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Highlands Living Center Inspection Report, Violations & Safety Grade (Pittsford, New York)

500 Hahnemann Trail, Pittsford, New York 14534

Phone: 5853831700

CMS Overall:2/5

Overview & Bed Count

Certified Beds
122
Avg Residents/Day
115.1
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Monroe
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing2/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.440.73-0.28
Total Nurse Hours per Resident per Day3.843.69+0.16
CMS Staffing Rating2/52.9/5-
Nursing Staff Turnover65.3%40.3%-

Health Citation History

19 health citations on record

DateCategoryDescriptionSeverity
2026-05-28Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2026-05-28Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-02-19Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.E – Moderate Harm Potential
2025-02-19Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.E – Moderate Harm Potential
2025-02-19Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2025-02-19Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-02-19Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-02-19Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2025-02-19Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2025-02-19Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-06-09Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.E – Moderate Harm Potential
2023-06-09Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-06-09Administration DeficienciesEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.E – Moderate Harm Potential
2023-06-09Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2023-06-09Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2023-06-09Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.D – Moderate Harm Potential
2021-09-02Infection Control DeficienciesReport COVID19 data to residents and families.E – Moderate Harm Potential
2021-09-02Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2021-09-02Nursing and Physician Services DeficienciesPost nurse staffing information every day.B – Minimal Harm Potential

Fire Safety Citation History

14 fire safety citations on record

DateCategoryDescriptionSeverity
2025-02-19Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2025-02-19Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2025-02-19Emergency Preparedness DeficienciesDevelop a communication plan.C – Minimal Harm Potential
2023-06-09Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2023-06-09Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2023-06-09Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2023-06-09Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.E – Moderate Harm Potential
2023-06-09Services DeficienciesHave elevators that firefighters can control in the event of a fire.D – Moderate Harm Potential
2023-06-09Emergency Preparedness DeficienciesEstablish staff and initial training requirements.C – Minimal Harm Potential
2021-09-02Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2021-09-02Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2021-09-02Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2021-09-02Miscellaneous DeficienciesProvide properly sized and located linen or trash receptacles.E – Moderate Harm Potential
2021-09-02Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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