Sapphire Nursing and Rehab at Goshen
46 Harriman Drive · Goshen, NY · 10924 · 8453601200
24 certified beds For profit - Individual Chain: Sapphire Care Group
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.25 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (17 in the current record)
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Potential for harm · D April 16, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 9, 2025 · Nutrition and Dietary
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Potential for harm · D April 16, 2025
Provide and implement an infection prevention and control program.
Corrected June 9, 2025 · Infection Control
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Potential for harm · D December 10, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 3, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2024 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected February 3, 2025 · Nursing and Physician Services
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Potential for harm · D February 7, 2023
Honor 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.
Corrected April 11, 2023 · Resident Rights
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Potential for harm · D February 7, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 11, 2023 · Quality of Life and Care
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Potential for harm · D February 7, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 11, 2023 · Quality of Life and Care
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Potential for harm · E February 7, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 11, 2023 · Nursing and Physician Services
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Potential for harm · D December 10, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 4, 2020 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 4, 2020 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 4, 2020 · Quality of Life and Care
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Potential for harm · D December 10, 2019
Provide enough food/fluids to maintain a resident's health.
Corrected February 4, 2020 · Quality of Life and Care
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Potential for harm · D December 10, 2019
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected February 4, 2020 · Pharmacy Service
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Potential for harm · E December 10, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 4, 2020 · Nutrition and Dietary
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Potential for harm · D December 10, 2019
Provide and implement an infection prevention and control program.
Corrected February 4, 2020 · Infection Control
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No harm found · B December 10, 2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 4, 2020 · Resident Rights
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335684 · certified since September 18, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.