Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Upstate University Hosp At Community General T C U during CMS and state inspections, most recent first.
Delayed survey entrance documents: The facility failed to provide required CMS-802 matrix forms, an alphabetical resident list, and other entrance conference worksheet items within the required timeframes. The DON leadership could not produce the needed documents at survey entrance, an incorrect CMS-802 was initially sent, and the remaining materials were provided hours later, with some items not received until more than 25 hours after survey entrance. The Administrator stated the delay occurred because the unit was treated as part of the hospital and there was no process to identify staff responsible for timely survey document submission.
Delayed Survey Entrance Documents
Penalty
Summary
The facility did not make available clinical records and required survey documents in accordance with accepted professional standards and practices for all 15 residents. During the recertification survey, the Department of Health entered the facility and requested the CMS-802 Matrix for Providers, an alphabetical list of all residents, and other entrance conference worksheet items within specified timeframes. At the entrance conference, the Deputy Director of Nursing was unable to provide the completed matrix for new admissions in the last 30 days or the alphabetical resident list, and the survey team had to send a follow-up email with blank forms and instructions. The required documents were then received late and in stages: the alphabetical resident list and an incorrect CMS-802 form were sent more than two and a half hours after survey entrance, the correct CMS-802 form was not received until four and a half hours after entrance, the information due within one hour was not received until six and a half hours after entrance, and the remaining items due within four hours were not received until over 25 hours after entrance. The Administrator stated the unit should always be ready for survey entrance, but the delay occurred because the unit was recognized as part of the hospital rather than as a stand-alone unit, and there was no process to identify staff responsible for providing surveyors the requested documents timely.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Syracuse
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Van Duyn Center For Rehabilitation And Nursing | 0.2 mi | — | 54 | 6 |
| Loretto Health And Rehabilitation Center | 1.9 mi | ★★★★★ | 20 | 0 |
| Central Park Rehabilitation And Nursing Center | 2 mi | ★★★★★ | 0 | 0 |
| Iroquois Nursing Home Inc | 2.7 mi | ★★★★★ | 1 | 0 |
| St Camillus Residential Health Care Facility | 2.7 mi | ★★★★★ | 20 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.