The Eliot At Erie Station Alp
State licensed10 - 18 John Street, Middletown, NY 10940
Assisted Living
Assisted livingAdult care facility24-hour personal care
Call for pricing
Prices not published
🏥
Medicare-certifiedSkilled Nursing
Highland Rehabilitation and Nursing Center
Middletown, New YorkMedicare inspection record
About Highland Rehabilitation and Nursing Center
Highland Rehabilitation and Nursing Center serves Middletown, New York families with comprehensive skilled nursing and rehabilitation care. Our clinical team focuses on recovery support and medical management, helping patients regain independence after hospitalization or injury.
Community at a glance
Capacity
98 residents
Location
Middletown, NY
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
120 HIGHLAND AVENUE, Middletown, New York 10940
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on July 3, 2025, state inspectors cited 20 health deficiencies (the New York average is 8.0).
Nurses and nurse aides spend 3 hours 26 minutes with each resident a day, below the New York average of 3 hours 38 minutes.
Medicare has not fined Highland Rehabilitation and Nursing Center in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 26 minutesBelow the New York average |
| Registered nurse time per resident, per day | 34 minutesBelow the New York average |
| Nursing staff who left in the past year | 54%Above the New York average |
Inspections
20 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 14, 2026 · Complaint investigation · 3 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintPlan to fix it acceptedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it acceptedHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintPlan to fix it accepted
February 6, 2026 · Complaint investigation · 3 citations
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 30, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 30, 2026Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 30, 2026
July 3, 2025 · Standard inspection · 14 citations+
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Sep 1, 2025Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 1, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Sep 1, 2025Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Sep 1, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 1, 2025Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Sep 1, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 1, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 1, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 1, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 1, 2025Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 1, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 1, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 1, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 1, 2025
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Hrnc Operating, LLC
- Medicare-certified beds
- 98
- Average residents per day
- 90
- Accepts
- Medicare and Medicaid
- First certified
- July 1, 1976
- Part of a chain
- Personal Healthcare Management, 21 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 335526
Location
Loading map…
120 HIGHLAND AVENUEMiddletown, NY 10940
12 other communities within 10 miles
Senior living near Middletown
12 JOHN ST, Middletown, NY 10940
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
Call for pricing
Prices not published
25 MYRTLE AVE, Middletown, NY 10940
Adult Day Services
Adult day servicesDaytime supervision & activitiesRespite for caregivers
Call for pricing
Prices not published
Questions about Highland Rehabilitation and Nursing Center
How did Highland Rehabilitation and Nursing Center do on its last inspection?+
State inspectors visited on July 3, 2025 and cited 20 health deficiencies, 12 of them from complaint investigations. The New York average is 8.0.
How much nursing care does each resident get at Highland Rehabilitation and Nursing Center?+
Nurses and aides spend 3 hours 26 minutes with each resident per day, including 34 minutes from registered nurses. 54% of nursing staff left over the past year.
Has Highland Rehabilitation and Nursing Center been fined by Medicare?+
Medicare's records show no fines against Highland Rehabilitation and Nursing Center in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.