Highland Park Rehabilitation and Nursing Center
160 Seneca St., Wellsville, NY 14895 · Allegany County · (585) 593-3750
80 certified beds, about 76 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1967
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335210 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 26, 2024, inspectors cited 3 health deficiencies (the New York average is 8.1, the national average 9.2).
None of its 8 health citations since June 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.61 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
44.8% of nursing staff left within the year CMS measured (New York average 40.3%).
CMS links it to Upstate Services Group, an affiliated group of 17 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
206/19
304/22
304/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
0E
0F
Potential for minimal harm
0A
2B
1C
April 26, 2024Standard inspection, Complaint inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed 4/26/24, the facility did not ensure that residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for two (Resident #5 and #39) of two reviewed for skin conditions. Specifically, there was the lack of an assessment and treatment initiation for a newly developed and reported skin ulceration (#39) and the lack of follow up on the wound consultant recommendations (#5).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review conducted during a Complaint investigation (Complaint #NY00315852) completed during the Standard survey on 4/26/24, the facility did not ensure that each resident's drug regimen was free from unnecessary drugs. An unnecessary drug is any drug used without adequate monitoring; or in the presence of adverse consequences which indicate the dose should be reduced or discontinued. Specifically, for one (Resident #130) of six residents reviewed there was a lack adequate monitoring of a PT-INR (Prothrombin Time/International Normalized Ratio- a blood test to measure how long it takes for blood to form a clot) for a resident on anticoagulant therapy (medication that causes thinning of the blood) resulting in adverse consequences. The finding is: [...]
- C 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.
Inspectors wroteBased on observation, interview, and record review during the Standard survey completed on 4/26/24, the facility did not operate and provide services in compliance with all applicable Federal, State, and local laws, regulations, and codes. Specifically, the facility was not in compliance with Section 915 of the 2020 Fire Code of New York State, which requires carbon monoxide detection in all rooms and sleeping areas with fuel-burning appliances, and on-going preventative maintenance of carbon monoxide detectors. This affected two (Unit A and Unit B) of two resident units.
April 1, 2022Standard inspection · 3 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review conducted during a Standard survey started on 3/28/22 and completed on 4/1/22, the facility did not ensure that each resident who was unable to carry out Activities of Daily Living (ADL's) received the necessary services to maintain grooming and personal hygiene. Specifically, one (Resident #35) of two residents reviewed for ADL's had long jagged and dirty fingernails on both hands. The finding is: A facility policy and procedure (P&P) titled Care of Fingernails/Toenails last review date 10/1/21 documented the facility is to maintain the resident's nail bed clean, to keep nails trimmed and to prevent infection. The documented purpose was to maintain resident's dignity, prevent injury and to prevent infection. Nail care includes daily cleaning and regular trimming of the nails. [...]
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review conducted during the Standard survey started on 3/28/22 and completed on 4/1/22 the facility did not ensure that the resident's representative and the Office of the State Long Term Care Ombudsman was notified of the transfer/discharge of each resident. Specifically, one (Resident #51) of one resident reviewed for hospitalization was transferred and discharged to the hospital on 3/28/22 and the facility did not contact resident's representative and send a copy of the discharge notice to the Office of the State Long Term Care (LTC) Ombudsman.
- B Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey started on 3/28/22 and completed on 4/1/22 the facility did not post on a daily basis the following information: facility name, current date, total number, and the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift and resident census in a prominent place readily accessible to residents and visitors. The finding is: Review of the facility policy and procedure titled Daily Staffing Sheets dated 11/21/17 documented it is the policy of the facility to determine the appropriate staffing on a unit based on the census, acuity, shift and needs of the residents. [...]
June 21, 2019Standard inspection · 2 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on interview and record review conducted during the Standard survey completed on 6/21/19, the facility did not ensure the resident's right to choose activities, schedules (including sleeping and waking times), and health care and providers of health care services consistent with his or her interests, assessments, and plan of care; and make choices about aspects of his or her life in the facility that are significant to the resident. One (Resident #53) of one resident reviewed for choices had an issue involving the revocation of smoking privileges without evidence of unsafe smoking. The finding is: A facility policy titled Resident Safe Smoking with review date of 4/2019 revealed: This facility promotes a smoke-free environment. Grandfathered residents (admitted prior to 10/4/13) who continue to smoke are required to abide by all safety regulations of this facility; [...]
- D 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.
