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Sapphire Nursing at Wappingers
CMS overall rating
2/5
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.
CMS overall rating
2/5
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.
Sapphire Nursing at Wappingers accepts Medicare, Medicaid, and private pay.
Overview of Sapphire Nursing at Wappingers
Sapphire Nursing at Wappingers is a nursing home in Wappingers Falls, NY, with licensed nursing care on site around the clock for residents who need ongoing medical support. Short term rehabilitation is also available for someone who needs a temporary stay focused on recovery after an illness or injury. The home has 62 beds, with 92% occupancy, so nearly all beds are in use.
Total nurse staffing is 2 hours and 46 minutes per resident per day. That figure represents the daily nursing time allocated to each resident. Medicare, Medicaid and private pay are accepted. Medicare may apply to short term skilled care, Medicaid can help when savings do not cover a longer stay, and private pay means paying directly.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe 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.
Health InspectionBased 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.
StaffingMeasures 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.
Quality MeasuresBased 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.
Staffing hours
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.
Hours per resident per day vs New York averages
Total nursing care
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.
2h 46m
22% below state avg
This facilityState avg 3h 35m
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.
42m
Avg State avg: 41m per day · National avg: 42m per day
LPN / LVNLicensed 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.
42m
−10% State avg: 46m per day · National avg: 52m per day
Nurse AideCertified 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 23m
−36% State avg: 2h 8m per day · National avg: 2h 24m per day
Weekend Total NursingCombined 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 12m
−30% State avg: 3h 8m per day · National avg: 3h 31m per day
Physical TherapistHours 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.
6m
−12% State avg: 7m per day · National avg: 4m per day
Weekend RNRegistered 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.
27m
−8% State avg: 30m per day · National avg: 29m per day
5 of 6 metrics below state avg
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.62
Smaller home
· May offer a more intimate, personalized care environment.
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
91.8%This home usually has limited availability
Based on 56.9 residents and 62 beds. Source: CMS Provider Information, average daily residents (data as of Aug 2026)
Similar to the New York State average: 91.6%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
107days
About this community
License Details
Facility TypeNursing Home
CountyDutchess
CMS Certification Number335275
Certifications & Programs
Certified Dementia CareA specialty credential or certification held by the community or its staff, indicating training or standards beyond basic state licensure.
Ownership & Operating Entity
Sapphire Nursing at Wappingers is legally operated by Sapphire Nursing at Wappingers, LLC (For Profit).
Staffing & Medical
2 services
Cardiac Care
Dietary Care
Memory & Specialized Care
1 service
Certified Dementia Care
Additional Services
1 service
Short-Term Rehabilitation
This profile shows two inspection records, and their totals often differ.
Inspection History and the Inspection Scorecard below are state data — the
figures the state publishes and the state inspection reports we hold on file —
covering the entire facility. CMS Health Inspection History covers only this
home's Medicare and Medicaid-certified nursing beds, from federal certification
surveys.
Inspection History
In New York State, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
Enforcement Actions
Enforcement actions are formal penalties or interventions imposed by New York State regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
1enforcement action
This facility has 1 enforcement action. 33% of New York State nursing homes have zero, and the statewide average is 1.6.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Overall vs. NY average
7 Worse
Metrics worse than New York State average:
• Total citations (105% above)
• Health citations (95% above)
• Citations per inspection (77% above)
• Inspections with citations (100% above)
• Inspection citation rate (48% above)
• Total complaints (10% above)
• Complaints per bed (180% above)
0 Better
No metrics in this bucket.
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.
39
19.0
This facility has 105% more total citations than a typical New York State nursing home (39 vs. NY avg 19).↑ 105% worse
Health citations Citations related to resident care, clinical practices, and day-to-day operations.
39
20.0
This facility has 95% more health citations than a typical New York State nursing home (39 vs. NY avg 20).↑ 95% worse
Citations per inspection Average citations per inspection.
3.9
2.2
This facility has 77% more citations per inspection than a typical New York State nursing home (3.9 vs. NY avg 2.2).↑ 77% 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 inspections conducted at this facility.
10
9.0
This facility has had 11% more total inspections than the New York State average (10 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↑ 11% more
Inspections with citations Inspections that resulted in at least one regulatory citation.
8
4.0
This facility has 100% more inspections with citations than a typical New York State nursing home (8 vs. NY avg 4).↑ 100% worse
Inspection citation rate Percentage of inspections that resulted in at least one citation.
80%
54%
This facility has 26 percentage points higher inspection citation rate than a typical New York State nursing home (80% vs. NY avg 54%).↑ 26% 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.
87
79.0
This facility has 10% more total complaints than a typical New York State nursing home (87 vs. NY avg 79).↑ 10% worse
Complaints per bed Size-adjusted complaint rate based on occupied beds.
1.40
0.50
This facility has 180% more complaints per bed than a typical New York State nursing home (1.4 vs. NY avg 0.5).↑ 180% worse
Complaint investigations On-site investigations triggered by complaints filed with New York State regulators.
