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Highland Rehabilitation and Nursing Center

  • Nursing Home

Updated Sep 1, 2022 by Nick Reese

Historical Rating
Grade: B-minus
Oct 18: DNov 18: DDec 18: DJan 19: DFeb 19: DMay 19: FJun 19: FJul 19: DAug 19: DSep 19: DJan 20: CMar 20: CApr 20: CMay 20: CJun 20: CJul 20: CAug 20: CSep 20: COct 20: CJan 21: B-Feb 21: B-Mar 21: B-Apr 21: B-May 21: B-Jun 21: B-Jul 21: CAug 21: CSep 21: COct 21: CNov 21: CJan 22: CFeb 22: CMar 22: CApr 22: B-May 22: B-Jun 22: B-Aug 22: B-Sep 22: B-
See Rating Overview
Highland Rehabilitation and Nursing Center's website

120 Highland Avenue,
Middletown NY 10940

(845) 342-1033

101.12% estimated occupancy 1

Highland Rehabilitation and Nursing Center is located in Middletown, New York. This is a decent facility, with an overall grade of B-. Based on our analysis, there are certainly much worse nursing homes out there. One of the best aspects of this nursing home's report card is its remarkable inspection grade, which we will address in the next section.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Partnership
  • Offers Hospice
  • Offers Post-Acute Care 
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Medication Management
  • Home Making
  • Dialysis Transportation
  • Speech Therapy
  • Stroke Recovery
  • Amputee Recovery
  • IV Antibiotic Therapy
  • Palliative Care
  • Wound Care
  • Occupational Therapy
  • Cardiac Therapy
  • Tracheotomy Care
  • Diabetes Management
  • Physical Therapy
  • Respiratory Therapy
  • Nutritional Counseling
  • Recreational Therapy
  • Pain Management
  • Bariatric Care
  • Orthopedic Rehabilitation
  • Total Parenteral Nutrition

Registered Staff Hours

Medical Staff Hours Per Patient (2021)
Less:
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April
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May
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July
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August
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September
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October
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November
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December
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January
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February
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March
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Facility Inspections

Grade: A

We want to draw your attention to the fact that this nursing home outperformed its overall grade in the area of inspections. In fact, it received an excellent inspection report this year. As a result, we gave it one of our best grades in that area with an A. Our inspection grades are based on many pieces of information found on the a nursing home's recent inspection reports. Nursing homes that score well in this area typically have very few deficiencies on their reports. Most importantly, these facilities should not have any severe deficiencies which are associated with risks to patient safety. This nursing home was hit with 2 deficiencies on its inspection report, but none were considered severe. This means that the government inspectors didn't deem any of these deficiencies to create an imminent threat to resident safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Long-term Care Quality

Grade: A-minus

An additional strength of this nursing home is its very impressive score in long-term care. We gave them one of our best scores in that area, with a grade of A-. For prospective patients looking for a permanent place to live as opposed to skilled nursing, long-term care grades are a key measure. On top of assessing the volume of care provided by aids and other staff, we looked at the percentage of residents vaccinated against pneumonia. This nursing home vaccinated 31.899645 percent of its patients, which is a few points lower than we anticipated. Although its vaccination rate was a bit lower than we like to see, this nursing home was able to limit hospitalizations. In fact, it had only 0.04 hospitalizations per one thousand long-term resident days, which is a remarkably low figure.

Nurse Quality

Grade: D

Moving on to another strength for this facility, it also earned an elite nursing rating. In fact, we gave this nursing home an D. There are several criteria included in this grade. Many of these factors relate to the quantity and quality of nurse staffing. This nursing home offered just 0.3 hours of nursing care per patient on a daily basis. This is a very low total compared to most nursing homes. Finally, we also assessed some nursing quality-based metrics in computing our nursing grades. This place fared well in the area of minimizing its residents' pressure ulcers and major falls. We consider these datapoints to be measures of the quality of nursing care.

Short-term Care Quality

Grade: F

The last category we assessed was short-term care. Unfortunately, we gave it an F for this area, which is a bottom of the barrel grade. This is clearly a major concern. Our short-term care scores are important for residents in need of rehabilitation. Rehabilitation usually utilizes more skilled nursing. This means a wide spectrum of nursing services, ranging from registered nurses to physical and occupational therapists, as well as other types of therapy. In this nursing home's case, we found that it provides less physical therapist and registered nurse hours per resident than the average facility. Finally, we assessed the percentage of patients who were able to return home from this nursing home. This nursing home didn't fare well here either. In fact, we found that just 4.7 percent of this facility's residents were able to return home. This figure was well off the national average.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Sep 22

Highland Rehabilitation and Nursing Center Quality Metrics

Minimizes Pressure Ulcers

Grade: B-plus

In Highland Rehabilitation and Nursing Center, 9.58% of Patients had Pressure Ulcers

This is the percentage of patients who suffered from a pressure ulcer. Pressure ulcers are considered by many experts to be an indicator of nursing care . Pressure ulcers, which are also called bed sores, are routinely the result of patients not being moved frequently enough.

