5/5
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.
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5/5
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 and Rehab at Goshen is a nursing home and Adult Day Care community in Goshen, NY. Nursing home services include help with daily activities, personal care, medication supervision, and mobility support, so residents can receive assistance with routine needs while remaining in a care setting. Adult Day Health Care offers daytime health services for people who do not use nursing home care as their primary setting.
The community has 120 beds, with two bedroom apartments and shared rooms available. A two bedroom apartment can suit residents moving in with a companion, while a shared room means living with another resident. Rehabilitation and short term rehabilitation support recovery, including care after a hospital stay. Respite care provides a temporary stay when a usual caregiver needs time away.
Medicare, Medicaid, and private pay are accepted. Medicare can help cover short term skilled care after a qualifying hospital stay, Medicaid can assist eligible residents with longer term nursing home costs, and private pay allows a family to pay directly. Total nurse staffing is 3h 7m per resident/day, representing the daily hands on nursing time allocated per resident.
Baseline Services is another named program, and transportation is available. Sapphire Nursing and Rehab at Goshen is operated by Goshen Operations. Its combination of nursing home care, rehabilitation, respite care, and Adult Day Care may suit a resident whose needs range from temporary recovery support to ongoing daily assistance.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 328th out of 501 nursing homes we track in New York for nurse hours. 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 7m5 of 6 metrics below New York average
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. 20 total: 19 of the facility's own employees and 1 agency contractor.
20 staff · 6.7-hour shifts
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 27 are the facility's own employees; no agency contractors work in this role.
27 staff · 7.8-hour shifts
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 66 total: 58 of the facility's own employees and 8 agency contractors.
66 staff · 7.8-hour shifts
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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.
RN + LPN + aide · Sat–Sun
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
154
145 employees · 9 contractors · 72 on an average day
154 total staff / 110 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.40 : 1
↑ 6% · NY 1.31This facility: 1.40 staff per resident, 6% above the New York average of 1.31 (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
154 staff ÷ 110 residents
See full New York ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.4 h
↓ 4% · NY 7.7 hThis facility: 7.4 h, 4% below the New York average of 7.7 h (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
49,041 staff hours this quarter
See full New York ranking →95.6% of staff hours were worked by the facility's own employees
New York average: 87.9% · Contractors this quarter: Certified Nursing Assistant (8), Registered Nurse (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
88% of staff were vaccinated against the flu
Why it matters: staff move from resident to resident all day. When most of them are vaccinated, the flu is less likely to reach the people it is most dangerous for. Source: state health department data.
A mid-sized community that may balance personal attention with shared amenities and social activities.
120
Rank #339 / 574Bed count — State benchmarked This nursing home is ranked 339th out of 574 nursing homes we track in New York for bed count. Shows this facility's certified or reported bed count compared to other New York facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #160 / 450Walk Score — State benchmarked This nursing home is ranked 160th out of 450 nursing homes we track in New York for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across New York facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #288 / 513Occupancy rate — State benchmarked This nursing home is ranked 288th out of 513 nursing homes we track in New York for occupancy. Shows this facility's occupancy rate versus the New York average, with its Statewide rank out of 513. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on 110 residents and 120 beds. Source: state licensing agency resident count
Higher than the New York average: 85.5%
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.
Sapphire Nursing and Rehab at Goshen is legally operated by Goshen Operations, LLC (For Profit).
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.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
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Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 16 | 22.0 | This facility has 27% fewer total citations than a typical New York nursing home (16 vs. NY avg 22).↓ 27% better |
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Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
| 12 | — | — |
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Life safety citations
Citations related to building safety — fire prevention, emergency egress, and similar.
| 4 | — | — |
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Citations per inspection
Average citations per inspection.
| 3.2 | 2.7 | This facility has 19% more citations per inspection than a typical New York nursing home (3.2 vs. NY avg 2.7).↑ 19% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
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Total inspections
Combined count of all inspections conducted at this facility.
| 5 | 9.0 | This facility has had 44% fewer total inspections than the New York average (5 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 44% fewer |
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Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 3 | 4.0 | This facility has 25% fewer inspections with citations than a typical New York nursing home (3 vs. NY avg 4).↓ 25% better |
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Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 60% | 54% | This facility has 6 percentage points higher inspection citation rate than a typical New York nursing home (60% vs. NY avg 54%).↑ 6% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
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Total complaints
Formal expressions of concern made by residents, families, or staff.
| 52 | 90.0 | This facility has 42% fewer total complaints than a typical New York nursing home (52 vs. NY avg 90).↓ 42% better |
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Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.47 | — | — |
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Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 9 | 15.0 | This facility has had 40% fewer complaint investigations than the New York average (9 vs. NY avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 40% fewer |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
100% corrected
17 of 17 citations corrected Latest inspection: Apr 16, 2025 · 3 citations, all corrected
Most cited category: Quality of Life & Care, 5 of 17 citations · 7 categories in total
Corrected
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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.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
6
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
2
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
4
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2020
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2026
Most recent court appearance scheduled on record. Court dates are captured when the report is compiled and are not updated as dockets move, so later hearings may have been set since.
