F

BISHOP REHABILITATION AND NURSING CENTER

918 JAMES STREET, SYRACUSE, NY 13203
Score: 11 / 100

With a score of 11/100, Bishop Rehabilitation And Nursing Center ranks in the bottom tier of New York nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Bishop Rehabilitation And Nursing Center provides above-average staffing with 4.40 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent CMS inspections identified 62 deficiencies at Bishop Rehabilitation And Nursing Center, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: reasonably accommodate the needs and preferences of each resident..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.40 3.8 Above Average
Registered Nurses (RN) 0.36 0.7 Below Average
Licensed Practical Nurses (LPN) 1.30 0.7 Above Average
Certified Nursing Assistants (CNA) 2.73 2.4 Above Average
Weekend Total Nursing 3.74 3.8 Average
Weekend RN Hours 0.15 0.7 Below Average

🔍 Inspection & Deficiency History

62
Total Deficiencies
May 15, 2025
Most Recent Inspection
🟠 58 Moderate 🔴 4 Serious
View recent deficiencies (5 shown)
  • Tag 0558 Severity D
    Reasonably accommodate the needs and preferences of each resident.
    May 15, 2025 · Resident Rights Deficiencies
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    May 15, 2025 · Resident Rights Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    May 15, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    May 15, 2025 · Infection Control Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    May 15, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.4% 4.5% Worse
Falls with major injury 4.0% 3.0% Worse
On antipsychotic medication 15.9% 14.5% Average
Urinary tract infections 2.7% 2.5% Average
ADL decline (daily activities) 20.3% 14.0% Worse
Excessive weight loss 5.0% 7.5% Better
New/worsened incontinence 28.8% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $699,602

How This Grade Was Calculated

This facility's grade of F is based on a score of 11 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
440
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
May 15, 2025
Deficiencies (Cycle 1)
6