Highlands Living Center

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Pittsford, NY

CMS overall rating

Highlands Living Center

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Pittsford, NY

CMS overall rating

500 Hahnemann Trail, Pittsford, NY 14534 View map

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Highlands Living Center accepts Medicare, Medicaid, and private pay.

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Highlands Living Center accepts Medicare, Medicaid, and private pay.

Overview of Highlands Living Center

Highlands Living Center offers independent living, assisted living, memory care, and skilled nursing in Pittsford, NY. Independent living provides private living with community services and no daily care, while assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident keeps an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock.

Having several care levels in one community may suit a resident whose needs grow over time, since a move to another level can take place without leaving the community. Highlands Living Center has 120 beds, with total nurse staffing of 3 hours and 51 minutes per resident per day. That figure represents the daily hands-on nursing time allocated per resident. Andy Trepanier is the director.

Rehabilitation services and short term rehabilitation are available for residents who need recovery-focused care for a limited stay. Medicare, Medicaid, and private pay are accepted, giving families payment routes for covered or privately funded care. A Walk Score of 64 describes the area as somewhat walkable, so a resident can complete some errands on foot.

Facility Direct Line (585) 383-1700

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs New York averages

Total nursing care This nursing home is ranked 86th out of 399 nursing homes we track in New York for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 51m

8% above state avg

Staff type

Hours / day / resident

vs state avg

Registered Nurse (RN)

30m

LPN / LVN

1h 16m

Nurse Aide

2h 5m

Weekend Total Nursing

3h 16m

Physical Therapist

Weekend RN

14m

4 of 6 metrics below state avg

By The Numbers

Community insights.

Bed count 120

Medium-capacity home · Offers a balance of services and community atmosphere.

Walk Score

64 / 100

Occupancy rate

95% This home is often near full

Similar to the New York average: 90.6%

Occupied beds

114 / 120

Avg. Length of Stay

201 days

About this community

StatusActive

CountyMonroe

License Number2763300N

CMS Certification Number335786

Highlands Living Center is legally operated by Highlands Living Center, Inc (Not for Profit).

Owner NameHighlands Living Center, Inc (Not for Profit)

Rehabilitation Services

Short-Term Rehab

Licensed Nurses/CNAs

Pets not allowed

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This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Enforcement Actions Enforcement actions are formal penalties or interventions imposed by New York regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.

1 enforcement action

This facility has 1 enforcement action. 34% of New York nursing homes have zero, and the statewide average is 1.7.

September 2, 2021 Quality of Care #NH-21-221

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Overall vs. NY average

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	NY Average	vs. NY Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	23	19.0	This facility has 21% more total citations than a typical New York nursing home (23 vs. NY avg 19).↑ 21% worse
Health citations Citations related to resident care, clinical practices, and day-to-day operations.	19	20.0	This facility has 5% fewer health citations than a typical New York nursing home (19 vs. NY avg 20).↓ 5% better
Life safety citations Citations related to building safety — fire prevention, emergency egress, and similar.	4	4.0	This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg
Citations per inspection Average citations per inspection.	4.6	2.3	This facility has 100% more citations per inspection than a typical New York nursing home (4.6 vs. NY avg 2.3).↑ 100% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NY Average	vs. NY Avg
Total inspections Combined count of all inspections conducted at this facility.	5	9.0	This facility has had 44% fewer total inspections than the New York average (5 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 44% fewer
Inspections with citations Inspections that resulted in at least one regulatory citation.	3	4.0	This facility has 25% fewer inspections with citations than a typical New York nursing home (3 vs. NY avg 4).↓ 25% better
Inspection citation rate Percentage of inspections that resulted in at least one citation.	60%	55%	This facility has 5 percentage points higher inspection citation rate than a typical New York nursing home (60% vs. NY avg 55%).↑ 5% worse

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	NY Average	vs. NY Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	85	79.0	This facility has 8% more total complaints than a typical New York nursing home (85 vs. NY avg 79).↑ 8% worse
Complaints per bed Size-adjusted complaint rate based on occupied beds.	0.73	0.50	This facility has 46% more complaints per bed than a typical New York nursing home (0.73 vs. NY avg 0.5).↑ 46% worse
Complaint investigations On-site investigations triggered by complaints filed with New York regulators.	15	15.0	This facility has complaint investigations in line with the New York average (15 vs. NY avg 15).— At avg

Show Inspection Reports

Inspections Since 2021 · 5 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 4

New York average 4.2

Last Health inspection on May 2026

Total health citations

New York average 20.1

Citations per inspection

4.75

New York average 4.77

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 19 citations resulted from standard inspections; and 2 of 19 resulted from complaint investigations.

