Facility type
Nursing Home
Status
Active
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Assisted Living Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
$20,953,984.00
Profit
$2,421,644.00
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
License details
County:
Orange
Additional licensing details
License number:
3501305N
CMS Certification Number:
335526
Ownership & operating entity
Owner name:
HRNC Operating, LLC (For Profit)
Care Services
Nursing Services
Rehabilitation Services
24-Hour Staffing
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
New York average: 9 inspections (5 with citations)
Show Inspection Reports
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: 93 complaints
Latest inspection
Date:July 3, 2025
Type:Complaint Investigation
11 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.
0 enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
Health Inspection History
Inspections
Total health inspections
3
State average N/A
Last Health inspection on Jul 2025
Total health citations
36
Citations per inspection
12
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
Jul 03, 2025
Corrected
Administration moderate citation
Jul 03, 2025
Corrected
Infection Control moderate citation
Jul 03, 2025
Corrected
Infection Control moderate citation
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.
Highland Rehabilitation and Nursing Center
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NY 10940
98
A+
-
-
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10
-
-
-
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HC
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HC
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SNF
Nursing Homes 24/7 care needed
Bloomfield
40
-
85
Studio / 1 Bed / Private / Semi-Private Rooms
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AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
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16
-
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Private / Semi-Private Suite
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AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
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-
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-
Places of interest near Highland Rehabilitation and Nursing Center
0.0 miles from city center
Middletown, NY 10940
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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 Nurse | 15 | 7.8 | No |
| Licensed Practical Nurse | 17 | 8.5 | No |
| Certified Nursing Assistant | 49 | 7.7 | 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 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 |
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
$2,421,644
↑ ~$1.0M vs 2022
Total Payroll
$7,350,208
↑ ~$377K vs 2022
Profit Margin
11.6%
↑ 4.6pp vs 2022
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