SNF
SAPPHIRE NURSING AT MEADOW HILL
CCN: 335464 · NEWBURGH, NY 12550 · Orange County
Overview
- Address
- 172 MEADOW HILL ROAD, NEWBURGH, NY 12550
- Phone
- 8455641700
- Certified beds
- 190
- Avg daily residents
- 184 (97% of beds filled)
- Ownership
- For-profit partnership
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1976-02-01
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.43 | 4.38 | 3.02 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.49 | 0.77 | 0.43 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.83 | 0.97 | 0.74 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.11 | 2.64 | 1.86 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.33 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.87
hrs / resident / day
RN (weekend)
0.30
hrs / resident / day
Total nurse (adjusted, weekend)
2.53
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
29.9%
annual
RN turnover
50.0%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.55
higher acuity than avg
Case-Mix Index Ratio
1.13
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-04-01 | 8 | 7 | 1 | 32 | 1 | 32 |
| Cycle 2/3 (prior) | 2022-12-07 | 13 | 11 | 2 | 72 | 1 | 72 |
Total weighted health score
42.0
lower is better
Deficiencies (31)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
30 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-04-01 | 2025-05-31 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-04-01 | 2025-05-31 |
| 0584 | 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. | D | 2025-04-01 | 2025-05-31 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-04-01 | 2025-05-31 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2025-04-01 | 2025-05-31 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-04-01 | 2025-05-31 |
| 0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2025-04-01 | 2025-05-31 |
| 0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2025-04-01 | 2025-05-31 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-05-20 | 2024-07-08 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-03-07 | 2023-05-08 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2022-12-07 | 2022-12-29 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2022-12-07 | 2022-12-29 |
| 0584 | 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. | E | 2022-12-07 | 2022-12-29 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-12-07 | 2022-12-29 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2022-12-07 | 2022-12-29 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-12-07 | 2022-12-29 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2022-12-07 | 2022-12-29 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-12-07 | 2022-12-29 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2022-12-07 | 2022-12-29 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2022-12-07 | 2022-12-29 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2022-12-07 | 2022-12-29 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2019-05-02 | 2019-06-25 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2019-05-02 | 2019-06-25 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2019-05-02 | 2019-06-25 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-05-02 | 2019-06-25 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2019-05-02 | 2019-06-25 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2019-05-02 | 2019-06-25 |
| 0732 | Post nurse staffing information every day. | E | 2019-05-02 | 2019-06-25 |
| 0760 | Ensure that residents are free from significant medication errors. | E | 2019-05-02 | 2019-06-25 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2019-05-02 | 2019-06-25 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2019-05-02 | 2019-06-25 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 15.5% Medicaid 67.4% Other 17.1%
Operating performance
Operating Margin
-4.7%
Total Margin
-2.9%
Occupancy Rate
92.2%
Cost per Resident Day
$46
Revenue & costs
Net Patient Revenue
$25.3M
Total Costs
$3.0M
Net Income
-$753K
Balance sheet
Total Assets
$150.7M
Total Liabilities
$143.9M
Fund Balance
$6.8M
Current Ratio
0.52
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: SAPPHIRE CARE GROUP
- Chain ID
590- Facilities in chain
- 8
- Legal business name
- NEWBURGH OPERATIONS LLC
Chain-average star ratings (for peer context)
Overall
2.4
Health
1.8
Staffing
2.1
QM
4.6
Owner / manager individuals (5)
| Name | Role | Association |
|---|---|---|
| ABRAMCZYK, MACHLA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2017 |
| FARKOWITZ, ESTHER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2017 |
| PLATSCHEK, RICHARD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2017 |
| SCHUCK, ROBERT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2017 |
| PLATSCHEK, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2017 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $46 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.52 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 67.4% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 15.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-753,191 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $25,269,627 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 92.2% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -4.7% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $150,711,393 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,970,409 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $6,841,515 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $143,869,878 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -2.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.73592 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.85624 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.43200 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.02417 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.52779 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 183.7 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.97217 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.64214 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.76628 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.38059 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.86103 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 1.8 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.4 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 590 | Chain ID |
| Provider Information | Chain Name | SAPPHIRE CARE GROUP | Chain Name |
| Provider Information | City/Town | NEWBURGH | City/Town |
| Provider Information | CMS Certification Number (CCN) | 335464 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Orange | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1976-02-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 41.5215 | Latitude |
| Provider Information | Legal Business Name | NEWBURGH OPERATIONS LLC | Legal Business Name |
| Provider Information | Location | 172 MEADOW HILL ROAD,NEWBURGH,NY,12550 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -74.078 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 190 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 8 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.55185 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.12645 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Partnership | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 172 MEADOW HILL ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | SAPPHIRE NURSING AT MEADOW HILL | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 540 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 32 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 1 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 7 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-04-01 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 32 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 8 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 11 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-12-07 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 72 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 72 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 13 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.29671 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 50.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.32512 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.83497 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.10608 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.03944 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.49015 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.43121 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NY | State |
| Provider Information | Telephone Number | 8455641700 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.86802 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 29.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 42.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 12550 | ZIP Code |