Senior Care Records.

Highland Rehabilitation and Nursing Center

120 Highland Avenue, Middletown, NY, 10940

Nursing home98 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 17 deficiencies against Highland Rehabilitation and Nursing Center in Middletown, New York at its most recent standard inspection on 2025-07-03, 9 of them arising from complaints. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
98certified beds
17deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.38
Potential for minimal harmThe least serious band.1
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

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

Resident Rights Deficiencies · F0580 · 2026-02-06 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2026-02-06 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2026-02-06 · from a complaint · No actual harm, potential for more than minimal harm

D

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.

Resident Rights Deficiencies · F0584 · 2025-07-03 · from a complaint · No actual harm, potential for more than minimal harm

E

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

Quality of Life and Care Deficiencies · F0677 · 2025-07-03 · from a complaint · No actual harm, potential for more than minimal harm

E

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

Nutrition and Dietary Deficiencies · F0800 · 2025-07-03 · standard survey · No actual harm, potential for more than minimal harm

E

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

Nutrition and Dietary Deficiencies · F0812 · 2025-07-03 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Administration Deficiencies · F0838 · 2025-07-03 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Infection Control Deficiencies · F0887 · 2025-07-03 · standard survey · No actual harm, potential for more than minimal harm

E

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

Resident Rights Deficiencies · F0561 · 2025-07-03 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2025-07-03 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0657 · 2025-07-03 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0686 · 2025-07-03 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2025-07-03 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · F0759 · 2025-07-03 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Pharmacy Service Deficiencies · F0761 · 2025-07-03 · standard survey · No actual harm, potential for more than minimal harm

D

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

Infection Control Deficiencies · F0883 · 2025-07-03 · standard survey · No actual harm, potential for more than minimal harm

D

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

Nutrition and Dietary Deficiencies · F0812 · 2023-08-25 · standard survey · No actual harm, potential for more than minimal harm

E

Keep all essential equipment working safely.

Environmental Deficiencies · F0908 · 2023-08-25 · standard survey · No actual harm, potential for more than minimal harm

E

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · F0558 · 2023-08-25 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.43761
Nursing staff turnoverShare of nursing staff who left in a year53.7%
Ownership

Who owns Highland Rehabilitation and Nursing Center

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
BARTH, ALEXANDERIndividual20%since 11/20/2012
WALDEN, YEHUDAHIndividual20%since 11/20/2012
ZAGELBAUM, EPHRAIMIndividual40%since 11/20/2012
ZALGELBAUM, PINCUSIndividual10%since 11/20/2012
M&T BANKOrganizationNOT APPLICABLEsince 02/01/2013
SHNEIDER, ALECIndividualNOT APPLICABLEsince 01/01/2024
ZAGELBAUM, EPHRAIMIndividualNOT APPLICABLEsince 11/20/2012
OSTROVITSKY, ISRAELIndividualNOT APPLICABLEsince 07/26/2024
WALDEN, YEHUDAHIndividualNOT APPLICABLEsince 11/20/2012
ZAGELBAUM, EPHRAIMIndividualNOT APPLICABLEsince 11/20/2012

Part of the PERSONAL HEALTHCARE MANAGEMENT group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Highland Rehabilitation and Nursing Center a question

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What is needed

Highland Rehabilitation and Nursing Center has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 8453421033 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 335526.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction