Nursing home report
Middletown, NY · Medicare-certified · 98 beds
Highland Rehabilitation And Nursing Center in Middletown, NY has a 1-star overall rating, with a 1-star health inspection rating and a lowest-overall-rating flag. Staffing is 2 stars, with reported nurse staffing at 3.44 hours per resident per day versus the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Health inspections
Staffing
3.4376 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4376.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
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
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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 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
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited July 2025 — limited pattern, potential for harm.
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
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
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.
