Highland Rehabilitation & Nursing Center

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

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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

    2.93·(59)

    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

    • Compassionate and skilled nursing and therapy staff
    • Effective rehabilitation and physical therapy programs
    • Engaging recreational programming (music, arts, games, religious services)
    • Warm, family-like atmosphere in some units
    • Spacious rooms and updated lobby aesthetics
    • Secure Alzheimer’s care services
    • Local access with available beds
    • Staff perseverance during high-demand periods

    Cons

    • Inconsistent staff responsiveness and conduct
    • Understaffing and workforce instability
    • Sanitation and housekeeping deficiencies
    • Incontinence-care delays
    • Gaps in medication-management and clinical oversight
    • Poor family communication and follow-up
    • Billing and administrative errors
    • Inconsistent meal quality and limited dietary variety
    • Maintenance and environmental-control lapses
    • Pest-control concerns
    • Inadequate mobility and transfer-assistance practices

    Summary of reviews

    Reviews of Highland Rehabilitation & Nursing Center are strongly mixed. Many families describe positive experiences centered on rehabilitation outcomes, therapy services, and an engaged activities department; however, recurring operational concerns create a polarized overall impression.

    Care quality shows a bifurcated pattern. Several reviewers praised competent, caring nurses and therapists who supported good functional improvement and recovery. At the same time, other accounts describe inconsistent caregiving: delayed responses to call systems, prolonged immobility for some residents, and incontinence-care delays. There are also concerns about clinical oversight, including medication-administration processes, timing of insulin, oxygen management, and instances where emergency medical escalation was required. These patterns suggest variability in day-to-day clinical reliability rather than uniform clinical performance.

    Staff and management themes are similarly mixed. Positive comments highlight staff who create a welcoming, family-like environment and who remained dedicated during the pandemic. Conversely, families described gaps in communication (unreturned calls, poor follow-up from supervisors and case managers), front-desk unhelpfulness in specific instances, and administrative errors such as incorrect insurance or billing handling. These management and communication issues appear to contribute to family frustration even when individual caregivers perform well.

    Dining and activities present a contrast. The facility offers a broad activities calendar—music programs, arts and crafts, entertainers, games, and religious services—that several residents and families found meaningful and beneficial. Meal quality, however, was described as inconsistent: some reviewers found the food adequate, while others cited repetitive menus, heavy reliance on starches, and occasional low-quality meal experiences. Meal-service continuity and variety may be an area to review during a visit.

    Facility condition and operations present mixed signals. The lobby and some renovated areas are described as pleasant and well-lit, with large rooms in portions of the building. Simultaneously, multiple reviewers raised sanitation and housekeeping concerns (cleaning lapses, laundry and clothing management problems), pest-control concerns, maintenance delays, and environmental-control issues such as temperature regulation. These infrastructure and housekeeping inconsistencies can affect resident comfort and family perceptions.

    Notable patterns for prospective families: experiences are polarized—some families report excellent, attentive care and strong rehab outcomes, while others encountered operational weaknesses that they considered significant. Key recurring operational themes are staffing shortages, inconsistent responsiveness, gaps in medication and clinical oversight, cleanliness and maintenance issues, and weak administrative communication. The facility has demonstrated strengths in therapy, activities, and pockets of compassionate caregiving, but those strengths appear unevenly distributed.

    For those considering Highland Rehabilitation & Nursing Center, an in-person visit focused on specific operational questions is advisable: ask about current staffing ratios, medication administration protocols, recent state survey findings, housekeeping routines, pest-control measures, and how the facility handles billing and case management. Observing meal service, meeting therapy and nursing leads, and reviewing recent inspection results can help families weigh the facility’s documented rehabilitative strengths against the operational concerns noted in reviews.

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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

    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 17 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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