Skilled nursing facility · CMS certification number 335786
Highlands Living Center
Pittsford, New York · Medicare and Medicaid · 122 certified beds in Care Compare
Download Highlands Living Center’s record (CSV, each figure with its worksheet, line and column)
Highlands Living Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 29, 2025.
- Net patient revenue fell from $13.3M in fiscal year 2023 to $12.3M in fiscal year 2024.
- Its result from service to patients: −$3.3M (2022), −$2.8M (2023), −$4.5M (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $12.3M ranks 424th of the 539 nursing facilities in New York whose latest cost report on file is fiscal year 2024.
- 4 of the 5 nursing facilities in New York closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
Highlands Living Center: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year.
| Form CMS-2540-10 | 2024 · report 1437511 | 2023 · report 1390349 | 2022 · report 1355900 | 2021 · report 1329081 | 2020 · report 1300709 | 2019 · report 1266643 | 2018 · report 1238220 | 2017 · report 1211127 | 2016 · report 1174334 | 2015 · report 1126074 | 2014 · report 1100893 | 2013 · report 1074615 | 2012 · report 1046239 | 2011 · report 1012604 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled with audit | settled | settled |
| Processed by CMS | August 29, 2025 | July 25, 2024 | June 30, 2023 | August 5, 2022 | September 21, 2021 | September 9, 2020 | July 25, 2019 | August 30, 2018 | August 21, 2017 | June 6, 2016 | June 30, 2015 | July 31, 2014 | August 14, 2013 | September 27, 2012 |
| Total patient revenue | $24,363,859 | $22,842,927 | $20,985,345 | $19,467,730 | $20,893,838 | $20,637,314 | $21,155,172 | $20,974,158 | — | — | — | $18,620,627 | $18,211,487 | $16,523,453 |
| Contractual allowances and discounts | $12,060,000 | $9,496,701 | $8,759,261 | $8,318,887 | $8,676,541 | $7,498,428 | $7,874,937 | $7,911,568 | — | — | — | $7,236,556 | $7,118,867 | $4,646,126 |
| Net patient revenue | $12,303,859 | $13,346,226 | $12,226,084 | $11,148,843 | $12,217,297 | $13,138,886 | $13,280,235 | $13,062,590 | — | — | — | $11,384,071 | $11,092,620 | $11,877,327 |
| Total operating expenses | $16,784,512 | $16,113,377 | $15,574,985 | $14,741,763 | $14,506,520 | $14,634,126 | $13,394,316 | $13,411,732 | — | — | — | $10,954,476 | $12,206,239 | $12,677,745 |
| Net income from service to patients | −$4,480,653 | −$2,767,151 | −$3,348,901 | −$3,592,920 | −$2,289,223 | −$1,495,240 | −$114,081 | −$349,142 | — | — | — | $429,595 | −$1,113,619 | −$800,418 |
| Total other income | $1,431,756 | $1,960,218 | $2,085,178 | $9,703,869 | $3,023,137 | $24,723 | $46,696 | $56,859 | — | — | — | $17,242 | $92,400 | $93,371 |
| Net income after other income | −$3,048,897 | −$806,933 | −$1,263,723 | $6,110,949 | $733,914 | −$1,470,517 | −$67,385 | −$292,283 | — | — | — | $446,837 | −$1,021,219 | −$707,047 |
| Net income | −$3,048,897 | −$806,933 | −$1,263,723 | $6,110,949 | $733,914 | −$1,067,567 | −$67,385 | −$292,283 | — | — | — | $478,158 | −$1,021,219 | −$707,047 |
| Total facility beds, all components | 122 | 122 | 122 | 122 | 122 | 122 | 122 | 122 | — | — | — | 122 | 122 | 122 |
| Bed days available, all components | 44,652 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,085 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 28,614 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 11,392 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 41,091 | 40,059 | 38,802 | 37,044 | 41,031 | 42,139 | 42,781 | 42,855 | — | — | — | 42,687 | 42,917 | 42,418 |
| Medicare discharges | 23 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 40 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 149 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 212 | 199 | 190 | 133 | 183 | 250 | 254 | 270 | — | — | — | 243 | 238 | 290 |
| Average length of stay, Medicare, in days | 47.17 | 37.36 | 46.03 | 51.77 | 42.68 | 39.63 | 35.52 | 32.21 | — | — | — | 25.6 | 37.22 | 26.11 |
| Average length of stay, Medicaid, in days | 715.35 | 1,086.08 | 843.28 | 1,480.47 | 732.16 | 5,379.6 | 2,292.83 | 3,557.5 | — | — | — | 774.4 | 1,002.39 | 613.67 |
| Average length of stay, all patients, in days | 193.83 | 201.3 | 204.22 | 278.53 | 224.21 | 168.56 | 168.43 | 158.72 | — | — | — | 175.67 | 180.32 | 146.27 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
None of these figures is carried on the report for fiscal years 2016, 2015, 2014.
