Show Inspection Reports
Total health inspections
3
State average N/A
Last Health inspection on Jul 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Highland Rehabilitation and Nursing Center
Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Occupancy rate
92.6%
Residents per day (avg)
92
Occupancy rate
92.6%
Residents per day (avg)
92
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
Privately-owned community
Operated by a business corporation.
Home revenue
$21.0M
Profit
$2.4M
Privately-owned community
Operated by a business corporation.
Home revenue
$21.0M
Profit
$2.4M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$13.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.5M
98-bed community
A larger shared setting that may offer more common spaces and organized community services.
14 years in operation
A community with a solid operating history and experience delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Facility TypeNursing Home
StatusActive
CountyOrange
License Number3501305N
CMS Certification Number335526
Owner NameHRNC Operating, LLC (For Profit)
Rehabilitation Services
Nursing Services
24-Hour Staffing
Specific ProgramsShort Term Rehabilitation, Ancillary Services On-Site, Short Term Care, Life Vest, 24 Hour Nursing Staff, Long Term Care
Operating HoursVisiting 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
New York average: 9 inspections (5 with citations)
57 complaints
58.2 complaints per 100 occupied beds
New York average: 49.9 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.
New York average: 79 complaints
Latest inspection
Date
July 3, 2025
Complaint Investigation11 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
New York average: 29 citations
51 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
New York average: 22 deficiencies
0
enforcement actions
No actions on recordPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Inspection Report Summary for Highland Rehabilitation and Nursing Center
The most recent inspection on July 3, 2025, identified multiple deficiencies in areas including ADL care, care plan revisions, immunizations, food sanitation, environment, and life safety features, all of which were corrected within a few months. Earlier inspections showed similar issues with care planning, food sanitation, environment, and life safety, along with equipment safety and notification requirements. No fines, immediate jeopardy findings, or license actions were listed in the available reports. Complaint investigations were not noted in any of the reports. The facility has shown a consistent pattern of addressing identified deficiencies in a timely manner, with no clear trend of worsening or improvement.
Health Inspection History
Inspections
Total health citations
36
State average N/A
Citations per inspection
12
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
28 of 36 citations resulted from standard inspections; 1 of 36 resulted from complaint investigations; and 7 of 36 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
0 critical citations
0 serious citations
35 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 03, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 03, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jul 03, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jul 03, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 03, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 03, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 03, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 03, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Usa The information below is reported by the New York State Department of Health.
Filter by care type
Highland Rehabilitation and Nursing Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Middletown
-
98
A+
-
-
Anton’s Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Boerne
-
10
-
-
-
Job Haines Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Bloomfield
-
40
-
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
-
16
-
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
-
12
-
8
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
99
Employees
96
Contractors
3
Staff to resident ratio
1.13:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
51
Average shift
7.7 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
35,558
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
49
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
3.5%
1,229 contractor hours this quarter
Respiratory Therapy Technician: 2
Qualified Social Worker: 1
Staff by category
| Certified Nursing Assistant | 49 | 0 | 49 | 18,329 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 17 | 0 | 17 | 5,677 | 91 | 100% | 8.5 |
| Registered Nurse | 15 | 0 | 15 | 4,944 | 91 | 100% | 7.8 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,104 | 65 | 71% | 6.3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 854 | 65 | 71% | 7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 828 | 67 | 74% | 7.4 |
| Mental Health Service Worker | 2 | 0 | 2 | 712 | 64 | 70% | 7.7 |
| Occupational Therapy Aide | 2 | 0 | 2 | 557 | 76 | 84% | 5.2 |
| Dietitian | 1 | 0 | 1 | 489 | 65 | 71% | 7.5 |
| Administrator | 1 | 0 | 1 | 450 | 57 | 63% | 7.9 |
| Physical Therapy Aide | 2 | 0 | 2 | 424 | 63 | 69% | 5.2 |
| Physical Therapy Assistant | 1 | 0 | 1 | 409 | 61 | 67% | 6.7 |
| Nurse Practitioner | 1 | 0 | 1 | 408 | 50 | 55% | 8.2 |
| Qualified Social Worker | 0 | 1 | 1 | 375 | 59 | 65% | 6.4 |
49 Certified Nursing Assistant
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
15 Registered Nurse
% of Days
100%
3 Speech Language Pathologist
% of Days
71%
2 Respiratory Therapy Technician
% of Days
71%
2 Other Dietary Services Staff
% of Days
74%
2 Mental Health Service Worker
% of Days
70%
2 Occupational Therapy Aide
% of Days
84%
1 Dietitian
% of Days
71%
1 Administrator
% of Days
63%
2 Physical Therapy Aide
% of Days
69%
1 Physical Therapy Assistant
% of Days
67%
1 Nurse Practitioner
% of Days
55%
1 Qualified Social Worker
% of Days
65%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
88 residents
Residents by payment source
Medicare
15 residents (17%)
Medicaid
70 residents (79.5%)
Private pay or other
3 residents (3.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.6
28% worse than State averageState average: 9.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.6
In line with State averageState average: 18.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.1%
Percent of long-stay residents whose need for help with daily activities has increased
18.1%
10% worse than State averageState average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
21.8%
Percent of long-stay residents whose ability to move independently worsened
21.8%
31% worse than State averageState average: 16.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.8%
40% better than State averageState average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
34% better than State averageState average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.2%
Percent of long-stay high risk residents with pressure ulcers
6.2%
13% better than State averageState average: 7.2%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.4%
Percent of long-stay residents with a urinary tract infection
1.4%
In line with State averageState average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
15.0%
Percent of long-stay residents who lose too much weight
15.0%
146% worse than State averageState average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.4%
Percent of long-stay residents who have depressive symptoms
4.4%
76% better than State averageState average: 18.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.4%
Percent of long-stay residents who received an antipsychotic medication
4.4%
65% better than State averageState average: 12.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
77.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
77.2%
15% worse than State averageState average: 91.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
In line with State averageState average: 95.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
17.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
17.8%
77% worse than State averageState average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
41% worse than State averageState average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
28.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
28.9%
63% worse than State averageState average: 78.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Highland Rehabilitation and Nursing Center based on CMS SNF Cost Reports.
Occupancy Rate
92.6%
↑ 0.8pp vs 2022
Net Income
$2.4M
↑ ~$1.0M vs 2022
Total Payroll
$7.4M
↑ ~$376.9K vs 2022
Profit Margin
11.6%
↑ 4.6pp vs 2022
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