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COUNTY OF ORANGE

GOSHEN, NY · Orange County · Government - County · 360 certified beds

📍 2 Glenmere Cove Rd, Goshen, NY 10924  ·  📞 (845) 291-4740

Medicare ID: 335238  ·  Last Medicare inspection: Feb 3, 2026

Inspection Overdue: The most recent standard health inspection occurred more than two years ago. Current conditions may differ from reported ratings.
Overall Safety Score
58
out of 100
Fair
Component Scores
20
Inspection
57
Staffing
✓ Clean
Enforcement
60
Complaints
58
Quality
📋 Last inspected: February 3, 2026 📦 CMS data as of: May 2026

Score Breakdown

Inspection
20
Staffing
57
Enforcement
100
Complaints
60
Quality Outcomes
58

What the numbers mean

COUNTY OF ORANGE scored 58 out of 100 — 9 points below the state average of 67.

📋 Inspections: 20 citations over the last 36 months — 8 more than the state average (12). None were rated as causing actual harm to residents. 1 finding recurred across inspection cycles — indicating a problem that was not fixed.

⚠️ Staffing: Staffing levels are below average. Lower staffing is associated with longer response times, more pressure injuries, and higher hospitalization rates. Ask the facility directly about their RN-to-resident ratio and how they handle shortfalls.

⚖️ Penalties & enforcement: No significant federal fines or enforcement actions on record — a positive indicator of consistent regulatory compliance.

⚠️ Complaints: Above-average complaint activity. Complaint surveys are unannounced and targeted — they often surface problems that routine annual inspections miss. Ask management about the nature of complaints filed and how each was resolved.

⚠️ Resident quality outcomes: Some quality measures are below national benchmarks. Areas like fall prevention, pain management, or medication use may warrant closer attention.

What inspectors found (last 3 surveys)

20
Total citations
State avg: 12.3
0
Serious (G+)
State avg: 0.6
1
Repeat findings

Top concern areas

20

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

No federal penalties on record. CMS has not issued civil monetary penalties or payment denials against this facility in the current reporting period.
📋 Enforcement Context Analysis
📊
Enforcement score: 100/100 — above the state average of 80/100 — relatively better than peer facilities. This is a positive indicator — limited enforcement history compared to peer facilities.
✅ No enforcement actions on record. This facility's enforcement score of 100/100 reflects a clean enforcement history in the current CMS reporting cycle.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
1.4% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
24.7% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
Re-hospitalized after discharge
18.2% lower is better
How often short-stay residents who went home ended up back in the hospital within 30 days. Risk-adjusted for resident health.
Hospitalization rate
5.1% lower is better
How often long-stay residents were hospitalized over the past year. Adjusted for how sick residents were.
🔒 Full breakdown — 4 of 21 total measures shown
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Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

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Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.

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Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 3, 2026.