PlainNursing
CMS Nursing Home Compare · August 2026

Hudson Valley Rehabilitation & Extended Care Ctr

260 Vineyard Ave, Highland, NY 12528

Hudson Valley Rehabilitation & Extended Care Ctr, a 203-bed for profit - limited liability company nursing facility in Highland, NY, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #521 of 590 rated homes in NY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8456917201

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1 / 5
Much below average · CMS overall · nat'l 3.0
#521 of 590
In-state rank among rated NY homes
3.39
Below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 1 serious

The verdict

Hudson Valley Rehabilitation & Extended Care Ctr, a 203-bed for profit - limited liability company nursing facility in Highland, NY, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #521 of 590 rated homes in NY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#521 of 590
In-state rank among rated NY homes
3.39
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 593 NY nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

3/5

Quality Measures

2/5

Long-Stay Quality

1/5

Facility Information

Provider Number
335399
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
203
Residents
126
In Hospital
No
County
Ulster
Last Inspection
Feb 27, 2026

Staffing Data

How the 3.39 total nursing hours per resident-day are staffed:

RN Hours
0.55 (nat'l avg: 0.69)
LPN Hours
0.92
CNA Hours
1.91
Total Nursing Hours
3.39 (nat'l avg: 3.86)
PT Hours
0.05
Nursing Turnover
47.2%
RN Turnover
37.5%

What the CMS Record Reveals About Hudson Valley Rehabilitation & Extended Care Ctr

According to CMS Nursing Home Compare, Hudson Valley Rehabilitation & Extended Care Ctr ranks #521 of 590 rated nursing homes in NY on overall stars (tie-broken by health+staffing+quality, then fewer fines). Hudson Valley Rehabilitation & Extended Care Ctr operates 203 certified beds in Highland, NY with approximately 126 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 3★ · quality 2★).

The inspection file contains 50 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Staffing is reported at 3.39 total nursing hours per resident day (national average 3.86), with RN coverage at 0.55 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Hudson Valley Rehabilitation & Extended Care Ctr falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 47.2% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0825

Provide or get specialized rehabilitative services as required for a resident.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0710

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Feb 27, 2026 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Apr 27, 2026

E - Pattern - Minimal harm Feb 27, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 27, 2026

E - Pattern - Minimal harm Feb 27, 2026 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 27, 2026

E - Pattern - Minimal harm Feb 27, 2026 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Apr 27, 2026

F - Widespread - Minimal harm Feb 27, 2026 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 27, 2026

F - Widespread - Minimal harm Feb 27, 2026 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 27, 2026

F - Widespread - Minimal harm Feb 27, 2026 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Jul 23, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

D - Isolated - Minimal harm Jul 23, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

D - Isolated - Minimal harm Jul 23, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

D - Isolated - Minimal harm Jul 23, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

D - Isolated - Minimal harm Jul 23, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

E - Pattern - Minimal harm Jul 23, 2025 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

E - Pattern - Minimal harm Jul 23, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

E - Pattern - Minimal harm Jul 23, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

E - Pattern - Minimal harm Jul 23, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

G - Isolated - Actual harm Jul 23, 2025 Tag: 0603

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

D - Isolated - Minimal harm Aug 30, 2024 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Oct 29, 2024

D - Isolated - Minimal harm Aug 30, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 29, 2024

D - Isolated - Minimal harm Aug 30, 2024 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 29, 2024

E - Pattern - Minimal harm Aug 30, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Oct 29, 2024

E - Pattern - Minimal harm Aug 30, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 29, 2024

D - Isolated - Minimal harm Jan 26, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 27, 2023

D - Isolated - Minimal harm Jan 26, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 27, 2023

D - Isolated - Minimal harm Jan 26, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Mar 27, 2023

D - Isolated - Minimal harm Jan 26, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 27, 2023

D - Isolated - Minimal harm Jan 26, 2023 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Mar 27, 2023

B - Pattern - No harm Feb 27, 2019 Tag: 0642

Ensure a qualified health professional conducts resident assessments.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 29, 2019

D - Isolated - Minimal harm Feb 27, 2019 Tag: 0836

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Category: Administration Deficiencies

Corrected: Apr 29, 2019

D - Isolated - Minimal harm Feb 27, 2019 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 29, 2019

D - Isolated - Minimal harm Feb 27, 2019 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 29, 2019

D - Isolated - Minimal harm Feb 27, 2019 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 29, 2019

D - Isolated - Minimal harm Feb 27, 2019 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Apr 29, 2019

E - Pattern - Minimal harm Feb 27, 2019 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 29, 2019

E - Pattern - Minimal harm Feb 27, 2019 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 29, 2019

E - Pattern - Minimal harm Feb 27, 2019 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 29, 2019

E - Pattern - Minimal harm Feb 27, 2019 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 29, 2019

E - Pattern - Minimal harm Feb 27, 2019 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Apr 29, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.1% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 24.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 28.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 5.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 63.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 25.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.8% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 35.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 75.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 89.3% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Hudson Valley Rehabilitation & Extended Care Ctr, both outside NY so the neighborhoods are not the same-state geography list below.

What the CMS records show for Hudson Valley Rehabilitation & Extended Care Ctr

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NY registry aggregates state averages and the highest-rated homes in this cohort. View NY registry
  • Peer homes near 203 beds show how CMS stars vary at a similar scale in NY. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Hudson Valley Rehabilitation & Extended Care Ctr?
Hudson Valley Rehabilitation & Extended Care Ctr has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (2★).
Where does Hudson Valley Rehabilitation & Extended Care Ctr rank among nursing homes in NY?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Hudson Valley Rehabilitation & Extended Care Ctr ranks 521st among 590 rated nursing homes in NY (#521 of 590). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Hudson Valley Rehabilitation & Extended Care Ctr?
Hudson Valley Rehabilitation & Extended Care Ctr reports 3.39 total nursing hours per resident day (national average: 3.86). RN hours are 0.55 per resident day (national average: 0.69). Nursing staff turnover is 47.2%.
How many beds does Hudson Valley Rehabilitation & Extended Care Ctr have?
Hudson Valley Rehabilitation & Extended Care Ctr has 203 certified beds with approximately 126 residents. The facility is located at 260 Vineyard Ave, Highland, NY 12528.
Does Hudson Valley Rehabilitation & Extended Care Ctr have any deficiencies on record?
Yes, Hudson Valley Rehabilitation & Extended Care Ctr has 50 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Hudson Valley Rehabilitation & Extended Care Ctr received any fines or penalties?
No, Hudson Valley Rehabilitation & Extended Care Ctr has no fines or penalties on record.
Who owns Hudson Valley Rehabilitation & Extended Care Ctr?
Hudson Valley Rehabilitation & Extended Care Ctr is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Hudson Valley Rehabilitation & Extended Care Ctr last inspected?
The most recent health inspection for Hudson Valley Rehabilitation & Extended Care Ctr was on Feb 27, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Hudson Valley Rehabilitation & Extended Care Ctr?
Hudson Valley Rehabilitation & Extended Care Ctr is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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