Breakdown of citation severity (last 5 years)

Critical health citations

100% better than New York average

New York average: 0.3

Serious health citations

100% better than New York average

New York average: 0.4

0 critical citations New York average: 0.3

0 serious citations New York average: 0.4

18 moderate citations New York average: 18.7

1 minor citation New York average: 0.7

Citations history (last 5 years)

Abuse/Neglect moderate citation May 28, 2026

Abuse/Neglect moderate citation Feb 19, 2025

Corrected

Environmental moderate citation Feb 19, 2025

Corrected

Top deficiency categories

Quality of Life & Care 4 deficiencies (21%)

Infection Control 3 deficiencies (16%)

Abuse, Neglect & Exploitation 3 deficiencies (16%)

Resident Assessment & Care Planning 2 deficiencies (11%)

Pharmacy Services 2 deficiencies (11%)

Environmental 2 deficiencies (11%)

Nutrition & Dietary 1 deficiency (5%)

Administration 1 deficiency (5%)

Nursing & Physician Services 1 deficiency (5%)

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Employee Flu Vaccination Rate: 76%

Percentage of facility employees vaccinated against influenza.

Total Cases 10

Active Cases 1

Closed 9

Since 2018

Most Recent 2026

Next Court Date Apr 07, 2027

View full lawsuit report

Total staff 162

Employees 148

Contractors 14

Staff to resident ratio 1.41 : 1

7% more staff per resident than New York average

Avg staff/day 59

Average shift 8 hours

0% compared with New York average

Total staff hours (quarter) 43,188

Nursing staff breakdown

8 hours

8.2 hours

8.4 hours

Contractor staffing

1,362 contractor hours this quarter

Certified Nursing Assistant: 10 Licensed Practical Nurse: 4

Staff by category


Certified Nursing Assistant	57	10	67	19,396	92	100%	8.4
Licensed Practical Nurse	34	4	38	11,235	92	100%	8.2
Registered Nurse	15	0	15	3,515	92	100%	8
Mental Health Service Worker	5	0	5	1,661	64	70%	7.8
RN Director of Nursing	4	0	4	1,545	70	76%	7.9
Dietitian	6	0	6	1,363	77	84%	7.7
Respiratory Therapy Technician	5	0	5	1,045	77	84%	6
Other Dietary Services Staff	2	0	2	647	73	79%	6
Physical Therapy Assistant	7	0	7	574	66	72%	7
Physical Therapy Aide	1	0	1	485	59	64%	8.2
Clinical Nurse Specialist	3	0	3	444	44	48%	8.4
Qualified Social Worker	3	0	3	378	62	67%	6
Nurse Practitioner	2	0	2	336	42	46%	8
Administrator	1	0	1	312	40	43%	7.8
Medical Director	1	0	1	120	24	26%	5
Speech Language Pathologist	1	0	1	83	26	28%	3.2
Occupational Therapy Aide	1	0	1	49	12	13%	4.1

