Skilled Nursing

BISHOP REHABILITATION AND NURSING CENTER

918 JAMES STREET, SYRACUSE, NY 13203

440beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.6h

Hrs/resident · weekday

Expected: 4.1h

3.6h

Hrs/resident · weekend

vs 3.6h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
66%
LPNs
CNAs
54%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0773Severity KJul 11, 2024

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected: Sep 4, 2024

SeriousImmediate Jeopardy0745Severity KJul 11, 2024

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected: Sep 4, 2024

SeriousImmediate Jeopardy0697Severity KJul 11, 2024

Provide safe, appropriate pain management for a resident who requires such services.

Corrected: Sep 4, 2024

SeriousImmediate Jeopardy0554Severity KJul 11, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected: Sep 4, 2024

43 standard deficiencies in the last 3 years

View all
0658Severity DApr 1, 2026

Ensure services provided by the nursing facility meet professional standards of quality.

0880Severity DMay 16, 2025

Provide and implement an infection prevention and control program.

0760Severity DMay 16, 2025

Ensure that residents are free from significant medication errors.

0684Severity DMay 16, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0677Severity DMay 16, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0584Severity DMay 16, 2025

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.

0558Severity DMay 16, 2025

Reasonably accommodate the needs and preferences of each resident.

0836Severity EDec 20, 2024

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.

0812Severity EDec 20, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0732Severity DDec 20, 2024

Post nurse staffing information every day.

0698Severity EDec 20, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0684Severity DDec 20, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0585Severity EDec 20, 2024

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.

0584Severity DDec 20, 2024

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.

0583Severity EDec 20, 2024

Keep residents' personal and medical records private and confidential.

0550Severity DDec 20, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0940Severity FJul 11, 2024

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0841Severity HJul 11, 2024

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

0835Severity FJul 11, 2024

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0812Severity FJul 11, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Severity FJul 11, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0761Severity EJul 11, 2024

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.

0756Severity FJul 11, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0726Severity FJul 11, 2024

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.

0695Severity DJul 11, 2024

Provide safe and appropriate respiratory care for a resident when needed.

0692Severity DJul 11, 2024

Provide enough food/fluids to maintain a resident's health.

0689Severity DJul 11, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0688Severity DJul 11, 2024

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.

0686Severity HJul 11, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0677Severity DJul 11, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0658Severity IJul 11, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0656Severity DJul 11, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0644Severity EJul 11, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0622Severity DJul 11, 2024

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.

0584Severity EJul 11, 2024

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.

0580Severity IJul 11, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0836Severity EJan 19, 2024

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.

0684Severity HDec 5, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0660Severity DDec 5, 2023

Plan the resident's discharge to meet the resident's goals and needs.

0622Severity GDec 5, 2023

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.

0600Severity GDec 5, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0550Severity HDec 5, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0684Severity DJun 28, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

CLINTON SQUARE OPERATIONS LLC· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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