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Sapphire Nursing at Meadow Hill
172 Meadow Hill Road, Newburgh, NY 12550 (opens Google Maps) · Orange County · (845) 564-1700· 190 certified beds · avg 184 residents/day · certified since Feb 1, 1976 · 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★)
3/5
Health inspection rating (on-site)
inspected Apr 1, 2025
1
Serious findings on record
most recent Dec 7, 2022
$0
Fines, last 3 years
2.93
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: ★★★☆☆3/5 · CMS overall rating: 4/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Dec 7, 2022 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ Actual harm, isolated · Dec 7, 2022 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 29, 2022 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 30 inspection findings. Open the full record below to read every finding.
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. F-0550
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. F-0677
View all 30 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 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Apr 1, 2025 | 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 |
| Apr 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Apr 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Apr 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Apr 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
| Apr 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947 |
| Apr 1, 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. · from a complaint · F-0880 |
| May 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Dec 7, 2022 | ▲ G · Actual harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Dec 7, 2022 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Dec 7, 2022 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Dec 7, 2022 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Dec 7, 2022 | 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 7, 2022 | 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 7, 2022 | 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 7, 2022 | 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 7, 2022 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Dec 7, 2022 | 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 |
| Dec 7, 2022 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| May 2, 2019 | 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 |
| May 2, 2019 | E · Potential for more than minimal harm, pattern | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| May 2, 2019 | E · Potential for more than minimal harm, pattern | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| May 2, 2019 | E · Potential for more than minimal harm, pattern | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
| May 2, 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 |
| May 2, 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 |
| May 2, 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 |
| May 2, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| May 2, 2019 | 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 |
| May 2, 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 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 7).
All citationsSerious citations (G–L)
2019
All citations: 10
Serious citations (G–L): 0
2022
All citations: 11
Serious citations (G–L): 1
2024
All citations: 1
Serious citations (G–L): 0
2025
All citations: 8
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 | 10 | 0 | E |
| 2022 | 11 | 1 | G ▲ |
| 2024 | 1 | 0 | D |
| 2025 | 8 | 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: 2.93
New York average: 3.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.39
New York average: 0.68
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.54
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) | 2.93 | 3.58 | 3.95 | bottom 21% in New York; bottom 11% in the U.S. |
| Registered Nurse hours | 0.39 | 0.68 | 0.69 | bottom 12% in New York; bottom 20% in the U.S. |
| Weekend total nurse staffing | 2.54 | 3.13 | 3.50 | bottom 18% in New York; bottom 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.48 | 0.48 | bottom 38% in New York; bottom 31% in the U.S. |
| Total nursing staff turnover (%) | 25.2 | 40.3 | 45.8 | top 14% in New York; top 7% in the U.S. |
| RN turnover (%) | 25.9 | 39.8 | 42.9 | top 22% in New York; top 23% 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 3.38, RN 0.45, weekend 2.93.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.38 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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 at Meadow Hill. 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 - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Abramczyk, Machla | Individual | 5% or Greater Direct Ownership Interest | 20% | 09/01/2017 |
| Farkowitz, Esther | Individual | 5% or Greater Direct Ownership Interest | 33% | 09/01/2017 |
| Platschek, Richard | Individual | 5% or Greater Direct Ownership Interest | 33% | 09/01/2017 |
| Schuck, Robert | Individual | 5% or Greater Direct 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 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
- Sapphire Nursing and Rehab at Goshen — Goshen, NY · overall 5/5
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.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
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 25% 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 (12 closest of 21 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Fishkill Center for Rehabilitation and Nursing | 5.4 mi | Beacon, NY | ★★☆☆☆ | 1/5 | |
| Taconic Rehabilitation and Nursing at Beacon | 6.3 mi | Beacon, NY | ★★★★☆ | 4/5 | |
| Montgomery Nursing and Rehabilitation Center | 8.5 mi | Montgomery, NY | ★★☆☆☆ | 2/5 | |
| Sapphire Nursing at Wappingers | 10.1 mi | Wappingers Falls, NY | ★★☆☆☆ | 1/5 | |
| Taconic Rehabilitation and Nursing at Hopewell | 10.1 mi | Fishkill, NY | ★★★☆☆ | 2/5 | |
| Campbell Hall Rehabilitation Center INC | 11.5 mi | Campbell Hall, NY | ★☆☆☆☆ | 1/5 | abuseSFF |
| Hudson Valley Rehabilitation & Extended Care Ctr | 13.6 mi | Highland, NY | ★☆☆☆☆ | 1/5 | |
| Taconic Rehabilitation and Nursing at Ulster | 14.0 mi | Highland, NY | ★★☆☆☆ | 2/5 | |
| The Pines at Poughkeepsie Ctr for Nursing & Rehab | 14.3 mi | Poughkeepsie, NY | ★★★★☆ | 3/5 | |
| New Paltz Center for Rehabilitation and Nursing | 14.3 mi | New Paltz, NY | ★★☆☆☆ | 1/5 | |
| The Grand Rehabilitation and Nrsg at River Valley | 14.7 mi | Poughkeepsie, NY | ★★☆☆☆ | 2/5 | |
| Glen Arden INC | 15.4 mi | Goshen, NY | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Orange, NY — 9 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Schervier Pavilion — Warwick, NY · overall 3/5
- St Josephs Place — Port Jervis, NY · overall 4/5
- The Valley View Center for Nursing Care and Rehab — Goshen, NY · overall 2/5
- Highland Rehabilitation and Nursing Center — Middletown, NY · overall 1/5
- Middletown Park Rehab & Health Care Center — Middletown, NY · overall 4/5
- Sapphire Nursing and Rehab at Goshen — Goshen, NY · overall 5/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 335464.