Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
UPSTATE UNIVERSITY HOSP AT COMMUNITY GENERAL T C U
SYRACUSE, NY · 20 certified beds · Last Life Safety survey July 25, 2025
CMS Certification Number 335870 · first certified July 2014
Ownership
Independently operated (no chain recorded by CMS) · Government - State
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within NY
13 citations — more than 46% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 6 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was July 2025. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
Get an email about UPSTATE UNIVERSITY HOSP AT COMMUNITY GENERAL T C U
One email when it happens. No account; stop it any time with one click.
Emergency preparedness
1 of the 13 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 13 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 13 |
| Median facility in NY | 13 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| December 29, 2021 | 3 |
| March 13, 2024 | 4 |
| July 25, 2025 | 6 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0901 | Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | 2 | 2025-07-25 |
| K-0531 | Have elevators that firefighters can control in the event of a fire. | 2 | 2025-07-25 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2024-03-13 |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | 1 | 2025-07-25 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2025-07-25 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2024-03-13 |
| E-0037 | Establish staff and initial training requirements. | 1 | 2024-03-13 |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | 1 | 2021-12-29 |
What the citations cover
- Smoke Deficiencies 3
- Services Deficiencies 3
- Construction Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Other 3
| Category | Citations |
|---|---|
| Smoke Deficiencies | 3 |
| Services Deficiencies | 3 |
| Construction Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Electrical Deficiencies | 2 |
| Emergency Preparedness Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 25, 2025 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0131 | Meet requirements for sections of health care facilities separated by fire resistive construction. | Deficient, Provider has date of correction (October 3, 2025) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (October 3, 2025) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (October 3, 2025) |
| K-0531 | Have elevators that firefighters can control in the event of a fire. | Deficient, Provider has date of correction (October 3, 2025) |
| K-0901 | Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Deficient, Provider has date of correction (October 3, 2025) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (December 19, 2025) |
March 13, 2024 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (May 15, 2024) |
| K-0133 | Install a two-hour-resistant firewall separation. | Deficient, Provider has date of correction (May 2, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (May 2, 2024) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (May 12, 2024) |
December 29, 2021 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0531 | Have elevators that firefighters can control in the event of a fire. | Deficient, Provider has date of correction (January 24, 2022) |
| K-0901 | Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Deficient, Provider has date of correction (February 14, 2022) |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | Deficient, Provider has date of correction (January 24, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.