Hudson Valley Senior AdvisorThis page covers the City of Middletown, Orange County's largest city in the center of the county, and the Town of Wallkill that surrounds it, including the Route 211 and I-84 commercial areas and the hamlets of Scotchtown and Mechanicstown.
Middletown is the care hub of western Orange County. Garnet Health Medical Center sits in Wallkill, and the area holds the county's largest assisted living residences, including buildings with enhanced, special needs and Assisted Living Program beds, plus two nursing homes.
How much licensed senior care is in Middletown & Wallkill, NY?
Middletown & Wallkill had about 61,512 residents on July 1, 2025, by Census Bureau estimates (up from 60,835 in the 2020 base), and the New York State Department of Health licenses 3 adult care facilities and 2 nursing homes there.
| In Middletown & Wallkill | Not in Middletown & Wallkill | |
|---|---|---|
| Licensed here (state roster) | Licensed residences (adult homes & enriched housing): 3, Nursing homes: 2, Licensed home care agencies: 5 | — |
| Not licensed here | — | Certified home health agencies, Hospices, Adult day health care |
| Medicaid ALP beds | 3 residences | — |
| SNALR dementia beds | 1 residence | — |
Which licensed assisted living residences are in Middletown & Wallkill?
New York's roster shows 3 licensed adult care facilities in Middletown & Wallkill with 536 certified beds, 339 of them Assisted Living Program (Medicaid) beds and 24 SNALR dementia beds; the largest is Braemar Living at Wallkill with 200 beds.
| Facility | License | Certified capacity | ALR certifications | ALP (Medicaid) beds | Latest DOH inspection | Violations, 4-yr window |
|---|---|---|---|---|---|---|
| Braemar Living at Wallkill 21 Riverside Drive, Middletown 10941 | AH | 200 | ALR, EALR, SNALR, ALP | 88 | 06/09/2026 | 18 |
| Promenade at Middletown 70 Fulton Street, Middletown 10940 | AH | 200 | ALP | 131 | 06/11/2026 | 1 |
| The Eliot at Erie Station ALP 10 - 18 John St, Middletown 10940 | AH | 136 | ALR, EALR, ALP | 120 | 03/03/2026 | 8 |
Which nursing homes are in Middletown & Wallkill, and how does CMS rate them?
Middletown & Wallkill has 2 licensed nursing homes with 328 beds on the state roster; 1 of the 2 with a CMS overall rating hold four or five stars.
| Facility | CMS overall rating | Certified capacity | Last CMS health inspection | Deficiencies cited | Nurse hrs/resident/day |
|---|---|---|---|---|---|
| Highland Rehabilitation and Nursing Center 120 Highland Avenue, Middletown 10940 | 1 of 5 | 98 | July 3, 2025 | 20 | 3.53 |
| Middletown Park Rehabilitation & Health Care Center 121 Dunning Road, Middletown 10940 | 4 of 5 | 230 | March 4, 2024 | 9 | 3.46 |
Which home care agencies and hospices have offices in Middletown & Wallkill?
The state roster lists 5 home care, hospice or adult day health licenses at office addresses in Middletown & Wallkill; agencies usually serve a much wider area than their office town.
- Any-Time Home Care, Inc. — licensed home care services agency, licensed since 1991
- Hudson Valley Home Health Care, LLC — licensed home care services agency, licensed since 2015
- The Eliot At Erie Station Lhcsa — licensed home care services agency, licensed since 2010
- Unlimited Care Inc. — licensed home care services agency, licensed since 1996
- Willcare — licensed home care services agency, licensed since 2019
Which hospitals are nearest to Middletown & Wallkill?
Measured from the center of Middletown & Wallkill's licensed facilities, the closest hospitals are Garnet Health Medical Center (Garnet Health, about 1.7 miles) and St. Anthony Community Hospital (Warwick) (about 13.2 miles).
Bon Secours Community Hospital (Port Jervis) is about 15.8 miles away. These are straight-line distances; bridge crossings and winter roads can stretch the drive.
What should families in Middletown & Wallkill keep in mind?
Because this is where most of Orange County's licensed assisted living capacity sits, families from Goshen, Montgomery and Port Jervis often end up comparing Middletown residences.
Ask about Medicaid waiting lists early; demand for ALP beds here is steady.
Where can Middletown & Wallkill families get free help?
The Orange County Office for the Aging ((845) 615-3700) is the first free call for families in Middletown & Wallkill, NY Connects answers statewide at 1-800-342-9871, and the Hudson Valley Long Term Care Ombudsman Program, (845) 229-4680, advocates for anyone living in a licensed residence or nursing home.
Suspected abuse of an adult living at home goes to Orange County Adult Protective Services at (845) 291-2800. No PACE program lists Dutchess or Orange in its service area as of November 2026, so Medicaid home care here runs through Managed Long Term Care plans; NY Connects (1-800-342-9871) can confirm whether that has changed.
