F

HIGHLAND REHABILITATION AND NURSING CENTER

120 HIGHLAND AVENUE, MIDDLETOWN, NY 10940
Score: 27 / 100

With a score of 27/100, Highland Rehabilitation And Nursing Center ranks in the bottom tier of New York nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Highland Rehabilitation And Nursing Center is near the national average, with 3.59 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 36 deficiencies at Highland Rehabilitation And Nursing Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.59 3.8 Average
Registered Nurses (RN) 0.56 0.7 Below Average
Licensed Practical Nurses (LPN) 0.80 0.7 Above Average
Certified Nursing Assistants (CNA) 2.24 2.4 Average
Weekend Total Nursing 2.97 3.8 Below Average
Weekend RN Hours 0.28 0.7 Below Average

🔍 Inspection & Deficiency History

36
Total Deficiencies
Jul 2, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 35 Moderate
View recent deficiencies (5 shown)
  • Tag 0800 Severity E
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    Jul 2, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jul 2, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0838 Severity E
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day ope
    Jul 2, 2025 · Administration Deficiencies
  • Tag 0887 Severity E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document
    Jul 2, 2025 · Infection Control Deficiencies
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Jul 2, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.9% 4.5% Average
Falls with major injury 2.5% 3.0% Better
On antipsychotic medication 8.6% 14.5% Better
Urinary tract infections 1.7% 2.5% Better
ADL decline (daily activities) 15.0% 14.0% Average
Excessive weight loss 14.6% 7.5% Worse
New/worsened incontinence 10.1% 45.0% Better

How This Grade Was Calculated

This facility's grade of F is based on a score of 27 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
98
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 2, 2025
Deficiencies (Cycle 1)
14