Jul 29, 2026Federal 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.
How residents at this home fare on health outcomes and preventive care, compared with the New York average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 25% · NY 4.0This facility: 5.0, 25% above the NY average of 4.0 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 42% · NY 3.5This facility: 5.0, 42% above the NY average of 3.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
5.4
Score · lower is better
↓ 35% · NY 8.4This facility: 5.4, 35% below the NY average of 8.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
13.6
Score · lower is better
↓ 12% · NY 15.4This facility: 13.6, 12% below the NY average of 15.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 10 better, 2 worse, 1 near NY average
8 short-stay measures: 4 better, 1 near NY average, 3 compared with US only
People who live at the home · 13 measures
Percent of long-stay residents whose need for help with daily activities has increased
10.9%
↓ 22% · NY 14.1This facility: 10.9, 22% below the NY average of 14.1 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
6.9%
↓ 44% · NY 12.5This facility: 6.9, 44% below the NY average of 12.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.8%
↑ 17% · NY 19.5This facility: 22.8, 17% above the NY average of 19.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.7%
↓ 48% · NY 1.3This facility: 0.7, 48% below the NY average of 1.3 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
↓ 28% · NY 3.1This facility: 2.2, 28% below the NY average of 3.1 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.1%
↓ 53% · NY 6.5This facility: 3.1, 53% below the NY average of 6.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
4.0%
↓ 32% · NY 5.8This facility: 4.0, 32% below the NY average of 5.8 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
82.7%
↑ 325% · NY 19.5This facility: 82.7, 325% above the NY average of 19.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
4.6%
↓ 66% · NY 13.7This facility: 4.6, 66% below the NY average of 13.7 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
↑ 9% · NY 91.5This facility: 99.7, 9% above the NY average of 91.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
↑ 4% · NY 95.3This facility: 99.0, 4% above the NY average of 95.3 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.28
↓ 25% · NY 1.71This facility: 1.28, 25% below the NY average of 1.71 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.13
↓ 90% · NY 1.35This facility: 0.13, 90% below the NY average of 1.35 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 8 measures
Percentage of residents at or above expected ability to care for themselves at discharge.
70.6%
↑ 31% · US 53.7This facility: 70.6, 31% above the US average of 53.7 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
43.9%
↓ 13% · US 50.6This facility: 43.9, 13% below the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
↓ 42% · US 0.8This facility: 0.5, 42% below the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
↓ 3% · NY 1.2This facility: 1.1, 3% below the NY average of 1.2 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.8%
↑ 15% · NY 77.4This facility: 88.8, 15% above the NY average of 77.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.8%
↑ 11% · NY 78.8This facility: 87.8, 11% above the NY average of 78.8 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
13.0%
↓ 37% · NY 20.6This facility: 13.0, 37% below the NY average of 20.6 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
4.3%
↓ 56% · NY 9.7This facility: 4.3, 56% below the NY average of 9.7 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
68% of new residents, usually for short-term rehab.
29% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
110Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Sapphire Nursing and Rehab at Goshen from 2011–2024, 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 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
Net 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."
Net 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."
Net 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."
Net 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."
Money 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.
Staff 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.
Rank #265 / 464Payroll costs — State benchmarked This nursing home is ranked 265th out of 464 nursing homes we track in New York. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New York average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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.
Rank #262 / 462Payroll % of net patient revenue — State benchmarked This nursing home is ranked 262nd out of 462 nursing homes we track in New York. Shows payroll as a percentage of net patient revenue versus the New York average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Everything 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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (68% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Goshen's city center to Sapphire Nursing and Rehab at Goshen'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.
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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.
