Highland Rehabilitation And Nursing Center

CCN 335526 · HRNC OPERATING, LLC · Orange · NY · For profit - Limited Liability company · PERSONAL HEALTHCARE MANAGEMENT chain · 98 certified beds


Certified for Medicare and Medicaid since 1976-07-01, Highland Rehabilitation And Nursing Center is a 98-bed nursing home in Middletown, New York, averaging 89.9 residents a day.

Has Highland Rehabilitation And Nursing Center been cited for violations?

CMS lists 39 health-inspection deficiencies for Highland Rehabilitation And Nursing Center since 2020-01-31, 27 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2026-02-06.

Survey dateTagDeficiencySeverity
2026-02-06F0580, F0641, F0689Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure each resident receives an accurate assessment. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-07-03F0584, F0677, F0800, F0812, F0838, F0887Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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. / 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.E
2025-07-03F0561, F0602, F0657, F0686, F0689, F0759, F0761, F0883Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Protect each resident from the wrongful use of the resident's belongings or money. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure medication error rates are not 5 percent or greater. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2023-08-25F0812, F0908Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely.E
2023-08-25F0558, F0582, F0623, F0625, F0657, F0810, F0921, F0686Reasonably accommodate the needs and preferences of each resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2020-01-31F0550, F0656, F0657, F0676, F0686, F0688, F0690, F0695, F0698, F0842, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2020-01-31F0625Notify 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.B

How is Highland Rehabilitation And Nursing Center staffed relative to the NY average?

MeasureThis facilityNY average
Total nurse staffing hours per resident per day3.437613.62468
Total nursing staff turnover (%)53.740.3
Average number of residents per day89.9168.0

Who owns Highland Rehabilitation And Nursing Center, and what chain is it in?

Highland Rehabilitation And Nursing Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name HRNC OPERATING, LLC and belongs to the PERSONAL HEALTHCARE MANAGEMENT chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTBARTH, ALEXANDER, WALDEN, YEHUDAH, ZAGELBAUM, EPHRAIM, ZALGELBAUM, PINCUSsince 11/20/2012
5% OR GREATER MORTGAGE INTERESTM&T BANKsince 02/01/2013
W-2 MANAGING EMPLOYEESHNEIDER, ALEC, ZAGELBAUM, EPHRAIMsince 01/01/2024
OPERATIONAL/MANAGERIAL CONTROLOSTROVITSKY, ISRAEL, WALDEN, YEHUDAH, ZAGELBAUM, EPHRAIMsince 07/26/2024

Were you or a family member harmed at Highland Rehabilitation And Nursing Center?