★★☆☆☆CMS 2/5360 bedsGovernmentMedicaid
- Nurse hours
- 3.92 /day
- Staff turnover
- 21%
- Serious cites
- 0
Valley View, a county-run home in Goshen with 360 beds, sits in an unusual spot. Its staffing looks solid on paper, 3.92 nurse hours per resident day, just above the national average, with a 4/5 staffing star, and turnover is genuinely low at 20.8% against a national 45.8%. But weekend staffing drops roughly 10% below its own weekday level, and the inspection record is the real story: 44 deficiencies on file, including 8 tied to abuse, with a 1/5 health inspection star despite the most recent survey in July 2025. None of those deficiencies reached harm or jeopardy level, and resident quality measures score 5/5. So you're weighing a home that keeps its staff and treats residents well by the measures, against a thick inspection history worth asking about directly.
★★★★★CMS 5/524 bedsFor-profitMedicaid
- Nurse hours
- 3.81 /day
- Staff turnover
- 27%
- Serious cites
- 0
Sapphire Nursing and Rehab at Goshen is a small place, just 24 certified beds, individually owned for profit, and its inspection record is genuinely clean: 17 deficiencies on file, none of them at the harm or jeopardy level, none abuse-related, with a survey completed in April 2025. Nurse staffing sits slightly under the national average at 3.81 hours per resident day, and weekends run about 11% leaner than weekdays, so ask how coverage holds up on a Saturday. The standout number is turnover at 27.3%, well below the 45.8% national average, which suggests a steadier crew than most. Quality measures score 5/5; staffing scores 3/5.
★★★☆☆CMS 3/540 bedsNon-profitMedicaid
- Nurse hours
- 5.17 /day
- Staff turnover
- 36%
- Serious cites
- 0
Glen Arden runs about 5.17 nurse hours per resident day, roughly a third more than the national average of 3.86, and its staff turnover of 36% sits below the 45.8% national figure, numbers that suggest a stable, well-staffed floor. Weekend coverage dips about 9% from weekday levels, worth asking about if your visits fall on Saturdays or Sundays. The tradeoff shows up in oversight: 21 deficiencies on the current record, two serious enough to reach harm or jeopardy level, and a single fine of $108,046. The most recent inspection was in December 2025. Small homes of 40 beds can be either tightly run or thinly supervised, and here the staffing strength and the inspection record point in different directions.