Nursing Homes · Middletown, NY
Nursing Homes · Medicare certified
Highland Rehabilitation and Nursing Center
120 Highland Avenue · Middletown, NY 10940 · 98 certified beds
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About Highland Rehabilitation and Nursing Center
Highland Rehabilitation and Nursing Center is a nursing home in Middletown, New York. Its capacity is 98 beds, below the Orange County median of 120 for nursing homes. It is run by a for-profit operator and is part of Personal Healthcare Management. It is Medicare certified. Its public inspection record shows 39 citations, the most recent on February 6, 2026. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.53 hours per resident per day. It is one of 2 nursing homes listed in Middletown. Residents and families can raise concerns with the New York State Long-Term Care Ombudsman Program at 1-855-582-6769. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
2.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (39)
Records from January 2020 to February 2026.
February 6, 2026
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 30, 2026.
February 6, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 30, 2026.
February 6, 2026
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 30, 2026.
July 3, 2025
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0887Educate 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0602Protect each resident from the wrongful use of the resident's belongings or money.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
July 3, 2025
Tag F0838Conduct 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 1, 2025.
August 25, 2023
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 18, 2023.
August 25, 2023
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 18, 2023.
August 25, 2023
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 18, 2023.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
3.53 nurse hours per resident per day in Q2 2026, down from 3.69 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Personal Healthcare Management, a chain of 21 nursing homes.
Average CMS star ratings across the chain: 2.9 overall, 2.8 for health inspections, 3.3 for staffing, 3.0 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in New York.
What Medicaid pays nursing homes
This is what New York Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$273.87per day
About $8,326 a month.
Median we calculated from the state's own facility rate file, January 1, 2025. Based on 591 facilities.
Source: NYSDOH: January 2025 Nursing Home Initial Rates (Type NF MedicaidRate) (opens in a new tab), updated 2025-01-01
Nearby alternatives
Other licensed providers in Middletown.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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