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Sapphire Care and Rehab Center

221 East Brown Street, East Stroudsburg, PA 18301 · Monroe County · (570) 421-6200

127 certified beds, about 122 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1971

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395288 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 30, 2026, inspectors cited 10 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

None of its 51 health citations since September 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.40 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.

60.0% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 51 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
28D
21E
2F
Potential for minimal harm
0A
0B
0C
June 30, 2026Standard inspection, Complaint inspection · 10 citations
  1. E
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on a review of clinical records, select facility policy, and staff interviews, it was determined the facility failed to consistently provide restorative nursing services as planned to maintain mobility for one resident out of 27 residents reviewed (Resident 115).
  2. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on a review of clinical records, select facility policies, weight records, and staff and resident representative interviews, it was determined the facility failed to ensure residents maintain acceptable parameters of nutritional status to the extent possible for three of 27 residents reviewed (Residents 13, 106, and 9).
  3. E
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on a review of clinical records, select facility policy, and staff interviews, it was determined the facility failed to consistently provide necessary services to meet the behavioral health needs for two of 27 residents reviewed (Residents 8 and 61).
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on observation, review of the facility's infection control tracking logs, facility policy, and staff interviews, it was determined the facility failed to maintain a comprehensive infection control program to monitor the development and spread of infections within the facility, including tracking of infections for three out of 27 residents reviewed (Residents 50, 122, and 140).
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on review of clinical records. select facility policy, observations, and staff interviews, it was determined that the facility failed to make reasonable accommodations to meet one resident's assessed need for assistive positioning devices while seated in a wheelchair, for one of 27 residents reviewed (Resident 12).
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on a review of clinical records, select facility policy, observations, and staff interviews, it was determined the facility failed to consistently implement planned safety interventions for one resident (Resident 61) and failed to prevent unsecured medications from being at bedside, creating a potential accident hazard, for one resident (Resident 115) out of 27 residents reviewed.
  7. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on clinical records and select policy reviews, observations, and staff interviews, it was determined the facility failed to provide oxygen equipment in accordance with physician orders for one of 27 sampled residents (Resident 7).
  8. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on a review of clinical records, facility policy, and resident and staff interviews, it was determined the facility failed to comprehensively monitor and implement appropriate interventions for new onset and worsening pain in accordance with physician orders and facility policy for one of 27 residents reviewed (Resident 105).
  9. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on a review of clinical records, select facility policy, payor source data, and resident and staff interviews, it was determined the facility failed to ensure timely and necessary dental services for one resident who is a Medicaid recipient (Resident 13) out of 27 residents reviewed.
  10. D
    Have policies on smoking.
    F926 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on a review of clinical records, facility policies, observations, and resident and staff interviews, it was determined the facility failed to consistently implement and enforce its smoking policy for one of three residents who smoked (Resident 88).
April 15, 2026Complaint inspection · 1 citation
  1. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on review of clinical records, select facility policy review, and staff interview, it was determined the facility failed to ensure a resident was free from a chemical restraint and failed to ensure non-pharmacological interventions were attempted and documented prior to administration of a psychotropic medication for one of 10 residents reviewed (Resident CR1).
December 29, 2025Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 4, 2026
    Inspectors wroteBased on a review of select facility policies, clinical record review, and staff and resident interviews, it was determined that the facility failed to promptly notify a resident's designated representative and power of attorney of a significant change in the resident's condition and new treatment orders, for one resident out of eight sampled (Resident 1).
August 15, 2025Standard inspection, Complaint inspection · 11 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on clinical record review, select facility policy, and staff interviews, it was determined the facility failed to provide professional standards of practice for diabetes management for one resident out of 29 sampled (Resident 119).
  2. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to demonstrate an effective maintenance program of inspection of all bed frames with bed extenders to assure the limiting of entrapment zones and promote resident safety for two residents out of 29 sampled (Resident 1 and Resident 7) and in three resident rooms observed.
