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HomeNew YorkHighland Rehabilitation And Nursing Center

Highland Rehabilitation And Nursing Center

120 Highland Avenue, Middletown, NY 109408453421033WebsiteGoogle Maps
2.9on Google(51 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
2/5
Beds
98
certified

How Highland Rehabilitation And Nursing Center Compares in New York

Facility results compared with averages for CMS-certified nursing homes in New York. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
NY average
3.0/5
Below state average
Health inspection rating
1/5
NY average
2.7/5
Below state average
Staffing rating
2/5
NY average
2.8/5
Below state average
Nursing hours per resident
3.44 hrs/day
NY average
3.62 hrs/day
Below state average
RN hours per resident
0.56 hrs/day
NY average
0.71 hrs/day
Below state average
Staff turnover
53.7%
NY average
40.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the New York average of 3.0/5.
Its 1/5 health inspection rating is below the New York average of 2.7/5.
Reported RN time is 0.56 hours per resident per day, below the state average of 0.71.
Staff turnover is 53.7%, higher than the New York average of 40.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
10
deficiency citations
Inspected Aug 25, 2023
Most recent cycle
17
deficiency citations
Inspected Jul 3, 2025
The most recent cycle recorded 7 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$13,718/mo
New York median
Private Room
$14,904/mo
New York median
Orange County 65+
56,715
14.1% of county
County Population
401,237
Orange County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 1 out of 5.

Beds
98
Avg Residents/Day
89.9
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)
17
Weighted Score
81.0
Infection Citations
0

Deficiency Citations (39)

F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Feb 6, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 6, 2026Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Feb 6, 2026Corrected: 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
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
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
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
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
F0686Potential for Harm

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

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
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
F0883Potential for Harm

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

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

Keep all essential equipment working safely.

Survey: Aug 25, 2023Corrected: NoCycle: 2
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
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
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

+ 9 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 Aide2.03 hrs
National avg: 2.32 hrs
LPN0.85 hrs
National avg: 0.86 hrs
RN0.56 hrs
National avg: 0.69 hrs
Total Nursing3.44 hrs
National avg: 3.86 hrs
Weekend Total2.78 hrs
National avg: 0.00 hrs
Physical Therapist0.11 hrs
National avg: 0.07 hrs
Total Turnover
53.7%
RN Turnover
78.9%
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
M&T BANK5% OR GREATER MORTGAGE INTERESTOrganizationN/AFeb 1, 2013
SHNEIDER, ALECW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2024
ZAGELBAUM, EPHRAIMW-2 MANAGING EMPLOYEEIndividualN/ANov 20, 2012
OSTROVITSKY, ISRAELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 26, 2024
WALDEN, YEHUDAHOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 20, 2012
ZAGELBAUM, EPHRAIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 20, 2012

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Highland Rehabilitation And Nursing Center and nearby alternatives.

All New York facilities
Highland Rehabilitation And Nursing Center
Middletown, NYCurrent facility
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: None
Middletown Park Rehab & Health Care Center
Middletown, NY2.0 mi
CMS
4/5
Health
3/5
Staffing
2/5
Recorded fines: None
Sapphire Nursing And Rehab At Goshen
Goshen, NY6.8 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
Glen Arden Inc
Goshen, NY7.0 mi
CMS
3/5
Health
2/5
Staffing
5/5
Recorded fines: $108,046
Campbell Hall Rehabilitation Center Inc
Campbell Hall, NY7.1 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $190,505
The Valley View Center for Nursing Care and Rehab
Goshen, NY7.3 mi
CMS
2/5
Health
1/5
Staffing
4/5
Recorded fines: None
Montgomery Nursing And Rehabilitation Center
Montgomery, NY11.2 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Highland Rehabilitation And Nursing Center
Middletown, NY · Current facility
—1/51/52/5None recorded
Middletown Park Rehab & Health Care Center
Middletown, NY
2.0 mi4/53/52/5None recorded
Sapphire Nursing And Rehab At Goshen
Goshen, NY
6.8 mi5/54/53/5None recorded
Glen Arden Inc
Goshen, NY
7.0 mi3/52/55/5$108,046
Campbell Hall Rehabilitation Center Inc
Campbell Hall, NY
7.1 mi1/51/51/5$190,505
The Valley View Center for Nursing Care and Rehab
Goshen, NY
7.3 mi2/51/54/5None recorded
Montgomery Nursing And Rehabilitation Center
Montgomery, NY
11.2 mi2/52/52/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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.
How much does Highland Rehabilitation And Nursing Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in New York is $13,718/month for a semi-private room and $14,904/month for a private room (Genworth/CareScout 2024). Highland Rehabilitation And Nursing Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Highland Rehabilitation And Nursing Center had any health inspection violations?▾
Highland Rehabilitation And Nursing Center had 17 deficiency citations in its most recent health inspection (Jul 3, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Highland Rehabilitation And Nursing Center?▾
Highland Rehabilitation And Nursing Center provides 3.44 total nursing staff hours per resident per day, including 0.56 RN hours, 0.85 LPN hours, and 2.03 nurse aide hours. The total staff turnover rate is 53.7%.
How many beds does Highland Rehabilitation And Nursing Center have?▾
Highland Rehabilitation And Nursing Center has 98 certified beds with an average of 89.9 residents per day, resulting in approximately 92% 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. This page lists 6 nearby nursing homes in New York, including 1 in Middletown. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Highland Rehabilitation And Nursing Center?▾
On Google Maps, Highland Rehabilitation And Nursing Center has a rating of 2.9 out of 5 based on 51 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Personal Healthcare Management

This chain operates 21 facilities. View all →