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Sapphire Nursing at Meadow Hill
Nursing Home, Memory Care & Skilled Nursing · Newburgh, NY
CMS overall rating Info 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 at Meadow Hill

Nursing Home, Memory Care & Skilled Nursing · Newburgh, NY
CMS overall rating Info 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.
172 Meadow Hill Road, Newburgh, NY 12550 View map Calculator: See prices in your area
Sapphire Nursing at Meadow Hill accepts Medicare, Medicaid, and private pay.
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Sapphire Nursing at Meadow Hill accepts Medicare, Medicaid, and private pay.

Overview of Sapphire Nursing at Meadow Hill

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Sixty-two of the 190 beds at Sapphire Nursing at Meadow Hill are set aside specifically for Alzheimer’s and memory care. That’s not a footnote; it’s nearly a third of the building. The facility sits at 172 Meadow Hill Road in Newburgh, Orange County, run by Newburgh Operations, LLC, in a neighborhood that scores 86 on the Walk Score index. Very walkable, in practical terms: groceries, a pharmacy, most day-to-day errands don’t require getting in a car.

Occupancy sits at 96 percent, with 182 of 190 beds filled. A number that high on a facility this size usually means steady demand rather than a building working to fill vacancies. Sapphire runs two tracks at once. Short-term rehabilitation covers people recovering from surgery, illness, or a hospital stay, while long-term nursing care covers residents who need ongoing support. Physical, occupational, and speech therapy sit underneath the rehab side of that equation.

The staffing numbers tell their own story. Registered nurses average 28 minutes per resident each day, licensed practical nurses another 28, and nurse aides just over two hours, landing at a combined 3 hours of nursing time per resident daily. Named programming includes cardiac care, dietary care, certified dementia care, and a recreation activities schedule, layered onto the facility’s short-term and long-term care structure.

New York’s Department of Health, Office of Aging and Long Term Care, is the regulator reviewing this facility, and its inspection history has tended to focus on emergency preparedness. Medicare, Medicaid, and private pay are all accepted, so the financial pathway into the building isn’t limited to one type of coverage.

What emerges is a facility built around two distinct populations under one roof: rehab patients cycling through on a short-term basis, and a substantial dedicated memory care population getting longer-term, dementia-specific support, all sitting in one of the more walkable corners of Orange County.

Facility Direct Line (845) 564-1700
Facility Direct Line (845) 564-1700
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 30.2% Above NY avg. ▲ 30.2% Above NY avg.NY average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 6.0% Above NY avg. ▲ 6.0% Above NY avg.NY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 26.4% Below NY avg. ▼ 26.4% Below NY avg.NY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 30.9% Above NY avg. ▲ 30.9% Above NY avg.NY average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs New York averages

Rank #256 / 389Nurse hours — State benchmarkedThis home is ranked 256th out of 389 homes we track in New York for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the New York average, with a ranking across 389 New York facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 256th out of 389 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 0m

16% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
28m
−33% State avg: 42m per day · National avg: 41m per day
LPN / LVN Info 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.
51m
+10% State avg: 46m per day · National avg: 52m per day
Nurse Aide Info 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.
2h 7m
−3% State avg: 2h 11m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 33m
−19% State avg: 3h 10m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
2m
−71% State avg: 7m per day · National avg: 4m per day
Weekend RN Info 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.
18m
−36% State avg: 28m per day · National avg: 28m per day

5 of 6 metrics below state avg

Standout metric: LPN / LVN is +10% above New York average

Capacity and availability

Residents per day
182
Avg. Length of Stay Info 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.
139 days
Bed community size
190-bed community Rank #240 / 737Bed count — State benchmarkedThis home is ranked 240th out of 737 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 cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 86 / 100 Rank #358 / 1149Walk Score — State benchmarkedThis home is ranked 358th out of 1,149 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 cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
96%
Rank #151 / 408Occupancy rate — State benchmarkedThis home is ranked 151st out of 408 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 408. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the New York average: 88.3%
Occupied beds
182 / 190
Average occupied beds in New York homes 166 beds

License Details

Facility TypeNursing Home
StatusActive
CountyOrange
License Number3502305N
Inspection RatingOverall Rating: ★★★ | Health Inspections: ★★ | Staffing: ★★ | Quality Measures: ★★★★★

Ownership & Operating Entity

Sapphire Nursing at Meadow Hill is legally operated by Newburgh Operations, LLC (For Profit).

Owner NameNewburgh Operations, LLC (For Profit)

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsShort term, ADC, Cardiac care, LTC, Dietary care, Certified dementia care, Recreation activities

Contact Sapphire Nursing at Meadow Hill

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.

Since 2022 · 4 years of data These figures come from state-published inspection data. 0 enforcement actions 29 citations 95 complaints 13 inspections 14 complaint investigations
Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. The score below shows how many points this facility sits above or below the typical New York nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

At the New York average for nursing homes (83/100)

Rank #353 / 616 in New York Inspection Score — State benchmarked This home is ranked 353rd out of 616 homes we track in New York for inspection score. Shows this facility's inspection score compared to the New York average among 616 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric. This is a proprietary Assisted Living Magazine score. Inspection score: 83 out of 100. Letter grade B. At the New York average for nursing homes (83/100)

Inspection Scorecard Info 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.

