Sapphire Nursing and Rehab at Goshen

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.

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.

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.

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

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.