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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 174th out of 388 homes in New York. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 33m per day | ▼ 21% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 48m per day | ▲ 4% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 14m per day | ■ Avg State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 50m per day | ▼ 10% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▼ 14% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 17m per day | ▼ 39% State avg: 28m per day · National avg: 28m per day |
Similar to the New York average: 88.3%Highland Rehabilitation and Nursing Center is legally operated by HRNC Operating, LLC (For Profit).
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.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. See the nursing homes benchmark below for the typical New York score; higher is better.
B- · Above the New York average for nursing homes.
New York nursing homes benchmark: C 74/100
Inspection score: 80 out of 100. Letter grade B-. Above the New York average for nursing homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 14 | 13 | This facility has 8% more total citations than a typical New York nursing home (14 vs. NY avg 13).↑ 8% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 10 | 20 | This facility has 50% fewer health citations than a typical New York nursing home (10 vs. NY avg 20).↓ 50% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 4 | This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg |
|
Citations per year
Average citations per year since 2020.
| 2.3 | 2.2 | This facility has 5% more citations per year than a typical New York nursing home (2.3 vs. NY avg 2.2).↑ 5% worse |
|
Citations per inspection
Average citations per inspection.
| 2.8 | 1.4 | This facility has 100% more citations per inspection than a typical New York nursing home (2.8 vs. NY avg 1.4).↑ 100% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 5 | 9 | This facility has 44% fewer total inspections than a typical New York nursing home (5 vs. NY avg 9).↓ 44% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 3 | 4 | This facility has 25% fewer inspections with citations than a typical New York nursing home (3 vs. NY avg 4).↓ 25% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 60% | 44% | This facility has 16 percentage points higher inspection citation rate than a typical New York nursing home (60% vs. NY avg 44%).↑ 16% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 55 | 79 | This facility has 30% fewer total complaints than a typical New York nursing home (55 vs. NY avg 79).↓ 30% better |
|
Complaints per year
Average complaints per year since 2020.
| 9.2 | 13.2 | This facility has 30% fewer complaints per year than a typical New York nursing home (9.2 vs. NY avg 13.2).↓ 30% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.64 | 0.50 | This facility has 28% more complaints per bed than a typical New York nursing home (0.64 vs. NY avg 0.5).↑ 28% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 9 | 15 | This facility has 40% fewer complaint investigations than a typical New York nursing home (9 vs. NY avg 15).↓ 40% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew York average 3.6
Last Health inspection on Jul 2025
New York average 18.5
New York average 5.05
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).
100% better than New York averageNew York average: 0.2
100% better than New York averageNew York average: 0.2
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
14
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
4
4 active
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
9
9 Disposed
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2018
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2025
Next scheduled court appearance on record across active cases.
Apr 30, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
646% better than New York average
0% compared with New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
873 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 55 | 0 | 55 | 19,024 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 19 | 0 | 19 | 6,804 | 92 | 100% | 8.5 |
| Registered Nurse | 15 | 0 | 15 | 4,417 | 92 | 100% | 7.8 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,067 | 65 | 71% | 6.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 943 | 69 | 75% | 7.1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 760 | 65 | 71% | 7.3 |
| Occupational Therapy Aide | 2 | 0 | 2 | 562 | 85 | 92% | 4.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 489 | 62 | 67% | 7.9 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Dietitian | 1 | 0 | 1 | 428 | 55 | 60% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 381 | 50 | 54% | 6.3 |
| Physical Therapy Assistant | 3 | 0 | 3 | 232 | 36 | 39% | 5.4 |
| Qualified Social Worker | 0 | 5 | 5 | 114 | 37 | 40% | 3 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.6
In line with New York averageNew York average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
18.1%
10% worse than New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
21.8%
31% worse than New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.8%
40% better than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
34% better than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
6.2%
13% better than New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
1.4%
In line with New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
15.0%
146% worse than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
4.4%
76% better than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
4.4%
65% better than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
77.2%
15% worse than New York averageNew York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
In line with New York averageNew York average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.41
41% worse than New York averageNew York average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.96
45% worse than New York averageNew York average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
17.8%
77% worse than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
41% worse than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
28.9%
63% worse than New York averageNew York average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.1%
41% worse than New York averageNew York average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.9%
74% worse than New York averageNew York average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
60% worse than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.6%
In line with New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
40.5%
20% worse than New York averageNew York average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
51% of new residents, usually for short-term rehab.
27% of new residents, often for short stays.
22% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
88Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Highland Rehabilitation and Nursing Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #323 / 383Payroll — State benchmarkedThis home is ranked 323rd out of 383 homes in New York. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Middletown's city center to Highland Rehabilitation and Nursing Center's address, calculated via Google Maps.
Add your location
Highland Rehabilitation and Nursing Center is located in Middletown, New York.
Here are the financial assistance programs available to residents in New York.
The information below is reported by the New York State Department of Health.
| Sapphire Nursing and Rehab at Goshen |
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. | Goshen | 120 | 91.7% | +4% | 3.01 | +3% | -16% | $0 | 17 | 4.3 | - | 115 | - | 80 | Goshen Operations LLC | $26.8M | $12.3M | 45.9% | 335684 | ||||
| Middletown Park Rehabilitation & Health Care 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 | 230 | 97.0% | +10% | 2.93 | +24% | -18% | $0 | 14 | 3.5 | - | 222 | A+ | 90 | Park Manor Acquisition II, LLC (For Profit) | $39.6M | $18.3M | 46.2% | 335655 | ||||
| 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 | 87.8% | -1% | 3.38 | +3% | -6% | $0 | 36 | 12.0 | - | 92 | A+ | 90 | Alec Shneider | $21.0M | $7.4M | 35.1% | 335526 |
The legal owner and operator of Highland Rehabilitation and Nursing Center is HRNC Operating, LLC (For Profit).
Highland Rehabilitation and Nursing Center has a walk score of 90. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to NY state health department records, Highland Rehabilitation and Nursing Center's license number is 3501305N.
Highland Rehabilitation and Nursing Center's occupancy is 88%.
Highland Rehabilitation and Nursing Center has 98 beds.
Highland Rehabilitation and Nursing Center has had 14 recently reported deficiencies.
Yes — there are 13 photos of Highland Rehabilitation and Nursing Center in the photo gallery on this page.
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