B
79/100

The Highlands at Brighton Inspection Report, Violations & Safety Grade (Rochester, New York)

5901 Lac De Ville Boulevard, Rochester, New York 14618

Phone: 5854427960

CMS Overall:3/5

Overview & Bed Count

Certified Beds
145
Avg Residents/Day
135.8
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Monroe
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.620.73-0.11
Total Nurse Hours per Resident per Day5.223.69+1.53
CMS Staffing Rating4/52.9/5-
Nursing Staff Turnover45.9%40.3%-

Health Citation History

25 health citations on record

DateCategoryDescriptionSeverity
2026-05-07Freedom 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
2026-05-07Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-08-13Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E – Moderate Harm Potential
2025-08-13Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2025-08-13Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-08-13Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-08-13Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-08-13Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2025-08-13Nursing and Physician Services DeficienciesPost nurse staffing information every day.B – Minimal Harm Potential
2023-10-04Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2023-10-04Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.D – Moderate Harm Potential
2023-10-04Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2023-10-04Resident 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
2023-10-04Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-10-04Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2023-10-04Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-10-04Nursing and Physician Services DeficienciesPost nurse staffing information every day.B – Minimal Harm Potential
2021-12-06Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2021-12-06Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2021-12-06Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2021-12-06Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2021-12-06Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2021-12-06Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2021-12-06Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.B – Minimal Harm Potential
2021-12-06Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.B – Minimal Harm Potential

Fire Safety Citation History

9 fire safety citations on record

DateCategoryDescriptionSeverity
2025-08-13Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2025-08-13Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2025-08-13Gas, Vacuum, and Electrical Systems DeficienciesEnsure gas and vacuum piping is labeled.E – Moderate Harm Potential
2023-10-04Services DeficienciesHave elevators that firefighters can control in the event of a fire.F – Moderate Harm Potential
2023-10-04Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2023-10-04Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2023-10-04Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.E – Moderate Harm Potential
2023-10-04Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2021-12-06Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.E – 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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