Nursing home / skilled nursing
Highland Rehabilitation And Nursing Center
Nursing home / skilled nursing in Middletown, New York
| Provider details | |
|---|---|
| Address | 120 Highland Avenue |
| City | Middletown |
| State | New York |
| ZIP code | 10940 |
| County | Orange |
| Phone | 845-342-1033 |
| CMS certification number (CCN) | 335526 |
| Ownership | For profit - Limited Liability company |
| Certified beds | 98 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | July 1, 1976 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services |
Highland Rehabilitation And Nursing Center is in 120 Highland Avenue, Middletown, NY 10940. Phone: 845-342-1033. Ownership: For profit - Limited Liability company. CMS rates it 1 out of 5 stars overall (health inspection 1, staffing 2, quality measures 2). CMS inspection and staffing detail: total weighted health survey score 89.000; 0 federal fines totaling $0.00; total nursing staff turnover 51.8%.
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 1 of 5 |
| Health inspection rating | 1 of 5 |
| Staffing rating | 2 of 5 |
| Quality measure rating | 2 of 5 |
| Long-stay quality rating | 3 of 5 |
| Short-stay quality rating | 1 of 5 |
| RN staffing hours per resident per day | 0.68 |
| Total nurse staffing hours per resident per day | 3.53 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 104 |
| Total Weighted Health Survey Score | 89.000 |
| Rating Cycle 2/3 Total Health Score | 44 |
| Rating Cycle 1 Health Deficiency Score | 104 |
| Rating Cycle 2/3 Health Deficiency Score | 44 |
| Rating Cycle 1 Standard Survey Health Date | 2025-07-03 |
| Rating Cycle 1 Total Number of Health Deficiencies | 20 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 9 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 14 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 12 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 1.44125 |
| Registered Nurse turnover | 62.5 |
| Nursing Case-Mix Index Ratio | 1.02198 |
| Total nursing staff turnover | 51.8 |
| Reported LPN Staffing Hours per Resident per Day | 0.88706 |
| Reported Licensed Staffing Hours per Resident per Day | 1.56678 |
| Number of administrators who have left the nursing home | 1 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.96252 |
| Registered Nurse hours per resident per day on the weekend | 0.29115 |
| Total number of nurse staff hours per resident per day on the weekend | 2.87070 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Total Amount of Fines in Dollars | 0.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Chain ID | 677 |
| Chain Name | PERSONAL HEALTHCARE MANAGEMENT |
| Legal Business Name | HRNC OPERATING, LLC |
| Chain Average QM Rating | 3.0 |
| Chain Average Staffing Rating | 3.3 |
| Number of Facilities in Chain | 21 |
| Chain Average Overall 5-star Rating | 2.9 |
| Chain Average Health Inspection Rating | 2.8 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 84.4 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Orange County
- Middletown Park Rehab & Health Care Center — Middletown
- Campbell Hall Rehabilitation Center Inc — Campbell Hall
- Sapphire Nursing And Rehab At Goshen — Goshen
Common questions about Highland Rehabilitation And Nursing Center
Where is Highland Rehabilitation And Nursing Center located?
Highland Rehabilitation And Nursing Center is at 120 Highland Avenue, Middletown, New York 10940.
What care and services does Highland Rehabilitation And Nursing Center offer?
Highland Rehabilitation And Nursing Center offers skilled nursing, rehab services, skilled nursing care, rehabilitation services.
Is Highland Rehabilitation And Nursing Center Medicare-certified?
Yes. Highland Rehabilitation And Nursing Center is certified for both Medicare and Medicaid.
What is Highland Rehabilitation And Nursing Center's quality rating?
CMS gives Highland Rehabilitation And Nursing Center an overall star rating of 1 out of 5.
How do I contact Highland Rehabilitation And Nursing Center?
Call Highland Rehabilitation And Nursing Center at 845-342-1033.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in New York can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.