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 4 hours and 9 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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Standout metric: LPN / LVN is +75% above New York average
3 of 6 metrics below New York average
Daily care time per resident, by role
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
US average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
96.8% of staff hours were worked by the facility's own employees
New York average: 87.9% · Contractors this quarter: Certified Nursing Assistant (10), Licensed Practical Nurse (4)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
76% of staff were vaccinated against the flu
Why it matters: staff move from resident to resident all day. When most of them are vaccinated, the flu is less likely to reach the people it is most dangerous for. Source: state health department data.
Community insights.
Medium-capacity home · Offers a balance of services and community atmosphere.
Based on 114 residents and 120 beds. Source: state licensing agency resident count
About This Community
Highlands Living Center is legally operated by Highlands Living Center, Inc (Not for Profit).
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.
Inspection History
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
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.
This facility has 1 enforcement action. 33% of New York nursing homes have zero, and the statewide average is 1.6.
- 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.
• Total citations (5% above)
• Citations per inspection (70% above)
• Inspection citation rate (11% above) 2 Better Metrics better than New York average:
• Inspections with citations (25% below)
• Total complaints (6% below)
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
| 23 | 22.0 | This facility has 5% more total citations than a typical New York nursing home (23 vs. NY avg 22).↑ 5% worse |
|
Health citations
| 19 | — | — |
|
Life safety citations
| 4 | — | — |
|
Citations per inspection
| 4.6 | 2.7 | This facility has 70% more citations per inspection than a typical New York nursing home (4.6 vs. NY avg 2.7).↑ 70% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
| 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
| 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
| 60% | 54% | This facility has 6 percentage points higher inspection citation rate than a typical New York nursing home (60% vs. NY avg 54%).↑ 6% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
| 85 | 90.0 | This facility has 6% fewer total complaints than a typical New York nursing home (85 vs. NY avg 90).↓ 6% better |
|
Complaints per bed
| 0.73 | — | — |
|
Complaint investigations
| 15 | 15.0 | This facility has complaint investigations in line with the New York average (15 vs. NY avg 15).— At avg |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Citation severity
Latest inspection: May 28, 2026 · 2 citations, 0 corrected
Most cited category: Quality of Life & Care, 4 of 19 citations · 9 categories in total
Citations history
Most recent firstTop deficiency categories
Share of 19 citationsHow citations are counted
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.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Lawsuit overview for Highlands Living Center
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the New York average.
13 long-stay measures: 2 better, 9 worse, 2 near NY average
8 short-stay measures: 1 better, 4 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Highlands Living Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 454 New York nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Losing money on care, and more than last year
−36.4% operating margin
−15.7 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($1.4M) trims the net loss to −$3.0M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most New York homes
88.9% payroll share of revenue
NY average 56.1%Rank #18 / 452Payroll % of net patient revenue — State benchmarked This nursing home is ranked 18th out of 452 nursing homes we track in New York for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the New York average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.2M while revenue fell $1.0M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with New York homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | NY median | Compared with NY homesRank in NY | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $12.3M | −$1.0M | Trend 20172024 | NY median $23.7M | Rank in NY Rank #378 / 454Net patient revenue — State benchmarked This nursing home is ranked 378th out of 454 nursing homes we track in New York for net patient revenue. Shows this facility's net patient revenue compared to the New York average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 17% of homes | Below NY median Higher net patient revenue than 17% of NY homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $16.8M | +$0.7M | Trend 20172024 | NY median — | Rank in NY Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$4.5M | −$1.7M | Trend 20172024 | NY median — | Rank in NY Not ranked | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −36.4% | −15.7 pts | Trend 20172024 | NY median — | Rank in NY Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $1.4M | — | Trend — | NY median — | Rank in NY Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$3.0M | −$2.2M | Trend — | NY median — | Rank in NY Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends more of revenue on staff than most New York homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | NY median | Compared with NY homesRank in NY | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $10.9M | +$0.2M | Trend 20172024 | NY median $12.4M | Rank in NY Rank #254 / 454Payroll costs — State benchmarked This nursing home is ranked 254th out of 454 nursing homes we track in New York for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New York average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 44% of homes | Below NY median Higher payroll than 44% of NY homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 88.9% | +8.6 pts | Trend 20172024 | NY median 52.6% | Rank in NY Rank #18 / 452Payroll % of net patient revenue — State benchmarked This nursing home is ranked 18th out of 452 nursing homes we track in New York for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the New York average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 96% of homes | 32.8 pts over NY average The NY average is 56.1% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · NY benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the New York payroll average.
% of net patient revenue
Payroll share Operating margin NY payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $13.1M | $13.3M | $13.1M | $12.2M | $11.1M | $12.2M | $13.3M | $12.3M |
| Operating expenses | $13.4M | $13.4M | $14.6M | $14.5M | $14.7M | $15.6M | $16.1M | $16.8M |
| Net patient income | −$0.3M | −$0.1M | −$1.5M | −$2.3M | −$3.6M | −$3.3M | −$2.8M | −$4.5M |
| Operating margin | −2.7% | −0.9% | −11.4% | −18.7% | −32.2% | −27.4% | −20.7% | −36.4% |
| Net income | −$0.3M | −$0.1M | −$1.1M | $0.7M | $6.1M | −$1.3M | −$0.8M | −$3.0M |
| Payroll costs | $9.1M | $8.7M | $9.8M | $9.1M | $9.1M | $10.9M | $10.7M | $10.9M |
| Payroll share of revenue | 69.4% | 65.4% | 75.0% | 74.5% | 81.7% | 89.0% | 80.3% | 88.9% |
| Beds | 122 | 122 | 122 | 122 | 122 | 122 | 122 | 122 |
| Gross revenue | $21.0M | $21.2M | $20.6M | $20.9M | $19.5M | $21.0M | $22.8M | $24.4M |
| Salaries | $7.1M | $7.1M | $7.4M | $7.6M | $7.4M | $8.3M | $8.7M | $8.6M |
| Wage-related costs | $1.9M | $1.6M | $2.4M | $1.5M | $1.7M | $2.5M | $2.1M | $2.4M |
| Contract labor | $0.2M | $0.7M | $0.8M | $0.7M | $1.0M | $0.4M | $0.8M | $1.2M |
| Other operating costs | $4.3M | $4.7M | $4.8M | $5.4M | $5.6M | $4.7M | $5.4M | $5.8M |
| Net patient revenue per day | $305 | $310 | $312 | $298 | $301 | $315 | $333 | $299 |
| Cost per day | $313 | $313 | $347 | $354 | $398 | $401 | $402 | $408 |
| Average length of stay | 158.7 days | 168.4 days | 168.6 days | 224.2 days | 278.5 days | 204.2 days | 201.3 days | 193.8 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Living Spaces & Floor Plans for Highlands Living Center
Places of interest near Highlands Living Center
0.0 miles from city center
Estimated distance in miles from Pittsford's city center to Highlands Living Center's address, calculated via Google Maps.
Calculate Travel Distance to 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.
Frequently Asked Questions about Highlands Living Center
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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