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Sapphire Nursing at Meadow Hill is a 190-bed for-profit skilled nursing facility in Newburgh, Orange County, certified for both Medicare and Medicaid. The facility maintains a 97 percent occupancy rate with 184 residents and provides short-term rehabilitation and long-term care. It includes 62 specialized Alzheimer’s and memory care beds.
The facility carries a one-star overall CMS rating and one-star health inspection rating, placing it in the bottom 20 percent of nursing homes nationwide. Recent inspection records document 52 deficiencies across 51 total citations, with 109 complaints on file. This marks a significant compliance challenge despite the facility’s strong five-star rating for quality measures, which reflects positive clinical outcomes and resident care indicators. Staffing received a two-star rating. Sapphire Nursing incurred one penalty totaling $129,090 in the past three years.
The facility provides physical, occupational, and speech therapy alongside skilled nursing services. Residents receive an average of 3.15 hours of daily nursing care. Amenities include patient lounges, dining areas, recreational rooms, and on-site beautician services. Memory care programming is available for residents with Alzheimer’s disease and related cognitive conditions. St. Luke’s Cornwall Hospital is approximately 3.96 miles away, and Vassar Brothers Medical Center is 14 miles away.
The divergence between poor inspection ratings and excellent quality outcomes suggests deficiencies may focus on documentation, processes, or structural compliance rather than direct clinical care quality. Families should ask directly about corrective action timelines, staffing turnover, and specific deficiency categories when touring. Despite the low star rating, the five-star quality measures score indicates residents experience measurable positive health outcomes and that management addresses clinical care priorities effectively.
Sapphire Nursing at Meadow Hill is suited for families who prioritize clinical outcome data and can invest time in detailed facility evaluation to understand specific inspection deficiencies. Verify staffing stability, request copies of recent inspection responses, and ask about corrective action completion status before making a placement decision.
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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 29m per day | ▼ 31% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 50m per day | ▲ 9% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
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 6m per day | ▼ 4% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 52m per day | ▼ 9% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
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 per day | ▼ 71% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
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 per day | ▼ 36% State avg: 28m per day · National avg: 28m per day |
Higher than the New York average: 88.3%Sapphire Nursing at Meadow Hill is legally operated by Newburgh Operations, LLC (For Profit).
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.
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.
At the New York average for nursing homes (83/100)
Inspection score: 83 out of 100. Letter grade B. At the New York average for nursing homes (83/100)
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 |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 29 | 13 | This facility has 123% more total citations than a typical New York nursing home (29 vs. NY avg 13).↑ 123% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 25 | 20 | This facility has 25% more health citations than a typical New York nursing home (25 vs. NY avg 20).↑ 25% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 4 | This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg |
|
Citations per year
Average citations per year since 2022.
| 7.3 | 3.3 | This facility has 121% more citations per year than a typical New York nursing home (7.3 vs. NY avg 3.3).↑ 121% worse |
|
Citations per inspection
Average citations per inspection.
| 2.2 | 1.4 | 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
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 13 | 9 | This facility has 44% more total inspections than a typical New York nursing home (13 vs. NY avg 9).↑ 44% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 12 | 4 | 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
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
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 95 | 79 | This facility has 20% more total complaints than a typical New York nursing home (95 vs. NY avg 79).↑ 20% worse |
|
Complaints per year
Average complaints per year since 2022.
| 23.8 | 19.8 | 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
Size-adjusted complaint rate based on occupied beds.
| 0.54 | 0.50 | 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
On-site investigations triggered by complaints filed with New York regulators.
| 14 | 15 | This facility has 7% fewer complaint investigations than a typical New York nursing home (14 vs. NY avg 15).↓ 7% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
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.
19
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
7
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
12
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 filing on record. Recent activity means legal disputes are still being raised against this facility.
2025
Next scheduled court appearance on record across active cases.
Apr 24, 2026These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.52
11% better than New York averageNew York average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.84
38% better than New York averageNew York average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.6%
5% better than New York averageNew York average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.5%
33% better than New York averageNew York average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.0%
12% better than New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
44.8%
11% worse than New York averageNew York average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
0.0 miles from city center
Estimated distance in miles from Newburgh's city center to Sapphire Nursing at Meadow Hill's address, calculated via Google Maps.
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Sapphire Nursing at Meadow Hill is located in Newburgh, New York.
Here are the financial assistance programs available to residents in New York.
The legal owner and operator of Sapphire Nursing at Meadow Hill is Newburgh Operations, LLC (For Profit).
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.
According to NY state health department records, Sapphire Nursing at Meadow Hill's license number is 3502305N.
Sapphire Nursing at Meadow Hill's occupancy is 96%.
Sapphire Nursing at Meadow Hill has 190 beds.
Sapphire Nursing at Meadow Hill has had 29 recently reported deficiencies.
Sapphire Nursing at Meadow Hill is located at 172 Meadow Hill Road.
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