nursing home in Goshen, NY
Sapphire Nursing and Rehab at Goshen
46 Harriman Drive, Goshen, NY 10924 · (845) 360-1200
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Sapphire Nursing and Rehab at Goshen at a glance
Sapphire Nursing and Rehab at Goshen is a 24-bed for-profit nursing home in Goshen, New York (Orange County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the New York average of 3.
Residents receive about 3.8 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 3.6 hours.
Its most recent standard health inspection (April 16, 2025) found 3 health citations. The New York average is 8.
It has not received a federal fine in the past three years.
Nursing staff turnover is 27.3% per year (state average 40.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 24
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Sapphire Care Group
- Medicare-certified since
- September 18, 1985
- Resident/family council
- Resident
- County
- Orange County
- CMS Certification Number
- 335684
Ratings
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.8 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.81 hrs | 3.63 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.65 hrs | 0.71 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.20 hrs | 2.15 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.39 hrs | 3.18 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 27.3% | 40.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 18.2% | 39.8% | 42.9% | Better |
Inspections
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 8 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 16 | 62.2 | 80.6 | Better |
Penalties
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,070 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 24 | 188 | 107 | |
| Average residents per day | 111 | 168 | 86 | |
| Occupancy | 100% | 90.5% | 80.9% |
Long-stay residents
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.2% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.1% | 6.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 4.6% | 13.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 1.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.9% | 14.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.9% | 12.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4% | 5.8% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 82.7% | 19.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13% | 13.2% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 22.8% | 19.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 99% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.7% | 91.5% | 93.6% | Better |
Short-stay residents
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.1% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 87.8% | 78.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 88.8% | 77.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 17 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 16, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected June 9, 2025 |
| April 16, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 9, 2025 |
| April 16, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected June 9, 2025 |
| April 16, 2025 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected June 9, 2025 |
| April 16, 2025 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | D Potential harm, isolated | Corrected June 9, 2025 |
| April 16, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 9, 2025 |
| April 16, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 9, 2025 |
| April 16, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected June 9, 2025 |
| December 10, 2024 Complaint | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Tag F0711 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 10, 2024 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected February 3, 2025 |
| February 7, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected March 24, 2023 |
| February 7, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected March 24, 2023 |
| February 7, 2023 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | D Potential harm, isolated | Corrected March 24, 2023 |
| February 7, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected March 24, 2023 |
| February 7, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected March 24, 2023 |
| February 7, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected March 24, 2023 |
| February 7, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected March 24, 2023 |
| February 7, 2023 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected April 11, 2023 |
| February 7, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 11, 2023 |
| February 7, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 11, 2023 |
| February 7, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected April 11, 2023 |
| December 10, 2019 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected February 19, 2020 |
| December 10, 2019 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected February 19, 2020 |
| December 10, 2019 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected February 19, 2020 |
| December 10, 2019 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | D Potential harm, isolated | Corrected February 19, 2020 |
| December 10, 2019 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | C No harm, widespread | Corrected February 19, 2020 |
| December 10, 2019 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | C No harm, widespread | Corrected February 19, 2020 |
| December 10, 2019 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 4, 2020 |
| December 10, 2019 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 4, 2020 |
| December 10, 2019 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected February 4, 2020 |
| December 10, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 4, 2020 |
| December 10, 2019 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 4, 2020 |
| December 10, 2019 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected February 4, 2020 |
| December 10, 2019 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected February 4, 2020 |
| December 10, 2019 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | B No harm, pattern | Corrected February 4, 2020 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GOSHEN OPERATIONS LLC Organization | 5% or greater direct ownership interest | 100% | 09/01/2017 |
| ABRAMCZYK, MACHLA Individual | 5% or greater indirect ownership interest | 20% | 09/01/2017 |
| FARKOWITZ, ESTHER Individual | 5% or greater indirect ownership interest | 33% | 09/01/2017 |
| SCHUCK, ROBERT Individual | 5% or greater indirect ownership interest | 13% | 09/01/2017 |
| PLATSCHEK, RICHARD Individual | operational/managerial control | NOT APPLICABLE | 09/01/2017 |
Other nursing homes near Sapphire Nursing and Rehab at Goshen
- ★★★★★3Average
The Valley View Center for Nursing Care and Rehab
2 Glenmere Cove Rd, Goshen, NY 10924 · 3.3 mi
Government · 360 beds
★★★★★2Below averageCampbell Hall Rehabilitation Center INC
23 Kiernan Rd, Campbell Hall, NY 10916 · 4.8 mi
For-profit · 134 beds
- Special Focus candidate
- Abuse citation
★★★★★1Much below averageMiddletown Park Rehab & Health Care Center
121 Dunning Road, Middletown, NY 10940 · 5.3 mi
For-profit · 230 beds · Part of Epic Healthcare Management
★★★★★4Above averageHighland Rehabilitation and Nursing Center
120 Highland Avenue, Middletown, NY 10940 · 6.8 mi
For-profit · 98 beds · Part of Personal Healthcare Management
★★★★★1Much below average- ★★★★★3Average
Frequently asked questions
What is Sapphire Nursing and Rehab at Goshen's rating?
Sapphire Nursing and Rehab at Goshen has 5 out of 5 stars on the CMS overall star rating. The average for New York nursing homes is 3 stars.
How many inspection citations did Sapphire Nursing and Rehab at Goshen receive?
Its most recent standard health inspection found 3 citations, compared with a New York average of 8. Every citation is listed on this page with its severity.
Does Sapphire Nursing and Rehab at Goshen accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Sapphire Nursing and Rehab at Goshen?
It is for profit - individual and part of Sapphire Care Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Sapphire Nursing and Rehab at Goshen and how do I contact it?
Sapphire Nursing and Rehab at Goshen is at 46 Harriman Drive, Goshen, NY 10924. Phone: (845) 360-1200.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.