0
15.0
This facility has had 100% fewer complaint investigations than the New York State average (0 vs. NY avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 100% fewer
Federal inspection data published by CMS, covering this home's Medicare and/or
Medicaid-certified skilled-nursing/nursing beds only.
InspectionsSince 2020 · 6 years of data
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Total health inspections6
New York State average4.2
Last Health inspection on May 2026
Total health citations
35
New York State average20.3
Citations per inspection
5.83
New York State average4.78
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 35 citations resulted from standard inspections; 12 of 35 resulted from complaint investigations; and 3 of 35 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 6 years)
Critical health citations
0
100% better than New York State average
New York State average: 0.3
Serious health citations
0
100% better than New York State average
New York State average: 0.4
0 critical citationsNew York State average: 0.3
0 serious citationsNew York State average: 0.4
35 moderate citationsNew York State average: 18.8
0 minor citationsNew York State average: 0.7
Citations history (last 6 years)
Nutrition moderate citationMay 07, 2026
Corrected
Nutrition moderate citationMay 07, 2026
Corrected
Quality of Care moderate citationMay 07, 2026
Corrected
Abuse/Neglect moderate citationJul 08, 2025
Corrected
Citations history (last 6 years)
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff75
Employees68
Contractors7
Staff to resident ratio1.36 : 1
75 total staff / 55 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events scoreA composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.9.5
13% worse than New York State average
New York State average: 8.4
Functional decline scoreA composite score based on activities of daily living decline, walking ability decline, and incontinence.20.8
35% worse than New York State average
New York State average: 15.4
Long-stay resident measures
Need for Help with Daily Activities Increased Percent of long-stay residents whose need for help with daily activities has increased10.3%
27% better than New York State average
New York State average: 14.1%
Walking Ability Worsened Percent of long-stay residents whose ability to move independently worsened17.8%
43% worse than New York State average
New York State average: 12.5%
Low Risk Residents with Bowel/Bladder Incontinence Percent of low risk long-stay residents who lose control of their bowels or bladder34.2%
76% worse than New York State average
New York State average: 19.5%
Falls with Major Injury Percent of long-stay residents experiencing one or more falls with major injury3.7%
21% worse than New York State average
New York State average: 3.1%
High Risk Residents with Pressure Ulcers Percent of long-stay high risk residents with pressure ulcers6.0%
8% better than New York State average
New York State average: 6.5%
Urinary Tract Infection Percent of long-stay residents with a urinary tract infection1.1%
14% better than New York State average
New York State average: 1.3%
Lost Too Much Weight Percent of long-stay residents who lose too much weight9.8%
68% worse than New York State average
New York State average: 5.8%
Depressive Symptoms Percent of long-stay residents who have depressive symptoms44.8%
130% worse than New York State average
New York State average: 19.5%
Antipsychotic Use Percent of long-stay residents who received an antipsychotic medication5.0%
63% better than New York State average
New York State average: 13.7%
Pneumococcal Vaccine Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine98.9%
8% better than New York State average
New York State average: 91.5%
Influenza Vaccine Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine98.0%
In line with New York State average
New York State average: 95.3%
Short-stay resident measures
Pneumococcal VaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine91.0%
18% better than New York State average
New York State average: 77.4%
Antipsychotic medication increasePercent of short-stay residents who newly received an antipsychotic medication0.6%
50% better than New York State average
New York State average: 1.2%
Influenza VaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine82.6%
5% better than New York State average
New York State average: 78.8%
Breakdown by payment type
Medicare
35% of new residents, usually for short-term rehab.
Typical stay1 - 2 months
Private pay
54% of new residents, often for short stays.
Typical stay1 - 2 months
Medicaid
12% of new residents, often for long-term daily care.
Typical stay1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jun 2026)
Total residents55
Medicare
4
7.3% of residents
Medicaid
43
78.2% of residents
Private pay or other
8
14.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Financial Trends
Historical financial and operational data for Sapphire Nursing at Wappingers from 2011–2023, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2023.
