Inspection Reports for Bishop Rehabilitation & Nursing Center
918 James St, Syracuse, NY 13203, United States, NY, 13203
Back to Facility ProfileDeficiencies per Year
28
21
14
7
0
Unclassified
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 16
May 16, 2025
Visit Reason
Complaint Survey with 6 health and 10 life safety code citations, all corrected by June 24, 2025.
Findings
Complaint Survey with 6 health and 10 life safety code citations, all corrected by June 24, 2025.
Deficiencies (16)
| Description |
|---|
| ADL care provided for dependent residents |
| Infection prevention & control |
| Quality of care |
| Reasonable accommodations needs/preferences |
| Residents are free of significant med errors |
| Safe/clean/comfortable/homelike environment |
| Building construction type and height |
| Corridor - doors |
| Corridor - openings |
| Elevators |
| Hazardous areas - enclosure |
| Illumination of means of egress |
| Interior wall and ceiling finish |
| Multiple occupancies - construction type |
| Sprinkler system - maintenance and testing |
| Utilities - gas and electric |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 19
Dec 20, 2024
Visit Reason
Complaint Survey with 9 health and 11 life safety code citations, all corrected by February 2025.
Findings
Complaint Survey with 9 health and 11 life safety code citations, all corrected by February 2025.
Deficiencies (19)
| Description |
|---|
| Dialysis |
| Food procurement,store/prepare/serve-sanitary |
| Grievances |
| License/comply w/ fed/state/locl law/prof std |
| Personal privacy/confidentiality of records |
| Posted nurse staffing information |
| Quality of care |
| Resident rights/exercise of rights |
| Safe/clean/comfortable/homelike environment |
| Building construction type and height |
| Corridor - doors |
| Electrical equipment - power cords and extens |
| Electrical equipment - testing and maintenanc |
| Fire alarm system - testing and maintenance |
| Means of egress - general |
| Sprinkler system - maintenance and testing |
| Subdivision of building spaces - smoke barrie |
| Utilities - gas and electric |
| Vertical openings - enclosure |
Inspection Report
Covid-19
Capacity: 60
Deficiencies: 1
Jan 19, 2024
Visit Reason
Covid-19 Survey with 1 life safety code citation for sprinkler system out of service, corrected by February 19, 2024.
Findings
Covid-19 Survey with 1 life safety code citation for sprinkler system out of service, corrected by February 19, 2024.
Deficiencies (1)
| Description |
|---|
| Sprinkler system - out of service |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Jan 19, 2024
Visit Reason
Complaint Survey with 1 health citation for license compliance, corrected by February 16, 2024.
Findings
Complaint Survey with 1 health citation for license compliance, corrected by February 16, 2024.
Deficiencies (1)
| Description |
|---|
| License/comply w/ fed/state/locl law/prof std |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Oct 13, 2023
Visit Reason
Complaint Survey with 1 life safety code citation for evacuation and relocation plan, corrected by November 22, 2023.
Findings
Complaint Survey with 1 life safety code citation for evacuation and relocation plan, corrected by November 22, 2023.
Deficiencies (1)
| Description |
|---|
| Evacuation and relocation plan |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 9
Jun 28, 2023
Visit Reason
Complaint Survey with 1 health citation for quality of care, corrected by July 24, 2023, and multiple life safety code citations.
Findings
Complaint Survey with 1 health citation for quality of care, corrected by July 24, 2023, and multiple life safety code citations.
Deficiencies (9)
| Description |
|---|
| Quality of care |
| Corridor - doors |
| Electrical equipment - power cords and extens |
| Electrical systems - essential electric syste |
| Hazardous areas - enclosure |
| Rubbish chutes, incinerators, and laundry chu |
| Sprinkler system - maintenance and testing |
| Subdivision of building spaces - smoke barrie |
| Vertical openings - enclosure |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 25
May 24, 2023
Visit Reason
Complaint Survey with 20 health and 9 life safety code citations, all corrected by July 19, 2023.
