Show Inspection Reports
Total health inspections
4
State average N/A
Last Health inspection on Apr 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Sapphire Nursing and Rehab at Goshen
Assisted Living Home
Sapphire Nursing and Rehab at Goshen
Assisted Living Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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 home
Other
Home revenue
$26.8M
Operating deficit
-$894.1K
Voluntary non-profit home
Other
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 Status
ActiveFacility Type
Nursing Home
Additional licensing details
License number:
3523304N
CMS Certification Number:
335684
County:
Orange
Ownership & operating entity
Owner name:
Goshen Operations, LLC (For Profit)
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
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
57 complaints
47.5 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.
Latest inspection
Date:April 16, 2025
Type:Complaint Investigation
24 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
25 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
0 enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
Compare Assisted Living around Usa
The information below is reported by the New York State Department of Health.
Sapphire Nursing and Rehab at Goshen
-6%
-16%
-18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NY 10924
160
No
-
GOSHEN OPERATIONS LLC
72.3%
$25,729,958.00
$6,953,778.00
27%
115.00
3.0083
17
-6%-16%-18%-
Job Haines Home
-21%
+63%
-41%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
6.3081
4
-21%+63%-41%Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
-
-
-
-
-
-
-
-
-
-
Sapphire Nursing and Rehab at Goshen
Type of care:
SNF
AL
Community:
NY 10924
Bed Count:
160
Pets Allowed:
No
Operator:
GOSHEN OPERATIONS LLC
CCN:
335684
Occupancy:
72.3%
Home Revenue:
$25,729,958.00
Payroll Costs:
$6,953,778.00
Payroll %:
27%
Avg Residents/Day:
115.00
Overall Rating:
Adj Nurse Hours:
3.0083
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
RN share vs State Avg:
-6%
-6%
Staffing vs State Avg:
-16%
-16%
Occupancy vs State Avg:
-18%
-18%
Job Haines Home
Type of care:
AL
HC
HC
SNF
Community:
Bloomfield
Bed Count:
40
Pets Allowed:
No
Operator:
HAVERON, NOREEN
CCN:
315392
Occupancy:
45.5%
Home Revenue:
$13,340,016.00
Payroll Costs:
$10,214,151.00
Payroll %:
76.6%
Avg Residents/Day:
36.90
Overall Rating:
Adj Nurse Hours:
6.3081
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
+63%
+63%
Occupancy vs State Avg:
-41%
-41%
Bed Options:
Studio / 1 Bed / Private / Semi-Private Rooms
Places of interest near Sapphire Nursing and Rehab at Goshen
0.0 miles from city center
Goshen, NY 10924
Calculate Travel Distance to Sapphire Nursing and Rehab at Goshen
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
145
Total Staff
145
Employees
0
Contractors
47,812
Total Hours (Quarter)
71
Avg Staff/Day
7.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 17 | 6.7 | No |
| Licensed Practical Nurse | 24 | 7.9 | No |
| Certified Nursing Assistant | 65 | 7.8 | No |
Staff by Category
Administration ⓘ
2 staff
7.9hs shift avg
Nursing Staff ⓘ
107 staff
7.6hs shift avg
Physicians & Practitioners ⓘ
5 staff
4.2hs shift avg
Therapy Services ⓘ
18 staff
7.6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
4 staff
7.3hs shift avg
Dietary Services ⓘ
6 staff
6.8hs shift avg
Other Services ⓘ
3 staff
7.7hs shift avg
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Inspections
Total health citations
17
Citations per inspection
4.25
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
Apr 16, 2025
Corrected
Nutrition moderate citation
Apr 16, 2025
Corrected
Care Planning moderate citation
Apr 16, 2025
Corrected
Nursing Services moderate citation
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Individual
Resident Census by Payment Source
110
Total Residents
Medicare
36
(32.7%)
ⓘ
Medicaid
69
(62.7%)
ⓘ
Private Pay/Other
5
(4.5%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
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