Nursing HomeInspections

Sapphire Nursing And Rehab At Goshen

Nursing home in Goshen, NY

Medicare & Medicaid certified5★ overall (CMS)

Call (845) 360-1200Send a messageMap ↗

Public-record details

Address
46 Harriman Drive, Goshen, NY 10924
Phone
(845) 360-1200
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
335684
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
24
Average residents per day
111
Ownership
For-profit, individual
Legal business name
Goshen Operations LLC
Chain
Sapphire Care Group (8 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 18, 1985
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 335684. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 16, 2025. CMS lists 17 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 10, 2019 to Apr 16, 2025): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 16, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 16, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Apr 16, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 10, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 10, 2024Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 7, 2023Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 7, 2023Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 7, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 7, 2023Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Dec 10, 2019Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		B
Potential for minimal harm, pattern
Dec 10, 2019Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 10, 2019Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 17. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.81 hours
Registered nurse (RN) time per resident per day
0.65 hours
Nurse aide time per resident per day
2.20 hours
Total nurse staffing on weekends
3.39 hours
Nursing staff turnover (yearly)
27%
RN turnover (yearly)
18%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Goshen

Glen Arden Inc214 Harriman Drive · Goshen, NY 10924 · (845) 291-7800 · Nonprofit21 health citations in 3 inspection cycles · last standard inspection Dec 22, 2025 · $108,046 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)The Valley View Center for Nursing Care and Rehab2 Glenmere Cove Rd · Goshen, NY 10924 · (845) 291-4740 · Government-owned44 health citations in 3 inspection cycles · last standard inspection Jul 22, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)

All 3 in Goshen →