Minimizes Serious Falls

Grade: A-minus

In Highland Rehabilitation and Nursing Center, 3.04% of Patients had Serious Falls

This measures the percentage of long-term patients who had a fall which caused severe injury. Falls can happen for a variety of reasons, but high rates of major falls may be an indication of poor nursing care.

Minimizes Urinary Tract Infections

Grade: B-minus

In Highland Rehabilitation and Nursing Center, 2.1% of Patients had UTIs

This tells you the percentage of patients that suffered from a urinary tract infection. These infections could be linked to insufficient hygiene.

Appropriately Uses Anti-Psychotic Medication

Grade: B

In Highland Rehabilitation and Nursing Center, 11.59% of Patients use Anti-Psychotic Medication

This metric tells you the percent of long-term patients who are given antipsychotic medication. High levels of antipsychotic drug use may mean that a facility is using these drugs to control patient behavior in situations where such drugs aren't medically required. Nevertheless, some facilities need to rely on these drugs due to having more patients suffering from cognitive disorders.

Appropriately Uses Anti-Anxiety Medication

Grade: B

In Highland Rehabilitation and Nursing Center, 13.3% of Patients use Anti-Anxiety Medication

This indicates the percentage of patients prescribed antianxiety drugs. These drugs are commonly used to treat residents suffering from anxiety or depression.

Managing Depression Among Residents

Grade: B-plus

In Highland Rehabilitation and Nursing Center, 13.2% of Patients

This datapoint measures the percentage of long-term patients who are exhibiting signs of depression.

Appropriate Vaccine Usage

Grade: F

In Highland Rehabilitation and Nursing Center, 91.26% of Patients

This is the percentage of patients that received the pneumonia and flu vaccines. High vaccination rates should be standard at this point.

Residents Maintain Autonomy

Grade: B-minus

In Highland Rehabilitation and Nursing Center, 14.75% Percentage of Patients

This datapoint measures the percentage of long-term care patients that needed more assistance with activities of daily living over time. ADL's include activities such as taking medications and taking a bath. Some experts would argue that this is a measure of a patient's well-being.

Ability to Keep Residents Mobile

Grade: B-minus

In Highland Rehabilitation and Nursing Center, 17.32% Percentage of Residents

This datapoint is a measure of the percentage of long-term care patients that were able to retain mobility. Some would argue that the ability to move around is critical to residents' well-being.

Hospitalizations

Grade: F

In Highland Rehabilitation and Nursing Center, 1.31 Hospitalizations per 1,000 resident days

This indicates the number of hospitalizations per 1,000 days of patient care. There is typically a correlation between avoiding hospitalizations and the overall quality of nursing home care.

Short-term Care: Rehospitalizations

Grade: B-plus

In Highland Rehabilitation and Nursing Center, 17.32 Percentage of Residents Rehospitalized

This indicates the number of rehospitalizations per thousand days of short-term care.

Short-term Care: ER Visits

Grade: B-minus

In Highland Rehabilitation and Nursing Center, 8.8 Percentage of Patients

This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.

Short-term Care: Facilitates Functional Improvement

Grade: C

In Highland Rehabilitation and Nursing Center, 75.07% Percentage of Resident

This indicates the percentage of short-term care residents that saw functional improvements, such as enhanced ability to perform activities of daily living.

Nearby Hospitals

  • Orange Regional Medical CenterAcute Care Hospitals 2.69 miles away707 East Main Street Middletown New York 10940Voluntary non-profit - Private(845) 343-2424
  • St Anthony Community HospitalAcute Care Hospitals 13.77 miles away15 Maple Avenue -19 Warwick New York 10990Voluntary non-profit - Church(845) 986-2276
  • Bon Secours Community HospitalAcute Care Hospitals 14.9 miles away160 East Main Street Port Jervis New York 12771Voluntary non-profit - Church(845) 856-5351
  • Ellenville Regional HospitalCritical Access Hospitals 19.59 miles away10 Healthy Way Ellenville New York 12428Voluntary non-profit - Private(845) 647-6400

Nearby Dialysis

  • Orange Dialysis Center2.92 miles away100 Crystal Run Road Ste 102 Middletown New York 10941CMS Rating: 3 stars Dialysis Stations: 20 (845) 692-8220
  • Fms-Middletown Dialysis Center3.37 miles away220 Crystal Run Road Middletown New York 10941CMS Rating: 3 stars Dialysis Stations: 20 (845) 695-1200
  • Premier Dialysis Center5.76 miles away30 Hatfield Lane Building 2 Goshen New York 10924CMS Rating: 4 stars Dialysis Stations: 20 (845) 291-7495
  • Liberty Hudson Valley Dialysis19.43 miles away4 Corwin Court Newburgh New York 12550CMS Rating: 2 stars Dialysis Stations: 25 (845) 534-9823
  • Davita Catskill Dialysis Center19.72 miles away139 Forestburgh Rd Monticello New York 12701CMS Rating: 2 stars Dialysis Stations: 14 (845) 796-3300

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Footnotes:

  1. https://www.medicare.gov/nursinghomecompare/profile.html#ID=335526