Since 2022 vs. New York state average
Overall vs. NY average 8 Worse Metrics worse than New York average:
• Total citations (123% above)
• Health citations (25% above)
• Citations per inspection (57% above)
• Inspections with citations (200% above)
• Inspection citation rate (109% above)
• Total complaints (20% above)
• Complaints per year (20% above)
• Complaints per bed (8% above) 1 At Avg Metrics at New York average:
• Life safety citations (at NY avg) 0 Better No metrics in this bucket.

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityNY Averagevs. NY Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 2913 This facility has 123% more total citations than a typical New York nursing home (29 vs. NY avg 13).↑ 123% worse
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 2520 This facility has 25% more health citations than a typical New York nursing home (25 vs. NY avg 20).↑ 25% worse
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 44 This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg
Citations per inspection Info Average citations per inspection. 2.21.4 This facility has 57% more citations per inspection than a typical New York nursing home (2.2 vs. NY avg 1.4).↑ 57% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNY Averagevs. NY Avg
Total inspections Info Combined count of all inspections conducted at this facility. 139 This facility has had 44% more total inspections than the New York average (13 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↑ 44% more
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 124 This facility has 200% more inspections with citations than a typical New York nursing home (12 vs. NY avg 4).↑ 200% worse
Inspection citation rate Info Percentage of inspections that resulted in at least one citation. 92%44% This facility has 48 percentage points higher inspection citation rate than a typical New York nursing home (92% vs. NY avg 44%).↑ 48% worse

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityNY Averagevs. NY Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 9579 This facility has 20% more total complaints than a typical New York nursing home (95 vs. NY avg 79).↑ 20% worse
Complaints per year Info Average complaints per year since 2022. 23.819.8 This facility has 20% more complaints per year than a typical New York nursing home (23.8 vs. NY avg 19.8).↑ 20% worse
Complaints per bed Info Size-adjusted complaint rate based on occupied beds. 0.540.50 This facility has 8% more complaints per bed than a typical New York nursing home (0.54 vs. NY avg 0.5).↑ 8% worse
Complaint investigations Info On-site investigations triggered by complaints filed with New York regulators. 1415 This facility has had 7% fewer complaint investigations than the New York average (14 vs. NY avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 7% fewer
Show Inspection Reports

Infection Prevention & Vaccination

How this facility protects residents through staff vaccination policies and immunization practices.

Employee Flu Vaccination Rate: 82%

Percentage of facility employees vaccinated against influenza.

Lawsuit overview for Sapphire Nursing at Meadow Hill

Summary of court-record activity tied to this facility, compiled from publicly available case dockets.

Source: State court e-filing records

Total Cases Info Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure. 19
Active Cases Info Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture. 7
Closed Info Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes. 12
Since Info Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure. 2019
Most Recent Info Most recent filing on record. Recent activity means legal disputes are still being raised against this facility. 2025
Next Court Date Info Next scheduled court appearance on record across active cases. Apr 24, 2026
View full lawsuit report

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.52
11% better than New York average

New York average: 1.71

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.84
38% better than New York average

New York average: 1.35

Short-stay resident measures
Significantly above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 19.6%
5% better than New York average

New York average: 20.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.5%
33% better than New York average

New York average: 9.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than New York average

New York average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 60.0%
12% better than New York average

New York average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 44.8%
11% worse than New York average

New York average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

39% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

51% 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 - 3 years

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a business corporation.
Net patient revenue Info 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."
$25.3M
Net patient income Info 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."
-$1.2M
For-profit Operated by a business corporation.
Net patient revenue Info 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."
$25.3M Rank #183 / 382Net patient revenue — State benchmarkedThis home is ranked 183rd out of 382 homes we track in New York. Shows this facility's net patient revenue compared to the New York average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info 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."
-$1.2M
Other income Info 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.
$420.9K
Payroll costs Info 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 #161 / 382Payroll costs — State benchmarkedThis home is ranked 161st out of 382 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 cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$14.5M 57.4% of net patient revenue Info 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 #127 / 381Payroll % of net patient revenue — State benchmarkedThis home is ranked 127th out of 381 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 cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info 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).
$11.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$26.4M
How we calculate these figures

This home is owned by Newburgh Operations, LLC (For Profit)

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 335464

Show certification details

Who this home usually serves

TYPE OF STAY

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.

Most new residents arrive under private pay (51% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
467 total

Coverage residents most often arrive under.

Medicare 39%
Private pay 51%
Medicaid 10%
Discharges
452 total

Coverage residents most often leave under.

Medicare 33%
Private pay 41%
Medicaid 26%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Sapphire Nursing at Meadow Hill

Address 0.0 miles from city center Info Estimated distance in miles from Newburgh's city center to Sapphire Nursing at Meadow Hill's address, calculated via Google Maps.

