Nursing homes across Orange County, New York, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
St. Josephs Place runs 46 beds in Port Jervis, and its staffing numbers are the story here. Total nurse coverage sits at 3.86 hours per resident day, almost exactly at the national average, though weekends dip about 13% below what the home staffs during the week. Turnover is where it separates itself: 25.8% against a national average of 45.8%, which suggests people stay. The inspection record shows 7 deficiencies with none at the harm level and none abuse-related, and the last survey was in February 2024. As a nonprofit with 46 beds, it's small enough that consistency matters more than scale.
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.
Schervier Pavilion runs lean on nurse hours, 3.84 per resident day, just under the national average, and weekends dip roughly 8% below its own weekday coverage. What stands out instead is retention: 24.2% turnover against a national 45.8% means far fewer unfamiliar faces, which matters for residents who need consistent caregivers. The tradeoff shows in the quality measures, where CMS scores this home 1 out of 5, though its 17 deficiencies include none at the harm level and none abuse-related, and state inspectors were last in October 2024. For a 120-bed nonprofit in Warwick, the picture is steady hands on staff paired with clinical outcomes that don't measure up.
Sapphire Nursing At Meadow Hill runs about 3.38 nurse hours per resident per day, roughly 12% under the national average, and weekend coverage dips another 13% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 25.2%, well below the national 45.8%, so the aides and nurses you meet are more likely to still be there next year. The record shows 30 deficiencies, including one at the harm level and one abuse-related citation, with the most recent inspection in April 2025. Its quality measures score high, but staffing is where the shortfall shows.
Middletown Park runs 230 beds under corporate ownership, and its staffing sits about 13% under the national average at 3.34 nurse hours per resident day. Weekends dip roughly 11% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is 35.5%, better than the 45.8% national figure, so the aides and nurses who are there tend to stay. The current record shows 15 deficiencies, none at harm level, though one is abuse-related, and the last inspection was March 2024. Quality measures score well; staffing is where the numbers run thin.
Highland Rehabilitation And Nursing Center runs about 3.44 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends drop about 19% below its own weekday staffing. That gap matters, because the question for any family is who's actually on the floor on a Saturday.
Turnover sits at 53.7% against a national 45.8%, so more than half the nursing staff leaves within a year. The current record shows 39 deficiencies, none flagged at harm or jeopardy level, but one is abuse-related. State inspectors were last in on July 3, 2025, and the health inspection rating came back 1 out of 5. It's a for-profit LLC with 98 certified beds. Ask about weekend coverage and how they screen staff before you decide.
Montgomery Nursing and Rehabilitation Center runs about 3.07 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on time, and weekends dip another 10% below its own weekdays. Turnover sits at 38.5%, better than the 45.8% national figure, so the people who stay tend to stay. Inspections are the weak spot: a 2-out-of-5 health inspection rating, 27 deficiencies on the current record including one abuse-related citation, though none rose to actual harm or jeopardy. The last survey was January 2025, so that record is recent. Quality measures score well at 4 out of 5, which softens the picture but doesn't change the staffing math.
Campbell Hall Rehabilitation Center is a for-profit home with 134 beds, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.03 hours per resident day, roughly a fifth below the national average, and weekends run about 11% thinner than weekdays, which matters if your family visits on a Saturday or Sunday. Its inspection history shows 67 deficiencies, including three at the harm or jeopardy level and five related to abuse, with 22 fines totaling $190,505. Staff turnover runs 48.5%, above the national figure, and CMS has placed the home in its Special Focus Facility program. All three of its CMS star ratings sit at one out of five.