Hudson Valley Rehabilitation & Extended Care Ctr

260 Vineyard Ave, Rt 44/55 · Highland, NY · 12528 · 8456917201

203 certified beds For profit - Limited Liability company

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 31
Serious harm & abuse 20% 64
Staffing 20% 62
Federal penalties 15% 100
Trend 10% 20
Context 5% 100

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: 2 of 5

Total nurse hours / resident-day3.633.48 min · 4.1 strong
RN hours / resident-day0.500.55–0.75
Weekend hours / resident-day2.98≈ weekday level
Nursing turnover / year53%median 45%
Fines (3-yr window)none

Inspection citations (51 in the current record)

  • Potential for harm · D February 27, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 27, 2026 · Resident Rights

  • Potential for harm · D February 27, 2026

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected April 27, 2026 · Resident Rights

  • Potential for harm · E February 27, 2026

    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 April 27, 2026 · Resident Rights

  • Potential for harm · D February 27, 2026

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected April 27, 2026 · Resident Rights

  • Potential for harm · D February 27, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 27, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 27, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 27, 2026 · Quality of Life and Care

  • Potential for harm · D February 27, 2026

    Provide activities to meet all resident's needs.

    Corrected April 27, 2026 · Quality of Life and Care

  • Potential for harm · D February 27, 2026

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected April 27, 2026 · Quality of Life and Care

  • Potential for harm · D February 27, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 27, 2026 · Quality of Life and Care

  • Potential for harm · D February 27, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 27, 2026 · Quality of Life and Care

  • Potential for harm · D February 27, 2026

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Corrected April 27, 2026 · Nursing and Physician Services

  • Potential for harm · F February 27, 2026

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected April 27, 2026 · Nursing and Physician Services

  • Potential for harm · D February 27, 2026

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected April 27, 2026 · Quality of Life and Care

  • Potential for harm · F February 27, 2026

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected April 27, 2026 · Nutrition and Dietary

  • Potential for harm · E February 27, 2026

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected April 27, 2026 · Nutrition and Dietary

  • Potential for harm · F February 27, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 27, 2026 · Nutrition and Dietary

  • Potential for harm · D February 27, 2026

    Dispose of garbage and refuse properly.

    Corrected April 27, 2026 · Nutrition and Dietary

  • Potential for harm · D February 27, 2026

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected April 27, 2026 · Quality of Life and Care

  • Potential for harm · E February 27, 2026

    Provide and implement an infection prevention and control program.

    Corrected April 27, 2026 · Infection Control

  • Actual harm · G July 23, 2025 · found via complaint

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 23, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Deficient, Provider has no plan of correction · Resident Rights

  • Potential for harm · E July 23, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 23, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 23, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 23, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335399 · certified since August 20, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.