Form CMS-2540-96: each report covers January 1 to December 31 of its year.
| Form CMS-2540-96 | 2010 · report 414791 | 2009 · report 386063 | 2008 · report 354946 | 2007 · report 329125 | 2006 · report 311019 | 2005 · report 277383 | 2004 · report 236730 | 2003 · report 212487 | 2002 · report 169681 | 2001 · report 125381 | 2000 · report 113643 | 1999 · report 39380 | 1998 · report 39378 | 1997 · report 39375 | 1996 · report 39374 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | reopened | settled |
| Processed by CMS | August 8, 2011 | August 23, 2010 | August 18, 2009 | December 1, 2008 | June 3, 2008 | May 1, 2007 | November 14, 2005 | March 28, 2005 | February 27, 2004 | February 13, 2003 | February 11, 2003 | March 22, 2001 | April 24, 2000 | April 24, 2000 | September 11, 1998 |
| Net patient revenue | $11,475,348 | $11,421,423 | $11,254,126 | $10,562,704 | $10,489,559 | $10,255,438 | $10,072,403 | $9,424,106 | $9,763,964 | $9,592,603 | $9,303,854 | $9,153,944 | $9,245,712 | $8,659,444 | $8,051,341 |
| Total operating expenses | $11,476,619 | $11,151,997 | $11,615,093 | $10,958,956 | $10,355,425 | $10,805,807 | $10,386,547 | $9,877,838 | $10,178,235 | $9,587,086 | $9,245,274 | $9,212,411 | $9,000,421 | $8,459,358 | $8,417,926 |
| Net income from service to patients | −$1,271 | $269,426 | −$360,967 | −$396,252 | $134,134 | −$550,369 | −$314,144 | −$453,732 | −$414,271 | $5,517 | $58,580 | −$58,467 | $245,291 | $200,086 | −$366,585 |
| Total other income | $87,850 | $184,227 | $169,861 | $328,849 | $173,141 | $295,824 | $103,068 | $83,103 | $165,762 | — | $151,754 | $83,458 | $87,278 | $74,802 | $123,046 |
| Total other expenses | — | $86,459 | — | — | — | — | — | $2,559 | — | — | $3,867 | $34 | — | — | — |
| Net income | $86,579 | $367,194 | −$191,106 | −$67,403 | $307,275 | −$254,545 | −$211,076 | −$373,188 | −$248,509 | $5,517 | $206,467 | $24,957 | $332,569 | $274,888 | −$243,539 |
| Total facility beds, all components | 122 | 122 | 122 | 122 | 122 | 122 | 122 | 122 | 122 | 122 | 122 | 122 | 122 | 122 | 122 |
| Total patient days, all components | 42,584 | 42,620 | 42,706 | 42,219 | 42,209 | 42,305 | 42,526 | 42,717 | 42,572 | 43,091 | 42,970 | 43,155 | 43,602 | 43,525 | 43,298 |
| Total discharges, all components | 275 | 242 | 247 | 291 | 365 | 234 | 281 | 223 | 242 | 206 | 199 | 156 | 159 | 160 | 149 |
| Average length of stay, Medicare, in days | 32.81 | 124.56 | 28.1 | 32.98 | 28.62 | 32.77 | 36.76 | 38.47 | 40.09 | 44.91 | 50.32 | 42.16 | 43.57 | 45.34 | 62.24 |
| Average length of stay, Medicaid, in days | 782.53 | 440.66 | 828.5 | 944.71 | 552.15 | 563.88 | 658.14 | 1,841.77 | 857 | 1,051.2 | 774.21 | 1,392.38 | 991.39 | 1,182.87 | 401.24 |
