Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Sapphire Nursing And Rehab At Goshen during CMS and state inspections, most recent first.
Two residents admitted with Foley catheters were not assessed for removal as per facility policy. Despite having care plans that included catheter removal attempts, there was no documented evidence of clinical indications for continued use or voiding trials. Interviews revealed a protocol to wait before removal, but this was not documented or followed.
The facility did not ensure that the attending physician reviewed the care program for two residents with Foley catheters. The physician failed to document or assess the appropriateness of continued catheter use, incorrectly noting stress incontinence and marking the catheter status as not applicable. Both residents had significant medical conditions and required assistance with daily activities, yet the catheter use was not addressed during their assessments.
Failure to Assess Indwelling Catheter Removal
Penalty
Summary
The facility failed to ensure that residents admitted with indwelling catheters were assessed for the removal of the catheters as soon as possible, unless clinically necessary. Specifically, two residents were admitted with Foley catheters, but there was no documented evidence of clinical indications for the continued use of these catheters or any assessments by the interdisciplinary team to evaluate the ongoing need. The facility's policy required the use of a standardized tool for documenting clinical indications and the removal of the catheter when no longer needed, but this was not followed. Resident #1 was admitted with diagnoses including sepsis, malignant neoplasm of the prostate, and bacteremia, and had moderate cognitive impairment. Despite having a care plan that included attempting to remove the catheter when appropriate, there was no evidence of a voiding trial to assess the possibility of removal. Similarly, Resident #2, who was admitted with malignant neoplasm of the bladder, hyperkalemia, and hypotension, also had no documented evidence of a voiding trial or assessment for catheter removal. Interviews with facility staff revealed that the protocol was to wait a few days before determining if the catheter could be removed, but this protocol was not documented or followed for these residents.
Failure to Review Foley Catheter Use in Residents
Penalty
Summary
The facility failed to ensure that the attending physician reviewed the total program of care for residents with Foley catheters during their visits, as required by state and federal regulations. Specifically, two residents were admitted with Foley catheters, but the attending physician did not document or address the appropriateness of continued catheter use in their history and physical assessments. For both residents, the physician's documentation incorrectly noted stress incontinence and marked the catheter status as not applicable, which was a reflection of hospital documentation errors. Resident #1 was admitted with diagnoses including sepsis, malignant neoplasm of the prostate, and bacteremia, and required significant assistance with daily activities. Despite having an indwelling catheter, the physician did not address its use, and the resident was discharged back to the hospital with the catheter still in place. Similarly, Resident #2, admitted with malignant neoplasm of the bladder, hyperkalemia, and hypotension, was also dependent on care and had an indwelling catheter. The physician again failed to document or assess the catheter's appropriateness. Interviews with the Director of Nursing and the attending physician revealed that catheter orders are determined by the physician, but no reason was provided for not offering a void and trial or discontinuation of the catheters.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 171 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Goshen
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Glen Arden Inc | 0.2 mi | ★★★★★ | 11 | 0 |
| The Valley View Center For Nursing Care And Rehab | 3.3 mi | ★★★★★ | 2 | 0 |
| Campbell Hall Rehabilitation Center Inc | 4.8 mi | ★★★★★ | 19 | 0 |
| Middletown Park Rehab & Health Care Center | 5.3 mi | ★★★★★ | 1 | 0 |
| Highland Rehabilitation And Nursing Center | 6.8 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Sapphire Nursing And Rehab At Goshen.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.