Sapphire Nursing at Meadow Hill

Overview of Sapphire Nursing at Meadow Hill

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.

(845) 564-1700

Staffing hours breakdown

Hours per resident per day — compared to state averages

Staff type	Hours / day	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
Total Nursing (Weekend) 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
RN (Weekend) 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

190-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

Walk Score: 86 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

96%

Higher than the New York average: 88.3%

Occupied beds

182 / 190

Average residents per home in New York 166 per day

Facility TypeNursing Home

StatusActive

CountyOrange

License Number3502305N

Inspection RatingOverall Rating: ★★★ | Health Inspections: ★★ | Staffing: ★★ | Quality Measures: ★★★★★

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

Owner NameNewburgh Operations, LLC (For Profit)

Rehabilitation Services

Short-Term Rehab

Licensed Nurses/CNAs

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

Employee Flu Vaccination Rate: 82%

Percentage of facility employees vaccinated against influenza.

Since 2022 · 4 years of data 0 enforcement actions 29 citations 95 complaints 13 inspections 14 complaint investigations

Inspection Scorecard 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

Latest Inspection April 1, 2025 Complaint Investigation

Citations Citations are formal regulatory issues recorded during state inspections.

Metric	This Facility	NY Average	vs. NY Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	29	29	This facility has total citations in line with the New York average (29 vs. NY avg 29).— At avg
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 assisted living residence (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	7.3	This facility has citations per year in line with the New York average (7.3 vs. NY avg 7.3).— At avg
Citations per inspection Average citations per inspection.	2.2	3.2	This facility has 31% fewer citations per inspection than a typical New York assisted living residence (2.2 vs. NY avg 3.2).↓ 31% better

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

Metric	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 assisted living residence (13 vs. NY avg 9).↑ 44% worse
Inspections with citations Inspections that resulted in at least one regulatory citation.	12	5	This facility has 140% more inspections with citations than a typical New York assisted living residence (12 vs. NY avg 5).↑ 140% worse
Inspection citation rate Percentage of inspections that resulted in at least one citation.	92%	56%	This facility has 36 percentage points higher inspection citation rate than a typical New York assisted living residence (92% vs. NY avg 56%).↑ 36% worse

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

Metric	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 assisted living residence (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 assisted living residence (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 assisted living residence (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 assisted living residence (14 vs. NY avg 15).↓ 7% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

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.

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Total Cases 19

Active Cases 7 7 active

Closed 12 12 Disposed

Since 2019

Most Recent 2025

Next Court Date Apr 24, 2026

View full lawsuit report

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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Long-stay resident measures

Significantly above average

Hospitalizations per 1,000 days 1.52

11% better than State average

State average: 1.71

ED visits per 1,000 days 0.84

38% better than State average

State average: 1.35

Short-stay resident measures

Significantly above average

Re-hospitalized after SNF stay 19.6%

5% better than State average

State average: 20.6%

Emergency department visits 6.5%

33% better than State average

State average: 9.7%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 60.0%

12% better than State average

State average: 53.7%

Successful return to home or community 44.8%

11% worse than State average

State average: 50.6%

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The information below is reported by the New York State Department of Health.

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Who is the owner of Sapphire Nursing at Meadow Hill?

The legal owner and operator of Sapphire Nursing at Meadow Hill is 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%.

How many beds does Sapphire Nursing at Meadow Hill have?

Sapphire Nursing at Meadow Hill has 190 beds.

Has Sapphire Nursing at Meadow Hill had any recent deficiencies or citations?

Sapphire Nursing at Meadow Hill has had 29 recently reported deficiencies.

Are there photos of Sapphire Nursing at Meadow Hill?

Yes — there are 2 photos of Sapphire Nursing at Meadow Hill in the photo gallery on this page.