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Nursing homesNew York › Highland Rehabilitation and Nursing Center

Highland Rehabilitation and Nursing Center

120 Highland Avenue, Middletown, NY 10940 · 8453421033 · 98 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★☆☆☆ 2/5
Quality measures★★☆☆☆ 2/5

Ownership group

Per CMS filings, this facility is affiliated with Personal Healthcare Management, a group operating 21 facilities in 2 states. Group record: average rating 3.0/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $431,142 in federal fines. This facility rates below its group average (3.0/5).

See all 21 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.44 (New York median: 3.49). RN hours: 0.56. Weekend total: 2.78. Nursing staff turnover: 54%.

Inspection deficiencies

All-time on record: 39 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-02-06Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2026-03-30
2026-02-06Ensure each resident receives an accurate assessment. Dcomplaintcorrected 2026-03-30
2026-02-06Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2026-03-30
2025-07-03Honor 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. Ecomplaintcorrected 2025-09-01
2025-07-03Provide care and assistance to perform activities of daily living for any resident who is unable. Ecomplaintcorrected 2025-09-01
2025-07-03Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. EHealthcorrected 2025-09-01
2025-07-03Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2025-09-01
2025-07-03Conduct 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. EHealthcorrected 2025-09-01
2025-07-03Educate 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. EHealthcorrected 2025-09-01
2025-07-03Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Dcomplaintcorrected 2025-09-01
2025-07-03Protect each resident from the wrongful use of the resident's belongings or money. Dcomplaintcorrected 2025-09-01
2025-07-03Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Dcomplaintcorrected 2025-09-01
2025-07-03Provide appropriate pressure ulcer care and prevent new ulcers from developing. DHealthcorrected 2025-09-01
2025-07-03Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-09-01
2025-07-03Ensure medication error rates are not 5 percent or greater. DHealthcorrected 2025-09-01
2025-07-03Ensure 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. DHealthcorrected 2025-09-01
2025-07-03Develop and implement policies and procedures for flu and pneumonia vaccinations. DHealthcorrected 2025-09-01
2023-08-25Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2023-10-18
2023-08-25Keep all essential equipment working safely. EHealthcorrected 2023-10-18
2023-08-25Reasonably accommodate the needs and preferences of each resident. DHealthcorrected 2023-10-18
2023-08-25Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. DHealthcorrected 2023-10-18
2023-08-25Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. DHealthcorrected 2023-10-18
2023-08-25Notify 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. DHealthcorrected 2023-10-18
2023-08-25Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2023-10-18
2023-08-25Provide special eating equipment and utensils for residents who need them and appropriate assistance. DHealthcorrected 2023-10-18
2023-08-25Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Dcomplaintcorrected 2023-10-18
2023-08-25Provide appropriate pressure ulcer care and prevent new ulcers from developing. Dcomplaintcorrected 2023-10-18

Federal penalties

No federal fines or payment denials on record.

Ownership & control records (CMS filings)

NameRoleType%Since
BARTH, ALEXANDER5% Or Greater Direct Ownership InterestIndividual20%since 11/20/2012
WALDEN, YEHUDAH5% Or Greater Direct Ownership InterestIndividual20%since 11/20/2012
ZAGELBAUM, EPHRAIM5% Or Greater Direct Ownership InterestIndividual40%since 11/20/2012
ZALGELBAUM, PINCUS5% Or Greater Direct Ownership InterestIndividual10%since 11/20/2012
OSTROVITSKY, ISRAELOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/26/2024
WALDEN, YEHUDAHOperational/Managerial ControlIndividualNOT APPLICABLEsince 11/20/2012
ZAGELBAUM, EPHRAIMOperational/Managerial ControlIndividualNOT APPLICABLEsince 11/20/2012

Compare nearby (Orange County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 335526. Corrections: data@carerecords.org.