 · Health · corrected 2024-09-04

    Actual harm

23. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

24. HF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-11 · Health · corrected 2024-09-04

    Actual harm

25. DF0688Provide 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.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

26. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

27. DF0692Provide enough food/fluids to maintain a resident's health.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

28. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

29. KF0697Provide safe, appropriate pain management for a resident who requires such services.2024-07-11 · Health · corrected 2024-09-04

    Immediate jeopardy

30. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

31. KF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-07-11 · Health · corrected 2024-09-04

    Immediate jeopardy

32. FF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

33. EF0761Ensure 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.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

34. KF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-07-11 · Health · corrected 2024-09-04

    Immediate jeopardy

35. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

36. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-11 · Health · corrected 2024-09-18

    Potential for more than minimal harm

37. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

38. HF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2024-07-11 · Health · corrected 2024-09-04

    Actual harm

39. FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-07-11 · Health · corrected 2024-09-04

    Potential for more than minimal harm

40. EF0836Ensure 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.2024-01-19 · Health · corrected 2024-02-16

    Potential for more than minimal harm

41. HF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-05 · Health · corrected 2024-05-13

    Actual harm

42. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-05 · Health · corrected 2024-05-13

    Actual harm

43. GF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-12-05 · Health · corrected 2024-05-13

    Actual harm

44. DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-12-05 · Health · corrected 2024-02-02

    Potential for more than minimal harm

45. HF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-05 · Health · corrected 2024-05-28

    Actual harm

46. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-28 · Health · corrected 2023-07-24

    Potential for more than minimal harm

47. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

48. EF0584Honor 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.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

49. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

50. DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

51. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

52. DF0679Provide activities to meet all resident's needs.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

53. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

54. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

55. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

56. DF0760Ensure that residents are free from significant medication errors.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

57. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

58. DF0880Provide and implement an infection prevention and control program.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

59. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-05-24 · Health · corrected 2023-07-19

    Potential for more than minimal harm

60. DF0610Respond appropriately to all alleged violations.2023-03-05 · Health · corrected 2023-03-27

    Potential for more than minimal harm

61. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-05 · Health · corrected 2023-03-31

    Actual harm

62. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-03-05 · Health · corrected 2023-03-27

    Potential for more than minimal harm

Ownership

Other facilities in SYRACUSE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.