Total health inspections
3
New York average 3.6
Last Health inspection on Nov 2024
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.
First Choice Senior Services
Home Care Agencies & Home Care · Newburgh, NY
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
First Choice Senior Services
Home Care Agencies & Home Care · Newburgh, New York
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
First Choice Senior Services accepts Medicare, Medicaid, and private pay.
Overview of First Choice Senior Services
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.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 207th out of 388 homes in New York. 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.
This home is ranked 207th out of 388 homes in New York. 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.
3h 14m per day
Rank #207 / 388Nurse hours — State benchmarkedThis home is ranked 207th out of 388 homes in New York. Shows adjusted nurse hours per resident per day benchmarked to the New York average, with a ranking across 388 New York SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs New York avg
-7%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 57m per day | ▼ 8% State avg: 3h 12m per day · National avg: 3h 25m per day |
Types of Care at First Choice Senior Services
Home Care
Capacity and availability
This home usually has limited availability
Occupancy rate
86.2%
Rank #307 / 433Occupancy rate — State benchmarkedThis home is ranked 307th out of 433 homes in New York. Shows this facility's occupancy rate versus the New York average, with its Statewide rank out of 433. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
122 days
21 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 52 / 100 Rank #763 / 1168Walk Score — State benchmarkedThis home is ranked 763rd out of 1168 homes in New York. Shows how walkable this facility's neighborhood is compared to the average Walk Score across New York SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating: A+ (Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Staffing
Key information about the people who lead and staff this community.
ContactMs. Kim Karg, Principal Owner
Specific ProgramsCaring companionship, Incidental transportation, Meal planning and preparation, Light housekeeping & laundry, Medication reminders, Bathing & grooming assistance, Assist with mail & schedule appointments, Information and referral services
Health Inspection History
Inspections
Total health citations
21
Rank #265 / 394Health citations — State benchmarkedThis home is ranked 265th out of 394 homes in New York. Shows this facility's total health deficiency citations benchmarked to the New York State average, with a ranking across all 394 NY SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
New York average 18.5
Citations per inspection
7
Rank #322 / 394Citations per inspection — State benchmarkedThis home is ranked 322nd out of 394 homes in New York. Shows average deficiency citations per CMS inspection for this facility versus the New York mean across 394 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
Breakdown of citation severity (last 6 years)
Critical health citations
0
100% better than New York averageNew York average: 0.2
Serious health citations
0
100% better than New York averageNew York average: 0.2
Citations history (last 6 years)
Infection Control moderate citation
Nov 01, 2024
Corrected
Nursing Services moderate citation
Nov 01, 2024
Corrected
Pharmacy moderate citation
Nov 01, 2024
Corrected
Pharmacy moderate citation
Nov 01, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
305
Employees
279
Contractors
26
Staff to resident ratio
1.03:1
488% better than New York average
Avg staff/day
147
Average shift
7.3 hours
5% worse than New York average
Total staff hours (quarter)
99,107
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
68
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
150
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6.5%
6,438 contractor hours this quarter
Physical Therapy Aide: 5
Speech Language Pathologist: 4
Occupational Therapy Aide: 4
Respiratory Therapy Technician: 4
Qualified Social Worker: 4
Physical Therapy Assistant: 3
Qualified Activities Professional: 2
Staff by category
Q4 2025 · Oct 1 – Dec 31
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 |
150 Certified Nursing Assistant
% of Days
100%
68 Licensed Practical Nurse
% of Days
100%
23 Registered Nurse
% of Days
100%
12 Clinical Nurse Specialist
% of Days
71%
4 Dietitian
% of Days
86%
4 Mental Health Service Worker
% of Days
70%
4 Speech Language Pathologist
% of Days
76%
10 Nurse Aide in Training
% of Days
48%
5 Physical Therapy Aide
% of Days
75%
4 Respiratory Therapy Technician
% of Days
87%
3 Physical Therapy Assistant
% of Days
74%
4 Occupational Therapy Aide
% of Days
79%
2 Other Dietary Services Staff
% of Days
77%
1 Other Social Services Staff
% of Days
67%
1 Nurse Practitioner
% of Days
66%
1 Administrator
% of Days
64%
4 Qualified Social Worker
% of Days
68%
2 Qualified Activities Professional
% of Days
58%
1 RN Director of Nursing
% of Days
60%
1 Occupational Therapy Assistant
% of Days
53%
1 Medical Director
% of Days
13%
Penalties and fines
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)
Total fines amount
$9K Rank #298 / 395Federal fines — State benchmarkedThis home is ranked 298th out of 395 homes in New York. Shows this facility's cumulative CMS federal fine dollars versus the New York average among facilities with fines, and where it ranks among 395 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
