Heart Care That Changes Lives The Sands-Constellation Heart Institute is a network of heart care experts located throughout the Rochester area and Central and Western New York regions, working together to provide each and every patient with the latest and best possible cardiac care. We have a national reputation as a center of excellence in diagnosing, preventing, treating and managing heart disease and conditions. We were recognized by Healthgrades in 2019 as being among the top 5% in the country for heart services.