Sapphire Nursing at Meadow Hill

Nursing Home & Memory Care · Newburgh, NY

CMS overall rating

172 Meadow Hill Road, Newburgh, NY 12550 View map

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Sapphire Nursing at Meadow Hill accepts Medicare, Medicaid, and private pay.

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Sapphire Nursing at Meadow Hill accepts Medicare, Medicaid, and private pay.

Overview of Sapphire Nursing at Meadow Hill

Sapphire Nursing at Meadow Hill is a 190-bed for-profit skilled nursing facility in Newburgh, Orange County, certified for both Medicare and Medicaid. The facility maintains a 97 percent occupancy rate with 184 residents and provides short-term rehabilitation and long-term care. It includes 62 specialized Alzheimer’s and memory care beds.

The facility carries a one-star overall CMS rating and one-star health inspection rating, placing it in the bottom 20 percent of nursing homes nationwide. Recent inspection records document 52 deficiencies across 51 total citations, with 109 complaints on file. This marks a significant compliance challenge despite the facility’s strong five-star rating for quality measures, which reflects positive clinical outcomes and resident care indicators. Staffing received a two-star rating. Sapphire Nursing incurred one penalty totaling $129,090 in the past three years.

The facility provides physical, occupational, and speech therapy alongside skilled nursing services. Residents receive an average of 3.15 hours of daily nursing care. Amenities include patient lounges, dining areas, recreational rooms, and on-site beautician services. Memory care programming is available for residents with Alzheimer’s disease and related cognitive conditions. St. Luke’s Cornwall Hospital is approximately 3.96 miles away, and Vassar Brothers Medical Center is 14 miles away.

The divergence between poor inspection ratings and excellent quality outcomes suggests deficiencies may focus on documentation, processes, or structural compliance rather than direct clinical care quality. Families should ask directly about corrective action timelines, staffing turnover, and specific deficiency categories when touring. Despite the low star rating, the five-star quality measures score indicates residents experience measurable positive health outcomes and that management addresses clinical care priorities effectively.

Sapphire Nursing at Meadow Hill is suited for families who prioritize clinical outcome data and can invest time in detailed facility evaluation to understand specific inspection deficiencies. Verify staffing stability, request copies of recent inspection responses, and ask about corrective action completion status before making a placement decision.

Facility Direct Line (845) 564-1700

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to New York state averages

Total nursing care / resident

3h 0m per day

This facility New York avg (3h 35m per day)

vs New York avg

-16%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +10% above state avg

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.	28m per day	▼ 33% 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.	51m per day	▲ 10% State avg: 46m 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.	2h 7m per day	▼ 3% 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 58m per day	▼ 7% State avg: 3h 10m per day · National avg: 3h 26m 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.	2m per day	▼ 71% 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.	18m per day	▼ 36% State avg: 28m per day · National avg: 28m per day

Capacity and availability

139 days

190-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

Walk Score: 86 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

96%

Higher than the New York average: 88.3%

Occupied beds

182 / 190

Average occupied beds in New York homes 166 beds

Facility TypeNursing Home

StatusActive

CountyOrange

License Number3502305N

Inspection RatingOverall Rating: ★★★ | Health Inspections: ★★ | Staffing: ★★ | Quality Measures: ★★★★★

Sapphire Nursing at Meadow Hill is legally operated by Newburgh Operations, LLC (For Profit).

Owner NameNewburgh Operations, LLC (For Profit)

Rehabilitation Services

Short-Term Rehab

Since 2022 · 4 years of data 0 enforcement actions 29 citations 95 complaints 13 inspections 14 complaint investigations

Inspection Score

At the New York average for nursing homes (83/100)

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. New York state average

Overall vs. NY average

Latest Inspection April 1, 2025 Complaint Investigation

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	NY Average	vs. NY Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	29	13	This facility has 123% more total citations than a typical New York nursing home (29 vs. NY avg 13).↑ 123% worse
Health citations Citations related to resident care, clinical practices, and day-to-day operations.	25	20	This facility has 25% more health citations than a typical New York nursing home (25 vs. NY avg 20).↑ 25% worse
Life safety citations Citations related to building safety — fire prevention, emergency egress, and similar.	4	4	This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg
Citations per year Average citations per year since 2022.	7.3	3.3	This facility has 121% more citations per year than a typical New York nursing home (7.3 vs. NY avg 3.3).↑ 121% worse
Citations per inspection Average citations per inspection.	2.2	1.4	This facility has 57% more citations per inspection than a typical New York nursing home (2.2 vs. NY avg 1.4).↑ 57% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NY Average	vs. NY Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	13	9	This facility has 44% more total inspections than a typical New York nursing home (13 vs. NY avg 9).↑ 44% worse
Inspections with citations Inspections that resulted in at least one regulatory citation.	12	4	This facility has 200% more inspections with citations than a typical New York nursing home (12 vs. NY avg 4).↑ 200% worse
Inspection citation rate Percentage of inspections that resulted in at least one citation.	92%	44%	This facility has 48 percentage points higher inspection citation rate than a typical New York nursing home (92% vs. NY avg 44%).↑ 48% worse

