3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Receive exceptional non-medical care from First Choice Senior Services, a distinct home care provider in Goshen, NY, offering companion care and personal care. Dedicated to older adults’ well-being, a respectful and highly skilled team provides grooming assistance and help with other daily living activities. Light housekeeping, laundry, and scheduling are also taken care of, ensuring older adults have a maintenance-free lifestyle.
Genuine companionship is provided to ease older adults’ loneliness and promote social engagement. Meal planning and preparation are provided, so older adults have a delightful dining experience that caters to their dietary needs and preferences. Serving the Goshen area, this home care provider is available 24/7.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 212th out of 407 homes in New York for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 20m per day | ▼ 53% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 57m per day | ▲ 22% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 57m per day | ▼ 11% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 55m per day | ▼ 10% State avg: 3h 14m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 60% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 9m per day | ▼ 68% State avg: 29m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
New York average 3.6
Last Health inspection on Nov 2024
New York average 18.5
New York average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 21 citations resulted from standard inspections; and 6 of 21 came from combined inspections (standard and complaint).
100% better than New York averageNew York average: 0.2
100% better than New York averageNew York average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
488% more staff per resident than New York average
5% worse than New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 23 RN Staff are full-time employees. No contractors work on this role.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursAssists with medical care and medications.
All 68 LPN Staff are full-time employees. No contractors work on this role.
68
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
All 150 CNA Staff are full-time employees. No contractors work on this role.
150
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6,438 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 150 | 0 | 150 | 51,266 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 68 | 0 | 68 | 25,373 | 92 | 100% | 8 |
| Registered Nurse | 23 | 0 | 23 | 6,530 | 92 | 100% | 6.9 |
| Clinical Nurse Specialist | 12 | 0 | 12 | 1,907 | 65 | 71% | 3 |
| Dietitian | 4 | 0 | 4 | 1,842 | 79 | 86% | 7.9 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,777 | 64 | 70% | 8.1 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,542 | 70 | 76% | 6.9 |
| Nurse Aide in Training | 10 | 0 | 10 | 1,325 | 44 | 48% | 7.6 |
| Physical Therapy Aide | 0 | 5 | 5 | 1,265 | 69 | 75% | 6.9 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 1,212 | 80 | 87% | 7.4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 850 | 68 | 74% | 7.4 |
| Occupational Therapy Aide | 0 | 4 | 4 | 718 | 73 | 79% | 5.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 704 | 71 | 77% | 6.5 |
| Other Social Services Staff | 1 | 0 | 1 | 489 | 62 | 67% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 471 | 59 | 64% | 8 |
| Qualified Social Worker | 0 | 4 | 4 | 459 | 63 | 68% | 6.9 |
| Qualified Activities Professional | 0 | 2 | 2 | 393 | 53 | 58% | 7.3 |
| RN Director of Nursing | 1 | 0 | 1 | 220 | 55 | 60% | 4 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 182 | 49 | 53% | 3.7 |
| Medical Director | 1 | 0 | 1 | 96 | 12 | 13% | 8 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
87% lower than New York averageNew York average: $66K
51% fewer fines than New York averageNew York average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New York averageNew York average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Mar 6, 2024 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 6, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.7
12% better than New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.2
In line with New York averageNew York average: 18.1
Percent of long-stay residents whose need for help with daily activities has increased
11.6%
30% better than New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
11.4%
31% better than New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.6%
48% worse than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
74% worse than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
7.2%
In line with New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.3%
79% better than New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
8.0%
31% worse than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
18.9%
In line with New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
7.5%
40% better than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.0%
5% better than New York averageNew York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.3%
In line with New York averageNew York average: 95.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.0%
8% better than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
77% better than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.7%
In line with New York averageNew York average: 78.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
45% of new residents, usually for short-term rehab.
46% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
296Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for First Choice Senior Services from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #118 / 403Payroll — State benchmarkedThis home is ranked 118th out of 403 homes in New York. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #349 / 403Payroll % — State benchmarkedThis home is ranked 349th out of 403 homes in New York. Shows payroll as a percentage of revenue versus the New York average. Well-run New York facilities typically land around 53–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (46% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.9 miles from city center
Estimated distance in miles from Goshen's city center to First Choice Senior Services's address, calculated via Google Maps.
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First Choice Senior Services is located in Goshen, New York.
Here are the financial assistance programs available to residents in New York.
First Choice Senior Services is in the Village of Goshen neighborhood of Goshen.
First Choice Senior Services has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
First Choice Senior Services's occupancy is 86.2%.
Yes — there is 1 photo of First Choice Senior Services in the photo gallery on this page.
First Choice Senior Services is located at 30 Matthews St Suite 106, Goshen, NY 10924, United States.
(845) 294-9005 will put you in contact with the team at First Choice Senior Services.
Yes — First Choice Senior Services is a CMS-certified provider of Medicare and Medicaid.
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