| Average length of stay, all patients, in days | 154.85 | 176.12 | 172.9 | 145.08 | 115.64 | 180.79 | 151.34 | 191.56 | 175.92 | 209.18 | 215.93 | 276.63 | 274.23 | 272.03 | 290.59 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
Highlands Living Center: nurse staffing hours by quarter →
Who owns Highlands Living Center, as filed with CMS
Care Compare
- ADP OF THE SNF: BUSARI, SAMUEL (individual), since 03/04/2025; NICHOLAS, NIRMALA (individual), since 03/04/2025; STRONG PARTNERS HEALTHSYSTEM, INC (organization), since 03/04/2025; YALE, ELIZABETH (individual), since 12/23/2024
- CORPORATE OFFICER: BUSARI, SAMUEL (individual), since 07/14/2021; GARRETT, ELIZABETH (individual), since 01/01/2011; HALL, WILLIAM (individual), since 01/01/2011; LATELLA, ROBERT (individual), since 01/01/2011; MAGEE, ROBBIE (individual), since 01/01/2011; MCCANN, ROBERT (individual), since 10/01/2012; RIORDAN, MICHAEL (individual), since 01/01/2011; VANSTRYDONCK, GERALD (individual), since 01/01/2011; YALE, ELIZABETH (individual), since 07/31/2023
- OPERATIONAL/MANAGERIAL CONTROL: BUSARI, SAMUEL (individual), since 07/14/2021; NICHOLAS, NIRMALA (individual), since 07/07/2003; STRONG PARTNERS HEALTHSYSTEM, INC (organization), since 03/16/1995
- TRUSTEE OF THE SNF: STRONG PARTNERS HEALTHSYSTEM, INC (organization), since 03/16/1995
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of THE HIGHLANDS LIVING CENTER INC (enrollment ID O20040823000594).
- ADP OF THE SNF: ELIZABETH YALE (individual), since 12/23/2024; NIRMALA C A NICHOLAS (individual), since 03/04/2025; SAMUEL BUSARI (individual), since 03/04/2025; STRONG PARTNERS HEALTHSYSTEM, INC (organization), since 03/04/2025
- CORPORATE OFFICER: ELIZABETH G GARRETT (individual), 0.00%, since 01/01/2011; ELIZABETH YALE (individual), since 07/31/2023; GERALD E VANSTRYDONCK (individual), 0.00%, since 01/01/2011; MICHAEL P RIORDAN (individual), 0.00%, since 01/01/2011; ROBBIE MAGEE (individual), 0.00%, since 01/01/2011; ROBERT M MCCANN (individual), 0.00%, since 10/01/2012; ROBERT N LATELLA (individual), 0.00%, since 01/01/2011; SAMUEL BUSARI (individual), 100.00%, since 07/14/2021; WILLIAM J HALL (individual), 0.00%, since 01/01/2011
- OPERATIONAL/MANAGERIAL CONTROL: NIRMALA C A NICHOLAS (individual), since 07/07/2003; SAMUEL BUSARI (individual), 100.00%, since 07/14/2021; STRONG PARTNERS HEALTHSYSTEM, INC (organization), since 03/16/1995
- TRUSTEE OF THE SNF: STRONG PARTNERS HEALTHSYSTEM, INC (organization), since 03/16/1995
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: Paused by CMS: ELIZABETH YALE; NIRMALA C A NICHOLAS; SAMUEL BUSARI; ELIZABETH G GARRETT; ELIZABETH YALE; GERALD E VANSTRYDONCK; MICHAEL P RIORDAN; ROBBIE MAGEE; ROBERT M MCCANN; ROBERT N LATELLA; SAMUEL BUSARI; WILLIAM J HALL; NIRMALA C A NICHOLAS; SAMUEL BUSARI.
