SAPPHIRE NURSING AND REHAB AT GOSHEN

Nursing Home Inspector

46 HARRIMAN DRIVE
GOSHEN, NY 10924
Orange County
Phone: 845-291-3700
Provider Number: 335684
Last Inspection: 12/15/2016

About the Nursing Home

Number of Beds: 120
Number of Residents: 113
Beds Available: 7
Percent Occupancy: 94%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

0

Facility
8

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2016
6

2015
12

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

11/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 1/8/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 1/8/2016
 

10/27/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 12/19/2014
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 12/19/2014
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/19/2014
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Pattern : Potential 3 12/19/2014
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 113 133.10 167.28
Registered Nurses 1.02 0.70 0.74
Licensed Practical / Vocational Nurses 0.88 0.89 0.84
Certified Nursing Assistants 2.30 2.17 2.30
Total Staff Hours 4.21 3.76 3.88

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NY State Avg%
of high risk long-stay residents with pressure ulcers 6 5 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 97 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 96 96
of long-stay residents experiencing one or more falls with major injury 3 3 2
of long-stay residents who have depressive symptoms 6 2 8
of long-stay residents who lose too much weight 4 6 6
of long-stay residents who received an antianxiety or hypnotic medication 19 14 15
of long-stay residents who received an antipsychotic medication 12 12 13
of long-stay residents who self-report moderate to severe pain 5 3 3
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 31 24 16
of long-stay residents whose need for help with daily activities has increased 13 13 13
of long-stay residents with a catheter inserted and left in their bladder 1 2 1
of long-stay residents with a urinary tract infection 4 4 3
of low risk long-stay residents who lose control of their bowels or bladder 54 58 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 95 89 81
of short-stay residents who had an outpatient emergency department visit 8 12 9
of short-stay residents who made improvements in function 64 71 68
of short-stay residents who newly received an antipsychotic medication 0 1 1
of short-stay residents who self-report moderate to severe pain 11 10 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97 88 82
of short-stay residents who were rehospitalized after a nursing home admission 25 22 21
of short-stay residents who were successfully discharged to the community 57 51 48
of short-stay residents with pressure ulcers that are new or worsened 1 0 0