Highland Rehabilitation And Nursing Center
120 Highland Avenue, Middletown, NY, 10940
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Personal Healthcare Management
- Certified beds
- 98 · avg 90 residents/day
- Total nursing staff turnover
- 54.3% — higher than most New York nursing homesNew York avg: 40.3% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most New York nursing homesNew York avg: 39.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the New York averageNew York avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 335526
- Certified beds
- 98 beds · avg 90 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Hrnc Operating, Llc
- Chain affiliation
- Personal Healthcare Management
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Personal Healthcare Management chain — 21 facilities across 2 states. Chain-wide average overall rating 3.0 / 5.
Disclosed owners (8 on record)
- Israel Ostrovitsky
Operational/managerial Control · since 2024
- Alec Shneider
W-2 Managing Employee · since 2024
- M&t Bank
5% or Greater Mortgage Interest · 40% · since 2013
- Alexander Barth
5% or Greater Direct Ownership Interest · 20% · since 2012
- Ephraim d Zagelbaum
W-2 Managing Employee · 40% · since 2012
- Pincus Zalgelbaum
5% or Greater Direct Ownership Interest · 10% · since 2012
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 39)
- D0689·Feb 6, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0641·Feb 6, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0580·Feb 6, 2026Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0689·Jul 3, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0677·Jul 3, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0657·Jul 3, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0602·Jul 3, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- E0584·Jul 3, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Fire-safety citations
18 Life-Safety-Code citations on file. Most recent: Jul 3, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Highland Rehabilitation And Nursing Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.