Inspection Reports for Highland Rehabilitation and Nursing Center
120 Highland Avenue, Middletown, NY, 10940
Back to Facility ProfileInspection Report Summary
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.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
17 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
233% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 24
Date: Jul 3, 2025
Visit Reason
Inspection identified 16 standard health citations and 8 life safety code citations, mostly Level 2 severity, with deficiencies in ADL care, care plan revisions, immunizations, facility assessment, food sanitation, environment, and life safety features. All deficiencies were corrected by September 1, 2025 or August 27, 2025 for life safety.
Findings
Inspection identified 16 standard health citations and 8 life safety code citations, mostly Level 2 severity, with deficiencies in ADL care, care plan revisions, immunizations, facility assessment, food sanitation, environment, and life safety features. All deficiencies were corrected by September 1, 2025 or August 27, 2025 for life safety.
Deficiencies (24)
ADL care provided for dependent residents
Care plan timing and revision
Covid-19 immunization
Department criminal history review
Facility assessment
Food procurement,store/prepare/serve-sanitary
Free from misappropriation/exploitation
Free of accident hazards/supervision/devices
Free of medication error rts 5 prcnt or more
Infection control
Influenza and pneumococcal immunizations
Label/store drugs and biologicals
Provided diet meets needs of each resident
Safe/clean/comfortable/homelike environment
Self-determination
Treatment/svcs to prevent/heal pressure ulcer
Building construction type and height
Corridor - doors
Discharge from exits
Electrical equipment - power cords and extens
Hazardous areas - enclosure
Hvac
Sprinkler system - maintenance and testing
Subdivision of building spaces - smoke barrie
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 10
Date: Aug 25, 2023
Visit Reason
Inspection found 10 standard health citations, all Level 2 severity, involving assistive devices, care plan revisions, equipment safety, food sanitation, Medicaid/Medicare notices, transfer notices, accommodations, environment, and pressure ulcer treatment. All deficiencies were corrected by October 18, 2023.
Findings
Inspection found 10 standard health citations, all Level 2 severity, involving assistive devices, care plan revisions, equipment safety, food sanitation, Medicaid/Medicare notices, transfer notices, accommodations, environment, and pressure ulcer treatment. All deficiencies were corrected by October 18, 2023.
Deficiencies (10)
Assistive devices - eating equipment/utensils
Care plan timing and revision
Essential equipment, safe operating condition
Food procurement,store/prepare/serve-sanitary
Medicaid/medicare coverage/liability notice
Notice of bed hold policy before/upon trnsfr
Notice requirements before transfer/discharge
Reasonable accommodations needs/preferences
Safe/functional/sanitary/comfortable environ
Treatment/svcs to prevent/heal pressure ulcer
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 16
Date: Oct 13, 2022
Visit Reason
Inspection identified 16 life safety code citations, all Level 2 severity, related to cooking facilities, electrical equipment and systems, fire drills, building systems, hazardous areas, doors, walls, administration, physical environment, smoke detection, and sprinkler systems. All deficiencies were corrected by December 9, 2022.
Findings
Inspection identified 16 life safety code citations, all Level 2 severity, related to cooking facilities, electrical equipment and systems, fire drills, building systems, hazardous areas, doors, walls, administration, physical environment, smoke detection, and sprinkler systems. All deficiencies were corrected by December 9, 2022.
Deficiencies (16)
Cooking facilities
Electrical equipment - testing and maintenanc
Electrical systems - essential electric syste
Fire drills
Fundamentals - building system categories
Hazardous areas - enclosure
Horizontal sliding doors
Interior wall and ceiling finish
Maintenance, inspection & testing - doors
Organization and administration
Physical environment
Smoke detection
Sprinkler system - installation
Sprinkler system - maintenance and testing
Subdivision of building spaces - smoke barrie
Upholstered furniture and mattresses
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Jan 17, 2022
Visit Reason
Inspection found 1 standard health citation, Level 2 severity, related to reporting to the national health safety network. Deficiency was widespread and not corrected at time of report.
Findings
Inspection found 1 standard health citation, Level 2 severity, related to reporting to the national health safety network. Deficiency was widespread and not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
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