Wellsville, NY

Highland Park Rehabilitation And Nursing Center

5-star overall rating with 5-star inspections with $4,938 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

160 Seneca St, Wellsville, NY

(585) 593-3750

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

80

Certified beds

Average residents

78

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Upstate Services Group

Operator or chain grouping

Approved since

1967-02-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.56

Registered nurse staffing

LPN hours / resident day

0.92

Licensed practical nurse staffing

Aide hours / resident day

1.99

Nurse aide staffing

Weekend hours

2.67

Weekend nurse staffing

RN turnover

43%

Annual RN turnover

Total nurse turnover

55%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
1.7
0.4 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.1
1.3
0.8 pts worse
1.8
0.3 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.2%
91.2%
6 pts better
93.4%
3.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.5%
95.3%
3.2 pts better
95.5%
3 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.8%
3.0%
0.2 pts better
3.3%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 33.3%
18.5%
14.8 pts worse
11.4%
21.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.6%
6.1%
0.5 pts worse
5.4%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.6%
13.5%
1.9 pts better
19.6%
8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 15.5%
14.8%
0.7 pts worse
16.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 7.2%
15.1%
7.9 pts better
16.3%
9.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 3.8%
15.5%
11.7 pts better
14.9%
11.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
0.6%
0.3 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.6%
1.4%
0.2 pts worse
1.7%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.0%
20.8%
1.2 pts worse
19.8%
2.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.3%
6.9%
1.6 pts better
5.1%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.1%
76.7%
16.4 pts better
81.7%
11.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 20.5%
9.7%
10.8 pts worse
12.0%
8.5 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.1%
1.2%
0.1 pts better
1.6%
0.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92.4%
78.8%
13.6 pts better
79.7%
12.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.0%
20.6%
2.6 pts better
23.9%
5.9 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-04-26 · Fire 2024-04-26

3 health deficiencies

Top issue: Administration (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-04-01 · Fire 2022-04-01

3 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2019-06-21 · Fire 2019-06-21

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

2 fire-safety deficiencies

Top issue: Electrical (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-04-26

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-06-12

E · Potential for more than minimal harm 2024-04-26

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-07-11

E · Potential for more than minimal harm 2024-04-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-07-11

D · Potential for more than minimal harm 2024-04-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-06-12

D · Potential for more than minimal harm 2022-04-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-05-23

D · Potential for more than minimal harm 2022-04-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-05-23

E · Potential for more than minimal harm 2019-06-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-06

E · Potential for more than minimal harm 2019-06-21

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2019-08-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-04-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-04-26

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-06-12

C · Minimal harm 2024-04-26

F836 · Administration Deficiencies

Health

Ensure 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.

Corrected 2024-06-12

D · Potential for more than minimal harm 2022-04-01

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-05-23

B · Minimal harm 2022-04-01

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-05-23

B · Minimal harm 2022-04-01

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-05-23

D · Potential for more than minimal harm 2019-06-21

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2019-08-06

D · Potential for more than minimal harm 2019-06-21

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-08-06

Penalties and ownership

What sits behind the stars

$1,764 2023-08-07

Fine

Fine · fine $1,764

Fine

$3,174 2023-07-17

Fine

Fine · fine $3,174

Fine

Ownership

Koenig, Uri

5% Or Greater Direct Ownership Interest · Individual

60% 17 facilities 2010-12-22
Steif, Efraim

5% Or Greater Direct Ownership Interest · Individual

40% 17 facilities 2010-12-22
Augenstein, Jack

Corporate Officer · Individual

0% 7 facilities 2016-04-19
Steif, Efraim

Operational/Managerial Control · Individual

0% 17 facilities 2017-08-15
Wuertzer, Amy

Corporate Officer · Individual

0% 17 facilities 2017-09-14

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Staffing
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Fines
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