Sapphire Nursing and Rehab at Goshen
46 Harriman Drive, Goshen NY 10924 · (845) 360-1200 · 94.75% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
With an address in Goshen, New York, Sapphire Nursing and Rehab at Goshen is one of only three nursing homes in this city. This facility received an uninspiring overall grade of D in our grading scheme. This is not the worse place we looked at, but we would still struggle to recommend it. If you aren't deterred by this nursing home's profile, feel free to continue reading to learn more about its category grades. Inspection grades are discussed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 120 Beds
CCRC :
For profit - Limited Liability company
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While we were not high on this nursing home's overall grade, it received a very impressive inspection report this year. In fact, it received a nearly flawless inspection report this year. As a result, it received one of our highest grades in that category with an A. Perhaps the most significant factor we look at in determining our inspection ratings is deficiencies. These deficiencies can be found on a nursing home's recent inspection reports. It is typically in your best interest to avoid places that have a long list of deficiencies. This facility received 2 deficiencies on its inspection report, but fortunately none of the deficiencies were considered to be severe deficiencies. This means that CMS didn't deem any of these deficiencies to pose an immediate risk to patient health or safety. A couple minor deficiencies aren't the end of the world.
Short-term Care Quality
This facility also was given a positive short-term care score. Indeed, we awarded it a grade of B in this area, which happens to be one of our more favorable scores. With our short-term care category, we strive to craft a valuable barometer for rehabilitation. In doing so, we look at the facility's offerings of highly-skilled nursing services, including both registered nurses and physical therapy, as well as speech therapy. One reason for this nursing home's strong score in short-term care is that it offers a substantially larger volume of hours of physical therapy to its residents than the typical facility. The final statistic we assessed in this category is the number of patients who ultimately returned home from the facility. It fared better than most nursing homes in this area with 55.2 percent of its patients returning home.
Long-term Care Quality
In addition, we gave this facility a rock-bottom F in the area of long-term care. Facilities that don't score well in this category often do not provide as much nursing care and also may be struggling in some of the areas of routine medical care we looked at. On top of assessing the amount of care provided by nurses and other staff, we analyzed the number of residents vaccinated for pneumonia. This facility provided the vaccine to 91.23288 percent of its patients. This is a bit lower than we anticipated but still a respectable figure. To our surprise, this nursing home was actually decent at limiting hospitalizations. While it had 1.73 hospitalizations per 1,000 long-term resident days, its risk adjusted statistic was not as bad since it had some more complicated patients. This was its best feature in this category
Nurse Quality
The next category we looked at is nursing. We gave it an F in this area, which is an abysmal score. We analyzed the levels of nurses at the facility, in addition to the quantity of time those nurses were with patients, in computing our rating in this category. This facility provided just 3.2 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. To go along with its low totals in the area of nursing hours per patient, this place also did not perform as well in the quality-based measures we looked at in determining our nursing grades. We looked at the percentage of residents sustaining major falls and pressure ulcers. This nursing home had more pressure ulcers and falls than the average facility.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Sapphire Nursing and Rehab at Goshen Quality Metrics
Minimizes Pressure Ulcers
This is a measure of the percent of long-term residents which developed pressure ulcers . We factor in this statistic in computing both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percent of patients that sustained a fall which resulted in severe injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of patients that suffered from a urinary tract infection. UTI's are routinely caused by lower quality nursing care. Closer supervision can limit the number of UTI's sustained by residents in a nursing home. Note that this datapoint is affected by by the fact that facilities have varying reporting standards for UTI's.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percentage of patients who were given antipsychotic drugs. While antipsychotic drugs may be vital to many patients, it is important to ensure these medications are being used only where medically required. In limited cases, excessive reliance on these medications may mean that a nursing home is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of residents given antianxiety medications. These medications are commonly used to treat residents experiencing depression or anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This tells you the percentage of patients demonstrating depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percentage of patients that were given the flu and pneumonia vaccines. Higher vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This datapoint measures the percent of long-term care patients who required more assistance with activities of daily living over time. Activities of daily living include activities such as moving around and eating. Many argue that this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is the percent of patients who retained mobility levels over time. Optimizing mobility is often a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of care. There is usually a correlation between avoiding hospitalizations and the quality of nursing home care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric measures the number of times residents are rehospitalized per 1,000 days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of emergency room visits per thousand days of short-term care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is a measure of the percent of short-term patients who experienced functional improvements.
Percentage of Resident
Higher is Better