New York › Orange County › Middletown
Highland Rehabilitation and Nursing Center
120 Highland Avenue, Middletown, NY 10940
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 98 beds, Highland Rehabilitation and Nursing Center serves Middletown in Orange County, New York and has taken Medicare and Medicaid residents since 1976.
CMS gives it 1 of 5 stars overall, below the New York median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 39 health deficiencies across the three most recent survey cycles (17, 9, 13 by cycle, most recent first), none at the actual-harm level. That is 39.8 per 100 beds, more than the state median of 11.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.6 RN), close to the New York median of 3.5; nursing staff turnover is 53.7%.
Compared with county, state and nation
| Measure | This facility | Orange Co. median | New York median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 39 | 27 | 17 | 28.7 |
| Citations per 100 beds | 39.8 | 15.8 | 11.0 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.5 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 53.7% | 27.3% | 38.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (9 in the county, 593 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New York average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Jul 2025, 25 Aug 2023.
Severity mix: D ×30 E ×8 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 Feb 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 30 Mar 2026 |
| 6 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 30 Mar 2026 |
| 6 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 Mar 2026 |
| 3 Jul 2025 | F0584 | 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. | E | Complaint investigation | 1 Sep 2025 |
| 3 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 1 Sep 2025 |
| 3 Jul 2025 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard survey | 1 Sep 2025 |
| 3 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Sep 2025 |
| 3 Jul 2025 | F0838 | 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. | E | Standard survey | 1 Sep 2025 |
| 3 Jul 2025 | F0887 | 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. | E | Standard survey | 1 Sep 2025 |
| 3 Jul 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 1 Sep 2025 |
| 3 Jul 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 1 Sep 2025 |
| 3 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 1 Sep 2025 |
| 3 Jul 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 1 Sep 2025 |
| 3 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Sep 2025 |
| 3 Jul 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 1 Sep 2025 |
| 3 Jul 2025 | F0761 | 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. | D | Standard survey | 1 Sep 2025 |
| 3 Jul 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 1 Sep 2025 |
| 25 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Oct 2023 |
| 25 Aug 2023 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 18 Oct 2023 |
| 25 Aug 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 18 Oct 2023 |
| 25 Aug 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 18 Oct 2023 |
| 25 Aug 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 18 Oct 2023 |
| 25 Aug 2023 | F0625 | 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. | D | Standard survey | 18 Oct 2023 |
| 25 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 18 Oct 2023 |
| 25 Aug 2023 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 18 Oct 2023 |
| 25 Aug 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 18 Oct 2023 |
| 25 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 18 Oct 2023 |
| 31 Jan 2020 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 20 Mar 2020 |
| 31 Jan 2020 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 Mar 2020 |
| 31 Jan 2020 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 20 Mar 2020 |
| 31 Jan 2020 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 20 Mar 2020 |
| 31 Jan 2020 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 20 Mar 2020 |
| 31 Jan 2020 | F0688 | 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. | D | Standard survey | 20 Mar 2020 |
| 31 Jan 2020 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 20 Mar 2020 |
| 31 Jan 2020 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 Mar 2020 |
| 31 Jan 2020 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 20 Mar 2020 |
| 31 Jan 2020 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 20 Mar 2020 |
| 31 Jan 2020 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Mar 2020 |
| 31 Jan 2020 | F0625 | 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. | B | Standard survey | 20 Mar 2020 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New York average. Turnover: nursing staff 53.7%, RNs 78.9%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.9% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.7% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.4% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.4% | 12.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Hrnc Operating, Llc. Chain: Personal Healthcare Management (21 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| M&T Bank | 5% or greater mortgage interest | NOT APPLICABLE | 02/01/2013 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Orange County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Sapphire Nursing and Rehab At Goshen | Goshen | 24 | 5 | 4 | 3 | 17 | 70.8 | — | 16 Apr 2025 |
| Middletown Park Rehab & Health Care Center | Middletown | 230 | 4 | 3 | 2 | 15 | 6.5 | — | 20 Nov 2025 |
| Sapphire Nursing At Meadow Hill | Newburgh | 190 | 4 | 3 | 2 | 30 | 15.8 | — | 1 Apr 2025 |
| St Josephs Place | Port Jervis | 46 | 4 | 3 | 5 | 7 | 15.2 | — | 30 Mar 2026 |
| Schervier Pavilion | Warwick | 120 | 3 | 3 | 5 | 17 | 14.2 | — | 24 Apr 2025 |
| Montgomery Nursing and Rehabilitation Center | Montgomery | 100 | 2 | 2 | 2 | 27 | 27.0 | — | 14 Jan 2025 |
| The Valley View Center For Nursing Care and Rehab | Goshen | 360 | 2 | 1 | 4 | 44 | 12.2 | — | 3 Feb 2026 |
| Campbell Hall Rehabilitation Center Incabuse iconSFF Candidate | Campbell Hall | 134 | 1 | 1 | 1 | 67 | 50.0 | $168K | 10 Dec 2025 |
All 9 facilities in Orange County
Questions and answers
How many deficiencies has Highland Rehabilitation and Nursing Center been cited for?
39 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The New York median is 17 per facility.
Has Highland Rehabilitation and Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Highland Rehabilitation and Nursing Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a New York median of 3.5 and a national average of 3.9.
Who operates Highland Rehabilitation and Nursing Center?
It is part of the Personal Healthcare Management chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Highland Rehabilitation and Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 6 Feb 2026; the most recent standard health survey was 3 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.