Facility type
Nursing Home
Status
Active
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Assisted Living in USA
CMS overall rating
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.
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.
Sapphire Nursing and Rehab at Goshen
Assisted Living in USA
CMS overall rating
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.
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.
Sapphire Nursing and Rehab at Goshen
Sapphire Nursing and Rehab at Goshen is a nursing home located in Goshen, NY. It provides assistance with daily activities, personal care, medication supervision, and mobility help. The facility ensures a safe environment for residents requiring ongoing medical supervision.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
72.3%
Residents per day (avg)
115
Occupancy rate
72.3%
Residents per day (avg)
115
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
65% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
31% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
4 years
Finances and operations
Voluntary non-profit community
Home revenue
$26.8M
Operating deficit
-$894.1K
Voluntary non-profit community
Home revenue
$26,846,497.00
Operating deficit
$-894,131.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$19.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$26.4M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
License details
County:
Orange
Additional licensing details
License number:
3523304N
CMS Certification Number:
335684
Ownership & operating entity
Owner name:
Goshen Operations, LLC (For Profit)
Care Services
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Adult Day Health Care, Baseline Services
Inspection History
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
3 inspections
3 with citations, 0 without citations
New York average: 9 inspections (5 with citations)
Show Inspection Reports
57 complaints
47.5 complaints per 100 occupied beds
New York average: 49.9 complaints per 100 occupied beds
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
New York average: 79 complaints
Latest inspection
Date
April 16, 2025
Complaint Investigation24 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
New York average: 29 citations
25 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
New York average: 22 deficiencies
0
enforcement actions
No actions on recordPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Health Inspection History
Inspections
Total health inspections
4
State average N/A
Last Health inspection on Apr 2025
Total health citations
17
State average N/A
Citations per inspection
4.25
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 17 citations resulted from standard inspections; and 2 of 17 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
0 critical citations
0 serious citations
16 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 16, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 16, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 16, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 16, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 16, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 16, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Dec 10, 2024
Issues related to the availability and quality of nursing staff and the care they provide.
Dec 10, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Usa The information below is reported by the New York State Department of Health.
Filter by care type
Sapphire Nursing and Rehab at Goshen
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Goshen
160
No
-
-
Job Haines Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Bloomfield
40
No
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
16
No
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
12
No
8
-
Anton’s Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Boerne
10
No
-
-
Places of interest near Sapphire Nursing and Rehab at Goshen
0.0 miles from city center
46 Harriman Drive, Goshen, NY 10924
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
145
Employees
145
Contractors
0
Staff to resident ratio
1.32:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
71
Average shift
7.4 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
47,812
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
65
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 65 | 0 | 65 | 22,453 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 24 | 0 | 24 | 8,317 | 91 | 100% | 7.9 |
| Registered Nurse | 17 | 0 | 17 | 5,156 | 91 | 100% | 6.7 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,981 | 68 | 75% | 7.7 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,912 | 91 | 100% | 8 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,081 | 76 | 84% | 7.3 |
| Dietitian | 6 | 0 | 6 | 989 | 77 | 85% | 6.8 |
| Mental Health Service Worker | 3 | 0 | 3 | 947 | 65 | 71% | 7.7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 851 | 67 | 74% | 7.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 756 | 69 | 76% | 3.8 |
| Nurse Practitioner | 2 | 0 | 2 | 612 | 64 | 70% | 4.9 |
| Qualified Social Worker | 3 | 0 | 3 | 504 | 68 | 75% | 6.7 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Other Social Services Staff | 1 | 0 | 1 | 479 | 60 | 66% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Medical Director | 1 | 0 | 1 | 437 | 56 | 62% | 7.8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 409 | 64 | 70% | 6.4 |
65 Certified Nursing Assistant
% of Days
100%
24 Licensed Practical Nurse
% of Days
100%
17 Registered Nurse
% of Days
100%
5 Speech Language Pathologist
% of Days
75%
4 Physical Therapy Aide
% of Days
100%
5 Respiratory Therapy Technician
% of Days
84%
6 Dietitian
% of Days
85%
3 Mental Health Service Worker
% of Days
71%
3 Physical Therapy Assistant
% of Days
74%
3 Clinical Nurse Specialist
% of Days
76%
2 Nurse Practitioner
% of Days
70%
3 Qualified Social Worker
% of Days
75%
1 Administrator
% of Days
66%
1 Other Social Services Staff
% of Days
66%
1 RN Director of Nursing
% of Days
62%
1 Medical Director
% of Days
62%
1 Occupational Therapy Aide
% of Days
70%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
110 residents
Residents by payment source
Medicare
36 residents (32.7%)
Medicaid
69 residents (62.7%)
Private pay or other
5 residents (4.5%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
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.
5.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.0
49% better than State averageState average: 9.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.7
25% better than State averageState 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
10.5%
Percent of long-stay residents whose need for help with daily activities has increased
10.5%
36% better than State averageState average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
3.8%
Percent of long-stay residents whose ability to move independently worsened
3.8%
77% better than State averageState 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
26.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.8%
25% worse than State averageState average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
29% better than State averageState average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.5%
Percent of long-stay high risk residents with pressure ulcers
5.5%
24% better than State averageState average: 7.2%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
56% better than State averageState average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.1%
Percent of long-stay residents who lose too much weight
3.1%
49% better than State averageState average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
65.6%
Percent of long-stay residents who have depressive symptoms
65.6%
262% worse than State averageState average: 18.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.3%
Percent of long-stay residents who received an antipsychotic medication
4.3%
66% better than State averageState average: 12.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
8% better than State averageState average: 91.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
In line with State averageState average: 95.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.5%
17% better than State averageState average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
66% better than State averageState average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.8%
11% better than State averageState average: 78.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Sapphire Nursing and Rehab at Goshen based on CMS SNF Cost Reports.
Occupancy Rate
72.3%
↑ 21.8pp vs 2022
Net Income
-$894,131
↓ ~$1.4M vs 2022
Total Payroll
$12,323,641
↑ ~$1.5M vs 2022
Profit Margin
-3.5%
↓ 5.5pp vs 2022
Loading trend charts...
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