Highland Rehabilitation and Nursing Center
120 Highland Avenue, Middletown NY 10940 · (845) 342-1033 · 100.1% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Highland Rehabilitation and Nursing Center is one of only two available facilities in Middletown, New York. We awarded it an overall grade of C, which is a middle of the road rating. Based on the data we reviewed, there are definitely far worse places out there. One of the major highlights of this facility's report card is its remarkable inspection rating, which we will address in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 98 Beds
CCRC :
For profit - Partnership
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While this facility's overall grade was decent, it really excelled in the category of inspections. In fact, we awarded it a grade of A+ for that category, which is one of our best scores. Perhaps the most important factor we look at in determining our inspection grades is deficiencies. These deficiencies can be found on a nursing home's inspection reports. Places with better grades in this area most likely dodged the most severe deficiencies involving patient abuse or death. While this nursing home had a few deficiencies on its government inspection report, none of them were severe based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.
Long-term Care Quality
Additionally, we awarded this facility a B+ in our long-term care category. This is one of our better scores. For patients in need of a permanent residence rather than rehabilitation, long-term care grades are a key measure. One of the statistics we considered in addition to nursing hours is vaccines. This facility administered the pneumonia vaccination to 93.625496 percent of its residents. Lastly, we looked at the nursing home's number of hospitalizations. While it had 2.2 hospitalizations per one thousand long-term resident days, its risk adjusted score was middle of the road since it had more complicated patients.
Short-term Care Quality
We awarded this nursing home just a D for our short-term care score. This is not a very good score. In computing our short-term care ratings, we size up the facility's levels of skilled nursing, which includes registered nurses, physical therapists respiratory therapists and other licensed professionals. This rating is considered to be a useful measure of the nursing home's rehabilitation services. In this nursing home's case, we found that it offers far less registered nurse hours per resident than the average facility. Given its score in this area, this did not surprise us. Finally, we assessed the number of residents who were able to return to the community from this nursing home. This definitely was not a strength for this facility. We found that just 43.2 percent of this facility's patients returned home. At most facilities, around half of their residents are able to return home so this is well below average.
Nurse Quality
Moving on to our final category, this nursing home really didn't perform very well. With a poor grade of F in nursing, this is this facility's worst category. In computing our nursing ratings, we assess both staffing levels and the training levels of those nurses. This place provided only 3.2 hours of nursing care per patient on a daily basis. In addition to receiving below average marks for nursing hours, this nursing home was a bit less impressive in some of the quality-based metrics we looked at in determining our nursing ratings. We looked at the percentage of patients suffering pressure ulcers and found this place was at approximately 1.5 times the national average in this metric.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Highland Rehabilitation and Nursing Center Quality Metrics
Minimizes Pressure Ulcers
This is the percent of patients that suffered from a pressure ulcer. Pressure ulcers are considered by many experts to be a barometer of the quality of nursing care . Pressure ulcers, also known as bed sores, are often caused by residents not being moved frequently enough.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This figure indicates the percent of long-term stay patients who have had a fall which resulted in major injury. Falls can arise for a variety of reasons, but excessive numbers of falls could be a sign of lower levels of patient supervision.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of residents who sustained a urinary tract infection. Urinary tract infections are routinely associated with poor nursing care. More frequent bathing can minimize the percentage of residents in a nursing home who suffer from UTI's. Note that this metric is affected by by the fact that facilities have different reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of patients who were given antipsychotic medications. Antipsychotic medications are prescribed to residents for a variety of medical conditions, such as cognitive disorders. Tragically, in some cases, high levels of antipsychotic drug use may indicate a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents given antianxiety drugs. These drugs are used to treat residents experiencing anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percentage of residents who are showing signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percentage of patients who were given the pneumonia and flu vaccines. Higher vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percentage of patients who required more assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's may be a sign of decline of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint measures the percentage of long-term stay residents that were able to retain mobility. Some experts argue that the ability to move around is critical to patients health.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of hospitalizations per thousand days of patient care. There is typically a correlation between avoiding hospitalizations and the overall quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is a measure of the number of times residents are rehospitalized per 1,000 days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percentage of short-term stay patients who saw functional improvements, such as with activities of daily living.
Percentage of Resident
Higher is Better