Home›Browse›New York›Middletown›Highland Rehabilitation and Nursing Center

Nursing homeFAID #8600

Highland Rehabilitation and Nursing Center

120 HIGHLAND AVENUE, MIDDLETOWN, NY, 10940

(845) 342-1033

98 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

120 Highland Avenue

Middletown, NY 10940

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

335526

Care type

Nursing home

County

Orange

Facility name

Highland Rehabilitation and Nursing Center

Street address

120 HIGHLAND AVENUE

City / state / ZIP

Middletown, NY 10940

Phone

(845) 342-1033

About this facility — Highland Rehabilitation and Nursing Center

Highland Rehabilitation and Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in Middletown, New York. It is licensed for 98 beds — below the median for skilled nursing facilities in New York (160 beds).

It is one of 7 senior care facilities in Middletown and 596 skilled nursing facilities across New York. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Highland Rehabilitation and Nursing Center 57 times across 9 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Personal Healthcare Management

Ownership type

For profit - Limited Liability company

Registered owners & officers

Zagelbaum, Ephraim

Direct owner · Managing employee · Operational control — 40% stake — since 2012

Barth, Alexander

Direct owner — 20% stake — since 2012

Walden, Yehudah

Direct owner · Operational control — 20% stake — since 2012

Zalgelbaum, Pincus

Direct owner — 10% stake — since 2012

M&t Bank

Mortgage holder — since 2013

Ostrovitsky, Israel

Operational control — since 2024

Shneider, Alec

Managing employee — since 2024

Regulatory standing

Licensed / certified since

1976-07-01

CMS overall rating

1 of 5 stars

Health deficiencies

17 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-07-03

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$628 per day (≈ $19,090/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

70% Medicaid · 17% Medicare · 13% private/other

Occupancy

93% (fiscal year 2023)

Vs. state median

29% above the NY median of $486/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-02-06Health inspectionComplaint-triggered3 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-03-30

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2026-03-30

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-03-30

2025-07-03Health inspectionComplaint-triggered14 citations

F-0561

D · No harm foundFrom a complaint

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-09-01

F-0584

E · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-09-01

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-09-01

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-09-01

F-0677

E · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-09-01

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-09-01

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-01

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-09-01

F-0761

D · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-09-01

F-0800

E · No harm foundFood safety

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2025-09-01

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-01

F-0838

E · No harm found

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2025-09-01

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-09-01

F-0887

E · No harm found

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-09-01

5 earlier / fire-safety inspections (40 citations)

2023-08-25Health inspectionComplaint-triggered10 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-10-18

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-10-18

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-10-18

F-0625

D · No harm found

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-10-18

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-10-18

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-10-18

F-0810

D · No harm foundFood safety

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-10-18

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-10-18

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2023-10-18

F-0921

D · No harm foundFrom a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-10-18

2020-01-31Health inspection12 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2020-03-20

F-0625

B · No harm found

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2020-03-20

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-03-20

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2020-03-20

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2020-03-20

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2020-03-20

F-0688

D · No harm found

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2020-03-20

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2020-03-20

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2020-03-20

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2020-03-20

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2020-03-20

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2020-03-20

2025-07-03Fire-safety inspection9 citations

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2025-08-27

K-0271

D · No harm found

Have exits that are accessible at all times.

Corrected 2025-08-27

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-08-27

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-27

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-08-27

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-08-27

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-08-27

K-0761

E · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-08-27

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-08-27

2020-01-31Fire-safety inspection2 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2020-04-06

K-0351

D · No harm found

Install an approved automatic sprinkler system.

Corrected 2020-04-06

2018-04-26Fire-safety inspection7 citations

E-0018

C · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2018-06-28

E-0039

C · No harm found

Conduct testing and exercise requirements.

Corrected 2018-06-28

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2018-06-28

K-0914

E · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2018-06-28

K-0916

E · No harm found

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2018-06-28

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2018-06-28

K-0921

D · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2018-06-28

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 335526.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 57 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered