Nursing home report
MIDDLETOWN, NY · Medicare-certified · 98 beds
Overall rating: 1 out of 5 stars. Highland Rehabilitation and Nursing Center has the lowest overall rating, with 1-star health inspections and quality measures, 2-star staffing, nurse staffing below the federal benchmark (3.69 vs 4.1 hours per resident per day), and no fines in the last 24 months.
Health inspections
Staffing
3.6857 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6857.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to make sure each resident got a nourishing, balanced diet that met daily nutrition and special dietary needs. Cited July 2025 — limited pattern, potential for harm.
F-Tag 800 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited July 2025 — limited pattern, potential for harm.
F-Tag 838 — 42 CFR §483.70 — S/S: E
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited July 2025 — limited pattern, potential for harm.
F-Tag 887 — 42 CFR §483.80 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2025 — limited pattern, potential for harm.
F-Tag 584 — 42 CFR §483.10 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Health inspection found 14 health deficiencies.
Health inspection found 10 health deficiencies.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
