Highland Rehabilitation And Nursing Center
Nursing home in Middletown, New York, CMS certification number 335526
120 Highland Avenue, Middletown, NY 10940 · Orange County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 98
- Certified for
- Medicare and Medicaid
- Last standard inspection
- July 3, 2025
- Deficiencies at that inspection
- 20
- Fines in 3 years
- No fines
Does Highland Rehabilitation And Nursing Center take Medicare and Medicaid?
Yes to both. Highland Rehabilitation And Nursing Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | 1 of 5 |
Nurse staffing hours and turnover
These are the hours Highland Rehabilitation And Nursing Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.53
- Registered nurse hours
- 0.68
- Licensed practical nurse hours
- 0.89
- Nurse aide hours
- 1.96
- Weekend total hours
- 2.87
- Nursing staff turnover
- 51.8%
- Registered nurse turnover
- 62.5%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on July 3, 2025 and cited 20 deficiencies, plus 12 from complaint visits.
The visit before, on August 25, 2023, found 9.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Highland Rehabilitation And Nursing Center in the past 3 years.
Beds and residents
On an average day 84.4 residents live here, about 86% of its 98 certified beds.
- Certified beds
- 98
- Average residents per day
- 84.4
- Certified since
- July 1, 1976
- Resident or family council
- Resident
Who owns Highland Rehabilitation And Nursing Center
- Legal business name
- HRNC Operating, LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 21 homes nationally under Personal Healthcare Management, 2.9-star chain average
Other nursing homes near Highland Rehabilitation And Nursing Center
- Middletown Park Rehab & Health Care Center121 Dunning Road, Middletown 10940
- Sapphire Nursing And Rehab At Goshen46 Harriman Drive, Goshen 10924
- Glen Arden Inc214 Harriman Drive, Goshen 10924
- Campbell Hall Rehabilitation Center Inc23 Kiernan Rd, Campbell Hall 10916
- The Valley View Center for Nursing Care and Rehab2 Glenmere Cove Rd, Goshen 10924
Who inspects nursing homes in New York
New York's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in New York, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Highland Rehabilitation And Nursing Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Highland Rehabilitation And Nursing Center
What is the CMS star rating of Highland Rehabilitation And Nursing Center?
1 out of 5 stars overall.
Does Highland Rehabilitation And Nursing Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Highland Rehabilitation And Nursing Center?
20 cited at the last standard visit.
Who owns Highland Rehabilitation And Nursing Center?
HRNC Operating, LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.