Onondaga Center for Rehabilitation and Nursing
217 East Avenue · Minoa, NY · 13116 · 3156567277
82 certified beds For profit - Corporation Chain: Centers Health Care
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $187,586 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$187,586 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.88 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
78% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 2.33 | ≈ weekday level |
| Nursing turnover / year | 78% | median 45% |
| Fines (3-yr window) | 3 · $254,218 |
Inspection citations (48 in the current record)
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Immediate jeopardy · L November 20, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected December 18, 2025 · Quality of Life and Care
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Immediate jeopardy · K November 20, 2025
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected December 18, 2025 · Administration
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Potential for harm · D November 20, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 18, 2025 · Resident Rights
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Potential for harm · D November 20, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F November 20, 2025
Provide care by qualified persons according to each resident's written plan of care.
Corrected December 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2025
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.
Corrected December 18, 2025 · Nursing and Physician Services
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Potential for harm · F November 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 18, 2025 · Nutrition and Dietary
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Potential for harm · F November 20, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected December 18, 2025 · Administration
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Potential for harm · D November 20, 2025
Provide and implement an infection prevention and control program.
Corrected December 18, 2025 · Infection Control
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Potential for harm · D November 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 18, 2025 · Quality of Life and Care
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Potential for harm · D November 20, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 18, 2025 · Quality of Life and Care
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No harm found · B November 20, 2025
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected December 18, 2025 · Resident Rights
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Actual harm · G January 7, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 10, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected July 6, 2024 · Resident Rights
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Potential for harm · D May 10, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 10, 2024
Provide activities to meet all resident's needs.
Corrected July 6, 2024 · Quality of Life and Care
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Potential for harm · D May 10, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 6, 2024 · Quality of Life and Care
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Potential for harm · D May 10, 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.
Corrected July 6, 2024 · Pharmacy Service
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Potential for harm · D May 10, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 6, 2024 · Nutrition and Dietary
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Potential for harm · D May 10, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected July 6, 2024 · Nutrition and Dietary
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Potential for harm · E May 10, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 6, 2024 · Nutrition and Dietary
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Potential for harm · E May 10, 2024
Keep all essential equipment working safely.
Corrected July 6, 2024 · Environmental
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Potential for harm · D May 10, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected July 6, 2024 · Environmental
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Potential for harm · D May 10, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 6, 2024 · Environmental
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Potential for harm · E May 10, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 6, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 20, 2025 | Fine | $177,790 |
| January 7, 2025 | Fine | $9,796 |
| December 8, 2023 | Fine | $66,632 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335548 · certified since July 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.