Inspection Reports for Sapphire Nursing at Meadow Hill

172 Meadow Hill Road, Newburgh, NY, 12550

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Inspection Report Summary

The most recent inspection on April 1, 2025, identified multiple Level 2 deficiencies related to quality of care and life safety code, all of which were corrected by May 2025. Earlier inspections showed a pattern of similar issues, including care planning, nursing staff competence, infection control, and reporting to the national health safety network, with some deficiencies corrected and others uncorrected over time. Inspectors frequently cited problems with care quality, resident rights, environmental safety, and compliance with reporting requirements. Complaint investigations were unsubstantiated or not noted, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows ongoing attention to correcting deficiencies, though some reporting issues persisted across multiple inspections.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 13 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

155% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

24 18 12 6 0
2022
2023
2024
2025

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 15 Date: Apr 1, 2025

Visit Reason
Multiple Level 2 deficiencies related to quality of care and life safety code, all corrected by May 2025.

Findings
Multiple Level 2 deficiencies related to quality of care and life safety code, all corrected by May 2025.

Deficiencies (15)
ADL care provided for dependent residents
Covid-19 immunization
Increase/prevent decrease in rom/mobility
Infection prevention & control
Required in-service training for nurse aides
Resident rights/exercise of rights
Respiratory/tracheostomy care and suctioning
Safe/clean/comfortable/homelike environment
Electrical equipment - testing and maintenanc
Electrical systems - essential electric syste
Hvac
Information on occupancy/needs
Ltc and icf/iid sharing plan with patients
Sprinkler system - maintenance and testing
Standards of construction for new existing nh

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: May 20, 2024

Visit Reason
One Level 2 deficiency for free from abuse and neglect, corrected by July 2024.

Findings
One Level 2 deficiency for free from abuse and neglect, corrected by July 2024.

Deficiencies (1)
Free from abuse and neglect

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Mar 7, 2023

Visit Reason
One Level 2 deficiency for notification of changes, corrected by May 2023.

Findings
One Level 2 deficiency for notification of changes, corrected by May 2023.

Deficiencies (1)
Notify of changes (injury/decline/room, etc. )

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Jan 3, 2023

Visit Reason
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Findings
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Dec 27, 2022

Visit Reason
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Findings
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 24 Date: Dec 7, 2022

Visit Reason
Multiple Level 2 deficiencies including care planning, competent nursing staff, food sanitation, nutrition, quality of care, resident rights, and one Level 3 deficiency for pressure ulcer treatment, all corrected by December 2022.

Findings
Multiple Level 2 deficiencies including care planning, competent nursing staff, food sanitation, nutrition, quality of care, resident rights, and one Level 3 deficiency for pressure ulcer treatment, all corrected by December 2022.

Deficiencies (24)
Care plan timing and revision
Competent nursing staff
Develop/implement comprehensive care plan
Food procurement,store/prepare/serve-sanitary
Nutrition/hydration status maintenance
Nutritive value/appear, palatable/prefer temp
Quality of care
Reasonable accommodations needs/preferences
Resident records - identifiable information
Safe/clean/comfortable/homelike environment
Self-determination
Treatment/svcs to prevent/heal pressure ulcer
Cooking facilities
Develop ep plan, review and update annually
Electrical equipment - power cords and extens
Electrical equipment - testing and maintenanc
Electrical systems - essential electric syste
Ep testing requirements
Hazardous areas - enclosure
Hospital cah and ltc emergency power
Hvac
Means of egress - general
Sprinkler system - installation
Sprinkler system - maintenance and testing

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Aug 16, 2022

Visit Reason
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Findings
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Aug 8, 2022

Visit Reason
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Findings
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Jul 18, 2022

Visit Reason
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Findings
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Jul 11, 2022

Visit Reason
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Findings
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Apr 19, 2022

Visit Reason
One Level 2 deficiency for developing and implementing comprehensive care plan, corrected by May 2022.

Findings
One Level 2 deficiency for developing and implementing comprehensive care plan, corrected by May 2022.

Deficiencies (1)
Develop/implement comprehensive care plan

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Apr 4, 2022

Visit Reason
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Findings
One Level 2 deficiency for reporting to national health safety network, uncorrected.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 3 Date: Jan 4, 2022

Visit Reason
Multiple Level 2 deficiencies including accident hazards, investigation of alleged violations, and notification of changes, all corrected by February 2022.

Findings
Multiple Level 2 deficiencies including accident hazards, investigation of alleged violations, and notification of changes, all corrected by February 2022.

Deficiencies (3)
Free of accident hazards/supervision/devices
Investigate/prevent/correct alleged violation
Notify of changes (injury/decline/room, etc. )

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