Inspection Reports for Bishop Rehabilitation & Nursing Center
918 James St, Syracuse, NY 13203, United States, NY, 13203
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Inspection Report
Complaint Investigation
Deficiencies: 43
May 16, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys and Covid-19 surveys from 2021 to 2025 with detailed deficiency and enforcement history.
Findings
Across multiple inspections from 2021 to 2025, the facility received numerous complaint-related citations primarily at Level 2 severity, indicating no actual harm but potential for minor discomfort. Some Level 3 and one Level 4 deficiencies were noted indicating actual harm and immediate jeopardy respectively. All deficiencies were corrected as noted. Enforcement actions include multiple stipulations and fines totaling $160,000.
Complaint Details
Facility received 127 complaints from November 1, 2021 to October 31, 2025 with 88 complaint-related inspections and 66 complaint-related citations during this period.
Severity Breakdown
Level 0: 4
Level 2: 111
Level 3: 3
Level 4: 1
Deficiencies (43)
| Description | Severity |
|---|---|
| ADL care provided for dependent residents: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Infection prevention & control: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Quality of care: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Reasonable accommodations needs/preferences: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Residents are free of significant med errors: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Safe/clean/comfortable/homelike environment: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Building construction type and height: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Corridor - doors: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Corridor - openings: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Elevators: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Illumination of means of egress: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Interior wall and ceiling finish: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Multiple occupancies - construction type: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Sprinkler system - maintenance and testing: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Utilities - gas and electric: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Dialysis: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Food procurement,store/prepare/serve-sanitary: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Grievances: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| License/comply w/ fed/state/locl law/prof std: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Personal privacy/confidentiality of records: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Posted nurse staffing information: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident rights/exercise of rights: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Activities meet interest/needs each resident: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Competent nursing staff: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Discharge planning process: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Investigate/prevent/correct alleged violation: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Label/store drugs and biologicals: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Maintains effective pest control program: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Medicaid/medicare coverage/liability notice: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Nutritive value/appear, palatable/prefer temp: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident call system: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident self-admin meds-clinically approp: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Respiratory/tracheostomy care and suctioning: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Treatment/svcs to prevent/heal pressure ulcer: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Tube feeding mgmt/restore eating skills: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Sprinkler system - out of service: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Evacuation and relocation plan: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Preparation for safe/orderly transfer/dschrg: Standard Health Inspection Citation pertaining to quality of care. | Level 3 |
| Treatment/svcs to prevent/heal pressure ulcer: Standard Health Inspection Citation pertaining to quality of care. | Level 3 |
| Residents are free of significant med errors: Standard Health Inspection Citation pertaining to quality of care. | Level 3 |
| Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care. | Level 4 |
Report Facts
Inspections on page: 21
Total citations: 124
Total complaints: 127
Total complaint-related citations: 220
Total fines: 160000
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