Highland Rehabilitation & Nursing Center

    120 Highland Ave, Middletown, NY, 10940
    2.8 · 48 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Understaffed, filthy facility; unsafe care

    I saw some truly caring, compassionate staff, good PT/activities, and helpful aides - but the facility is chronically understaffed and often filthy. I witnessed soiled bedding/diapers, residents left in wheelchairs for hours, missed meds/delayed emergency response, and other serious safety incidents. Communication and management were awful (lost clothes, bungled insurance/billing, HR never returned calls). A few nurses were excellent, but too many were disengaged; I would not place a family member here and recommend looking elsewhere.

    Pricing

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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

    2.83 · 48 reviews

    Overall rating

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

      2.9
    • Staff

      2.8
    • Meals

      1.0
    • Amenities

      2.3
    • Value

      1.0

    Pros

    • Some professional and compassionate nursing staff
    • Dedicated and caring CNAs/aides reported by multiple reviewers
    • Strong physical and occupational rehabilitation programs
    • Effective physical therapy and notable rehab outcomes
    • Warm, welcoming, family-like environment cited by some families
    • Wide range of activities (music programs, arts & crafts, games)
    • Religious/inspirational services and entertainers provided
    • Engaging recreation department and calendar of events
    • Large rooms and well-lit, pleasant ambiance in some areas
    • Renovations and pleasant aesthetics reported by some reviewers
    • Clean lobby and some well-maintained public areas
    • Staff perseverance and dedication through the pandemic
    • Helpful front-line caregivers and individual staff praised
    • Some reviewers report overall very good or exceptional care
    • Responsive and attentive nursing reported in positive reviews
    • Supportive casework/assistance during stays for some residents
    • Comfortable, welcoming atmosphere for visitors in some cases
    • Successful recoveries (e.g., post-COVID, rehab improvements)
    • Availability of beds and ability to accept new residents at times
    • Name change/new ownership noted (potential for change/improvement)

    Cons

    • Chronic understaffing and staff shortages
    • Inconsistent staff quality—some caring, many uncaring or abusive
    • Frequent reports of neglect (left in soiled diapers, beds, wheelchairs)
    • Poor hygiene and cleanliness inside the facility (dirty floors/bedding)
    • Pest problems reported (bugs present)
    • Long nurse call response times and ignored calls
    • Medication mismanagement and opioid-handling concerns
    • Serious safety incidents (dehydration, severe hypoglycemia, EMS called)
    • Residents confined to bed/prolonged bed rest causing distress
    • Inaccurate or problematic billing and insurance form issues
    • Poor communication and unreturned calls from management/staff
    • Derogatory comments, rude or unprofessional staff behavior
    • Poor dining quality (repetitive, starch-heavy, low-quality meals)
    • Lost clothing and personal belongings
    • Broken or inadequate equipment (thermostats, lack of walkers, oxygen issues)
    • Facility interior run-down with delayed repairs and maintenance
    • Housekeeping deficiencies and filthy interior spaces despite clean lobby
    • Supervisor and director-level unresponsiveness or rudeness
    • Transportation limitations (few vans, missed appointments)
    • Last-minute discharge decisions and poor discharge communication
    • Safety and temperature control problems (hot rooms, broken HVAC)
    • Inadequate infection control concerns implied by DOH inspection mentions
    • Staff disappear/unreliable shifts and coverage
    • Limited activities in late afternoons/evenings for some residents
    • Polarized care experience—very inconsistent across stays

    Summary review

    The reviews for Highland Rehabilitation & Nursing Center are highly polarized, showing a mix of strongly positive experiences—particularly around rehabilitation outcomes and individual, compassionate staff members—and numerous serious negative reports that raise safety, cleanliness, and management concerns. Many families praise the rehab programs and highlight effective physical therapy, successful recoveries, caring nurses and aides, and a warm, family-like culture in parts of the facility. Positive reviewers mention a robust activities program (music, arts and crafts, entertainers, religious services), large rooms, pleasant aesthetics or renovations, and staff dedication during challenging periods such as the pandemic.

    Counterbalancing those positive comments are a significant volume of troubling complaints. The most common negative themes are chronic understaffing and inconsistent staff behavior: while some CNAs and nurses are described as compassionate, an alarming number of reviews allege neglectful or abusive treatment, derogatory comments, long nurse call response times, and residents being left in soiled diapers or in wheelchairs for eight-plus hours. Several incidents described are severe—documented dehydration, severe hypoglycemia requiring EMS, prolonged bed rest with constipation and distress, medication management concerns (including opioid handling), and oxygen or equipment needs not being met. These accounts suggest both quality-of-care and patient-safety issues that require attention.

    Facility cleanliness and maintenance emerge as another major area of concern. Multiple reviewers report filthy interiors despite a clean lobby, dirty floors, urine-soaked bedding or clothing, pests/bugs, and delayed repairs. There are repeated mentions of hidden problems inside the facility, creating a contrast between outward appearance and interior conditions. Climate control and basic amenities are also questioned (broken thermostats, rooms too hot), and housekeeping is repeatedly criticized. Several reviewers explicitly state they would not place a family member at the facility, citing these hygiene and safety shortcomings.

    Communication and management problems are frequently cited across reviews. Families describe unreturned calls from supervisors and case managers, poor chart updates, inaccurate insurance or billing paperwork, and surprise or last-minute discharge decisions. Some reviewers reported rude or unprofessional behavior from front-desk staff and directors of nursing. Transportation capacity (limited vans) and missed appointments were also noted. These administrative shortcomings compound clinical and safety concerns and diminish families' trust in the facility's operations.

    Dining and daily care quality show mixed feedback but lean negative in aggregate: several reviewers describe low-quality, repetitive meals heavy on starches, or “nasty” soups and sandwiches, with food sometimes wasted. At the same time, some family members say dietary needs were met and that staff addressed concerns when raised. Activities programming is a relative strength in many reports—residents have access to varied events and programs—though a subset of reviewers says activity availability drops off in late afternoons and evenings.

    A notable pattern is the stark inconsistency: many reviews describe excellent, compassionate care and successful rehab for some residents, while numerous others recount neglect, poor hygiene, and safety incidents. This suggests variability in staff performance, shift coverage, or unit-level management. There were mentions of a name change/new ownership, which some families reference positively as a potential improvement, but others continue to report ongoing problems.

    For prospective families or referral sources, the reviews point to specific areas to verify in person: current staffing ratios and shift coverage, medication-management protocols, infection-control and housekeeping practices, dining quality and special-diet accommodations, response times to nurse calls and emergencies, transportation availability, and recent Department of Health inspection results. On-site visits—including unannounced ones—asking targeted questions of nursing leadership, and reviewing the facility's most recent inspection/citation history would help assess whether the positive rehab and activity offerings are consistent and whether the reported safety, cleanliness, and communication problems have been addressed.

    Location

    Map showing location of Highland Rehabilitation & Nursing Center

    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.

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