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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNew YorkHighland Rehabilitation and Nursing Center

Highland Rehabilitation and Nursing Center

120 Highland Avenue, Middletown, NY 109408453421033
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
2/5
Beds
98
certified

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 98 certified beds with an average of 88.7 residents per day (91% occupancy)

• Last health inspection found 14 deficiencies (inspected Jul 3, 2025)

• No fines on record

• Total nursing staff: 3.59 hours per resident per day

• Staff turnover rate: 54.4% (high)

• Part of the Personal Healthcare Management chain (18 facilities)

Highland Rehabilitation and Nursing Center is a 1-star Medicare and Medicaid certified nursing home in Middletown, New York with 98 certified beds. It has been operating since 1976. The facility scored below average compared to New York facilities.

Beds
98
Avg Residents/Day
88.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 1, 1976
Sprinklers
Yes
Council
Resident
County
Orange
Last Inspection
Jul 3, 2025
Deficiencies (Cycle 1)
14
Weighted Score
72.0
Infection Citations
0

Deficiency Citations (36)

F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0800Potential for Harm

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0838Potential for Harm

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.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0887Potential for Harm

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.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0561Potential for Harm

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

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Aug 25, 2023Corrected: NoCycle: 2
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Aug 25, 2023Corrected: NoCycle: 2
F0623Potential for Harm

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

Survey: Aug 25, 2023Corrected: NoCycle: 2
F0625Potential for Harm

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.

Survey: Aug 25, 2023Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Aug 25, 2023Corrected: NoCycle: 2
F0810Potential for Harm

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Survey: Aug 25, 2023Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 25, 2023Corrected: NoCycle: 2
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Aug 25, 2023Corrected: NoCycle: 2
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Aug 25, 2023Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Aug 25, 2023Corrected: NoCycle: 3
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jan 31, 2020Corrected: NoCycle: 3
F0625Minimal Harm

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.

Survey: Jan 31, 2020Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 31, 2020Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jan 31, 2020Corrected: NoCycle: 3
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Jan 31, 2020Corrected: NoCycle: 3
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jan 31, 2020Corrected: NoCycle: 3

+ 6 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.24 hrs
National avg: 2.35 hrs
LPN0.80 hrs
National avg: 0.86 hrs
RN0.56 hrs
National avg: 0.68 hrs
Total Nursing3.59 hrs
National avg: 3.89 hrs
Weekend Total2.97 hrs
National avg: 0.00 hrs
Physical Therapist0.11 hrs
National avg: 0.07 hrs
Total Turnover
54.4%
RN Turnover
69.2%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
BARTH, ALEXANDER5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual20%Nov 20, 2012
WALDEN, YEHUDAH5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual20%Nov 20, 2012
ZAGELBAUM, EPHRAIM5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual40%Nov 20, 2012
ZALGELBAUM, PINCUS5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual10%Nov 20, 2012
OSTROVITSKY, ISRAELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 26, 2024
WALDEN, YEHUDAHOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 20, 2012
ZAGELBAUM, EPHRAIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 20, 2012
SHNEIDER, ALECW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2024
ZAGELBAUM, EPHRAIMW-2 MANAGING EMPLOYEEIndividualN/ANov 20, 2012
M&T BANK5% OR GREATER MORTGAGE INTERESTOrganizationN/AFeb 1, 2013

Nearby Nursing Homes

All New York facilities

Middletown Park Rehab & Health Care Center

Middletown, NY · 230 beds

For profit
Health
Staffing
Quality
2.0 mi

Frequently Asked Questions

What is the CMS rating for Highland Rehabilitation and Nursing Center?▾
Highland Rehabilitation and Nursing Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
Has Highland Rehabilitation and Nursing Center had any health inspection violations?▾
Highland Rehabilitation and Nursing Center had 14 deficiency citations in its most recent health inspection (Jul 3, 2025). The facility has no fines on record.
What are the staffing levels at Highland Rehabilitation and Nursing Center?▾
Highland Rehabilitation and Nursing Center provides 3.59 total nursing staff hours per resident per day, including 0.56 RN hours, 0.80 LPN hours, and 2.24 nurse aide hours. The total staff turnover rate is 54.4%.
How many beds does Highland Rehabilitation and Nursing Center have?▾
Highland Rehabilitation and Nursing Center has 98 certified beds with an average of 88.7 residents per day, resulting in approximately 91% occupancy. The facility is For profit - Limited Liability company owned and is part of the Personal Healthcare Management chain.
Are there other nursing homes near Highland Rehabilitation and Nursing Center?▾
Yes, there are 1 other nursing home in Middletown, New York with an average rating of 2/5. You can compare all facilities on the Middletown nursing homes page.

Part of Personal Healthcare Management

This chain operates 18 facilities. View all →