Nursing home · Top rated by CMS
Sapphire Nursing and Rehab at Goshen
46 Harriman Drive, Goshen, NY 10924 · Map
For profit - Individual · Part of Sapphire Care Group (8 facilities) · 24 certified beds
Sapphire Nursing and Rehab at Goshen is a Medicare-certified nursing home in Goshen, New York. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.64 hours per resident per day, below the New York average of 3.65. Its most recent inspection on Apr 16, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Sapphire Nursing and Rehab at Goshen compares
This facility vs. the New York and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New York avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.64 | 3.65 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.64 | 0.70 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.17 | 2.18 | 2.34 | below avg |
| Nursing staff turnover | 31.3% | 40.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 7.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the April 16, 2025 inspection was corrected by June 9, 2025
What inspectors found at Sapphire Nursing and Rehab at Goshen
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 16, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 16, 2025 · Full report (PDF) - Potential for harm
Develop 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 Deficiencies · Apr 16, 2025 · Full report (PDF) - Potential for harm
Ensure 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 Deficiencies · Dec 10, 2024 · Full report (PDF) - Potential for harm
Provide 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 Deficiencies · Dec 10, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide 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 Deficiencies · Feb 7, 2023 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 7, 2023 - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 7, 2023 - Potential for harm
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.
Resident Rights Deficiencies · Feb 7, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 10, 2019 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 10, 2019 - Potential for harm
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.
Pharmacy Service Deficiencies · Dec 10, 2019
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 46 Harriman Drive
Goshen, NY 10924 - CMS certification #
- 335684
- Ownership
- For profit - Individual
- Certified beds
- 24
- Avg residents/day
- 114.8
- Provider type
- Medicare and Medicaid
- First certified
- 1985-09-18
- Chain
- Sapphire Care Group (8 facilities)
- Setting
- Urban
Part of Sapphire Care Group
Sapphire Care Group operates 8 nursing facilities across the United States. View all Sapphire Care Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Sapphire Nursing and Rehab at Goshen using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Garnet Health Medical Center, Middletown. 4.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Glen Arden Inc, Goshen. 0.2 miles away, straight line.
- Nearest home health agency office
- The Valley View Certified Home Health Agency, Goshen. 3.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 10924 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Premier Dialysis Center, Goshen, 0.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Davita Orange Dialysis Center, Middletown, 4.6 miles away, straight line (CMS rating 3 of 5 stars)
Fms-Middletown Dialysis Center, Middletown, 4.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 10924.
Hospice Of Orange & Sullivan Counties Inc, office in Newburgh, 16.0 miles away, straight line (CMS family survey rating 5 of 5 stars)
United Hospice, office in New City, 24.1 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Aizer Health , Inc, Monroe. 8.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively moderate, inland flooding relatively moderate, wildfire very low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| New York State Department of Health kitchen inspections | Oct 15, 2026 | No kitchen matched |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Sapphire Nursing and Rehab at Goshen a good nursing home?
CMS gives Sapphire Nursing and Rehab at Goshen an overall rating of 5 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Sapphire Nursing and Rehab at Goshen staffed?
Sapphire Nursing and Rehab at Goshen reports 3.64 total nurse hours per resident per day, compared with the New York average of 3.65.
Has Sapphire Nursing and Rehab at Goshen had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Sapphire Nursing and Rehab at Goshen have?
Sapphire Nursing and Rehab at Goshen is certified for 24 beds.