Highland Rehabilitation & Nursing Center

    120 Highland Ave, Middletown, NY 10940
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Caring attentive staff clean facility

    I placed my mom here and have been very pleased - the staff are consistently caring, compassionate and attentive, the facility is clean with spacious rooms, and the variety of activities (music, arts & crafts, games and inspirational services) kept her engaged. Rehab and nursing were effective, the community feels warm and family-like, and I would happily recommend and use them again.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    2.97·(58)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.9
    • Staff

      2.9
    • Meals

      1.0
    • Amenities

      2.3
    • Value

      3.0

    Pros

    • Pleasant, recently renovated interior spaces
    • Compassionate and attentive caregiving staff
    • Skilled physical and occupational therapy programs
    • Large, spacious resident rooms
    • Active recreation program with music and arts & crafts
    • Organized activity calendar and entertainers
    • Religious and spiritual services available
    • Alzheimer’s/dementia care expertise
    • Warm, family-like atmosphere reported by some families
    • Local, convenient facility with accessible therapy
    • Responsive front-line staff in positive accounts
    • Successful short-term rehabilitation outcomes

    Cons

    • Inconsistent staffing levels and turnover
    • Long nurse-call and clinical response times
    • Sanitation and housekeeping inconsistencies
    • Incontinence-care delays and linen-management issues
    • Medication-management gaps including controlled-medication handling
    • Poor staff–family communication and follow-up
    • Billing and administrative errors
    • Gaps in environmental safety controls and temperature regulation
    • Limited transportation resources
    • Uneven meal quality and limited menu variety
    • Inadequate supervisory oversight and case-management processes
    • Resident-identification and documentation process gaps
    • Pest-control concerns

    Summary of reviews

    Feedback about Highland Rehabilitation & Nursing Center is mixed, with families and former residents describing both positive clinical outcomes and significant operational concerns. Many comments highlight successful rehabilitation stays, effective physical therapy programs, and staff members who provided compassionate, family-like care. The facility’s renovated public areas and spacious rooms are noted as strengths, and its recreation offerings—music, arts and crafts, entertainers, and religious services—are reported to provide meaningful engagement for residents.

    At the same time, a substantial number of accounts point to inconsistent care processes and operational weaknesses. Staffing levels and continuity appear variable, and reviewers described prolonged waits for nurse-call responses and delayed clinical attention. Several descriptions suggest lapses in basic care routines, such as delayed assistance with incontinence needs and inconsistent linen management. Medication-handling practices were also questioned in some accounts, including concerns about controlled-medication processes and timing of medications like insulin.

    Food service and activities present a mixed picture: some families praised the social programming and an organized activity calendar, while others found meal quality inconsistent and menu choices limited. Activity coverage was described as robust during daytime hours but less consistent in evenings and on some weekends. Transportation resources for appointments were noted as limited, which has affected some residents’ access to external care.

    Facility cleanliness and environmental control were recurring themes. While the lobby and renovated areas are seen as presentable, interior sanitation and housekeeping inconsistencies were reported, along with odor concerns and references to pest-control issues in certain units. Environmental maintenance issues—such as temperature regulation problems—were also raised. These operational and facility concerns frequently intersected with management and administrative issues: families described poor follow-through from supervisors, case-management and billing errors, difficulty getting timely callbacks, and gaps in documentation and resident-identification processes.

    In summary, Highland demonstrates clear strengths in rehabilitation programming, some dedicated caregiving staff, and meaningful recreational offerings. Prospective residents and families should balance these positive attributes against documented operational weaknesses—particularly inconsistent staffing, sanitation and housekeeping practices, medication-management controls, communication and administrative processes, and environmental safety controls. Those considering placement would be advised to visit during different times of day, ask for details about staffing ratios and supervision, review recent inspection findings, and verify specific care protocols (medication administration, incontinence care, and transportation availability) before making a decision.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Highland Rehabilitation & Nursing Center

    Highland Rehabilitation & Nursing Center is located at 120 Highland Ave, Middletown, NY, 10940.

    About Highland Rehabilitation & Nursing Center

    Highland Rehabilitation & Nursing Center sits over in Middletown, New York, where folks seem to know it for caring about residents' well-being, and you'll find the staff tries hard to keep each person at the center of things, giving attention that fits each need. The place mostly handles rehab and skilled nursing, so you'll find a good number of people coming through for short-term therapy after an illness or injury, but there are folks who stay longer and get the same careful nursing, too. There's physical therapy, occupational therapy, and speech therapy, and the rehab programs are made with clear goals in mind, whether it's learning how to walk again after surgery or working on the right diet, with specialized therapeutic meals for different health needs. Highland covers more specific needs too, offering care for things like joint replacement, balance problems, IV therapy, and even tracheotomy care, and the team tries to keep spirits up with a full-time chaplain, giving support through an on-site chapel and spiritual programs for those interested. The apartments for people going through rehab look to help with daily activities, and you'll find the place is smoke-free and built to be comfortable for recovery, so it feels pretty supportive. Highland's always working to treat each person with dignity and respect, keeping things personal, and the staff does seem to care about building a caring, close-knit community where everyone feels safe.

    People often ask...

    Highland Rehabilitation & Nursing Center offers assisted living, memory care, and skilled nursing.

    There are 16 photos of Highland Rehabilitation & Nursing Center on Mirador.

    The full address for this community is 120 Highland Ave, Middletown, NY 10940.

    No, Highland Rehabilitation & Nursing Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Highland Rehabilitation & Nursing Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Highland Rehabilitation & Nursing Center directly. There is no cost for this service. We are compensated by the community you select.

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