Highland Rehabilitation and Nursing Center
120 Highland Avenue · Middletown, NY · 10940 · 8453421033
98 certified beds For profit - Limited Liability company Chain: Personal Healthcare Management
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 2.95 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (39 in the current record)
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Potential for harm · D February 6, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 30, 2026 · Resident Rights
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Potential for harm · D February 6, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected March 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 30, 2026 · Quality of Life and Care
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Potential for harm · D July 3, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 1, 2025 · Quality of Life and Care
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Potential for harm · D July 3, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 1, 2025 · Pharmacy Service
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Potential for harm · D July 3, 2025
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.
Corrected September 1, 2025 · Pharmacy Service
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Potential for harm · E July 3, 2025
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected September 1, 2025 · Nutrition and Dietary
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Potential for harm · E July 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 1, 2025 · Nutrition and Dietary
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Potential for harm · E July 3, 2025
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.
Corrected September 1, 2025 · Administration
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Potential for harm · D July 3, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 1, 2025 · Infection Control
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Potential for harm · E July 3, 2025
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.
Corrected September 1, 2025 · Infection Control
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Potential for harm · D July 3, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 1, 2025 · Resident Rights
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Potential for harm · E July 3, 2025 · found via complaint
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.
Corrected September 1, 2025 · Resident Rights
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Potential for harm · D July 3, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 3, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 3, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 1, 2025 · Quality of Life and Care
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Potential for harm · D July 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 1, 2025 · Quality of Life and Care
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Potential for harm · D August 25, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected October 18, 2023 · Resident Rights
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Potential for harm · D August 25, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 18, 2023 · Resident Rights
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Potential for harm · D August 25, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 18, 2023 · Resident Rights
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Potential for harm · D August 25, 2023
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected October 18, 2023 · Resident Rights
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Potential for harm · D August 25, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 18, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 25, 2023
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected October 18, 2023 · Nutrition and Dietary
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Potential for harm · E August 25, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 18, 2023 · Nutrition and Dietary
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Potential for harm · E August 25, 2023
Keep all essential equipment working safely.
Corrected October 18, 2023 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335526 · certified since July 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.