Inspectors wroteBased on observation, interview and record review conducted during the Standard survey completed on 6/21/19, the facility did not ensure that residents who have not used psychotropic drugs are not given these drugs unless the medication is necessary to treat a specific condition as diagnosed and documented in the clinical record and residents who use psychotropic drugs receive gradual dose reductions (GDR) and behavioral interventions, unless clinically contraindicated, in an effort, to discontinue these drugs for two (Resident #12, 37) of five residents reviewed for psychotropic medications. Specifically, Resident #12 had an issue that involved a physician's order for a GDR of Seroquel (antipsychotic medication) from 25 milligrams (mg) to 12.5 mg daily at bedtime was not implemented and; [...]
Fire safety inspections
8 fire safety citations on file: 4 on April 26, 2024, 2 on April 1, 2022, 2 on June 21, 2019.
Every fire safety citation8 citations
- E Install proper backup exit lighting.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New York | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.61 | 3.63 | 3.86 |
| Registered nurses | 0.59 | 0.71 | 0.69 |
| All nursing staff on weekends | 2.82 | 3.18 | 3.42 |
| Nurse aides | 2.11 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 44.8% | 40.3% | 45.8% |
| Registered nurse turnover | 46.7% | 39.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.93 on weekdays and 2.82 on weekends, 28% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.60 in April to June 2025 to 3.61 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.61 | 0.59 | 3.93 | 2.82 | 0.0% | 0 of 90 | 76 |
| Oct to Dec 2025 | 3.46 | 0.54 | 3.75 | 2.74 | 0.0% | 0 of 92 | 77 |
| Jul to Sep 2025 | 3.46 | 0.56 | 3.77 | 2.67 | 0.0% | 0 of 92 | 78 |
| Apr to Jun 2025 | 3.60 | 0.52 | 3.87 | 2.91 | 0.0% | 0 of 91 | 76 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New York, Jan to Mar 2026 | 3.55 | 0.68 | 3.72 | 3.13 | 9.8% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for New York
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New York, all employers | |||
| CNAs (nursing assistants) | $23.36 | $21.04 to $24.99 | 87,990 |
| LPNs and LVNs | $32.30 | $29.52 to $37.00 | 39,400 |
| Registered nurses | $52.62 | $45.60 to $62.34 | 205,810 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New York | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.9 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.2 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.6 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.5 | 13.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.3 | 20.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.3 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.4 | 1.8 |
Owners and operators
Legal business name: HRNC LLC. CMS links this home to Upstate Services Group, a group of 17 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Koenig, Uri | 5% or greater direct ownership interest | Individual | 60% | 12/22/2010 |
| Steif, Efraim | 5% or greater direct ownership interest | Individual | 40% | 12/22/2010 |
| Camerota, David | Direct ownership interest | Individual | 12/22/2010 | |
| Augenstein, Jack | Corporate officer | Individual | 04/19/2016 | |
| Wuertzer, Amy | Corporate officer | Individual | 09/14/2017 | |
| Steif, Efraim | Operational/managerial control | Individual | 08/15/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 26, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 26, 2024: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 1, 2022: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on April 26, 2024: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.82 hours per resident per day, below the New York average of 3.18.
Other nursing homes nearby
- Wellsville Manor Care Center Wellsville, 0.4 mi · 5 of 5 stars · 11 citations
- Cuba Memorial Hospital Inc SNF Cuba, 17.8 mi · 1 of 5 stars · 18 citations
- Maple City Rehabilitation and Nursing Center Hornell, 20.3 mi · 1 of 5 stars · 26 citations
- Elderwood at Hornell Hornell, 21.7 mi · 2 of 5 stars · 11 citations
- Houghton Rehabilitation & Nursing Center Houghton, 23.4 mi · 2 of 5 stars · 21 citations
- Sweden Valley Manor Coudersport, 24.4 mi · 2 of 5 stars · 40 citations
New York contacts for a concern about a nursing home
These are the official offices in New York. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: New York State Department of Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: NYS Health Profiles: Nursing Homes, where New York publishes its own records on licensed homes.
Common questions
- What is Highland Park Rehabilitation and Nursing Center's Medicare star rating?
- CMS rates Highland Park Rehabilitation and Nursing Center 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Highland Park Rehabilitation and Nursing Center get at its last inspection?
- 3 health deficiencies at the standard inspection on April 26, 2024. The New York average is 8.1.
- Has Highland Park Rehabilitation and Nursing Center been fined?
- CMS lists no fines in the last three years.
- Does Highland Park Rehabilitation and Nursing Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Highland Park Rehabilitation and Nursing Center?
- CMS lists 6 owners and managers, and links the home to Upstate Services Group. Legal business name: HRNC LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.