Highland Rehabilitation And Nursing Center

120 Highland Avenue, Middletown, NY 10940 · (845) 342-1033
For profit - Limited Liability company · 98 certified beds

Highland Rehabilitation And Nursing Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2025, found 14 citations (the New York average is 8.1). It hasn't been fined in the last three years.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on July 3, 2025 found 14 citations. What an inspection citation means

• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.July 3, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.July 3, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.July 3, 2025 · F0800 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 3, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.July 3, 2025 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.July 3, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.July 3, 2025 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from the wrongful use of the resident's belongings or money.July 3, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 3, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.July 3, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 3, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.July 3, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.July 3, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.July 3, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 12 citations.

• Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.July 14, 2026 · F0559 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 14, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 14, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 6, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.February 6, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 6, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.July 3, 2025 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.July 3, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from the wrongful use of the resident's belongings or money.July 3, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 3, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.July 3, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 3, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

No fines or payment denials in the last three years.

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home