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Nursing HomeMedicaid Investigative

Onondaga Center for Rehabilitation and Nursing

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

217 East Avenue, Minoa, NY 1311682 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 110 Google reviews

5
4
3
2
1
Onondaga Center for Rehabilitation and Nursing Nursing Home in Minoa, NY — Street View
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9/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (12 vs median 6.0)
  • High staff turnover (72%)
  • High RN turnover (85%)

Bottom 25% in NY · Critically understaffed (RN) · Very high staff turnover · Worst in CENTERS HEALTH CARE chain · $76,428 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

We strongly advise caution when considering this facility. While some families report positive experiences with individual staff members, the consistent, multi-year pattern of reports regarding neglect, slow response times, and unsanitary conditions is deeply concerning. If you must consider this facility, we recommend unannounced visits at different times of the day and night to observe the actual quality of care.

Google Reviews

Google Reviews

110 reviews on Google
Onondaga Center for Rehabilitation and Nursing faces severe and recurring criticism regarding patient neglect, understaffing, and poor hygiene. While a small subset of reviewers praises the facility's rehab team and specific staff members, the overwhelming majority of negative reports describe long response times for call bells, unsanitary living conditions, and a lack of basic communication with families.

Quality Themes

Tap a score for details
Food2.0Staff2.0Clean1.0ActivitiesN/AMeds2.0MemoryN/AComms1.0Value1.0

Strengths

  • Dedicated individual staff members
  • Rehabilitation therapy services
  • Accessible location

Concerns

  • Chronic understaffing leading to long call-bell response times (mentioned by 18 reviewers)
  • Unsanitary conditions and persistent odors (urine/filth) (mentioned by 9 reviewers)
  • Neglect regarding basic ADLs (showering, changing, hydration) (mentioned by 14 reviewers)
  • Poor communication and lack of responsiveness from management (mentioned by 8 reviewers)
  • Inadequate medication management (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(16)'21(18)'23(12)'25(5)'26(14)

Distribution · 115 analyzed

5
51
4
4
3
2
2
4
1
54

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure that call bells are answered promptly and that residents receive timely assistance with daily needs like hydration and hygiene?
  • 2I noticed some concerns regarding facility cleanliness; could you walk me through your current housekeeping schedule and the specific measures you take to maintain a sanitary and odor-free environment for residents?
  • 3How does your nursing team coordinate with the rehabilitation staff to ensure that medication management is consistent and error-free for residents undergoing therapy?
  • 4I see that the facility responds to some online feedback; what is your formal process for family members to communicate concerns to management, and what is your typical turnaround time for addressing those issues?
  • 5What does a typical daily activity schedule look like for residents to ensure they remain engaged and socially active outside of their rehabilitation sessions?
  • 6Could you explain your clinical oversight process for handling sudden changes in a resident's health status or medical emergencies, particularly during evening or weekend hours?

Personalized based on this facility's data


Key Review Excerpts

I’ve witnessed patients being left in soiled depends fir well over 2.5 hours. I’ve seen patients ring for the nurses or aids and I’ve witnessed nobody show up or if they do, it’s just to turn the buzzer off and not come back.

Family member · 2023☆☆☆☆

While the facility has flaws, workers who show up every day and put their all into a difficult profession deserve recognition. They don’t hear it enough. Thank you for your care.

Family member · 2024★★★☆☆

My mother was a resident there for 1 year 6 months. That’s how long it took to get her out. This place is unsafe, it is a shame the way these residents are treated.

Family member · 2023☆☆☆☆
Source: 110 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
46%
Registered nurses for medical care
Total Nursing
2.88hrs
70%
All nurses + aides combined
Staff Turnover
78%
Lower is better (< 30% = good)
RN Turnover
82%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility61.3%
Worse than Avg
Here
61.3%
US
12.1%
NY
18.9%
Onondaga
6.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility84.7%
Worse than Avg
Here
84.7%
US
93.4%
NY
91.3%
Onondaga
89.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.6%
Worse than Avg
Here
88.6%
US
95.5%
NY
95.3%
Onondaga
97.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.0%
Worse than Avg
Here
27.0%
US
19.4%
NY
20.2%
Onondaga
26.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.4%
Better than Avg
Here
12.4%
US
19.5%
NY
13.3%
Onondaga
13.8%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility10.3%
Worse than Avg
Here
10.3%
US
5.3%
NY
5.9%
Onondaga
6.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility53.5%
Worse than Avg
Here
53.5%
US
81.8%
NY
77.0%
Onondaga
80.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility69.9%
Worse than Avg
Here
69.9%
US
79.8%
NY
78.8%
Onondaga
82.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NY
1.2%
Onondaga
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
3penalties
Well above state avg (7.6)
17 complaint-triggered
$76,428 in fines

This facility has significant care concerns with 17 complaint-triggered deficiencies from families reporting problems. Major recurring issues include treatment and care quality, nutrition and dietary services, and infection control. While most deficiencies have been corrected after citation, the pattern of repeated problems in core care areas—especially treatment quality issues appearing across multiple complaint investigations from 2023-2025—suggests ongoing challenges families should investigate thoroughly before placement.

Nov 20, 2025Routine
20
0678Immediate jeopardy · WidespreadCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0773Immediate jeopardy · PatternCorrected

Administration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

0659Potential for harm · WidespreadCorrected

Resident Assessment and Care Planning Deficiencies

Provide care by qualified persons according to each resident's written plan of care.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0575Minimal · PatternCorrected

Resident Rights Deficiencies

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.

Nov 20, 2025Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jan 7, 2025Complaint
1
0600Actual harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

May 10, 2024Routine
33
0321Potential for harm · Widespread

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0037Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0281Potential for harm · IsolatedCorrected

Egress Deficiencies

Install proper backup exit lighting.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

May 10, 2024Complaint
8
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0809Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Dec 8, 2023Complaint
3
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Federal Penalties

Fine

Nov 20, 2025

$177,790

Fine

Jan 7, 2025

$9,796

Fine

Dec 8, 2023

$66,632

Ownership & Operations

Who Operates This Facility

Owner / Operator

Onondaga Center for Rehabilitation and Nursing

Organization Type

for profit

Chain Affiliation

Chain Name

Centers Health Care

Chain Size

37 facilities nationwide

Chain avg rating: 2.2/5 · Rank 35 of 35 (Worst)

Ownership & Management

Owners

Rozenberg, Kenneth

Owner

97%

Key personnel

Goldman, NathanManaging Control - Governing BodyHendrix, HeidiManaging Control - Governing BodyLantzitsky, AharonManaging Control - Governing BodyRozenberg, KennethManaging Control - Governing BodyAnderson, NathanManager
Source: Medicare provider data

Contact

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Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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