67 Certified Nursing Assistant

% of Days 100%

38 Licensed Practical Nurse

% of Days 100%

15 Registered Nurse

% of Days 100%

5 Mental Health Service Worker

% of Days 70%

4 RN Director of Nursing

% of Days 76%

6 Dietitian

% of Days 84%

5 Respiratory Therapy Technician

% of Days 84%

2 Other Dietary Services Staff

% of Days 79%

7 Physical Therapy Assistant

% of Days 72%

1 Physical Therapy Aide

% of Days 64%

3 Clinical Nurse Specialist

% of Days 48%

3 Qualified Social Worker

% of Days 67%

2 Nurse Practitioner

% of Days 46%

1 Administrator

% of Days 43%

1 Medical Director

% of Days 26%

1 Speech Language Pathologist

% of Days 28%

1 Occupational Therapy Aide

% of Days 13%

View All Staffing Data in Pittsford

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 18.2

86% worse than New York average

New York average: 9.8

Functional decline score 34.4

90% worse than New York average

New York average: 18.1

Long-stay resident measures

Average New York avg: 4.0

Need for Help with Daily Activities Increased 36.1%

120% worse than New York average

New York average: 16.4%

Walking Ability Worsened 38.1%

130% worse than New York average

New York average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence 29.1%

36% worse than New York average

New York average: 21.4%

Falls with Major Injury 1.8%

41% better than New York average

New York average: 3.0%

High Risk Residents with Pressure Ulcers 8.1%

13% worse than New York average

New York average: 7.2%

Urinary Tract Infection 2.1%

47% worse than New York average

New York average: 1.4%

Lost Too Much Weight 7.1%

17% worse than New York average

New York average: 6.1%

Depressive Symptoms 3.8%

79% better than New York average

New York average: 18.1%

Antipsychotic Use 15.9%

26% worse than New York average

New York average: 12.6%

Pneumococcal Vaccine 19.9%

78% worse than New York average

New York average: 91.4%

Influenza Vaccine 93.5%

In line with New York average

New York average: 95.2%

Hospitalizations per 1,000 days 1.74

In line with New York average

New York average: 1.71

ED visits per 1,000 days 0.90

33% better than New York average

New York average: 1.35

Short-stay resident measures

Significantly below average New York avg: 3.5

Pneumococcal Vaccine 23.4%

70% worse than New York average

New York average: 76.6%

Antipsychotic medication increase 1.7%

33% worse than New York average

New York average: 1.3%

Influenza Vaccine 61.1%

22% worse than New York average

New York average: 78.8%

Re-hospitalized after SNF stay 31.3%

52% worse than New York average

New York average: 20.6%

Emergency department visits 6.1%

37% better than New York average

New York average: 9.7%

Falls with major injury 2.5%

225% worse than New York average

New York average: 0.8%

Ability to care for self at discharge 60.0%

12% better than New York average

New York average: 53.7%

Successful return to home or community 43.0%

15% worse than New York average

New York average: 50.6%

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

70% of new residents, often for short stays.

Typical stay 3 months

Medicaid

7% of new residents, often for long-term daily care.

Typical stay 5 years

Total residents 115

Medicare

4.3% of residents

Medicaid

59.1% of residents

Private pay or other

36.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Highlands Living Center from 2011–2023, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.

Key figures below are for fiscal year ending in 12/2023.

Net Patient Income -$2.8M ↑ ~$581.8K vs 2022

Payroll Costs $10.7M ↓ ~$154.4K vs 2022

Operating Margin -20.7% ↑ 6.7pp vs 2022

Financial Performance

Net patient revenue Operating expenses Net patient income

Salaries Wage Costs Contract Labor

Medicare Medicaid Private Pay/Other

Metric	2011	2012	2013	2017	2018	2019	2020	2021	2022	2023
Occupancy %	95.6%	96.1%	95.9%	96.2%	96.1%	94.6%	91.9%	83.2%	87.1%	90.0%
Beds	122	122	122	122	122	122	122	122	122	122
Net Income	-$707,047	-$1,021,219	$478,158	-$292,283	-$67,385	-$1,067,567	$733,914	$6,110,949	-$1,263,723	-$806,933
Gross Revenue	$16,523,453	$18,211,487	$18,620,627	$20,974,158	$21,155,172	$20,637,314	$20,893,838	$19,467,730	$20,985,345	$22,842,927
Operating Expenses	$12,677,745	$12,206,239	$10,954,476	$13,411,732	$13,394,316	$14,634,126	$14,506,520	$14,741,763	$15,574,985	$16,113,377
Net Patient Income	-$800,418	-$1,113,619	$429,595	-$349,142	-$114,081	-$1,495,240	-$2,289,223	-$3,592,920	-$3,348,901	-$2,767,151
Net Patient Revenue	$11,877,327	$11,092,620	$11,384,071	$13,062,590	$13,280,235	$13,138,886	$12,217,297	$11,148,843	$12,226,084	$13,346,226
Payroll Costs	$8,628,512	$8,414,583	$7,302,971	$9,066,887	$8,679,975	$9,849,206	$9,101,063	$9,103,143	$10,876,222	$10,721,849
Operating Margin %	-6.7%	-10.0%	3.8%	-2.7%	-0.9%	-11.4%	-18.7%	-32.2%	-27.4%	-20.7%
Medicare %	4.9%	4.3%	2.6%	5.0%	4.8%	4.0%	3.2%	4.2%	4.2%	2.6%
Medicaid %	60.8%	65.4%	63.5%	66.4%	64.3%	63.8%	67.8%	67.9%	63.0%	65.1%
Private %	34.3%	30.3%	33.9%	28.6%	30.9%	32.1%	29.0%	27.9%	32.8%	32.3%
Net Patient Revenue/Day	$280	$258	$267	$305	$310	$312	$298	$301	$315	$333
Cost/Day	$299	$284	$257	$313	$313	$347	$354	$398	$401	$402
Avg Length of Stay	146.3 days	180.3 days	175.7 days	158.7 days	168.4 days	168.6 days	224.2 days	278.5 days	204.2 days	201.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$13.3M

