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Sapphire Nursing and Rehab at Goshen
46 Harriman Drive, Goshen, NY 10924 (opens Google Maps) · Orange County · (845) 360-1200· 24 certified beds · avg 111 residents/day · certified since Sep 18, 1985 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: SAPPHIRE CARE GROUP (8 facilities, chain avg rating 2.6★)
4/5
Health inspection rating (on-site)
inspected Apr 16, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.12
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. F-0657
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880
View all 17 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 16, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Apr 16, 2025 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Apr 16, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Dec 10, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint · F-0690 |
| Dec 10, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint · F-0711 |
| Feb 7, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| Feb 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Feb 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Feb 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Dec 10, 2019 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Dec 10, 2019 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Dec 10, 2019 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Dec 10, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Dec 10, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Dec 10, 2019 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Dec 10, 2019 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Dec 10, 2019 | B · Potential for minimal harm, pattern | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
All citationsSerious citations (G–L)
2019
All citations: 8
Serious citations (G–L): 0
2023
All citations: 4
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 8 | 0 | E |
| 2023 | 4 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNew York averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.12
New York average: 3.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.53
New York average: 0.68
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.78
New York average: 3.13
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.12 | 3.58 | 3.95 | bottom 32% in New York; bottom 18% in the U.S. |
| Registered Nurse hours | 0.53 | 0.68 | 0.69 | bottom 42% in New York; bottom 42% in the U.S. |
| Weekend total nurse staffing | 2.78 | 3.13 | 3.50 | bottom 36% in New York; bottom 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.48 | 0.48 | top 50% in New York; bottom 45% in the U.S. |
| Total nursing staff turnover (%) | 27.3 | 40.3 | 45.8 | top 20% in New York; top 10% in the U.S. |
| RN turnover (%) | 18.2 | 39.8 | 42.9 | top 8% in New York; top 12% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.81, RN 0.65, weekend 3.39.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.81 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Sapphire Nursing and Rehab at Goshen. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Abramczyk, Machla | Individual | 5% or Greater Indirect Ownership Interest | 20% | 09/01/2017 |
| Farkowitz, Esther | Individual | 5% or Greater Indirect Ownership Interest | 33% | 09/01/2017 |
| Goshen Operations LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2017 |
| Schuck, Robert | Individual | 5% or Greater Indirect Ownership Interest | 13% | 09/01/2017 |
| Platschek, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2017 |
All 5 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Sapphire Care Group — 8 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Sapphire Nursing at Meadow Hill — Newburgh, NY · overall 4/5
- Sapphire Nursing at Wappingers — Wappingers Falls, NY · overall 2/5
- South Shore Rehabilitation and Nursing Center — Freeport, NY · overall 3/5
- Fishkill Center for Rehabilitation and Nursing — Beacon, NY · overall 2/5
- Safire Rehabilitation of Northtowns, L L C — Tonawanda, NY · overall 1/5
- Safire Rehabilitation of Southtowns, L L C — Buffalo, NY · overall 2/5
- Sapphire Center for Rehabilitation & Nursing of Ce — Flushing, NY · overall 2/5
Listed by state, then facility name — not a ranking.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How often does each resident's doctor visit and review their care in person?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the New York midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 27% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Glen Arden INC | 0.3 mi | Goshen, NY | ★★★☆☆ | 2/5 | |
| The Valley View Center for Nursing Care and Rehab | 3.3 mi | Goshen, NY | ★★☆☆☆ | 1/5 | |
| Campbell Hall Rehabilitation Center INC | 4.8 mi | Campbell Hall, NY | ★☆☆☆☆ | 1/5 | abuseSFF |
| Middletown Park Rehab & Health Care Center | 5.3 mi | Middletown, NY | ★★★★☆ | 3/5 | |
| Highland Rehabilitation and Nursing Center | 6.8 mi | Middletown, NY | ★☆☆☆☆ | 1/5 | |
| Schervier Pavilion | 9.0 mi | Warwick, NY | ★★★☆☆ | 3/5 | |
| Montgomery Nursing and Rehabilitation Center | 11.5 mi | Montgomery, NY | ★★☆☆☆ | 2/5 | |
| Sapphire Nursing at Meadow Hill | 15.5 mi | Newburgh, NY | ★★★★☆ | 3/5 | |
| St Josephs Place | 19.9 mi | Port Jervis, NY | ★★★★☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 335684.