Highland Rehabilitation And Nursing Center: Staffing, Turnover, and Inspection Record
Highland Rehabilitation And Nursing Center is a 98-bed for-profit nursing home in Middletown, New York, part of Personal Healthcare Management. In the CMS August 2026 release it reported 2.03 nurse aide hours per resident per day, 6% below the New York average of 2.15, and 53.7% nursing staff turnover (New York average 40.3%).
Highland Rehabilitation And Nursing Center
120 Highland AvenueMiddletown, NY 10940
Orange County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Highland Rehabilitation And Nursing Center, nurse aides logged 2.03 hours per resident per day, 6% below the New York average. With about 90 residents a day, that works out to roughly 182 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 19% below the all-days figure.
| Hours per resident per day | This home | New York avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.03 | 2.15 | 2.32 |
| Licensed practical nurses | 0.85 | 0.76 | 0.86 |
| Registered nurses | 0.56 | 0.71 | 0.69 |
| All nursing staff | 3.44 | 3.62 | 3.86 |
| All nursing staff, weekends | 2.78 | 3.18 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
53.7% of nursing staff at Highland Rehabilitation And Nursing Center left over the year CMS measured, against a New York average of 40.3% and a US average of 45.8%. Registered nurse turnover was 78.9%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 3, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 17 health deficiencies (New York average 8.0). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Highland Rehabilitation And Nursing Center holds 1 of 5 overall; the New York average is 3.0.
About Highland Rehabilitation And Nursing Center
- Ownership: For profit - Limited Liability company
- Chain: Personal Healthcare Management, 21 homes
- Legal name: HRNC Operating, LLC
- Medicare and Medicaid certified since: Jul 1, 1976
- Councils: resident council
- Area: urban
Nursing homes near Highland Rehabilitation And Nursing Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Middletown Park Rehab & Health Care Center Middletown | 2.0 | 230 | 1.83 | 3.34 | 35.5% | 4 | None |
| Sapphire Nursing And Rehab At Goshen Goshen | 6.8 | 24 | 2.20 | 3.81 | 27.3% | 5 | None |
| Glen Arden Inc Goshen | 7.0 | 40 | 3.24 | 5.17 | 36.0% | 3 | $108,046 |
| Campbell Hall Rehabilitation Center Inc Campbell Hall · SFF candidate · abuse citation | 7.1 | 134 | 1.80 | 3.03 | 48.5% | 1 | $167,569 |
| The Valley View Center for Nursing Care and Rehab Goshen | 7.3 | 360 | 2.69 | 3.92 | 20.8% | 2 | None |
| Montgomery Nursing And Rehabilitation Center Montgomery | 11.2 | 100 | 1.70 | 3.07 | 38.5% | 2 | None |
| Schervier Pavilion Warwick | 13.6 | 120 | 2.17 | 3.84 | 24.2% | 3 | None |
| St Josephs Place Port Jervis | 15.6 | 46 | 2.07 | 3.86 | 25.8% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.