  3. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on clinical record review, review of facility policy, and staff interviews, it was determined that the facility failed to follow its own policies and procedures for monitoring nutritional status, obtaining weights, completing reweights, and ensuring timely notification of significant weight changes for six of ten sampled residents (Residents 16, 18, 21, 97, 107, and 119).
  4. E
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to ensure the availability of a functioning bed for all current licensed and certified resident beds on two of three resident care units, (first floor and second floor).
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on observation, select facility policy, and resident and staff interviews, it was determined the facility failed to reasonably accommodate residents' need for call bell accommodation for one out of 29 residents sampled (Resident 18).
  6. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on clinical record review and staff interview, it was determined the facility failed to demonstrate that a resident's discharge from the facility was appropriate and necessary, for one of three sampled residents (Resident 112).
  7. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on a review of clinical records, the Resident Assessment Instrument, and staff interview, it was determined the facility failed to ensure that Minimum Data Set Assessments accurately reflected the status of two residents out of 29 sampled. (Residents 21 and 72).
  8. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on a review of clinical records, select facility policy, resident observation, and staff interview, it was determined the facility failed thoroughly assess and timely implement treatments to an identified skin impairment for one resident out of 29 sampled residents (Resident 16).
  9. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on a review of facility policy, clinical records, physician orders, resident interview, and staff interview, it was determined the facility failed to provide restorative nursing services and a therapeutic device prescribed to maintain mobility and current level of functioning as ordered by the physician and recommended by rehabilitative therapy staff for one resident (Resident 4) out of five sampled residents.
  10. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on a review of controlled drug shift count records, select facility policy, observations of the medication cart, and staff interviews, it was determined that the facility failed to implement procedures to promote accurate documentation of controlled medications for one of three medication carts reviewed (first floor, back cart).
  11. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on observation, review of facility policy, review of manufacturer instructions, and staff interviews, it was determined the facility failed to implement and adhere to procedures to ensure acceptable storage and use-by dates for multi-dose medications on one of three medication carts (first floor, back cart).
February 25, 2025Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 18, 2025
    Inspectors wroteBased on review of select facility policy and clinical records, and staff interview, it was determined the facility failed to timely notify the resident's interested representative of a change in condition for one resident out of 20 sampled (Resident 19).
October 25, 2024Standard inspection · 20 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on review of the facility's infection control tracking log, observations, and staff interview, it was determined that the facility failed to maintain and implement a comprehensive program to monitor and prevent infections in the facility, including protocols and provisions for Enhanced Barrier Precautions for 6 of six residents observed (Residents 70, 66, 52, 12, 83, and 33).
  2. F
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on staff interview, it was determined the facility did not have one or more individuals serving as the Infection Preventionist (IP) responsible for the facility's infection prevention plan.
  3. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on a review of the facility's abuse prohibition policy and employee personnel files and staff interviews, it was determined the facility failed to fully develop and implement established abuse prohibition procedures for screening five of five employees for employment. (Employee 3, 4, 5, 6, and 7)
  4. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on observation and staff interview it was determined the facility failed to maintain an environment free of potential accident hazards during medication administration on one of two resident care units. (First floor).
  5. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on observations, a review of clinical records and staff interview, it was determined the facility failed to provide the necessary care and services to prevent potential urinary tract infections to the extent possible for one resident with an indwelling urinary catheter out of 20 sampled residents (Residents 83).
  6. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on review of clinical records, select facility policy, observation, and staff interview, it was determined the facility failed to follow physician orders for oxygen therapy and failed to maintain oxygen equipment in a functional and sanitary manner for three residents out of 20 sampled (Residents 28, 61, and 52).
  7. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on a review of clinical records, select facility policy, and medication records, and staff interviews, it was determined that the facility failed to implement pharmacy procedures for accounting for controlled drugs on one of six medication carts. (First Floor Back)
  8. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on review of clinical records and staff interview, it was determined the facility failed to ensure that the attending physician acted upon on the pharmacist's reports of irregularities in the drug regimen of four resident of 20 residents reviewed (Residents 28, 10, 73, and 36).
