nursing home in Middletown, NY
Highland Rehabilitation and Nursing Center
120 Highland Avenue, Middletown, NY 10940 · (845) 342-1033
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Highland Rehabilitation and Nursing Center at a glance
Highland Rehabilitation and Nursing Center is a 98-bed for-profit nursing home in Middletown, New York (Orange County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the New York average of 3.
Residents receive about 3.4 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.6 hours.
Its most recent standard health inspection (July 3, 2025) found 20 health citations. The New York average is 8.
It has not received a federal fine in the past three years.
Nursing staff turnover is 53.7% per year (state average 40.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 98
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Personal Healthcare Management
- Medicare-certified since
- July 1, 1976
- Resident/family council
- Resident
- County
- Orange County
- CMS Certification Number
- 335526
Ratings
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.8 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.6 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.44 hrs | 3.63 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.56 hrs | 0.71 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.03 hrs | 2.15 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.78 hrs | 3.18 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.7% | 40.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 78.9% | 39.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 20 | 8 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 12 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 89 | 62.2 | 80.6 | Worse |
Penalties
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,070 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 98 | 188 | 107 | |
| Average residents per day | 90 | 168 | 86 | |
| Occupancy | 91.7% | 90.5% | 80.9% |
Long-stay residents
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.9% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.4% | 6.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 7.4% | 13.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.7% | 1.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.9% | 14.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 23.4% | 12.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 17.8% | 5.8% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.3% | 19.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 10.4% | 13.2% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 6.8% | 19.5% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 94% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 85.1% | 91.5% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.7% | 1.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 28.9% | 78.8% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 47.7% | 77.4% | 82% | Worse |
Inspection citations
State inspectors cited this home for 41 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 14, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected September 1, 2026 |
| July 14, 2026 Complaint | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Tag F0559 | D Potential harm, isolated | Corrected September 1, 2026 |
| July 14, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 1, 2026 |
| February 6, 2026 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 30, 2026 |
| February 6, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected March 30, 2026 |
| February 6, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 30, 2026 |
| July 3, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 27, 2025 |
| July 3, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected August 27, 2025 |
| July 3, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected August 27, 2025 |
| July 3, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected August 27, 2025 |
| July 3, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected August 27, 2025 |
| July 3, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected August 27, 2025 |
| July 3, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected August 27, 2025 |
| July 3, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected August 27, 2025 |
| July 3, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 27, 2025 |
| July 3, 2025 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected September 1, 2025 |
| July 3, 2025 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | E Potential harm, pattern | Corrected September 1, 2025 |
| July 3, 2025 Standard | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | E Potential harm, pattern | Corrected September 1, 2025 |
| July 3, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 1, 2025 |
| July 3, 2025 Standard | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Tag F0800 | E Potential harm, pattern | Corrected September 1, 2025 |
| July 3, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected September 1, 2025 |
| July 3, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected September 1, 2025 |
| July 3, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 1, 2025 |
| July 3, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected September 1, 2025 |
| July 3, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 1, 2025 |
| July 3, 2025 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected September 1, 2025 |
| July 3, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected September 1, 2025 |
| July 3, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected September 1, 2025 |
| July 3, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected September 1, 2025 |
