Public Record
Bishop Rehabilitation and Nursing Center
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 440
- Avg. residents per day
- 237.3
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 62
- Fire safety findings
- 44
- Inspections on file
- 12
- Last inspection
- 2025-05-16
*CMS
*CMS
*CMS
*CMS
Citations
62 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0584Generalpotential for harm
Honor 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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0836Generalpotential for harm
Ensure 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.
- 0732Generalpotential for harm
Post nurse staffing information every day.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0585Generalpotential for harm
Honor 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.
- 0584Generalpotential for harm
Honor 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.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0773Seriousimmediate jeopardy
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0841Seriousactual harm
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
- 0940Generalpotential for harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- 0835Generalpotential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- 0697Seriousimmediate jeopardy
Provide safe, appropriate pain management for a resident who requires such services.
- 0554Seriousimmediate jeopardy
Allow residents to self-administer drugs if determined clinically appropriate.
- 0580Seriousactual harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0584Generalpotential for harm
Honor 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.
- 0622Generalpotential for harm
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- 0644Generalpotential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0658Seriousactual harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0686Seriousactual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0688Generalpotential for harm
Provide 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.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0726Generalpotential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- 0745Seriousimmediate jeopardy
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0761Generalpotential for harm
Ensure 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.
- 0836Generalpotential for harm
Ensure 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.
- 0550Seriousactual harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0600Seriousactual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0622Seriousactual harm
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- 0660Generalpotential for harm
Plan the resident's discharge to meet the resident's goals and needs.
- 0684Seriousactual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0584Generalpotential for harm
Honor 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.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0693Generalpotential for harm
Ensure 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.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0925Generalpotential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 0660Generalpotential for harm
Plan the resident's discharge to meet the resident's goals and needs.
- 0726Generalpotential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0697Generalpotential for harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0686Seriousactual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspectionFire Safety10 deficiencies
- View inspection reportInspection6 deficiencies
- View inspection reportInspection9 deficiencies
- View inspection reportInspectionFire Safety11 deficiencies
- View inspection reportInspection24 deficiencies
- View inspection reportInspectionFire Safety22 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection5 deficiencies
- View inspection reportInspectionFire Safety1 deficiency
- View inspection reportInspection1 deficiency
Showing the 10 most recent inspections. 2 earlier inspections are also on record.
FAQ
Questions and answers
- What is Bishop Rehabilitation and Nursing Center?
- Bishop Rehabilitation and Nursing Center is a Medicare- and Medicaid-certified nursing home in Syracuse, NY, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 335338.
- What is the CMS rating for Bishop Rehabilitation and Nursing Center?
- Bishop Rehabilitation and Nursing Center has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Bishop Rehabilitation and Nursing Center have?
- Bishop Rehabilitation and Nursing Center is certified for 440 beds. It serves an average of 237.3 residents per day.
- How many citations does Bishop Rehabilitation and Nursing Center have?
- Bishop Rehabilitation and Nursing Center has 62 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Bishop Rehabilitation and Nursing Center last inspected?
- Bishop Rehabilitation and Nursing Center was last inspected on May 16, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/335338-bishop-rehabilitation-and-nursing-center