Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Highlands Living Center

Pittsford, NY · 122 certified beds · Last Life Safety survey February 19, 2025

CMS Certification Number 335786 · first certified July 1995

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within NY

14 citations — more than 52% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: August 2026 to April 2027. This facility’s last Life Safety survey was February 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

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Emergency preparedness

2 of the 14 citations on file are 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)

4 physical-environment citations 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 14 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	14
Median facility in NY	13
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
September 2, 2021	5
June 9, 2023	6
February 19, 2025	3

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0311	Have an enclosure around a vertical opening shaft.	2	2025-02-19
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	1	2021-09-02
K-0324	Provide properly protected cooking facilities.	1	2023-06-09
K-0923	Have proper medical gas storage and administration areas.	1	2025-02-19
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	1	2023-06-09
K-0531	Have elevators that firefighters can control in the event of a fire.	1	2023-06-09
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	1	2023-06-09
E-0029	Develop a communication plan.	1	2025-02-19

What the citations cover

Citations by CMS category

Smoke Deficiencies 6
Gas, Vacuum, and Electrical Systems Deficiencies 4
Emergency Preparedness Deficiencies 2
Services Deficiencies 1
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	6
Gas, Vacuum, and Electrical Systems Deficiencies	4
Emergency Preparedness Deficiencies	2
Services Deficiencies	1
Miscellaneous Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 19, 2025 — 3 citations

Citations issued on February 19, 2025
Tag	What the surveyor checks	Status
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (March 31, 2025)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (March 31, 2025)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (March 31, 2025)

June 9, 2023 — 6 citations

Citations issued on June 9, 2023
Tag	What the surveyor checks	Status
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (August 1, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 1, 2023)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (August 1, 2023)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (August 1, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 1, 2023)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (August 1, 2023)

September 2, 2021 — 5 citations

Citations issued on September 2, 2021
Tag	What the surveyor checks	Status
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (November 13, 2021)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 13, 2021)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 13, 2021)
K-0754	Provide properly sized and located linen or trash receptacles.	Deficient, Provider has date of correction (November 13, 2021)
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	Deficient, Provider has date of correction (November 13, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.