Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.33 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Bishop Nursing and Rehabilitation Center
SYRACUSE, NY
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
State regulatory evidence
New York State Department of Health is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.
New York State Department of Health
State regulatory data · checked Aug 2026
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.33 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on May 16, 2025 cited 4 deficiencies.
View inspection evidenceCMS-published records list 29 ownership or control parties.
CMS records show an ownership change effective December 2017.
View ownership evidenceCMS records show a 50-day payment denial in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
Supported by multiple government sources
SeniorTrustHub found evidence connecting this facility to:
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 91%
Association date reported to CMS: Sep 7, 2022
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 9%
Association date reported to CMS: Feb 8, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 8, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 24, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 8, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 4, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 24, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 4, 2025
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 91%
Association date reported to CMS: Sep 7, 2022
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 9%
Association date reported to CMS: Feb 8, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 8, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 24, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 8, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 15, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 23, 2025
Other facilities connected through this exact CMS organization identity: 0 across NY.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across NY.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2025
Other facilities connected through this exact CMS organization identity: 0 across NY.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 8, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across NY.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 4, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 24, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 4, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across NY.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jul 1, 2026)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jul 1, 2026)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jul 1, 2026)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jul 1, 2026)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jul 1, 2026)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 29, 2026)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 24, 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 24, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 24, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 24, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Keep residents' personal and medical records private and confidential.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 13, 2025)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 13, 2025)
Post nurse staffing information every day.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 13, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 13, 2025)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 14, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Allow residents to self-administer drugs if determined clinically appropriate.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Sep 4, 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 2024)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 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.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 2024)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 18, 2024)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 2024)
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 2024)
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 13, 2024)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 13, 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.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 13, 2024)
Plan the resident's discharge to meet the resident's goals and needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 2, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
Payment denial length: 50 days
Published fine amount: $378,437.00
Payment denial length: 42 days
Published fine amount: $321,165.00
Questions to ask
Facility history
44 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
New York State Department of Health recorded a complaint-related inspection on 2026-06-10.
New York State Department of Health · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
New York State Department of Health recorded a complaint-related inspection on 2026-05-01.
New York State Department of Health · Recorded event date · View related evidence
New York State Department of Health recorded a complaint-related inspection on 2026-04-16.
New York State Department of Health · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 4.17 to 3.52 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
4.17 → 3.52
CMS · Reported in a source release · View related evidence
New York State Department of Health recorded a complaint-related inspection on 2026-03-09.
New York State Department of Health · Recorded event date · View related evidence
New York State Department of Health recorded a complaint-related inspection on 2026-02-10.
New York State Department of Health · Recorded event date · View related evidence
Total nurse staffing decreased from 4.40 to 4.17 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
4.40 → 4.17
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 4.64 to 4.40 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
4.64 → 4.40
CMS · Reported in a source release · View related evidence
New York State Department of Health recorded a complaint-related inspection on 2025-09-10.
New York State Department of Health · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.775 | 2.884 |
| RN categories | 0.392 | 0.175 |
Contract staff accounted for 6.4% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.042 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.641 | 0.4 | 1.383 | 2.812 | 14.6% | 91 |
| 2025Q3 | 4.396 | 0.365 | 1.3 | 2.729 | 11.6% | 92 |
| 2025Q4 | 4.165 | 0.372 | 1.211 | 2.582 | 9.9% | 92 |
| 2026Q1 | 3.518 | 0.33 | 1.002 | 2.186 | 6.4% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
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Source register
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