Sapphire Nursing and Rehab at Goshen

Name: Sapphire Nursing and Rehab at Goshen
Address: 46 Harriman Drive, Goshen, NY, 10924, US
Telephone: 8453601200

46 Harriman Drive, Goshen, NY 10924 · Orange County · 24 certified beds · avg 111 residents/day · certified since Sep 18, 1985

Part of chain: SAPPHIRE CARE GROUP (8 facilities, chain avg rating 2.6★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.12

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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 self-reported quality measures.

All citations in the current public record (17)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 16, 2025	D · Potential for harm, one-off	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.
Apr 16, 2025	D · Potential for harm, one-off	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.
Apr 16, 2025	D · Potential for harm, one-off	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.
Dec 10, 2024	D · Potential for harm, one-off	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
Dec 10, 2024	D · Potential for harm, one-off	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
Feb 7, 2023	E · Potential for harm, repeated	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.
Feb 7, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 7, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 7, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 10, 2019	E · Potential for harm, repeated	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.
Dec 10, 2019	D · Potential for harm, one-off	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.
Dec 10, 2019	D · Potential for harm, one-off	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.
Dec 10, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 10, 2019	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Dec 10, 2019	D · Potential for harm, one-off	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.
Dec 10, 2019	D · Potential for harm, one-off	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.
Dec 10, 2019	B · Minimal risk, repeated	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).

Year	Citations	Worst severity that year
2019	8	E
2023	4	E
2024	2	D
2025	3	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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

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

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Glen Arden INC	0.2 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

Compare this facility with the 3 closest →

All facilities in Goshen →

Facility data as of CMS processing date 2026-08-01. CCN 335684.

The Care File

Visit checklist — Sapphire Nursing and Rehab at Goshen

46 Harriman Drive, Goshen, NY 10924 · 8453601200

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335684 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)