Onondaga Center for Rehabilitation and Nursing
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 110 Google reviews

Watch Onondaga Center for Rehabilitation and Nursing
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
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)
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 detailsStrengths
- 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
Distribution · 115 analyzed
How They Respond to Reviews
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.”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
7
measures
8
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Routine20
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.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Egress Deficiencies
Install proper backup exit lighting.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Smoke Deficiencies
Provide properly protected cooking facilities.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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, 2025Complaint1
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, 2024Routine33
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Keep all essential equipment working safely.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
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.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Provide properly protected cooking facilities.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
May 10, 2024Complaint8
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Dec 8, 2023Complaint3
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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
Onondaga Center for Rehabilitation and Nursing
for profit
Chain Affiliation
Centers Health Care
37 facilities nationwide
Chain avg rating: 2.2/5 · Rank 35 of 35 (Worst)
Ownership & Management
Owners
Rozenberg, Kenneth
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
110 reviews from families & visitors
Official Website
Visit onondaga-center.facilities.centershealthcare.org
Medicare data downloads
Original nursing home datasets
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.
Sunnyside Care Center
2.9 miNursing Home · East Syracuse, NY
Brookdale East Side
3.9 miAssisted Living · Fayetteville, NY
Brookdale Fayetteville
4.2 miAssisted Living · Fayetteville, NY
The Inn at Menorah Park
4.8 miAssisted Living · Syracuse, NY
Manlius Home for Adults
5.3 miAssisted Living · Manlius, NY
Brookdale Manlius
5.5 miAssisted Living · Manlius, NY