Highland Rehabilitation And Nursing Center

CMS star ratings

Overall★★★★★ 1/5

State avg 3.0

Health inspections★★★★★ 1/5

State avg 2.7

Staffing★★★★★ 2/5

State avg 2.8

Quality measures★★★★★ 2/5

State avg 3.9

Long-stay quality★★★★★ 2/5

Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.44 (state 3.62 · U.S. 3.86)
Registered nurses (RN): 0.56 (state 0.71 · U.S. 0.69)
Licensed practical nurses: 0.85 (state 0.76 · U.S. 0.86)
Nurse aides: 2.03 (state 2.15 · U.S. 2.32)
Weekend total: 2.78 (state 3.18 · U.S. 3.42)
Nursing staff turnover: 53.7 (state 40.3 · U.S. 45.8)%
RN turnover: 78.9 (state 39.8 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: July 3, 2025
Health deficiencies (last cycle): 17.0 (state 8.0 · U.S. 9.3)
From complaints: 9
Citations on record (3 years): 39 health · 18 fire safety

Date	Citation	Severity	Status
2026-02-06	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-03-30
2026-02-06	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-03-30
2026-02-06	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-03-30
2025-07-03	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. F0584 · Resident Rights Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. F0800 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	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. F0838 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	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. F0887 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2025-07-03	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-01
2023-08-25	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-10-18
2023-08-25	Keep all essential equipment working safely. F0908 · Environmental Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-10-18
2023-08-25	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-18
2023-08-25	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-18
2023-08-25	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-18
2023-08-25	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. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-18
2023-08-25	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-18
2023-08-25	Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-18
2023-08-25	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-10-18
2023-08-25	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-10-18
2020-01-31	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-20
2020-01-31	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-20
2020-01-31	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-20
2020-01-31	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-20
2020-01-31	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-20
2020-01-31	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. F0688 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-20
2020-01-31	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-20
2020-01-31	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-20
2020-01-31	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-20
2020-01-31	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-20
2020-01-31	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-20
2020-01-31	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. F0625 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2020-03-20

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
Barth, Alexander (individual)	5%+ Direct Ownership Interest · 20%
Walden, Yehudah (individual)	5%+ Direct Ownership Interest · 20%
Zagelbaum, Ephraim (individual)	5%+ Direct Ownership Interest · 40%
Zalgelbaum, Pincus (individual)	5%+ Direct Ownership Interest · 10%
M&T Bank (organization)	5%+ Mortgage Interest · NOT APPLICABLE
Ostrovitsky, Israel (individual)	Operational/managerial Control · NOT APPLICABLE
Walden, Yehudah (individual)	Operational/managerial Control · NOT APPLICABLE
Zagelbaum, Ephraim (individual)	Operational/managerial Control · NOT APPLICABLE
Shneider, Alec (individual)	W-2 Managing Employee · NOT APPLICABLE
Zagelbaum, Ephraim (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Highland Rehabilitation And Nursing Center?

Highland Rehabilitation And Nursing Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in New York.

How many beds does Highland Rehabilitation And Nursing Center have?

It has 98 certified beds and cares for about 90 residents per day.

Has Highland Rehabilitation And Nursing Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Highland Rehabilitation And Nursing Center?

It is part of Personal Healthcare Management and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Highland Rehabilitation And Nursing Center?

(845) 342-1033. The facility is located at 120 Highland Avenue, Middletown, NY 10940.

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Contact & location

Facility details