| August 25, 2023 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected October 18, 2023 |
| August 25, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 18, 2023 |
| August 25, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected October 18, 2023 |
| August 25, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected October 18, 2023 |
| August 25, 2023 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected October 18, 2023 |
| August 25, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 18, 2023 |
| August 25, 2023 Standard | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | D Potential harm, isolated | Corrected October 18, 2023 |
| August 25, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected October 18, 2023 |
| August 25, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected October 18, 2023 |
| January 31, 2020 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected April 6, 2020 |
| January 31, 2020 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected April 6, 2020 |
| January 31, 2020 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 20, 2020 |
| January 31, 2020 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 20, 2020 |
| January 31, 2020 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected March 20, 2020 |
| January 31, 2020 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 20, 2020 |
| January 31, 2020 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected March 20, 2020 |
| January 31, 2020 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected March 20, 2020 |
| January 31, 2020 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 20, 2020 |
| January 31, 2020 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected March 20, 2020 |
| January 31, 2020 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 20, 2020 |
| January 31, 2020 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 20, 2020 |
| January 31, 2020 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 20, 2020 |
| January 31, 2020 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | B No harm, pattern | Corrected March 20, 2020 |
| April 26, 2018 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | E Potential harm, pattern | Corrected June 28, 2018 |
| April 26, 2018 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | E Potential harm, pattern | Corrected June 28, 2018 |
| April 26, 2018 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected June 28, 2018 |
| April 26, 2018 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 28, 2018 |
| April 26, 2018 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | D Potential harm, isolated | Corrected June 28, 2018 |
| April 26, 2018 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected June 28, 2018 |
| April 26, 2018 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | C No harm, widespread | Corrected June 28, 2018 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BARTH, ALEXANDER Individual | 5% or greater direct ownership interest | 20% | 11/20/2012 |
| WALDEN, YEHUDAH Individual | 5% or greater direct ownership interest | 20% | 11/20/2012 |
| ZAGELBAUM, EPHRAIM Individual | 5% or greater direct ownership interest | 40% | 11/20/2012 |
| ZALGELBAUM, PINCUS Individual | 5% or greater direct ownership interest | 10% | 11/20/2012 |
| M&T BANK CORPORATION Organization | 5% or greater mortgage interest | NOT APPLICABLE | 02/01/2013 |
| OSTROVITSKY, ISRAEL Individual | operational/managerial control | NOT APPLICABLE | 07/26/2024 |
| WALDEN, YEHUDAH Individual | operational/managerial control | NOT APPLICABLE | 11/20/2012 |
| ZAGELBAUM, EPHRAIM Individual | operational/managerial control | NOT APPLICABLE | 11/20/2012 |
| SHNEIDER, ALEC Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2024 |
| ZAGELBAUM, EPHRAIM Individual | w-2 managing employee | NOT APPLICABLE | 11/20/2012 |
Other nursing homes near Highland Rehabilitation and Nursing Center
Middletown Park Rehab & Health Care Center
121 Dunning Road, Middletown, NY 10940 · 2 mi
For-profit · 230 beds · Part of Epic Healthcare Management
★★★★★4Above averageSapphire Nursing and Rehab at Goshen
46 Harriman Drive, Goshen, NY 10924 · 6.8 mi
For-profit · 24 beds · Part of Sapphire Care Group
- CMS high performer
★★★★★5Much above average- ★★★★★3Average
Campbell Hall Rehabilitation Center INC
23 Kiernan Rd, Campbell Hall, NY 10916 · 7.1 mi
For-profit · 134 beds
- Special Focus candidate
- Abuse citation
★★★★★1Much below averageThe Valley View Center for Nursing Care and Rehab
2 Glenmere Cove Rd, Goshen, NY 10924 · 7.3 mi
Government · 360 beds
★★★★★2Below averageMontgomery Nursing and Rehabilitation Center
2817 Albany Post Road, Montgomery, NY 12549 · 11.2 mi
For-profit · 100 beds
- Abuse citation
★★★★★1Much below average
Frequently asked questions
What is Highland Rehabilitation and Nursing Center's rating?
Highland Rehabilitation and Nursing Center has 1 out of 5 stars on the CMS overall star rating. The average for New York nursing homes is 3 stars.
How many inspection citations did Highland Rehabilitation and Nursing Center receive?
Its most recent standard health inspection found 20 citations, compared with a New York average of 8. Every citation is listed on this page with its severity.
Does Highland Rehabilitation and Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Highland Rehabilitation and Nursing Center?
It is for profit - limited liability company and part of Personal Healthcare Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Highland Rehabilitation and Nursing Center and how do I contact it?
Highland Rehabilitation and Nursing Center is at 120 Highland Avenue, Middletown, NY 10940. Phone: (845) 342-1033.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.