Sapphire Nursing at Meadow Hill

172 Meadow Hill Road · Newburgh, NY · 12550 · 8455641700

190 certified beds For profit - Partnership 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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 61
Serious harm & abuse 20% 94
Staffing 20% 66
Federal penalties 15% 100
Trend 10% 82
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.433.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day2.96≈ weekday level
Nursing turnover / year26%median 45%
Fines (3-yr window)none

Inspection citations (30 in the current record)

  • Potential for harm · D April 1, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 31, 2025 · Resident Rights

  • Potential for harm · D April 1, 2025

    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 May 31, 2025 · Resident Rights

  • Potential for harm · D April 1, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 31, 2025 · Quality of Life and Care

  • Potential for harm · D April 1, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected May 31, 2025 · Quality of Life and Care

  • Potential for harm · D April 1, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 31, 2025 · Quality of Life and Care

  • Potential for harm · D April 1, 2025

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected May 31, 2025 · Infection Control

  • Potential for harm · D April 1, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected May 31, 2025 · Nursing and Physician Services

  • Potential for harm · D April 1, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 31, 2025 · Infection Control

  • Potential for harm · D May 20, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 8, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G December 7, 2022

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected December 29, 2022 · Quality of Life and Care

  • Potential for harm · D December 7, 2022

    Reasonably accommodate the needs and preferences of each resident.

    Corrected December 29, 2022 · Resident Rights

  • Potential for harm · D December 7, 2022

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected December 29, 2022 · Resident Rights

  • Potential for harm · E December 7, 2022

    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 December 29, 2022 · Resident Rights

  • Potential for harm · D December 7, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 29, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D December 7, 2022

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 29, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D December 7, 2022

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 29, 2022 · Quality of Life and Care

  • Potential for harm · D December 7, 2022

    Provide enough food/fluids to maintain a resident's health.

    Corrected December 29, 2022 · Quality of Life and Care

  • Potential for harm · D December 7, 2022

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected December 29, 2022 · Nutrition and Dietary

  • Potential for harm · D December 7, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 29, 2022 · Nutrition and Dietary

  • Potential for harm · D December 7, 2022

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 29, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D May 2, 2019

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 25, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D May 2, 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 June 25, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D May 2, 2019

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 25, 2019 · Quality of Life and Care

  • Potential for harm · D May 2, 2019

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected June 25, 2019 · Quality of Life and Care

  • Potential for harm · D May 2, 2019

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 25, 2019 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335464 · certified since February 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.