87% lower than New York averageNew York average: $66K
Number of fines
1
51% fewer fines than New York averageNew York average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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
Fines amount comparison
Fines amount comparison
This facility
$9K
New York average
$66K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Mar 6, 2024 · $9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 6, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 6, 2024
$9K
Last updated: Jan 2026
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 score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.7
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.2
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.6%
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%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.4%
Percent of long-stay residents whose ability to move independently worsened
11.4%
31% better than New York averageNew York average: 16.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.6%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
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%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.2%
Percent of long-stay high risk residents with pressure ulcers
7.2%
In line with New York averageNew York average: 7.2%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.3%
Percent of long-stay residents with a urinary tract infection
0.3%
79% better than New York averageNew York average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.0%
Percent of long-stay residents who lose too much weight
8.0%
31% worse than New York averageNew York average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
18.9%
Percent of long-stay residents who have depressive symptoms
18.9%
In line with New York averageNew York average: 18.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.5%
Percent of long-stay residents who received an antipsychotic medication
7.5%
40% better than New York averageNew York average: 12.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.0%
5% better than New York averageNew York average: 91.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.3%
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%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.0%
8% better than New York averageNew York average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
77% better than New York averageNew York average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.7%
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.
Breakdown by payment type
Medicare
45% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
46% 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 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
296
Medicare
34
11.5% of residents
Medicaid
210
70.9% of residents
Private pay or other
52
17.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
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.
Financial Trends
Historical financial and operational data for First Choice Senior Services based on CMS SNF Cost Reports.
Occupancy Rate
86.2%
↑ 7.7pp vs 2022
Net Income
-$1.2M
↑ ~$319.6K vs 2022
Total Payroll
$20.6M
↑ ~$3.8M vs 2022
Profit Margin
-2.2%
↑ 1.1pp vs 2022
Finances and operations
Voluntary non-profit community
Home revenue
$53.6M
Operating deficit
-$1.2M
Voluntary non-profit community
Home revenue
$53.6M Rank #63 / 383Revenue — State benchmarkedThis home is ranked 63rd out of 383 homes in New York. Shows this facility's annual revenue compared to the New York SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$1.2M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #110 / 383Payroll — State benchmarkedThis home is ranked 110th out of 383 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$20.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #110 / 383Payroll — State benchmarkedThis home is ranked 110th out of 383 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$34.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$54.8M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near First Choice Senior Services
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.
Calculate Travel Distance to First Choice Senior Services
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Financial Assistance for
Home Care Agencies in New York
First Choice Senior Services is located in Goshen, New York.
Here are the financial assistance programs available to residents in New York.
Frequently Asked Questions about First Choice Senior Services
What neighborhood is First Choice Senior Services in?
First Choice Senior Services is in the Village of Goshen neighborhood of Goshen.
Is First Choice Senior Services in a walkable area?
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.
Are there photos of First Choice Senior Services?
Yes — there are 3 photos of First Choice Senior Services in the photo gallery on this page.
What is the address of First Choice Senior Services?
First Choice Senior Services is located at 30 Matthews St Suite 106, Goshen, NY 10924, United States.
What is the phone number of First Choice Senior Services?
(845) 294-9005 will put you in contact with the team at First Choice Senior Services.
Is First Choice Senior Services Medicare or Medicaid certified?
Yes — First Choice Senior Services is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
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