Hudson Valley Senior AdvisorSapphire Nursing at Meadow Hill at 172 Meadow Hill Road, Newburgh, is a 190-bed Medicare- and Medicaid-certified nursing home in the Town of Newburgh, Orange County, operating under New York certificate 3502305N. CMS gives Sapphire Nursing at Meadow Hill an overall rating of 4 out of 5 stars in the Care Compare release dated October 1, 2026.
How many stars has CMS given Sapphire Nursing at Meadow Hill?
CMS gives Sapphire Nursing at Meadow Hill an overall rating of 4 out of 5 stars; its component scores are 3 for health inspections, 2 for staffing and 5 for quality measures.
| Item | Value |
|---|---|
| CMS overall rating | 4 of 5 |
| Health inspections (CMS) | 3 of 5 |
| Staffing (CMS) | 2 of 5 |
| Quality measures (CMS) | 5 of 5 |
| Certified beds / residents on an average day | 190 / 182.7 |
| Ownership (as CMS reports it) | For profit - Partnership |
| Chain (as CMS reports it) | Sapphire Care Group (8 homes) |
| Medicare/Medicaid participation since | February 1, 1976 |
| NYSDOH certificate | 3502305N, 182 beds on the state roster |
| Operator on the state roster | Newburgh Operations, LLC |
On an average day about 183 people live here, roughly 96% of certified beds and above the 92% typical of Dutchess and Orange nursing homes.
How did Sapphire Nursing at Meadow Hill fare in its latest health surveys?
CMS dates Sapphire Nursing at Meadow Hill's most recent standard health inspection April 1, 2025; that cycle produced 7 health deficiencies, 7 from the standard survey and 0 from complaint visits.
The cycle before that, surveyed December 7, 2022, carried 13 deficiencies, and infection-control inspections added 0. Dutchess and Orange homes have a median of 12 deficiencies in the latest cycle, so Sapphire Nursing at Meadow Hill sits at or below the local middle.
In CMS's three-year penalty window: no fines and 0 payment denials.
How stable is the nursing staff at Sapphire Nursing at Meadow Hill?
CMS payroll records put total nurse staffing at Sapphire Nursing at Meadow Hill at 3.41 hours per resident day (level with the two-county midpoint of 3.44), with RNs providing 0.47 hours (lower than the Dutchess-Orange midpoint of 0.51).
Weekend staffing drops or holds at 3.05 hours per resident per day. Turnover among nursing staff is 27.0% (lower than the Dutchess-Orange midpoint of 32.4%); RN turnover is 26.9%. 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 (2.12 aide hours, 1.29 licensed hours) this home falls short of that floor, though the state judges compliance quarter by quarter.
Which nursing homes are near Sapphire Nursing at Meadow Hill?
With 190 certified beds it is bigger than the Orange County median home (120 beds); the closest other certified home is Fishkill Center for Rehabilitation and Nursing in Fishkill, roughly 6.0 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 |
|---|---|---|---|---|---|
| Fishkill Center for Rehabilitation and Nursing 22 Robert R. Kasin Way, Beacon 12508 | 6.0 | 160 | 2 of 5 | February 14, 2025 | 13 |
| Taconic Rehabilitation and Nursing at Beacon 10 Hastings Dr, Beacon 12508 | 6.9 | 160 | 4 of 5 | July 1, 2024 | 6 |
| Montgomery Nursing and Rehabilitation Center 2817 Albany Post Road, Box 158, Montgomery 12549 | 7.8 | 100 | 2 of 5 | January 14, 2025 | 15 |
| Sapphire Nursing at Wappingers 37 Mesier Avenue, Wappingers Falls 12590 | 10.1 | 62 | 2 of 5 | April 17, 2024 | 19 |
| Taconic Rehabilitation and Nursing at Hopewell 3 Summit Court, Fishkill 12524 | 10.5 | 160 | 3 of 5 | February 12, 2026 | 12 |
Where is Sapphire Nursing at Meadow Hill, and what else is on its campus?
Sapphire Nursing at Meadow Hill is in the Town of Newburgh in Orange County; the nearest general hospital is Montefiore St. Luke's Cornwall (Newburgh) (Montefiore Health System), roughly 4.2 miles off, measured point to point.
Vassar Brothers Medical Center is next, about 14.1 miles away as the crow flies; driving takes longer.
What questions does Sapphire Nursing at Meadow Hill's CMS record raise?
Use the federal numbers to plan the visit: ask to read the full statement of deficiencies from April 1, 2025, even though the count (7 deficiencies) is modest.
- Turnover of 27.0% is at or below the local median; ask which nurses have covered nights the longest.
- With beds about 96% 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 at Meadow Hill keeps residents in the same room after conversion and how it handles the $50 monthly personal needs allowance.
State record: Sapphire Nursing at Meadow Hill on NYS Health Profiles.
