Highland Rehabilitation and Nursing Center

Highland Rehabilitation and Nursing Center

Middletown, NY 10940 View Map

Highland Rehabilitation and Nursing Center is an Assisted Living Home in New York

Highland Rehabilitation and Nursing… is an Assisted Living Home in New York

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Overview of Highland Rehabilitation and Nursing Center
Highland Rehabilitation and Nursing Center is dedicated to helping residents maximize their potential and live their lives to the fullest. The facility offers a holistic approach to care, ensuring that residents receive the support they need. It provides various rehabilitation and specialty care services.
(845) 342-1033

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.38/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
2/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 98

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the state average
Occupancy rate 92.6%
Residents per day (avg) 92
Occupancy rate
92.6%
Residents per day (avg)
92

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

51% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

27% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

22% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Finances and operations

Proprietary home
Corporation
Home revenue
$21.0M
Profit
$2.4M
Proprietary home Corporation
Home revenue
$20,953,984.00
Profit
$2,421,644.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.2M
25% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$13.3M
Total costs $18.5M
Bed community size
98-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

License Status
Active
Facility Type
Nursing Home

Additional licensing details

License number: 3501305N
CMS Certification Number: 335526
County: Orange

Ownership & operating entity

Owner name: HRNC Operating, LLC (For Profit)

Care Services

Nursing Services
Rehabilitation Services
24-Hour Staffing

Amenities & Lifestyle

Programs & Activities

Specific Programs
Short Term Rehabilitation, Ancillary Services On-Site, Short Term Care, Life Vest, 24 Hour Nursing Staff, Long Term Care
Operating Hours
Visiting hours from 10 AM-8 PM; 24 hours a day access with prior notice for after-hours visits.

Inspection History

In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.

2 inspections

2 with citations, 0 without citations

57 complaints

58.2 complaints per 100 occupied beds

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

11 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

0 enforcement actions

Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.

Comparison Chart

The information below is reported by the New York State Department of Health.
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SNF

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Places of interest near Highland Rehabilitation and Nursing Center

Address 0.0 miles from city center

Address Middletown, NY 10940

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

99
Total Staff
96
Employees
3
Contractors
35,558
Total Hours (Quarter)
51
Avg Staff/Day
7.7
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse157.8 No
Licensed Practical Nurse178.5 No
Certified Nursing Assistant497.7 No
Staff by Category
Administration
1 staff
7.9hs shift avg
Nursing Staff
81 staff
7.9hs shift avg
Physicians & Practitioners
1 staff
8.2hs shift avg
Therapy Services
10 staff
6.1hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
6.4hs shift avg
Dietary Services
3 staff
7.4hs shift avg
Other Services
2 staff
7.7hs shift avg
Contractor Analysis
3.5%
of total hours from contractors
1,229 contractor hours this quarter
Qualified Social Worker: 1 Respiratory Therapy Technician: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant4904918,32991100%7.7
Licensed Practical Nurse170175,67791100%8.5
Registered Nurse150154,94491100%7.8
Speech Language Pathologist3031,1046571%6.3
Respiratory Therapy Technician0228546571%7
Other Dietary Services Staff2028286774%7.4
Mental Health Service Worker2027126470%7.7
Occupational Therapy Aide2025577684%5.2
Dietitian1014896571%7.5
Administrator1014505763%7.9
Physical Therapy Aide2024246369%5.2
Physical Therapy Assistant1014096167%6.7
Nurse Practitioner1014085055%8.2
Qualified Social Worker0113755965%6.4

Health Inspection History

Source: CMS Health Citations (Jan 2020 – Jul 2025)

3
Inspections
36
Total Citations
0
Critical (J-L)
0
Serious (G-I)
12
Citations/Inspection
Jul 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
1
Moderate (D-F)
35
Serious (G-I)
0
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
10
28% of total
Resident Rights
8
22% of total
Infection Control
3
8% of total
Pharmacy Services
2
6% of total
Environmental
2
6% of total
Administration
1
3% of total
Citation Sources
Standard Inspections 35
Complaint Investigations 8
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Jul 03, 2025 D Abuse/NeglectF0602 Corrected
Jul 03, 2025 E AdministrationF0838 Corrected
Jul 03, 2025 D Infection ControlF0883 Corrected
Jul 03, 2025 E Infection ControlF0887 Corrected
Jul 03, 2025 E NutritionF0800 Corrected
Jul 03, 2025 E NutritionF0812 Corrected
Jul 03, 2025 D PharmacyF0759 Corrected
Jul 03, 2025 D PharmacyF0761 Corrected
Jul 03, 2025 E Quality of CareF0677 Corrected
Jul 03, 2025 D Quality of CareF0686 Corrected
Jul 03, 2025 D Quality of CareF0689 Corrected
Jul 03, 2025 D Care PlanningF0657 Corrected
Jul 03, 2025 D Resident RightsF0561 Corrected
Jul 03, 2025 E Resident RightsF0584 Corrected
Aug 25, 2023 E EnvironmentalF0908 Corrected
Aug 25, 2023 D EnvironmentalF0921 Corrected
Aug 25, 2023 D NutritionF0810 Corrected
Aug 25, 2023 E NutritionF0812 Corrected
Aug 25, 2023 D Quality of CareF0686 Corrected
Aug 25, 2023 D Care PlanningF0657 Corrected
Aug 25, 2023 D Resident RightsF0558 Corrected
Aug 25, 2023 D Resident RightsF0582 Corrected
Aug 25, 2023 D Resident RightsF0623 Corrected
Aug 25, 2023 D Resident RightsF0625 Corrected
Jan 31, 2020 D Infection ControlF0880 Corrected
Jan 31, 2020 D Quality of CareF0676 Corrected
Jan 31, 2020 D Quality of CareF0686 Corrected
Jan 31, 2020 D Quality of CareF0688 Corrected
Jan 31, 2020 D Quality of CareF0690 Corrected
Jan 31, 2020 D Quality of CareF0695 Corrected
Jan 31, 2020 D Quality of CareF0698 Corrected
Jan 31, 2020 D Care PlanningF0656 Corrected
Jan 31, 2020 D Care PlanningF0657 Corrected
Jan 31, 2020 D Care PlanningF0842 Corrected
Jan 31, 2020 D Resident RightsF0550 Corrected
Jan 31, 2020 B Resident RightsF0625 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Resident Census by Payment Source
88 Total Residents
Medicare 15 (17%)
Medicaid 70 (79.5%)
Private Pay/Other 3 (3.4%)
Programs & Services
Residents' Group
Nurse Aide Training
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
12.6 Score
28% worse than avg avg: 9.8

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
17.6 Score
Near average avg: 18.1

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
18.1%
Lost Too Much Weight
15.0%
Urinary Tract Infection
1.4%
Depressive Symptoms
4.4%
Falls with Major Injury
2.0%
Pneumococcal Vaccine
77.2%
Antipsychotic Use
4.4%
Walking Ability Worsened
21.8%
Influenza Vaccine
94.1%
High Risk Residents with Pressure Ulcers
6.2%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
12.8%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
17.8% 77% worse than avg : 76.6%
Short-Stay Residents Who Received a New Antipsychotic Medication
1.8% 41% worse than avg : 1.3%
Influenza Vaccine
28.9% 63% worse than avg : 78.8%

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