Deficiency Index

Van Duyn Center For Rehabilitation And Nursing

Syracuse, New York · CCN 335184

56 surveys since 2010, 34 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
312
Surveys
56
Harm or worse
34
Immediate jeopardy
18
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy18

Findings at the most serious level CMS records.

Beyond CMS’s monthly file44/56

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
513
Ownership
For profit - Limited Liability company
Chain
UPSTATE SERVICES GROUP
County
Onondaga
Medicare-certified since
1967

CMS ratings

Overall
—
Health inspection
—
Staffing
—
Quality measures
—

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 259 for-profit facilities with 128 or more beds in New York.

Last survey on record

May 13, 2026

180 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.723.37
Registered-nurse hours per resident day0.45—
Annual nurse turnover42.7%33.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$513,413 across 4 penalties
Payment denials
1
Special focus
SFF
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ65.9%K43.9%L—
Actual harmG65.9%H11.0%I—
No harm, potential for more than minimalD4948.0%E1817.6%F1716.7%
No harm, potential for minimalA—B11.0%C—
CMS’s current file: 102 of the 312 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6566×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6845×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F5504×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5844×

    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.

  • F6094×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

In the surveyor’s words

From the most serious findings on record at Van Duyn Center For Rehabilitation And Nursing, in the surveyor’s own words.

  • Immediate jeopardy, patternF600Feb 3, 2026

    Based on record review and interviews conducted during the survey, the facility failed to ensure residents were free from abuse for one (1) of three (3) residents reviewed (Resident #1). Specifically, Resident #1 had a history of verbal behaviors of using racial slurs directed at others and had multiple physical behaviors directed toward others, including the following:-on 09/10/2025 Resident #1 threw coffee at staff, hitting another resident. -on 09/30/2025, Resident #1 hit Resident #3 in the face. -on 11/10/2025, Resident #1 refused medications and started swinging at staff. -on 12/24/2025, Resident #1 threw a glass vase at staff. -on 12/25/2025, Resident #1 hit Resident #2 in the head with a wheelchair leg rest. […]

  • Immediate jeopardy, patternF561Apr 18, 2025

    Based on observations, record review, and interviews during the extended recertification and abbreviated (NY00376311) surveys conducted 4/6/2025 - 4/18/2025, the facility failed to ensure resident's right to choose activities and health care services consistent with their interests, assessments, and plan of care and the right to participate in social and community activities for two (2) of three (3) residents (Resident #50 and #162) reviewed. Specifically, Residents #50 and #162 were Deaf and were not provided their preferred method of communication and thus were unable to communicate their needs and preferences to staff, socialize with other residents, or participate in meaningful activities. […]

  • Immediate jeopardy, patternF880Apr 18, 2025

    Based on observations, record review, and interviews during the recertification survey conducted 4/6/2025 - 4/18/2025, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for six (6) of eight (8) residents (Residents #160, #417, #425, #461, #485, and #790) reviewed. Specifically: - Resident #485 was on contact precautions for clostridium difficile (a resistant contagious bacterium) colitis (inflammation of the colon) and droplet precautions for COVID-19 (a contagious respiratory disease) and did not have the appropriate isolation precaution signs, precautions were not consistently followed, and… […]

  • Immediate jeopardy, patternF689Jul 28, 2023

    35045 Based on observation, record review, and interview during the recertification, abbreviated (NY00317278), and extended surveys conducted from 7/17/23- 7/28/23, the facility failed to ensure each resident received adequate supervision for 3 of 3 residents (Residents #42, 198, 204) reviewed for smoking. Specifically, from 9/22/22-7/24/23 Resident #42 had 15 documented occurrences when they were discovered by staff smoking in the facility. Adequate supervisory interventions were not put into place to prevent additional occurrences. […]

  • Immediate jeopardy, isolatedF600Mar 4, 2026

    Based on record review and interviews during the abbreviated survey the facility failed to ensure residents were free from abuse for one (1) of one (1) resident (Resident #1) reviewed. Specifically, Resident #1's head was forcefully pushed backward by Certified Nurse Aide #2 during care resulting in scratches and redness to Resident #1's face. The facility's failure to protect residents from abuse resulted in harm that is Immediate Jeopardy and Substandard Quality of Care for Resident #1 and placed all 418 residents in the facility at risk for the likelihood of serious injury, serious harm, serious impairment, or death.Findings include: The facility policy Prevention of Abuse, Neglect, Exploitation, Mistreatment and Misappropriation Policy, revised 02/2026, documented residents were to be… […]

Read 51 findings in full →The most serious and the most recent: 51 of 312 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 20, 2026Complaint1 finding · 1 harm
  • Aug 7, 2026Complaint1 finding
  • May 13, 2026Standard and complaint20 findings · 2 harm
  • Mar 11, 2026Complaint1 finding · 1 harm
  • Mar 4, 2026Complaint3 findings · 2 harm
  • Feb 3, 2026Complaint10 findings · 4 harm
  • Jan 12, 2026Complaint1 finding · 1 harm
  • Dec 15, 2025Standard and complaint22 findings
Show the 48 earlier surveys
  • Jul 14, 2025Complaint1 finding
  • Apr 18, 2025Standard27 findings · 4 harm
  • Jan 23, 2025Complaint1 finding · 1 harm
  • Oct 26, 2023Complaint1 finding
  • Sep 13, 2023Complaint2 findings · 1 harm
  • Jul 28, 2023Standard and complaint16 findings · 1 harm
  • Jan 25, 2023Complaint1 finding
  • Nov 3, 2022Complaint1 finding
  • Jul 22, 2022Complaint2 findings
  • Oct 19, 2021Complaint2 findings
  • Aug 13, 2021Complaint2 findings
  • Jun 21, 2021Standard and complaint19 findings
  • May 11, 2021Complaint1 finding · 1 harm
  • Jan 5, 2021Complaint2 findings
  • Dec 23, 2020Infection control4 findings
  • Dec 9, 2020Complaint1 finding
  • Nov 19, 2020Complaint2 findings
  • Oct 30, 2020Complaint4 findings
  • Oct 26, 2020Infection control1 finding
  • Feb 18, 2020Complaint3 findings · 1 harm
  • Oct 4, 2019Complaint1 finding
  • Aug 27, 2019Complaint2 findings
  • Jul 25, 2019Standard7 findings
  • Feb 25, 2019Complaint2 findings
  • Oct 5, 2018Complaint2 findings
  • May 8, 2018Complaint1 finding
  • Mar 30, 2018Standard5 findings
  • Feb 9, 2018Complaint1 finding
  • Dec 19, 2017Complaint4 findings · 1 harm
  • Jan 19, 2017Standard23 findings
  • Nov 9, 2016Complaint4 findings
  • Jul 22, 2016Complaint1 finding
  • Jun 29, 2016Complaint2 findings
  • Jun 8, 2016Complaint2 findings
  • Oct 14, 2015Standard15 findings · 3 harm
  • Aug 20, 2015Complaint1 finding
  • Jun 2, 2015Complaint4 findings
  • Feb 13, 2015Standard12 findings
  • Jun 6, 2014Standard and complaint21 findings
  • Sep 20, 2013—15 findings
  • Mar 15, 2013Standard15 findings
  • Dec 5, 2012—1 finding · 1 harm
  • Sep 17, 2012—7 findings
  • Oct 3, 2011—4 findings · 3 harm
  • Jun 21, 2011—1 finding · 1 harm
  • Apr 18, 2011—5 findings · 4 harm
  • Feb 15, 2011—1 finding
  • Dec 14, 2010—1 finding · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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