Hudson Valley Senior AdvisorHighland Rehabilitation and Nursing Center at 120 Highland Avenue, Middletown, is a 98-bed Medicare- and Medicaid-certified nursing home in the City of Middletown, Orange County, operating under New York certificate 3501305N. CMS gives Highland Rehabilitation and Nursing Center an overall rating of 1 out of 5 stars in the Care Compare release dated October 1, 2026.
How many stars has CMS given Highland Rehabilitation and Nursing Center?
CMS gives Highland Rehabilitation and Nursing Center an overall rating of 1 out of 5 stars; its component scores are 1 for health inspections, 2 for staffing and 2 for quality measures.
| Item | Value |
|---|---|
| CMS overall rating | 1 of 5 |
| Health inspections (CMS) | 1 of 5 |
| Staffing (CMS) | 2 of 5 |
| Quality measures (CMS) | 2 of 5 |
| Certified beds / residents on an average day | 98 / 84.4 |
| Ownership (as CMS reports it) | For profit - Limited Liability company |
| Chain (as CMS reports it) | Personal Healthcare Management (21 homes) |
| Medicare/Medicaid participation since | July 1, 1976 |
| NYSDOH certificate | 3501305N, 98 beds on the state roster |
| Operator on the state roster | HRNC Operating, LLC |
On an average day about 84 people live here, roughly 86% of certified beds and below the 92% typical of Dutchess and Orange nursing homes.
How did Highland Rehabilitation and Nursing Center fare in its latest health surveys?
The newest standard survey of Highland Rehabilitation and Nursing Center on Care Compare is from July 3, 2025, with 20 health deficiencies in that cycle: 14 standard and 12 complaint-related.
Going back a cycle, the August 25, 2023 survey logged 9 deficiencies and infection-control visits 0. Compared with the local median of 12, the latest count is on the high side.
In CMS's three-year penalty window: no fines and 0 payment denials.
How stable is the nursing staff at Highland Rehabilitation and Nursing Center?
CMS payroll records put total nurse staffing at Highland Rehabilitation and Nursing Center at 3.53 hours per resident day (higher than the Dutchess-Orange midpoint of 3.44), with RNs providing 0.68 hours (higher than the Dutchess-Orange midpoint of 0.51).
Weekend staffing drops or holds at 2.87 hours per resident per day. Turnover among nursing staff is 51.8% (higher than the Dutchess-Orange midpoint of 32.4%); RN turnover is 62.5%. 1 administrator has left during CMS's measurement period. Under Public Health Law 2895-b New York requires 3.5 daily hours per resident, at least 2.2 from aides and 1.1 from licensed nurses. On CMS's figures (1.96 aide hours, 1.57 licensed hours) this home falls short of that floor, though the state judges compliance quarter by quarter.
What other nursing homes should families weigh against Highland Rehabilitation and Nursing Center?
With 98 certified beds it is smaller than the Orange County median home (120 beds); the closest other certified home is Middletown Park Rehabilitation & Health Care Center in Wallkill, roughly 1.9 miles off, in a straight line, rated 4 of 5 by CMS.
| Facility | Miles away | Certified capacity | CMS overall rating | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|---|
| Middletown Park Rehabilitation & Health Care Center 121 Dunning Road, Middletown 10940 | 1.9 | 230 | 4 of 5 | March 4, 2024 | 9 |
| Sapphire Nursing and Rehab at Goshen 46 Harriman Drive, Goshen 10924 | 6.9 | 120 | 5 of 5 | April 16, 2025 | 4 |
| Campbell Hall Rehabilitation Center Inc 23 Kiernan Rd, Campbell Hall 10916 | 7.2 | 134 | 1 of 5 | December 22, 2024 | 28 |
| The Valley View Center for Nursing Care and Rehabilitation 2 Glenmere Cove Road, Goshen 10924 | 7.3 | 360 | 2 of 5 | July 22, 2025 | 16 |
| Montgomery Nursing and Rehabilitation Center 2817 Albany Post Road, Box 158, Montgomery 12549 | 11.3 | 100 | 2 of 5 | January 14, 2025 | 15 |
Where is Highland Rehabilitation and Nursing Center, and what else is on its campus?
Highland Rehabilitation and Nursing Center is in the City of Middletown in Orange County; the nearest general hospital is Garnet Health Medical Center (Garnet Health), roughly 2.8 miles off, measured point to point.
St. Anthony Community Hospital (Warwick) is next, about 13.7 miles away as the crow flies; driving takes longer.
What should we ask on a tour of Highland Rehabilitation and Nursing Center?
Begin with the CMS record: ask for the plan of correction for the 20 deficiencies cited on July 3, 2025 and what has changed since.
- Turnover of 51.8% is above the local median; ask how many aides on each shift are agency staff.
- With beds about 86% full, ask which units have openings and why.
- CMS lists a resident council; ask when it meets and whether relatives can join.
- If Medicaid may pay later, confirm that Highland Rehabilitation and Nursing Center keeps residents in the same room after conversion and how it handles the $50 monthly personal needs allowance.
State record: Highland Rehabilitation and Nursing Center on NYS Health Profiles.
