The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited February 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
Nursing home report
SAPPHIRE NURSING AND REHAB AT GOSHEN
GOSHEN, NY · Medicare-certified · 24 beds
In good standing
For-profitChain member
5 of 5 overall
5 of 5 stars overall. Health inspections are 4 of 5 and quality measures are 5 of 5, but staffing is only 2 of 5; reported nurse staffing is 3.69 hours per resident per day, below the federal benchmark of 4.1, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6901 hrs/resident/day
Quality measures
Last inspection: April 16, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6901.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.89
- Nurse aides
- 2.20
- Weekend nursing
- 3.25
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 18%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.3%1.8%Improving
Residents with a fall causing major injury
2.4%2.6%No change
Residents with pressure ulcers (bedsores)
6.5%2.4%Improving
Residents with a urinary tract infection
0%1.3%Worsening
Residents who lost too much weight
2.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.5%12%Improving
Residents whose ability to walk got worse
10.3%12.6%Worsening
Long-stay residents on antianxiety or sleep medication
17.1%11.5%Improving
Short-stay residents newly given an antipsychotic
0%0.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
30.9%29.7%Improving
Residents with depressive symptoms
69.2%89.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99%—
Long-stay residents given the pneumonia vaccine
98.8%100%Improving
Short-stay residents given the seasonal flu vaccine
—87.8%—
Short-stay residents given the pneumonia vaccine
92.1%88.2%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited December 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of SAPPHIRE CARE GROUP · 8 homes · 2.6 stars avg
- Occupancy
- 115 residents on an average day (479% of 24 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.