Federal inspection record · CMS data as of October 1, 2026
Sapphire Nursing At Meadow Hill
172 Meadow Hill Road, Newburgh, NY · (845) 564-1700
- Certified beds
- 190
- Residents per day
- 183
- Ownership
- For-Profit
- Chain
- Sapphire Care Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1976
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New York homes
Sapphire Nursing At Meadow Hill carries 39 inspection points. That is fewer than 49% of New York's 589 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–12 pts
- 4★ 12–27 pts
- 3★ 27–46 pts
- 2★ 46–82 pts
- 1★ over 82 pts
Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
30 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care8D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights5E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- E
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.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Assessment and Care Planning5D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
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.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services3E
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Post nurse staffing information every day.
Nutrition and Dietary2D
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service1E
- E
Ensure that residents are free from significant medication errors.
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2025-04-01
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2022-12-07
12 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2019-05-02
11 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 25 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 25 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 27% of nursing staff and 27% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 0.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 0.6 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts worse | 88.9% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts worse | 93.1% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 3.1% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms60.5 pts worse | 80.6% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts worse | 9.0% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts worse | 13.3% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts worse | 15.2% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.6 pts better | 4.5% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5 pts better | 8.7% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.1% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 1.1% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.9 pts worse | 28.5% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 4.4% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better | 80.7% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better | 6.5% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.5% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.5 pts better | 84.4% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8 pts better | 12.6% | 20.6% | 23.4% |
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Who owns and runs it
5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Farkowitz, Esther | 5% Or Greater Direct Ownership Interest · Individual | 33% | 14 facilities |
| Platschek, Richard | 5% Or Greater Direct Ownership Interest · Individual | 33% | 13 facilities |
| Abramczyk, Machla | 5% Or Greater Direct Ownership Interest · Individual | 20% | 5 facilities |
| Schuck, Robert | 5% Or Greater Direct Ownership Interest · Individual | 13% | 8 facilities |
| Platschek, Richard | Operational/Managerial Control · Individual | 0% | 13 facilities |
·
Fire safety
31 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems9F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have proper medical gas storage and administration areas.
Smoke8F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Emergency Preparedness7C
- C
Provide a means of sharing information on occupancy/needs.
- C
Provide family notifications of emergency plan.
- C
Conduct testing and exercise requirements.
- C
Develop and maintain an Emergency Preparedness Program (EP).
- C
Implement emergency and standby power systems.
- C
Implement emergency and standby power systems.
- C
Include a process for Emergency Preparedness collaboration.
Services4F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have elevators that firefighters can control in the event of a fire.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Miscellaneous1D
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
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Fishkill Center for Rehabilitation and Nursing
Beacon, NY · Sapphire Care Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 25 min
- Fines
- $44,500
-
Taconic Rehabilitation And Nursing At Beacon
Beacon, NY
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0
-
Montgomery Nursing And Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 4 min
- Fines
- $0