Calculate Travel Distance to Sapphire Nursing at Meadow Hill

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Compare Nursing Homes around Orange County

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 to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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.
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):
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the state average. See the benchmark below for the typical score in this state; higher is better. This is a proprietary Assisted Living Magazine score.
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.
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.
Citations at CMS scope/severity level D or higher — meaning actual harm occurred or residents were placed in immediate jeopardy. Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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.
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.
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.
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.
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.
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.
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: 55.8% 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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Sapphire Nursing and Rehab at Goshen
NH
ADC
Goshen
120
Facility 120
NY AVG 160
Rank #406 / 737
91.7%
Facility 91.7%
NY AVG 87.2
Rank #254 / 408
+5%
3.01
Facility 3.01
NY AVG 3.58
Rank #256 / 389
 +3%-16%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 397
92
Facility 92
NY AVG 83
Rank #147 / 616
17
Facility 17
NY AVG 18.5
Rank #199 / 396
4.3
Facility 4.3
NY AVG 5.1
Rank #149 / 396
-110-
80
Facility 80
NY AVG 64
Rank #454 / 1,149
Goshen Operations LLC
$20.0MFiscal year ending 12/2023
Facility $20.0MFiscal year ending 12/2023
NY AVG $29.2M
Rank #228 / 382
$10.1MFiscal year ending 12/2023
Facility $10.1MFiscal year ending 12/2023
NY AVG $15.4M
Rank #234 / 382
50.6%Fiscal year ending 12/2023
Facility 50.6%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #209 / 381
335684
Middletown Park Rehabilitation & Health Care Center
NH
MC
PC
SNF
Middletown
230
Facility 230
NY AVG 160
Rank #134 / 737
97.0%
Facility 97.0%
NY AVG 87.2
Rank #94 / 408
+11%
2.93
Facility 2.93
NY AVG 3.58
Rank #282 / 389
 +24%-18%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 397
94
Facility 94
NY AVG 83
Rank #116 / 616
14
Facility 14
NY AVG 18.5
Rank #146 / 396
3.5
Facility 3.5
NY AVG 5.1
Rank #97 / 396
-223A+
90
Facility 90
NY AVG 64
Rank #260 / 1,149
Park Manor Acquisition II, LLC (For Profit)
$35.9MFiscal year ending 12/2023
Facility $35.9MFiscal year ending 12/2023
NY AVG $29.2M
Rank #102 / 382
$18.3MFiscal year ending 12/2023
Facility $18.3MFiscal year ending 12/2023
NY AVG $15.4M
Rank #94 / 382
50.9%Fiscal year ending 12/2023
Facility 50.9%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #201 / 381
335655
Highland Rehabilitation and Nursing Center
NH
SNF
Middletown
98
Facility 98
NY AVG 160
Rank #510 / 737
87.8%
Facility 87.8%
NY AVG 87.2
Rank #317 / 408
+1%
3.38
Facility 3.38
NY AVG 3.58
Rank #164 / 389
 +3%-6%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 397
92
Facility 92
NY AVG 83
Rank #147 / 616
36
Facility 36
NY AVG 18.5
Rank #361 / 396
12.0
Facility 12.0
NY AVG 5.1
Rank #391 / 396
-86A+
90
Facility 90
NY AVG 64
Rank #260 / 1,149
Alec Shneider
$15.1MFiscal year ending 12/2023
Facility $15.1MFiscal year ending 12/2023
NY AVG $29.2M
Rank #290 / 382
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
NY AVG $15.4M
Rank #310 / 382
46.3%Fiscal year ending 12/2023
Facility 46.3%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #256 / 381
335526
Nursing Home Explorer

Financial Assistance for
Nursing Home in New York

Sapphire Nursing at Meadow Hill is located in Newburgh, New York State.
Here are the financial assistance programs available to residents in New York State.

Get Financial aid guidance

Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled
General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $30,182 individual, higher due to NY Medicaid expansion
NY

Higher asset limit; urban density increases demand.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+
General New York resident, at risk of decline but not nursing home level.
Income Limits ~$2,500/month individual, varies
Asset Limits $15,000 individual
NY

Cost-sharing required above certain income; urban/rural balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Frequently Asked Questions about Sapphire Nursing at Meadow Hill

Who is the owner of Sapphire Nursing at Meadow Hill?

Sapphire Nursing at Meadow Hill is legally operated by Newburgh Operations, LLC (For Profit).

Is Sapphire Nursing at Meadow Hill in a walkable area?

Sapphire Nursing at Meadow Hill has a walk score of 86. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Sapphire Nursing at Meadow Hill?

According to NY state health department records, Sapphire Nursing at Meadow Hill's license number is 3502305N.

What is the occupancy rate at Sapphire Nursing at Meadow Hill?

Sapphire Nursing at Meadow Hill's occupancy is 96%.

Are pets allowed at Sapphire Nursing at Meadow Hill?

No, Sapphire Nursing at Meadow Hill has a no-pet policy.

Does Sapphire Nursing at Meadow Hill operate as a for-profit or non-profit?

Sapphire Nursing at Meadow Hill is registered as a for-profit in NY.

How many beds does Sapphire Nursing at Meadow Hill have?

Sapphire Nursing at Meadow Hill has 190 beds.

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