Findings
Complaint Survey with 20 health and 9 life safety code citations, all corrected by July 19, 2023.
Deficiencies (25)
| Description |
|---|
| Activities meet interest/needs each resident |
| ADL care provided for dependent residents |
| Competent nursing staff |
| Develop/implement comprehensive care plan |
| Discharge planning process |
| Food procurement,store/prepare/serve-sanitary |
| Infection prevention & control |
| Investigate/prevent/correct alleged violation |
| Label/store drugs and biologicals |
| Maintains effective pest control program |
| Medicaid/medicare coverage/liability notice |
| Nutritive value/appear, palatable/prefer temp |
| Resident call system |
| Resident rights/exercise of rights |
| Resident self-admin meds-clinically approp |
| Residents are free of significant med errors |
| Respiratory/tracheostomy care and suctioning |
| Safe/clean/comfortable/homelike environment |
| Treatment/svcs to prevent/heal pressure ulcer |
| Tube feeding mgmt/restore eating skills |
| Corridor - doors |
| Electrical equipment - power cords and extens |
| Electrical systems - essential electric syste |
| Hazardous areas - enclosure |
| Subdivision of building spaces - smoke barrie |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 3
Mar 5, 2023
Visit Reason
Complaint Survey with 3 health citations including a Level 3 severity for treatment/services to prevent/heal pressure ulcers, all corrected by March 31, 2023.
Findings
Complaint Survey with 3 health citations including a Level 3 severity for treatment/services to prevent/heal pressure ulcers, all corrected by March 31, 2023.
Deficiencies (3)
| Description |
|---|
| Investigate/prevent/correct alleged violation |
| Pain management |
| Treatment/svcs to prevent/heal pressure ulcer |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 6
Jan 19, 2023
Visit Reason
Complaint Survey with 6 health citations including a Level 4 severity for free of accident hazards/supervision/devices indicating immediate jeopardy, all corrected by February 7, 2023.
Findings
Complaint Survey with 6 health citations including a Level 4 severity for free of accident hazards/supervision/devices indicating immediate jeopardy, all corrected by February 7, 2023.
Deficiencies (6)
| Description |
|---|
| Administration |
| Develop/implement comprehensive care plan |
| Free of accident hazards/supervision/devices |
| Investigate/prevent/correct alleged violation |
| Reporting of alleged violations |
| Safe/clean/comfortable/homelike environment |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 21
Nov 2, 2022
Visit Reason
Complaint Survey with 22 health and 16 life safety code citations, all corrected by December 17, 2022.
Findings
Complaint Survey with 22 health and 16 life safety code citations, all corrected by December 17, 2022.
Deficiencies (21)
| Description |
|---|
| ADL care provided for dependent residents |
| Administration |
| Criminal history record check process |
| Dialysis |
| Essential equipment, safe operating condition |
| Facility assessment |
| Food procurement,store/prepare/serve-sanitary |
| Free of accident hazards/supervision/devices |
| Frequency of meals/snacks at bedtime |
| Infection prevention & control |
| Label/store drugs and biologicals |
| Other laws, codes, rules and regulations. |
| Provided diet meets needs of each resident |
| Quality of care |
| Resident call system |
| Resident rights/exercise of rights |
| Respiratory/tracheostomy care and suctioning |
| Responsibilities of providers; required notif |
| Safe/clean/comfortable/homelike environment |
| Sufficient dietary support personnel |
| Tube feeding mgmt/restore eating skills |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 6
Sep 7, 2022
Visit Reason
Complaint Survey with 6 health citations, all corrected by October 10, 2022.
Findings
Complaint Survey with 6 health citations, all corrected by October 10, 2022.
Deficiencies (6)
| Description |
|---|
| Investigate/prevent/correct alleged violation |
| Menus meet resident nds/prep in adv/followed |
| Nutritive value/appear, palatable/prefer temp |
| Quality of care |
| Resident rights/exercise of rights |
| Residents are free of significant med errors |
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