Net patient income

-$2.8M

Nonprofit Operated by a nonprofit corporation.

Net patient revenue

$13.3M

Net patient income

-$2.8M

Other income

$2.0M

Payroll costs

$10.7M 80.3% of net patient revenue

Other operating costs

$5.4M

Total costs

$16.1M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (70% of admissions), and a typical private pay stay runs around 3 months.

Coverage residents most often arrive under.

Medicare 24%

Private pay 70%

Medicaid 7%

Coverage residents most often leave under.

Medicare 14%

Private pay 74%

Medicaid 12%

Living Spaces & Floor Plans for Highlands Living Center

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Financial Assistance for
Assisted Living in New York

Highlands Living Center is located in Pittsford, New York State.
Here are the financial assistance programs available to residents in New York State.

Get Financial aid guidance

Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled

General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $30,182 individual, higher due to NY Medicaid expansion

Higher asset limit; urban density increases demand.

Benefits

Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+

General New York resident, at risk of decline but not nursing home level.

Income Limits ~$2,500/month individual, varies

Asset Limits $15,000 individual

Cost-sharing required above certain income; urban/rural balance.

Benefits

In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Who is the owner of Highlands Living Center?

Highlands Living Center is legally operated by Highlands Living Center, Inc (Not for Profit).

Is Highlands Living Center in a walkable area?

Highlands Living Center has a walk score of 64. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Highlands Living Center?

According to NY state health department records, Highlands Living Center's license number is 2763300N.

What is the occupancy rate at Highlands Living Center?

Highlands Living Center's occupancy is 95%.

Does Highlands Living Center have different floorplan options?

Yes — see the floorplan options available at Highlands Living Center on this page.

Are pets allowed at Highlands Living Center?

No, Highlands Living Center has a no-pet policy.

Does Highlands Living Center operate as a for-profit or non-profit?

Highlands Living Center is registered as a non-profit in NY.

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Highlands Living Center

Overview of Highlands Living Center

Quality ratings

Community insights.

About this community

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Contact Highlands Living Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Citations Citations are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

CMS Health Inspection History

Inspections Since 2021 · 5 years of data

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Infection Prevention & Vaccination

Lawsuit overview for Highlands Living Center

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

67 Certified Nursing Assistant

38 Licensed Practical Nurse

15 Registered Nurse

5 Mental Health Service Worker

4 RN Director of Nursing

6 Dietitian

5 Respiratory Therapy Technician

2 Other Dietary Services Staff

7 Physical Therapy Assistant

1 Physical Therapy Aide

3 Clinical Nurse Specialist

3 Qualified Social Worker

2 Nurse Practitioner

1 Administrator

1 Medical Director

1 Speech Language Pathologist

1 Occupational Therapy Aide

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Family Member Group

Nurse Aide Training

CCRC

Active Family Council

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

Living Spaces & Floor Plans for Highlands Living Center

1 Bedroom

1 Bedroom

1 Bedroom

1 Bedroom

1 Bedroom

1 Bedroom

1 Bedroom

2 bedroom

Financial Assistance for
Assisted Living in New York