Sapphire Nursing And Rehab At Goshen
46 Harriman Drive, Goshen, NY 10924
Sapphire Nursing And Rehab At Goshen is a nursing home in Goshen, New York. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionApril 16, 2025 (1 year ago)
- Health citations since December 10, 201918 (New York average 21)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
Health inspection on August 19, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on April 16, 2025
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on June 9, 2025.
CMS has cited this home for F0657 2 times since 2019.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on June 9, 2025.
CMS has cited this home for F0812 2 times since 2019.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 9, 2025.
CMS has cited this home for F0880 2 times since 2019.
Fire safety inspection on April 16, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 9, 2025.
CMS has cited this home for K0353 2 times since 2023.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on June 9, 2025.
Citation K0281. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on June 9, 2025.
CMS has cited this home for K0281 2 times since 2023.
Citation K0293. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on June 9, 2025.
Citation K0225. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
CMS lists it as corrected on June 9, 2025.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on December 10, 2024
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on February 3, 2025.
Citation F0711. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
CMS lists it as corrected on February 3, 2025.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of March 28, 2024
Ownership
CMS lists this home under a new chain.
CMS update of February 29, 2024
Ownership
CMS lists this home under a new chain.
Health inspection on February 7, 2023
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0725. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on April 11, 2023.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on April 11, 2023.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on April 11, 2023.
CMS has cited this home for F0684 2 times since 2019.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on April 11, 2023.
Fire safety inspection on February 7, 2023
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on March 24, 2023.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on March 24, 2023.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on March 24, 2023.
Citation K0281. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on March 24, 2023.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 24, 2023.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on March 24, 2023.
Citation E0039. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on March 24, 2023.
Health inspection on December 10, 2019
8 citationsCMS lists this as a standard inspection.
Show the 8 citations
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 4, 2020.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on February 4, 2020.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on February 4, 2020.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on February 4, 2020.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on February 4, 2020.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on February 4, 2020.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 4, 2020.
Citation F0623. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on February 4, 2020.
Fire safety inspection on December 10, 2019
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation K0222. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on February 19, 2020.
Citation K0918. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on February 19, 2020.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on February 19, 2020.
Citation K0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on February 19, 2020.
Citation E0013. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Develop Emergency Preparedness policies and procedures.
CMS lists it as corrected on February 19, 2020.
Citation E0029. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Develop a communication plan.
CMS lists it as corrected on February 19, 2020.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (845) 360-1200
- Last standard health inspection
- April 16, 2025 (1 year ago)
- Certified beds
- 24
- Residents per day, on average
- 110.8
- Ownership type
- For profit - Individual
- Legal business name
- Goshen Operations LLC
- Chain
- Sapphire Care Group
- Takes part in
- Medicare and Medicaid
Fewer health citations than the New York average (18 vs 21).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- GOSHEN OPERATIONS LLC5% or greater direct ownership interest · 100% · since 09/01/2017
- ABRAMCZYK, MACHLA5% or greater indirect ownership interest · 20% · since 09/01/2017
- FARKOWITZ, ESTHER5% or greater indirect ownership interest · 33% · since 09/01/2017
- SCHUCK, ROBERT5% or greater indirect ownership interest · 13% · since 09/01/2017
- PLATSCHEK, RICHARDOperational/managerial control · not applicable · since 09/01/2017
Questions
When was Sapphire Nursing And Rehab At Goshen last inspected?
CMS lists April 16, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Sapphire Nursing And Rehab At Goshen have?
CMS lists 18 health citations since December 10, 2019. CMS also calls these deficiencies.
Has Sapphire Nursing And Rehab At Goshen been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Sapphire Nursing And Rehab At Goshen?
Its CMS overall star rating is 5 of 5.
Is Sapphire Nursing And Rehab At Goshen a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.