Net Patient Income-$313.4K↑ ~$175.5K vs 2022
Payroll Costs$5.0M↑ ~$348.8K vs 2022
Operating Margin-3.7%↑ 2.2pp vs 2022
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2014
2015
2016
2018
2019
2020
2021
2022
2023
Occupancy %
92.7%
91.2%
93.1%
87.6%
89.4%
87.6%
89.4%
92.4%
91.8%
92.6%
92.6%
89.8%
Beds
62
62
62
62
62
62
62
62
62
62
62
62
Net Income
-$51,196
-$628,221
-$544,446
-$616,566
-$304,364
-$1,029,611
-$39,669
-$258,093
-$1,065,713
$196,014
-$87,695
-$597,558
Gross Revenue
$5,749,124
$5,058,928
$5,849,906
$5,915,536
$6,318,131
$5,471,748
$10,028,829
$10,110,101
$10,243,007
$10,911,233
$11,496,594
$11,312,735
Operating Expenses
$5,814,748
$5,693,799
$6,398,551
$6,540,021
$6,900,224
$6,515,314
$6,636,843
$7,264,740
$8,070,483
$8,176,262
$8,797,316
$8,862,122
Net Patient Income
-$65,624
-$634,871
-$548,645
-$624,485
-$582,093
-$1,043,566
-$449,799
-$416,938
-$1,606,639
-$707,164
-$488,875
-$313,397
Net Patient Revenue
$5,749,124
$5,058,928
$5,849,906
$5,915,536
$6,318,131
$5,471,748
$6,187,044
$6,847,802
$6,463,844
$7,469,098
$8,308,441
$8,548,725
Payroll Costs
$3,838,617
$3,659,873
$3,742,518
$3,876,305
$4,256,840
$4,144,842
$4,052,808
$4,536,986
$4,636,360
$4,726,129
$4,650,821
$4,999,581
Operating Margin %
-1.1%
-12.6%
-9.4%
-10.6%
-9.2%
-19.1%
-7.3%
-6.1%
-24.9%
-9.5%
-5.9%
-3.7%
Medicare %
11.7%
9.8%
10.5%
14.3%
14.2%
11.4%
14.5%
14.8%
17.1%
17.9%
25.5%
16.5%
Medicaid %
73.4%
75.3%
80.5%
73.8%
70.5%
67.7%
54.6%
51.8%
60.6%
70.5%
58.2%
60.4%
Private %
14.9%
14.9%
9.0%
11.8%
15.2%
20.8%
30.9%
33.4%
22.2%
11.6%
16.3%
23.1%
Net Patient Revenue/Day
$274
$245
$278
$299
$312
$275
$306
$327
$310
$357
$396
$421
Cost/Day
$277
$275
$304
$330
$341
$328
$328
$347
$387
$390
$420
$436
Avg Length of Stay
130.3 days
137.9 days
158.4 days
126.2 days
132.2 days
127.4 days
104.3 days
124.5 days
231.5 days
183.8 days
95.7 days
107.5 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
For-profit
Operated by a limited liability company.
Net patient revenueNet 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."
$8.5M
Net patient incomeNet 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."
-$313.4K
For-profit Operated by a limited liability company.
Net patient revenueNet 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."
$8.5M
Net patient incomeNet 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."
-$313.4K
Other incomeMoney 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.
$146.9K
Payroll costsStaff 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.
$5.0M
58.5% of net patient revenue
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.
Other operating costsEverything 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).
$3.9M
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.9M
Certification details
License Number:335275
Rural vs. Urban:Urban
County:Dutchess
Type of Control:For-profit — Operated by a limited liability company.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
Who this home usually serves
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 (54% of admissions), and a typical private pay stay runs around 1 - 2 months.
Admissions
194 total
Coverage residents most often arrive under.
Medicare35%
Private pay54%
Medicaid12%
Discharges
189 total
Coverage residents most often leave under.
Medicare33%
Private pay36%
Medicaid31%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
Places of interest near Sapphire Nursing at Wappingers
0.4 miles from city center Estimated distance in miles from Wappingers Falls's city center to Sapphire Nursing at Wappingers's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the NY State Dept. of Health (NYSDOH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableNH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New York average is: 55.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NY nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Sapphire Nursing at Wappingers is located in Wappingers Falls, New York State. Here are the financial assistance programs available to residents in New York State.
GeneralNew York resident, Medicaid- eligible, care need (not necessarily nursing home level).
Income Limits (2025)~$2,829/month300% FBR, individual
Asset Limits$30,182individual, higher due to NY Medicaid expansion
NY
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
Age60+
GeneralNew York resident, at risk of decline but not nursing home level.
Income Limits~$2,500/monthindividual, varies
Asset Limits$15,000individual
NY
Cost-sharing required above certain income; urban/rural balance.
Benefits
In-home care (3-5 hours/week)Respite (up to 10
days/year)Case managementTransportation (~5 trips/month)
Frequently Asked Questions about Sapphire Nursing at Wappingers
Who is the owner of Sapphire Nursing at Wappingers?
Sapphire Nursing at Wappingers is legally operated by Sapphire Nursing at Wappingers, LLC (For Profit).
What is the occupancy rate at Sapphire Nursing at Wappingers?
Sapphire Nursing at Wappingers's occupancy is 91.8%.
Are pets allowed at Sapphire Nursing at Wappingers?
No, Sapphire Nursing at Wappingers has a no-pet policy.
Does Sapphire Nursing at Wappingers operate as a for-profit or non-profit?
Sapphire Nursing at Wappingers is registered as a for-profit in NY.
What is the overall rating for Sapphire Nursing at Wappingers?
Sapphire Nursing at Wappingers received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
How many beds does Sapphire Nursing at Wappingers have?
Sapphire Nursing at Wappingers has 62 beds.
Has Sapphire Nursing at Wappingers had any citations?
Sapphire Nursing at Wappingers has had 39 reported citations according to records from New York State Department of Health (NYSDOH).