Starfile

Starfile / New York

LORETTO HEALTH AND REHABILITATION CENTER

700 EAST BRIGHTON AVENUE, SYRACUSE, NY 13205 · CCN 335136

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★★☆☆☆ 2

Facility

Ownership type
Non profit - Corporation
Certified beds
583
Avg residents/day
529.2
Phone
3154695570

Inspection history vs New York & national averages

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

CycleInspection dateThis facilityNew York avgNational avgvs state
12025-08-29137.79.5+5.3 worse
22024-04-23186.19.8+11.9 worse
32022-09-2395.79.3+3.3 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care6
Resident rights1
Nutrition and dietary2
Pharmacy service1
Environmental1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.7440.9%
RN staffing (reported)0.4441.0%
Total nurse staffing (adjusted)3.40

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (40)

  1. 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.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  2. DF0610Respond appropriately to all alleged violations.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  3. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  4. DF0679Provide activities to meet all resident's needs.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  5. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  6. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  7. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  8. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  9. 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.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  10. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  11. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  12. DF0880Provide and implement an infection prevention and control program.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  13. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-08-29 · Health · corrected 2025-10-28

    Potential for more than minimal harm

  14. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  15. DF0558Reasonably accommodate the needs and preferences of each resident.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  16. EF0583Keep residents' personal and medical records private and confidential.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  17. 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.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  18. 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.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  19. DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  20. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  21. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  22. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  23. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  24. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  25. 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.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  26. DF0730Observe each nurse aide's job performance and give regular training.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  27. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  28. 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.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  29. DF0777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  30. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  31. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-23 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  32. DF0610Respond appropriately to all alleged violations.2023-06-22 · Health · corrected 2023-08-21

    Potential for more than minimal harm

  33. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-22 · Health · corrected 2023-08-21

    Potential for more than minimal harm

  34. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-09-23 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  35. 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.2022-09-23 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  36. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-23 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  37. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-09-23 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  38. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-23 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  39. DF0760Ensure that residents are free from significant medication errors.2022-09-23 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  40. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-09-23 · Health · corrected 2022-11-18

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
LORETTO MANAGEMENT CORPOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%1988-06-01
LORETTO MANAGEMENT CORPOrganizationOPERATIONAL/MANAGERIAL CONTROL1988-06-01
BULAK, CASSANDRAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-06-24
MURRAY, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL1999-08-02
STANFORD, CHRISTINEIndividualOPERATIONAL/MANAGERIAL CONTROL1999-03-15
TOWNSEND, KIMBERLYIndividualOPERATIONAL/MANAGERIAL CONTROL2014-01-03
BRENNAN, JOHNIndividualCORPORATE OFFICER2013-06-01
MURRAY, JOHNIndividualCORPORATE OFFICER2014-04-01
O'NEILL, VICKIIndividualCORPORATE OFFICER2009-06-01
TOWNSEND, KIMBERLYIndividualCORPORATE OFFICER2014-04-01
LORETTO REST REALTY CORPORATIONOrganization5% OR GREATER MORTGAGE INTEREST2003-01-01

Other facilities in SYRACUSE

NameOverallBeds
UPSTATE UNIVERSITY HOSP AT COMMUNITY GENERAL T C U★★★★★20
ST CAMILLUS RESIDENTIAL HEALTH CARE FACILITY★★☆☆☆284
JEWISH HOME OF CENTRAL NEW YORK★☆☆☆☆132
CENTRAL PARK REHABILITATION AND NURSING CENTER★☆☆☆☆160
BISHOP REHABILITATION AND NURSING CENTER★☆☆☆☆440

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