Private equity company, real estate investment trust and holding company: No: STRONG PARTNERS HEALTHSYSTEM, INC; STRONG PARTNERS HEALTHSYSTEM, INC; STRONG PARTNERS HEALTHSYSTEM, INC.
Changes in ownership
- April 1, 2025, enrollment ownership file; no longer listed: SAMUEL BUSARI (W-2 MANAGING EMPLOYEE); JUDITH L SEIER (OPERATIONAL/MANAGERIAL CONTROL); JUDITH L SEIER (CORPORATE DIRECTOR); listed: STRONG PARTNERS HEALTHSYSTEM, INC (ADP OF THE SNF); SAMUEL BUSARI (ADP OF THE SNF); NIRMALA C A NICHOLAS (ADP OF THE SNF); first listed: ELIZABETH YALE (ADP OF THE SNF), associated since December 23, 2024; ELIZABETH YALE (CORPORATE OFFICER), associated since July 31, 2023; STRONG PARTNERS HEALTHSYSTEM, INC (TRUSTEE OF THE SNF), associated since March 16, 1995; STRONG PARTNERS HEALTHSYSTEM, INC (OPERATIONAL/MANAGERIAL CONTROL), associated since March 16, 1995; NIRMALA C A NICHOLAS (OPERATIONAL/MANAGERIAL CONTROL), associated since July 7, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- September 1, 2024, enrollment ownership file; no longer listed: JAMES C MOORE (OFFICER). Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Inspections of Highlands Living Center
- Cycle 1: health February 19, 2025 (10 deficiencies), fire safety February 19, 2025 (3)
- Cycle 2: health June 9, 2023 (6 deficiencies), fire safety June 9, 2023 (6)
- Cycle 3: health September 2, 2021 (3 deficiencies), fire safety September 2, 2021 (5)
Deficiencies cited at Highlands Living Center
19 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 2 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0609, freedom from abuse, neglect, and exploitation: May 28, 2026 (D, from a complaint, corrected July 27, 2026).
- F 0610, freedom from abuse, neglect, and exploitation: May 28, 2026 (D, from a complaint, corrected July 27, 2026); February 19, 2025 (E, corrected April 15, 2025).
- F 0656, resident assessment and care planning: February 19, 2025 (D, corrected April 15, 2025).
- F 0677, quality of life and care: February 19, 2025 (D, corrected April 15, 2025).
- F 0759, pharmacy service: February 19, 2025 (D, corrected April 15, 2025).
- F 0760, pharmacy service: February 19, 2025 (D, corrected April 15, 2025).
- F 0880, infection control: February 19, 2025 (D, corrected April 15, 2025); September 2, 2021 (D, corrected October 7, 2021).
- F 0919, environmental: February 19, 2025 (E, corrected April 15, 2025).
- F 0921, environmental: February 19, 2025 (E, corrected April 15, 2025).
- F 0692, quality of life and care: June 9, 2023 (E, corrected July 26, 2023).
- F 0695, quality of life and care: June 9, 2023 (D, corrected July 26, 2023).
- F 0791, quality of life and care: June 9, 2023 (D, corrected July 26, 2023).
- F 0812, nutrition and dietary: June 9, 2023 (E, corrected August 24, 2023).
- F 0836, administration: June 9, 2023 (E, corrected July 26, 2023).
- F 0842, resident assessment and care planning: June 9, 2023 (E, corrected July 26, 2023).
- F 0732, nursing and physician services: September 2, 2021 (B, corrected October 7, 2021).
- F 0885, infection control: September 2, 2021 (E, corrected October 7, 2021).
Highlands Living Center in Care Compare
- Ownership Type: Non profit - Corporation
- Legal Business Name: THE HIGHLANDS LIVING CENTER INC
- Date First Approved to Provide Medicare and Medicaid Services: 1995-07-10
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: Y
- Urban: Y
- County/Parish: Monroe
- Telephone Number: 5853831700
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Both
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 115.1
- Overall Rating: 2
- Health Inspection Rating: 2
- QM Rating: 2
- Long-Stay QM Rating: 3
- Short-Stay QM Rating: 2
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for Highlands Living Center: no penalty in Care Compare.
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Report a figure on Highlands Living Center’s record that differs from its CMS file, quoting 335786.