How to file a complaint about care →
No fines or payment denials in the published 3-year window.
121 Dunning Road, Middletown, NY 10940 (opens Google Maps) · Orange County · (845) 343-0801· 230 certified beds · avg 223 residents/day · certified since Jun 28, 1982 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: EPIC HEALTHCARE MANAGEMENT (5 facilities, chain avg rating 3.4★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
⚠ 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 quality measures from resident assessments and claims.
Showing the latest 3 of 15 inspection findings. Open the full record below to read every finding.
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 F-0684
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 F-0684
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint F-0842
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 20, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Apr 24, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0684 |
| Apr 24, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Mar 4, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Mar 4, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Mar 4, 2024 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Mar 4, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Mar 4, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Mar 4, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Mar 4, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Mar 4, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Mar 4, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| May 25, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Jan 17, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jan 17, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
Citations from standard inspections increased between the last two inspection cycles (1 → 8).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 2 | 0 | D |
| 2021 | 1 | 0 | E |
| 2024 | 9 | 0 | E |
| 2025 | 3 | 0 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.34 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Middletown Park Rehab & Health Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 6 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Epic Healthcare Management — 5 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 335655.
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