Hudson Valley Senior AdvisorSapphire Nursing and Rehab at Goshen at 46 Harriman Drive, Goshen, is a 24-bed Medicare- and Medicaid-certified nursing home in the Town of Goshen, Orange County, operating under New York certificate 3523304N. CMS gives Sapphire Nursing and Rehab at Goshen an overall rating of 5 out of 5 stars in the Care Compare release dated October 1, 2026.
How does Care Compare rate Sapphire Nursing and Rehab at Goshen?
CMS gives Sapphire Nursing and Rehab at Goshen an overall rating of 5 out of 5 stars; its component scores are 4 for health inspections, 3 for staffing and 5 for quality measures.
| Item | Value |
|---|---|
| CMS overall rating | 5 of 5 |
| Health inspections (CMS) | 4 of 5 |
| Staffing (CMS) | 3 of 5 |
| Quality measures (CMS) | 5 of 5 |
| Certified beds / residents on an average day | 24 / 110.8 |
| Ownership (as CMS reports it) | For profit - Individual |
| Chain (as CMS reports it) | Sapphire Care Group (8 homes) |
| Medicare/Medicaid participation since | September 18, 1985 |
| NYSDOH certificate | 3523304N, 120 beds on the state roster |
| Operator on the state roster | Goshen Operations, LLC |
On an average day about 111 people live here, roughly 462% of certified beds and above the 92% typical of Dutchess and Orange nursing homes.
What have inspectors cited at Sapphire Nursing and Rehab at Goshen recently?
CMS dates Sapphire Nursing and Rehab at Goshen's most recent standard health inspection April 16, 2025; that cycle produced 4 health deficiencies, 3 from the standard survey and 1 from complaint visits.
Going back a cycle, the February 7, 2023 survey logged 6 deficiencies and infection-control visits 0. Compared with the local median of 12, the latest count is typical or better.
In CMS's three-year penalty window: no fines and 0 payment denials.
What are staffing levels like at Sapphire Nursing and Rehab at Goshen?
CMS payroll records put total nurse staffing at Sapphire Nursing and Rehab at Goshen at 3.77 hours per resident day (higher than the Dutchess-Orange midpoint of 3.44), with RNs providing 0.65 hours (higher than the Dutchess-Orange midpoint of 0.51).
Weekend staffing drops or holds at 3.33 hours per resident per day. Turnover among nursing staff is 28.1% (lower than the Dutchess-Orange midpoint of 32.4%); RN turnover is 19.0%. Under Public Health Law 2895-b New York requires 3.5 daily hours per resident, at least 2.2 from aides and 1.1 from licensed nurses. On CMS's figures (2.15 aide hours, 1.62 licensed hours) this home falls short of that floor, though the state judges compliance quarter by quarter.
How does Sapphire Nursing and Rehab at Goshen compare with nearby nursing homes?
With 24 certified beds it is smaller than the Orange County median home (120 beds); the closest other certified home is The Valley View Center for Nursing Care and Rehabilitation in Goshen, roughly 3.4 miles off, in a straight line, rated 2 of 5 by CMS.
| Facility | Miles away | Certified capacity | CMS overall rating | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|---|
| The Valley View Center for Nursing Care and Rehabilitation 2 Glenmere Cove Road, Goshen 10924 | 3.4 | 360 | 2 of 5 | July 22, 2025 | 16 |
| Campbell Hall Rehabilitation Center Inc 23 Kiernan Rd, Campbell Hall 10916 | 4.9 | 134 | 1 of 5 | December 22, 2024 | 28 |
| Middletown Park Rehabilitation & Health Care Center 121 Dunning Road, Middletown 10940 | 5.5 | 230 | 4 of 5 | March 4, 2024 | 9 |
| Highland Rehabilitation and Nursing Center 120 Highland Avenue, Middletown 10940 | 6.9 | 98 | 1 of 5 | July 3, 2025 | 20 |
| Schervier Pavilion 22 Van Duzer Place, Warwick 10990 | 9.0 | 120 | 1 of 5 | October 29, 2024 | 9 |
How close is Sapphire Nursing and Rehab at Goshen to a hospital?
Sapphire Nursing and Rehab at Goshen is in the Town of Goshen in Orange County; the nearest general hospital is Garnet Health Medical Center (Garnet Health), roughly 4.4 miles off, measured point to point.
St. Anthony Community Hospital (Warwick) is next, about 9.1 miles away as the crow flies; driving takes longer.
What should families ask Sapphire Nursing and Rehab at Goshen before choosing it?
Begin with the CMS record: ask to read the full statement of deficiencies from April 16, 2025, even though the count (4 deficiencies) is modest.
- Turnover of 28.1% is at or below the local median; ask which nurses have covered nights the longest.
- With beds about 462% full, ask about the waiting list and whether short-term rehab has its own unit.
- CMS lists a resident council; ask when it meets and whether relatives can join.
- If Medicaid may pay later, confirm that Sapphire Nursing and Rehab at Goshen keeps residents in the same room after conversion and how it handles the $50 monthly personal needs allowance.