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	NY Average	vs. NY Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	95	79	This facility has 20% more total complaints than a typical New York nursing home (95 vs. NY avg 79).↑ 20% worse
Complaints per year Average complaints per year since 2022.	23.8	19.8	This facility has 20% more complaints per year than a typical New York nursing home (23.8 vs. NY avg 19.8).↑ 20% worse
Complaints per bed Size-adjusted complaint rate based on occupied beds.	0.54	0.50	This facility has 8% more complaints per bed than a typical New York nursing home (0.54 vs. NY avg 0.5).↑ 8% worse
Complaint investigations On-site investigations triggered by complaints filed with New York regulators.	14	15	This facility has 7% fewer complaint investigations than a typical New York nursing home (14 vs. NY avg 15).↓ 7% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

April 1, 2025 inspection found multiple Level 2 deficiencies related to quality of care and life safety code, all corrected by May 2025.
Several inspections since mid-2022 repeatedly cited an uncorrected Level 2 deficiency for reporting to the national health safety network.
December 7, 2022 survey found 24 deficiencies including one Level 3 for pressure ulcer treatment, all corrected by that date.

Show Inspection Reports

Employee Flu Vaccination Rate: 82%

Percentage of facility employees vaccinated against influenza.

Total Cases 19

Active Cases 7

Closed 12

Since 2019

Most Recent 2025

Next Court Date Apr 24, 2026

View full lawsuit report

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Long-stay resident measures

Significantly above average

Hospitalizations per 1,000 days 1.52

11% better than New York average

New York average: 1.71

ED visits per 1,000 days 0.84

38% better than New York average

New York average: 1.35

Short-stay resident measures

Significantly above average

Re-hospitalized after SNF stay 19.6%

5% better than New York average

New York average: 20.6%

Emergency department visits 6.5%

33% better than New York average

New York average: 9.7%

Falls with major injury 0.0%

100% better than New York average

New York average: 0.8%

Ability to care for self at discharge 60.0%

12% better than New York average

New York average: 53.7%

Successful return to home or community 44.8%

11% worse than New York average

New York average: 50.6%

Breakdown by payment type

Medicare

39% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

51% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

10% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$25.3M

Net patient income

-$1.2M

For-profit Operated by a business corporation.

Net patient revenue

$25.3M

Net patient income

-$1.2M

Other income

$420.9K

Payroll costs

$14.5M 57.4% of net patient revenue

Other operating costs

$11.9M

Total costs

$26.4M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (51% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 39%

Private pay 51%

Medicaid 10%

Coverage residents most often leave under.

Medicare 33%

Private pay 41%

Medicaid 26%

0.0 miles from city center Estimated distance in miles from Newburgh's city center to Sapphire Nursing at Meadow Hill's address, calculated via Google Maps.

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The information below is reported by the New York State Department of Health.

2 facilities compared · CMS & NY Dept. of Health data


Middletown Park Rehabilitation & Health Care Center		NH MC PC	Middletown	230 Facility 230 NY AVG 160 Rank #138 / 748	97.0% Facility 97.0% NY AVG 88.3% Rank #190 / 436	+10%	2.93 Facility 2.93 NY AVG 3.58 Rank #296 / 407				+24%	-18%	$0 Facility $0 NY AVG $67.6k Rank #1 / 415	94 Facility 94 NY AVG 83 Rank #82 / 593	14 Facility 14 NY AVG 18.5 Rank #153 / 414	3.5 Facility 3.5 NY AVG 5.1 Rank #102 / 414	-	220	A+	90 Facility 90 NY AVG 63 Rank #261 / 1173	Park Manor Acquisition II, LLC (For Profit)	$35.9M Facility $35.9M NY AVG $32.0M Rank #129 / 403	$18.3M Facility $18.3M NY AVG $10.7M Rank #145 / 403	50.9% Facility 50.9% NY AVG 37% Rank #238 / 403	335655
Highland Rehabilitation and Nursing Center		NH NC	Middletown	98 Facility 98 NY AVG 160 Rank #517 / 748	87.8% Facility 87.8% NY AVG 88.3% Rank #197 / 436	-1%	3.38 Facility 3.38 NY AVG 3.58 Rank #176 / 407				+3%	-6%	$0 Facility $0 NY AVG $67.6k Rank #1 / 415	92 Facility 92 NY AVG 83 Rank #121 / 593	36 Facility 36 NY AVG 18.5 Rank #379 / 414	12.0 Facility 12.0 NY AVG 5.1 Rank #409 / 414	-	90	A+	90 Facility 90 NY AVG 63 Rank #261 / 1173	Alec Shneider	$15.1M Facility $15.1M NY AVG $32.0M Rank #285 / 403	$7.0M Facility $7.0M NY AVG $10.7M Rank #341 / 403	46.3% Facility 46.3% NY AVG 37% Rank #372 / 403	335526

