Cycle 1
Health 2025-04-16 · Fire 2025-04-16
3 health deficiencies
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Goshen, NY
Sapphire Nursing And Rehab At Goshen
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
46 Harriman Drive, Goshen, NY
(845) 360-1200
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
24
Certified beds
Average residents
115
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sapphire Care Group
Operator or chain grouping
Approved since
1985-09-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 2 overall / 2 health / 2 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.64
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.17
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.64
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.10
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
2.95
CMS adjusted total nurse staffing hours
Case-mix index
1.68
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
806
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.50
Composite VBP score used to determine payment impact.
Payment multiplier
1.0182
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 16.31% · Performance 16.38% · Measure score 10 · Achievement 10 · Improvement 0
Healthcare-associated infections
7.18
Baseline 7.93% · Performance 5.69% · Measure score 7.18 · Achievement 7.18 · Improvement 7.14
Total nurse turnover
8.22
Baseline 46.53% · Performance 30.09% · Measure score 8.22 · Achievement 8.22 · Improvement 7.08
Adjusted total nurse staffing
0
Baseline 3.17 hours · Performance 2.89 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.32% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 302 · Observed rate 8.94% · Lower 95% interval 7.28% |
| Discharge to community | 43.88% |
50.57%
6.7 pts worse
|
Worse than the National Rate · Eligible stays 344 · Observed rate 36.92% · Lower 95% interval 38.68% |
| Medicare spending per beneficiary | 1.45 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 224 · Denominator 224 |
| Falls with major injury | 0.45% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 224 |
| Discharge self-care score | 70.55% |
53.69%
16.9 pts better
|
Numerator 103 · Denominator 146 |
| Discharge mobility score | 71.92% |
50.94%
21 pts better
|
Numerator 105 · Denominator 146 |
| Pressure ulcers or injuries, new or worsened | 2.23% |
2.29%
0.1 pts better
|
Numerator 5 · Denominator 224 · Adjusted rate 2.15% |
| Healthcare-associated infections requiring hospitalization | 5.69% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 229 · Observed rate 4.8% · Lower 95% interval 3.3% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 199 |
| Staff flu vaccination coverage | 82.57% |
42%
40.6 pts better
|
Numerator 199 · Denominator 241 |
| Discharge function score | 78.08% |
56.45%
21.6 pts better
|
Numerator 114 · Denominator 146 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 82 · Denominator 82 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 90 · Denominator 90 |
| Resident COVID-19 vaccinations up to date | 37.29% |
25.2%
12.1 pts better
|
Numerator 44 · Denominator 118 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.7
0.4 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 2.7 · Expected 3.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.1 |
1.3
1.2 pts better
|
1.8
1.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.1 · Observed 0.2 · Expected 2.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
91.2%
7.9 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 98.8% · Q3 100.0% · Q4 98.8% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
95.3%
3.7 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
3.0%
0.6 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 2.4% · Q3 1.2% · Q4 2.4% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 75.5% |
18.5%
57 pts worse
|
11.4%
64.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 63.2% · Q2 69.2% · Q3 80.0% · Q4 88.0% · 4Q avg 75.5% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
6.1%
2.3 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.5% · Q3 6.5% · Q4 4.9% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.9% |
13.5%
3.4 pts worse
|
19.6%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 17.1% · Q3 15.0% · Q4 14.1% · 4Q avg 16.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.2% |
14.8%
9.6 pts better
|
16.7%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 8.6% · Q3 3.2% · Q4 4.7% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.2% |
15.1%
8.9 pts better
|
16.3%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 10.3% · Q3 2.1% · Q4 9.9% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.2% |
15.5%
2.3 pts better
|
14.9%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 16.5% · Q3 13.2% · Q4 12.2% · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.4%
1.1 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.3% |
20.8%
3.5 pts worse
|
19.8%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 30.9% · Q3 17.3% · Q4 21.7% · 4Q avg 24.3% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
6.9%
2 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 6.5% · Q3 3.8% · Q4 4.3% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.9% |
76.7%
13.2 pts better
|
81.7%
8.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.1% · Q2 92.1% · Q3 88.8% · Q4 88.8% · 4Q avg 89.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.3% |
9.7%
5.4 pts better
|
12.0%
7.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.3% · Observed 4.2% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 1.5% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.8% |
78.8%
9 pts better
|
79.7%
8.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.0% |
20.6%
7.6 pts better
|
23.9%
10.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.0% · Observed 15.0% · Expected 27.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-02-07 · Fire 2023-02-07
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2019-12-10 · Fire 2019-12-10
8 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-09
F · Potential for more than minimal harm
2025-04-16
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-06-09
E · Potential for more than minimal harm
2025-04-16
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-06-09
E · Potential for more than minimal harm
2025-04-16
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-04-16
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-06-09
E · Potential for more than minimal harm
2023-02-07
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-24
E · Potential for more than minimal harm
2023-02-07
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-02-07
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-02-07
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-02-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-02-07
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-24
C · Minimal harm
2023-02-07
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-03-24
E · Potential for more than minimal harm
2019-12-10
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2020-02-19
E · Potential for more than minimal harm
2019-12-10
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-02-19
D · Potential for more than minimal harm
2019-12-10
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2020-02-19
D · Potential for more than minimal harm
2019-12-10
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-02-19
C · Minimal harm
2019-12-10
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2020-02-19
C · Minimal harm
2019-12-10
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2020-02-19
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-04-16
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-04-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-04-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-09
D · Potential for more than minimal harm
2024-12-10
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-02-03
D · Potential for more than minimal harm
2024-12-10
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-02-03
E · Potential for more than minimal harm
2023-02-07
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-04-11
D · Potential for more than minimal harm
2023-02-07
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-04-11
D · Potential for more than minimal harm
2023-02-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-11
D · Potential for more than minimal harm
2023-02-07
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-11
E · Potential for more than minimal harm
2019-12-10
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-02-04
D · Potential for more than minimal harm
2019-12-10
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-02-04
D · Potential for more than minimal harm
2019-12-10
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2020-02-04
D · Potential for more than minimal harm
2019-12-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-02-04
D · Potential for more than minimal harm
2019-12-10
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-02-04
D · Potential for more than minimal harm
2019-12-10
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2020-02-04
D · Potential for more than minimal harm
2019-12-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-02-04
B · Minimal harm
2019-12-10
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-02-04
Penalties and ownership
What sits behind the stars
Ownership
Goshen Operations LLC
5% Or Greater Direct Ownership Interest · Organization
Farkowitz, Esther
5% Or Greater Indirect Ownership Interest · Individual
Platschek, Richard
5% Or Greater Indirect Ownership Interest · Individual
Abramczyk, Machla
5% Or Greater Indirect Ownership Interest · Individual
Schuck, Robert
5% Or Greater Indirect Ownership Interest · Individual
Platschek, Richard
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Glen Arden Inc
Goshen, NY
2-star overall rating with 1-star inspections with $108,046 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
The Valley View Center For Nursing Care And Rehab
Goshen, NY
2-star overall rating with 1-star inspections with 16 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Campbell Hall Rehabilitation Center Inc
Campbell Hall, NY
1-star overall rating with 1-star inspections with Special Focus status with $245,508 in total fines with 40 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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