8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Newburgh, NY
3-star overall rating with 2-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
172 Meadow Hill Road, Newburgh, NY
(845) 564-1700
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
190
Certified beds
Average residents
184
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sapphire Care Group
Operator or chain grouping
Approved since
1976-02-01
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
RN hours / resident day
0.49
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
2.11
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.43
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.33
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.87
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.43
CMS adjusted RN staffing hours
Adjusted total hours
3.02
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
6,901
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.39
Composite VBP score used to determine payment impact.
Payment multiplier
0.9865
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.79
Baseline 20.47% · Performance 21.07% · Measure score 0.79 · Achievement 0.79 · Improvement 0
Healthcare-associated infections
3.42
Baseline 8.30% · Performance 7.00% · Measure score 3.42 · Achievement 2.78 · Improvement 3.42
Total nurse turnover
8.27
Performance 29.87% · Measure score 8.27 · Achievement 8.27 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.08
Baseline 2.93 hours · Performance 3.09 hours · Measure score 0.08 · Achievement 0 · Improvement 0.08
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.27% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 208 · Observed rate 7.69% · Lower 95% interval 6.79% |
| Discharge to community | 44.76% |
50.57%
5.8 pts worse
|
Worse than the National Rate · Eligible stays 201 · Observed rate 38.31% · Lower 95% interval 38.55% |
| Medicare spending per beneficiary | 1.4 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 203 · Denominator 203 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 203 |
| Discharge self-care score | 60% |
53.69%
6.3 pts better
|
Numerator 81 · Denominator 135 |
| Discharge mobility score | 55.56% |
50.94%
4.6 pts better
|
Numerator 75 · Denominator 135 |
| Pressure ulcers or injuries, new or worsened | 1.97% |
2.29%
0.3 pts better
|
Numerator 4 · Denominator 203 · Adjusted rate 1.73% |
| Healthcare-associated infections requiring hospitalization | 7% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 132 · Observed rate 7.58% · Lower 95% interval 3.99% |
| Staff COVID-19 vaccination coverage | 2.23% |
8.2%
6 pts worse
|
Numerator 6 · Denominator 269 |
| Staff flu vaccination coverage | 43.24% |
42%
1.2 pts better
|
Numerator 112 · Denominator 259 |
| Discharge function score | 67.41% |
56.45%
11 pts better
|
Numerator 91 · Denominator 135 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 49 · Denominator 49 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 80 · Denominator 80 |
| Resident COVID-19 vaccinations up to date | 8.33% |
25.2%
16.9 pts worse
|
Numerator 9 · Denominator 108 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.3
0.5 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.9% |
91.2%
8.3 pts worse
|
93.4%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 79.6% · Q2 85.9% · Q3 82.2% · Q4 83.9% · 4Q avg 82.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.2% |
95.3%
13.1 pts worse
|
95.5%
13.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.0%
0.4 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.8% · Q3 2.6% · Q4 3.7% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 62.4% |
18.5%
43.9 pts worse
|
11.4%
51 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 57.9% · Q2 61.1% · Q3 61.2% · Q4 68.8% · 4Q avg 62.4% |
| Percentage of long-stay residents who lose too much weight | 9.6% |
6.1%
3.5 pts worse
|
5.4%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 12.2% · Q3 15.9% · Q4 6.4% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.4% |
13.5%
1.1 pts better
|
19.6%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 13.6% · Q3 11.8% · Q4 10.6% · 4Q avg 12.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.5% |
14.8%
2.3 pts better
|
16.7%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 11.6% · Q3 13.6% · Q4 14.4% · 4Q avg 12.5% · 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 | 8.7% |
15.1%
6.4 pts better
|
16.3%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 12.3% · Q3 9.0% · Q4 7.0% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.4% |
15.5%
4.1 pts better
|
14.9%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 12.8% · Q3 13.8% · Q4 11.6% · 4Q avg 11.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
1.4%
0.3 pts worse
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.4% · Q4 3.8% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.7% |
20.8%
8.9 pts worse
|
19.8%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.5% · Q2 33.0% · Q3 27.8% · Q4 26.6% · 4Q avg 29.7% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
6.9%
2.7 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.6% · Q3 3.6% · Q4 4.4% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 69.4% |
76.7%
7.3 pts worse
|
81.7%
12.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 78.6% · Q2 57.9% · Q3 67.1% · Q4 76.4% · 4Q avg 69.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.5% |
9.7%
3.2 pts better
|
12.0%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.5% · Observed 6.5% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.2%
1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 62.1% |
78.8%
16.7 pts worse
|
79.7%
17.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 62.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.6% |
20.6%
1 pts better
|
23.9%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 21.6% · Expected 26.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
13 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-05-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-05-30
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2025-05-30
Fire Safety
Provide family notifications of emergency plan.
Corrected 2025-05-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-02-01
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-02-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-01
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-02-01
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 2023-02-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-02-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-01
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-02-01
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-02-01
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-02-01
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-06-25
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-06-25
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-06-25
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 2019-06-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-06-25
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-06-25
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2019-06-25
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-06-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-06-25
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-06-25
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-06-25
Fire Safety
Implement emergency and standby power systems.
Corrected 2019-06-25
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2019-06-25
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-31
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 2025-05-31
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-31
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-05-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-31
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-31
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-05-31
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-05-31
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-08
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-12-29
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 2022-12-29
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-12-29
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-12-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-29
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 2022-12-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-12-29
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-12-29
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-12-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-29
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-12-29
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 2019-06-25
Health
Post nurse staffing information every day.
Corrected 2019-06-25
Health
Ensure that residents are free from significant medication errors.
Corrected 2019-06-25
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2019-06-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-06-25
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 2019-06-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-06-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-06-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-06-25
Health
Provide and implement an infection prevention and control program.
Corrected 2019-06-25
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Nearby options
Beacon, NY
2-star overall rating with 1-star inspections with $44,500 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Beacon, NY
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Montgomery, NY
1-star overall rating with 2-star inspections with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Jump out