facebook tracking Sapphire Nursing and Rehab at Goshen, Goshen NY: CMS Ratings
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Sapphire Nursing and Rehab at Goshen

All states › New York › Goshen › Sapphire Nursing and Rehab at Goshen

46 Harriman Drive Goshen, NY 10924 · Orange County

(845) 360-1200

All 3 nursing homes in Goshen, NY (3 take Medicaid)

Accepts Medicare Accepts Medicaid 24 certified beds For profit

CMS certification number 335684 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Sapphire Nursing and Rehab at Goshen a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Sapphire Nursing and Rehab at Goshen as of October 2026.

CMS rates it 5 out of 5 stars overall, above the New York average of 3.1. Inspectors issued 18 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.77 hours per resident per day at Sapphire Nursing and Rehab at Goshen, above the New York median of 3.57 (US median: 3.72). About 0.65 of those hours are from registered nurses. On weekends it falls to 3.33 hours, 11% below its all-week average. 28.1% of nursing staff left within a year (New York median 38.3%). That is lower than most homes in New York, a sign of a steadier team.

Nursing care per resident per day 3.77 hours
Above the New York median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.65 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.33 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 28.1% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 19% a year Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds24
Residents per day 111 About 462% of beds filled, on average
OwnershipFor profit - Individual
Payment acceptedMedicare and Medicaid
Certified sinceSeptember 1985
Part of a chainSapphire Care Group
Legal business nameGOSHEN OPERATIONS LLC

Paying for care at Sapphire Nursing and Rehab at Goshen: Medicare and Medicaid

Sapphire Nursing and Rehab at Goshen is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New York's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on April 16, 2025 and found 3 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 18 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 18 citations at Sapphire Nursing and Rehab at Goshen across 5 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 17 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were quality of life and care (5) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift" (tag F0725, level E, February 7, 2023).

August 19, 2026 · 1 citation · includes complaint inspection

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Complaint inspection · Deficient, Provider has no plan of correction

April 16, 2025 · 3 citations

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jun 9, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 9, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 9, 2025)

December 10, 2024 · 2 citations · includes complaint inspection

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Feb 3, 2025)

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0711 · Complaint inspection · Deficient, Provider has date of correction (Feb 3, 2025)

February 7, 2023 · 4 citations

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Apr 11, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Apr 11, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Apr 11, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 11, 2023)

December 10, 2019 · 8 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 4, 2020)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Feb 4, 2020)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Feb 4, 2020)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Feb 4, 2020)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Feb 4, 2020)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Feb 4, 2020)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 4, 2020)

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

Potential for minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Feb 4, 2020)

Questions to ask on a tour of Sapphire Nursing and Rehab at Goshen

  1. What do families most often ask you about before moving in?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 3/5 5/5
August 2026 5/5 4/5 3/5 5/5
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Location

Hospitals near Sapphire Nursing and Rehab at Goshen

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Glen Arden Goshen · 0.2 mi away ★★★☆☆ Inspection 2/5 · Staffing 5/5 40 beds · Medicaid
The Valley View Center for Nursing Care and Rehab Goshen · 3.3 mi away ★★☆☆☆ Inspection 1/5 · Staffing 4/5 360 beds · Medicaid
Campbell Hall Rehabilitation Center Campbell Hall · 4.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 134 beds · Medicaid
Middletown Park Rehab & Health Care Center Middletown · 5.3 mi away ★★★★☆ Inspection 3/5 · Staffing 3/5 230 beds · Medicaid
Highland Rehabilitation and Nursing Center Middletown · 6.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 98 beds · Medicaid

More nursing homes near Sapphire Nursing and Rehab at Goshen ›   All nursing homes in Goshen ›

Compare Sapphire Nursing and Rehab at Goshen with the 3 closest homes side by side ›

Other Sapphire Care Group nursing homes in New York

Affiliation comes from CMS's affiliated-entity data, October 2026. All 8 Sapphire Care Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/new-york/goshen/sapphire-nursing-and-rehab-at-goshen/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.