Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (51% of admissions), and a typical Medicare stay runs around 1 months.
Located on Highland Avenue in Middletown, New York, Highland Rehabilitation and Nursing Center is a skilled nursing home operated by HRNC Operating, LLC under owner Alec Shneider. Families can choose from Medicare, Medicaid, and private pay to cover both short-term rehabilitation and longer-term nursing care.
With 14 years in operation, the 98-bed home has an occupancy rate of 88%. Residents stay an average of 94 days, which includes a mix of post-acute rehabilitation patients and those receiving ongoing skilled nursing care.
Rehabilitation is the home’s primary focus, supported by 24-hour nursing care. Daily nurse staffing averages 3 hours and 23 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses support residents through recovery and daily needs. The facility also offers ancillary services on site, reducing the need for outside appointments and helping coordinate resident care.
State inspections by the New York Department of Health have identified issues related to care planning, direct care practices, food safety, and the facility environment. The home has addressed identified deficiencies, demonstrating responsiveness to regulatory oversight.
Residents benefit from a highly walkable location with a Walk Score of 90. Visiting family members can easily reach the facility and nearby services on foot.
For families considering rehabilitation or ongoing skilled nursing care, Highland’s focus on 24-hour staffing and rehabilitation services make it a practical choice for post-acute recovery and longer-term support.
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.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 9 | 15 | This facility has 40% fewer complaint investigations than a typical New York nursing home (9 vs. NY avg 15).↓ 40% better |
New 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).
New York average: 0.2
New York average: 0.2
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
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
873 contractor hours this quarter
| 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.
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)
Residents 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.
Historical financial and operational data for Highland Rehabilitation and Nursing Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (51% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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
The information below is reported by the New York State Department of Health.
| Middletown Park Rehabilitation & Health Care Center | NH MC PC SNF | Middletown | 230
Facility
230
NY AVG
160
Rank
#138 / 748 |
97.0%
Facility
97.0%
NY AVG
88.3%
Rank
#190 / 436 | +10% | 2.93
Facility
2.93
NY AVG
3.58
Rank
#296 / 407 | +24% | -18% | $0
Facility
$0
NY AVG
$67.6k
Rank
#1 / 415 | 94
Facility
94
NY AVG
83
Rank
#82 / 593 | 14
Facility
14
NY AVG
18.5
Rank
#153 / 414 | 3.5
Facility
3.5
NY AVG
5.1
Rank
#102 / 414 | - | 220 | A+ |
90
Facility
90
NY AVG
63
Rank
#261 / 1173 | Park Manor Acquisition II, LLC (For Profit) | $35.9MFiscal year ending 12/2023
Facility
$35.9MFiscal year ending 12/2023
NY AVG
$32.0M
Rank
#129 / 403 | $18.3MFiscal year ending 12/2023
Facility
$18.3MFiscal year ending 12/2023
NY AVG
$10.7M
Rank
#145 / 403 | 50.9%Fiscal year ending 12/2023
Facility
50.9%Fiscal year ending 12/2023
NY AVG
37%
Rank
#238 / 403 | 335655 | ||||
| Highland Rehabilitation and Nursing Center | NH SNF | Middletown | 98
Facility
98
NY AVG
160
Rank
#517 / 748 |
87.8%
Facility
87.8%
NY AVG
88.3%
Rank
#197 / 436 | -1% | 3.38
Facility
3.38
NY AVG
3.58
Rank
#176 / 407 | +3% | -6% | $0
Facility
$0
NY AVG
$67.6k
Rank
#1 / 415 | 92
Facility
92
NY AVG
83
Rank
#121 / 593 | 36
Facility
36
NY AVG
18.5
Rank
#379 / 414 | 12.0
Facility
12.0
NY AVG
5.1
Rank
#409 / 414 | - | 90 | A+ |
90
Facility
90
NY AVG
63
Rank
#261 / 1173 | Alec Shneider | $15.1MFiscal year ending 12/2023
Facility
$15.1MFiscal year ending 12/2023
NY AVG
$32.0M
Rank
#285 / 403 | $7.0MFiscal year ending 12/2023
Facility
$7.0MFiscal year ending 12/2023
NY AVG
$10.7M
Rank
#341 / 403 | 46.3%Fiscal year ending 12/2023
Facility
46.3%Fiscal year ending 12/2023
NY AVG
37%
Rank
#372 / 403 | 335526 |
Highland Rehabilitation and Nursing Center is located in Middletown, New York State.
Here are the financial assistance programs available to residents in New York State.
Highland Rehabilitation and Nursing Center is legally operated by 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 is registered as a for-profit in NY.
Highland Rehabilitation and Nursing Center has 98 beds.
Highland Rehabilitation and Nursing Center has had 14 recently reported citations.
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