Nursing Home Explorer

Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled

General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $30,182 individual, higher due to NY Medicaid expansion

Higher asset limit; urban density increases demand.

Benefits

Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+

General New York resident, at risk of decline but not nursing home level.

Income Limits ~$2,500/month individual, varies

Asset Limits $15,000 individual

Cost-sharing required above certain income; urban/rural balance.

Benefits

In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Senior Citizen Rent Increase Exemption (SCRIE)

NY SCRIE

Age 62+

General NYC resident, live in rent-controlled/stabilized apartment, spend >1/3 of income on rent.

Income Limits (2025) $50,000/year household

Asset Limits No strict asset cap, but income-focused eligibility.

Limited to NYC’s rent-regulated units; high demand in urban areas.

Benefits

Rent freeze (e.g., covers increases of $50-$200+/month); tax credit for landlord

Senior Citizen Homeowners’ Exemption (SCHE)

NY SCHE

Age 65+

General NYC resident, own and live in a 1-3 family home, co-op, or condo.

Income Limits (2025) $58,399/year household

Asset Limits No strict asset cap, income-driven eligibility.

Applies only in NYC; excludes large apartment buildings.

Benefits

Property tax reduction (5-50%, e.g., $500-$5,000/year based on income and property value)

New York Foundation for Senior Citizens (NYFSC) Home Sharing Program

NYFSC Home Sharing

Age One participant must be 60+ (host or guest)

General NYC resident, able to share living space.

Income Limits No strict limit, but targets those needing cost relief.

Asset Limits Not applicable; focus on housing need.

Primarily NYC-focused; limited slots due to demand.

Benefits

Shared housing (reduces rent/living costs by 30-50%, e.g., $500-$1,000/month savings); optional light assistance between housemates

Who is the owner of Sapphire Nursing at Meadow Hill?

The legal owner and operator of Sapphire Nursing at Meadow Hill is Newburgh Operations, LLC (For Profit).

Is Sapphire Nursing at Meadow Hill in a walkable area?

Sapphire Nursing at Meadow Hill has a walk score of 86. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Sapphire Nursing at Meadow Hill?

According to NY state health department records, Sapphire Nursing at Meadow Hill's license number is 3502305N.

What is the occupancy rate at Sapphire Nursing at Meadow Hill?

Sapphire Nursing at Meadow Hill's occupancy is 96%.

Does Sapphire Nursing at Meadow Hill operate as a for-profit or non-profit?

Sapphire Nursing at Meadow Hill is registered as a for-profit in NY.

How many beds does Sapphire Nursing at Meadow Hill have?

Sapphire Nursing at Meadow Hill has 190 beds.

Has Sapphire Nursing at Meadow Hill had any recent citations?

Sapphire Nursing at Meadow Hill has had 29 recently reported citations.

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Sapphire Nursing at Meadow Hill

Overview of Sapphire Nursing at Meadow Hill

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Amenities & Lifestyle

Contact Sapphire Nursing at Meadow Hill

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Citations Citations are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Infection Prevention & Vaccination

Lawsuit overview for Sapphire Nursing at Meadow Hill

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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Financial Assistance for Nursing Home in New York

Community First Choice Option

Expanded In-Home Services for the Elderly Program (EISEP)

Senior Citizen Rent Increase Exemption (SCRIE)

Senior Citizen Homeowners’ Exemption (SCHE)

New York Foundation for Senior Citizens (NYFSC) Home Sharing Program

Guides for Better Senior Living

Financial Assistance for
Nursing Home in New York