Nursing HomeInspections

Bishop Rehabilitation and Nursing Center

Nursing home in Syracuse, NY

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

Call (315) 474-1561Send a messageMap ↗

Public-record details

Address
918 James Street, Syracuse, NY 13203
Phone
(315) 474-1561
Listed under
For-profit
Medicare CCN
335338
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
1 of 5
Certified beds
440
Average residents per day
296
Ownership
For-profit, corporation
Legal business name
Clinton Square Operations LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 14, 1971
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 335338. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 5, 2026. CMS lists 50 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 5, 2023 to May 12, 2026): 30 from complaint inspections, 10 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
May 12, 2026Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 5, 2026Honor 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.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
May 5, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
May 5, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 5, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 5, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 5, 2026Try 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…
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 5, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services
D
Potential for more than minimal harm, isolated
May 5, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service
D
Potential for more than minimal harm, isolated
May 5, 2026Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 5, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
May 5, 2026Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 50. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $699,602 and 2 denials of Medicare payment for new admissions in the last three years.

Jul 11, 2024Fine: $378,437
Jul 11, 2024Payment denial for 50 days from Aug 6, 2024
Dec 5, 2023Fine: $321,165
Dec 5, 2023Payment denial for 42 days from Apr 16, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.52 hours
Registered nurse (RN) time per resident per day
0.33 hours
Nurse aide time per resident per day
2.19 hours
Total nurse staffing on weekends
2.88 hours
Nursing staff turnover (yearly)
56%
RN turnover (yearly)
67%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Syracuse

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