Nursing homes across Onondaga County, New York, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Upstate University Hospital's TCU is a 20-bed unit in Syracuse run by New York State, and the staffing numbers stand out right away: 8.21 nurse hours per resident day, more than double the national average. That kind of coverage shows up in the inspection record too, with four deficiencies on file and none involving harm or jeopardy to a resident. The tradeoff is retention. At 53.7% annual turnover, this unit replaces over half its nursing staff every year, well above the 45.8% national figure, so consistent care often depends on newer faces. Weekend hours dip only slightly, about 2% under weekdays. Its last inspection was July 2025.
Syracuse Home Association in Baldwinsville runs on a nonprofit model with 120 certified beds, and the staffing numbers tell a steady story: 4.51 nurse hours per resident day, roughly 17 percent above the national average. Weekend coverage dips about 20 percent below its own weekday level, worth asking about if your family visits primarily on Saturdays or Sundays. Staff turnover sits at 32.3 percent against a national average of 45.8 percent, which suggests people tend to stay. The current inspection record shows eight deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed January 27, 2026.
Nottingham R H C F runs a tight ship on the clinical side. The forty-bed nonprofit in Jamesville has a clean inspection record, eight deficiencies on the books, none of them causing harm or involving abuse, and its most recent state visit was just this past September. Nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, though weekends run about 11 percent thinner than weekdays, so ask how that gap gets covered. Staff turnover of 34.2 percent is meaningfully better than the 45.8 percent national figure, which matters for whether your parent sees the same faces. Small homes live or die on consistency, and the numbers here suggest this one mostly has it.
Iroquois Nursing Home runs on thinner staffing than most places, 3.40 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 17% below its own weekday coverage. Turnover sits at 43.9%, slightly better than the 45.8% national figure, so the workforce is comparatively stable even if it's stretched. The inspection record is where this home looks strongest: a 4-out-of-5 health inspection rating, a clean August 2024 survey, and 13 deficiencies with none rising to harm or jeopardy. One abuse-related citation is on the books, which is worth asking about directly. Quality measures score 5 out of 5, so residents' clinical outcomes track well despite the lighter staffing.
The Cottages at Garden Grove runs on more direct nursing time than most homes nationally, 4.41 hours per resident day against a 3.86 average, and that shows up in a four-star staffing rating. Weekends dip roughly 7% below weekday coverage, so ask how that plays out on a Sunday. The rest of the picture is uneven. Inspectors logged 25 deficiencies on the current record, including one at the harm level and two tied to abuse, with the last visit in July 2024. Turnover sits at 48%, a few points above the national figure. Nonprofit ownership doesn't erase any of that.
Loretto runs 583 beds as a nonprofit, and the numbers tell a mixed story. Nurse staffing sits at 3.67 hours per resident day, about 5% under the national average, and weekends run roughly 11% thinner than weekdays. That's a real gap if your family visits on Saturdays and Sundays. Turnover is 37.6%, which is better than the 45.8% national figure, so the people who stay tend to stay.
The current record shows 39 deficiencies, including two tied to abuse, though none at the harm or jeopardy level. The last inspection was August 2025. Quality measures score well, but the inspection record is where the concerns concentrate. Ask about the abuse-related findings and weekend coverage before deciding.
Sunnyside Care Center runs 80 certified beds in East Syracuse under for-profit LLC ownership, and its 3.83 nurse staffing hours per resident day sit just under the national average of 3.86, close enough that the bigger story is how those hours are distributed. Weekend staffing drops roughly 22% below the home's own weekday level, and annual turnover hits 60.4% against a national 45.8%, so families should ask who's actually on the floor on a Saturday. The inspection record carries 26 deficiencies, including two tied to abuse, though none reached harm or jeopardy level; the most recent inspection was September 12, 2025. Quality measures score well, but staffing consistency and turnover are the numbers worth pressing on during a visit.
Central Park Rehabilitation and Nursing Center is a 160-bed for-profit home in Syracuse, and the numbers point in different directions. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends run roughly 16% thinner than weekdays, so coverage depends on when you visit. The inspection record is the harder read: 39 deficiencies, including one at the harm level and three tied to abuse, with the most recent inspection in May 2025. Staff turnover at 46.7% is a touch above the national rate, meaning aides and nurses cycle through regularly. A 3/5 on quality measures and 4/5 on staffing don't offset a 1/5 inspection history.
St. Camillus runs 284 certified beds as a nonprofit, and its recent inspection history is the part worth knowing about. The January 2026 survey left 24 deficiencies on the record, including one at the harm level and one abuse-related citation, along with a $39,754 fine, that's a meaningful amount of regulatory attention in a single cycle. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, and weekends dip about 17% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Turnover at 37.4% is better than the national 45.8%, which suggests some stability in the workforce, but the staffing and inspection ratings both land at 2 out of 5. Ask about that weekend coverage and the plan of correction.
The staffing average at Jewish Home of Central New York looks fine on paper, 3.90 nurse hours per resident day, just above the national figure of 3.86, but that headline number hides a real drop on weekends, when coverage runs roughly 19% below what the home staffs on weekdays. The inspection record is the bigger concern: 42 deficiencies, four tied to abuse and two serious enough to put residents in harm's way, plus a $121,573 fine and a March 2026 inspection that earned a single star. Compare that to the quality measure rating of 5 out of 5, and you have a home where the charted clinical numbers look strong while the day-to-day oversight record does not.
Elderwood At Liverpool runs 160 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.52 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The staffing star rating comes in at 1 out of 5, with quality measures at 2 and health inspections at 3. Its record shows 17 deficiencies, none at harm or jeopardy level and none abuse-related, plus one fine of $56,921. The last inspection was February 2026, so the picture is current.
Van Duyn is one of the largest nursing homes in New York, and its record carries real weight: 91 deficiencies, 17 of them serious enough to put residents at risk of harm, plus nine tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems, and fines total just under $620,000. Nurse staffing sits slightly under the national average at 3.72 hours per resident day, and weekends run about 12 percent thinner than weekdays, when families often visit. Staff turnover, at 42.7 percent, is actually a touch better than average. Its most recent inspection was in December 2025.
Onondaga Center runs 82 beds under corporate ownership, and its staffing is the first thing that stands out: 3.25 nurse hours per resident day, roughly 16% under the national average, with weekends about 20% thinner than weekdays. Turnover sits near 70% against a national rate around 46%, so the people caring for residents keep changing.
The inspection record backs that up, 48 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and $191,992 in fines across three penalties. CMS has placed it in the Special Focus Facility program, a designation for homes with a pattern of poor inspections. The most recent inspection was in November 2025.
Bishop Rehabilitation and Nursing Center is a 440-bed for-profit home in Syracuse, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.52 hours per resident per day, roughly 9% under the national average, and weekends drop about 18% below what the home itself staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Staff turnover runs 55.7% against a national 45.8%, meaning more than half the nursing staff leaves within a year. Its current inspection record carries 51 deficiencies, 12 at harm or jeopardy level and one abuse-related, with two fines totaling $699,602 and a May 2025 inspection.