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Care Types in This Table
NH (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.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 56.5% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Middletown Park Rehabilitation & Health Care Center | NH MC PC SNF | Middletown | 230
Facility
230
NY AVG
177
Rank
#147 / 574 |
97.0%
Facility
97.0%
NY AVG
85.5%
Rank
#105 / 513 | +13% | 3.01
Facility
3.01
NY AVG
3.58
Rank
#363 / 501 | +24% | -16% | $0
Facility
$0
NY AVG
$77.8k
Rank
#1 / 507 | 15
Facility
15
NY AVG
20.3
Rank
#192 / 506 | 3.0
Facility
3.0
NY AVG
4.8
Rank
#97 / 506 | - | 223 | A+ |
90
Facility
90
NY AVG
64
Rank
#65 / 450 | Park Manor Acquisition II, LLC (For Profit) | $43.3MFiscal year ending 12/2024
Facility
$43.3MFiscal year ending 12/2024
NY AVG
$27.0M
Rank
#106 / 464 | $23.1MFiscal year ending 12/2024
Facility
$23.1MFiscal year ending 12/2024
NY AVG
$14.3M
Rank
#99 / 464 | 53.4%Fiscal year ending 12/2024
Facility
53.4%Fiscal year ending 12/2024
NY AVG
56.5%
Rank
#253 / 462 | 335655 | ||||
| Sapphire Nursing and Rehab at Goshen | NH ADC | Goshen | 120
Facility
120
NY AVG
177
Rank
#339 / 574 |
91.7%
Facility
91.7%
NY AVG
85.5%
Rank
#288 / 513 | +7% | 3.12
Facility
3.12
NY AVG
3.58
Rank
#328 / 501 | +3% | -13% | $0
Facility
$0
NY AVG
$77.8k
Rank
#1 / 507 | 17
Facility
17
NY AVG
20.3
Rank
#237 / 506 | 4.3
Facility
4.3
NY AVG
4.8
Rank
#230 / 506 | - | 110 | - |
80
Facility
80
NY AVG
64
Rank
#160 / 450 | Goshen Operations, LLC (For Profit) | $20.2MFiscal year ending 12/2024
Facility
$20.2MFiscal year ending 12/2024
NY AVG
$27.0M
Rank
#252 / 464 | $10.0MFiscal year ending 12/2024
Facility
$10.0MFiscal year ending 12/2024
NY AVG
$14.3M
Rank
#265 / 464 | 49.4%Fiscal year ending 12/2024
Facility
49.4%Fiscal year ending 12/2024
NY AVG
56.5%
Rank
#262 / 462 | 335684 | ||||
| Highland Rehabilitation and Nursing Center | NH SNF | Middletown | 98
Facility
98
NY AVG
177
Rank
#434 / 574 |
87.8%
Facility
87.8%
NY AVG
85.5%
Rank
#352 / 513 | +3% | 3.34
Facility
3.34
NY AVG
3.58
Rank
#262 / 501 | +3% | -7% | $0
Facility
$0
NY AVG
$77.8k
Rank
#1 / 507 | 39
Facility
39
NY AVG
20.3
Rank
#472 / 506 | 9.8
Facility
9.8
NY AVG
4.8
Rank
#495 / 506 | - | 86 | A+ |
90
Facility
90
NY AVG
64
Rank
#65 / 450 | Hrnc Operating, LLC (For Profit) | $14.0MFiscal year ending 12/2024
Facility
$14.0MFiscal year ending 12/2024
NY AVG
$27.0M
Rank
#325 / 464 | $7.0MFiscal year ending 12/2024
Facility
$7.0MFiscal year ending 12/2024
NY AVG
$14.3M
Rank
#362 / 464 | 49.6%Fiscal year ending 12/2024
Facility
49.6%Fiscal year ending 12/2024
NY AVG
56.5%
Rank
#312 / 462 | 335526 |
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 3 on this page. See how we rank facilities
Sapphire Nursing and Rehab at Goshen is located in Goshen, New York State.
Here are the financial assistance programs available to residents in New York State.
Sapphire Nursing and Rehab at Goshen is legally operated by Goshen Operations, LLC (For Profit).
Sapphire Nursing and Rehab at Goshen has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NY state health department records, Sapphire Nursing and Rehab at Goshen's license number is 3523304N.
Sapphire Nursing and Rehab at Goshen's occupancy is 91.7%.
No, Sapphire Nursing and Rehab at Goshen has a no-pet policy.
The team at Sapphire Nursing and Rehab at Goshen can be reached at info@boomershub.com.
Sapphire Nursing and Rehab at Goshen is registered as a for-profit in NY.
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