Middletown Park Rehab & Health Care Center

Name: Middletown Park Rehab & Health Care Center
Address: 121 Dunning Road, Middletown, NY, 10940, US
Telephone: 8453430801

121 Dunning Road, Middletown, NY 10940 · Orange County · 230 certified beds · avg 223 residents/day · certified since Jun 28, 1982

Part of chain: EPIC HEALTHCARE MANAGEMENT (5 facilities, chain avg rating 3.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.01

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (15)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Nov 20, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Apr 24, 2025	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Apr 24, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Mar 4, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 4, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 4, 2024	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Mar 4, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 4, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 4, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 4, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Mar 4, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 4, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
May 25, 2021	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 17, 2020	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 17, 2020	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 8).

Year	Citations	Worst severity that year
2020	2	D
2021	1	E
2024	9	E
2025	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	New York avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.01	3.58	3.95	bottom 26% in New York; bottom 14% in the U.S.
Registered Nurse hours	0.56	0.68	0.69	bottom 48% in New York; bottom 46% in the U.S.
Weekend total nurse staffing	2.68	3.13	3.50	bottom 29% in New York; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.56	0.48	0.48	top 25% in New York; top 27% in the U.S.
Total nursing staff turnover (%)	35.5	40.3	45.8	top 43% in New York; top 25% in the U.S.
RN turnover (%)	35.7	39.8	42.9	top 45% in New York; top 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.34, RN 0.62, weekend 2.98. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Brach, Samuel	Individual	5% or Greater Direct Ownership Interest	10%	03/01/2010
Fagenson, Robert	Individual	5% or Greater Direct Ownership Interest	10%	03/01/2010
Jozefovic, Herbert	Individual	5% or Greater Direct Ownership Interest	35%	03/01/2010
Neuman, Mark	Individual	5% or Greater Direct Ownership Interest	25%	03/01/2010
Feminella, Danielle	Individual	Operational/Managerial Control	NOT APPLICABLE	07/19/2011
Jozefovic, Herbert	Individual	Corporate Officer	NOT APPLICABLE	03/01/2010

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Highland Rehabilitation and Nursing Center	2.0 mi	Middletown, NY	★☆☆☆☆	1/5
Campbell Hall Rehabilitation Center INC	5.2 mi	Campbell Hall, NY	★☆☆☆☆	1/5	abuseSFF
Sapphire Nursing and Rehab at Goshen	5.3 mi	Goshen, NY	★★★★★	4/5
Glen Arden INC	5.5 mi	Goshen, NY	★★★☆☆	2/5
The Valley View Center for Nursing Care and Rehab	6.6 mi	Goshen, NY	★★☆☆☆	1/5
Montgomery Nursing and Rehabilitation Center	9.8 mi	Montgomery, NY	★★☆☆☆	2/5
Schervier Pavilion	13.1 mi	Warwick, NY	★★★☆☆	3/5
Sapphire Nursing at Meadow Hill	16.4 mi	Newburgh, NY	★★★★☆	3/5
St Josephs Place	17.4 mi	Port Jervis, NY	★★★★☆	3/5
Delaware Valley Skilled Nursing & Rehabilitation C	18.2 mi	Matamoras, PA	★☆☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Middletown →

Facility data as of CMS processing date 2026-08-01. CCN 335655.

The Care File

Visit checklist — Middletown Park Rehab & Health Care Center

121 Dunning Road, Middletown, NY 10940 · 8453430801

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335655 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)