  9. E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on review clinical records and staff interviews, it was determined that the facility failed to ensure that a resident was free from unnecessary psychoactive drugs by failing to ensure the presence of clinical rationale for the continued use of an as needed psychotropic medication for two of five residents reviewed (Residents 44 and 20).
  10. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on a review of select facility policy, observations, and staff interview, it was determined that the facility failed to adhere to acceptable storage and use by dates for multi-dose medication on two of six medication carts observed.
  11. E
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on review of clinical records, payor source data, and staff interview, it was determined the facility failed to offer routine annual dental services for one resident with Medicaid as a payor source (Resident 52) and failed to promptly refer a resident with mouth pain and a physician's order for a dental consult with Medicaid as a payor source (Resident 86) out of 20 residents sampled
  12. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on review of the facility's infection control policies and procedures and staff interview, it was determined the facility failed to implement an antibiotic stewardship program for 6 of 12 months reviewed. (April 2024-September 2024).
  13. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on observation, clinical record review and staff interview, it was determined the facility failed to provide meal service in an environment that maintains each resident's dignity for one of 20 sampled residents (Resident 42).
  14. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on a review of clinical records, the Resident Assessment Instrument, and staff interview, it was determined that the facility failed to ensure that the Minimum Data Set Assessments accurately reflected the status of one resident out of 20 sampled (Resident 94).
  15. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on observation, clinical record review and staff interview, it was determined the facility failed to develop and implement a person-centered comprehensive care plan to meet the needs of three out of 20 residents sampled (Residents 86, 28, and 13) Findings including: Clinical record review revealed that Resident 86 was admitted to the facility on [DATE], with diagnoses to include hypertension (elevated blood pressure), Type 2 diabetes (body has trouble controlling blood sugar and using it for energy), and hyperlipidemia (high cholesterol). A review of Resident 86's hospital records sent to the facility on June 13, 2024, revealed the resident underwent a pacemaker placement (device implanted in the body to deliver electrical impulses to the heart to help the heartbeat at a normal rate and rhythm) on June 15, 2022. [...]
  16. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on clinical record review, observation, and resident and staff interviews, it was determined the facility failed to ensure a resident's comprehensive care plan was reviewed and revised as needed to accurately reflect the resident's current needs and services required by one of 20 residents reviewed (Resident 22).
  17. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on a review of clinical records and staff interviews it was determined the facility failed to provide nursing services consistent with professional standards of quality to ensure that licensed nurses administered medications as prescribed to one resident of 20 sampled residents (Resident 22)
  18. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on review of select facility policy, clinical records, and staff interview it was determined the facility failed to monitor the nutritional parameters for one resident with an identified significant weight loss out of 20 residents sampled (Resident 60).
  19. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on observations, clinical record review, and resident and staff interview it was determined that the facility failed to ensure the ready availability of necessary emergency supplies for a resident receiving hemodialysis for one of 20 residents sampled. (Resident 85)
  20. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on clinical record review and staff interviews, it was determined the facility failed to ensure each resident received the necessary behavioral health care in a timely manner to attain or maintain the highest practicable mental and psychosocial well-being for one of 20 residents sampled (Resident 10).
October 11, 2023Complaint inspection · 2 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2023
    Inspectors wroteBased on observations and staff and resident interview, it was determined that the facility failed to provide housekeeping services to maintain a clean and orderly environment in resident areas on three of three resident units (First, Second, and Third Floor Nursing Units)
  2. E
    Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
    F917 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2023
    Inspectors wroteBased on observation and staff interview, it was determined the facility failed to provide clean mattresses, bed frames and functional furniture in resident rooms on three of three nursing units (First, Second, and Third Floor).
September 7, 2023Complaint inspection · 5 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2023
    Inspectors wroteBased on review of clinical records and select resident incident/accident reports and staff interview, it was determined that the facility failed to consistently provide necessary supervision and effective safety measures to prevent repeated falls for a resident identified at high risk for falls and known unsafe behaviors, for one resident out of five sampled (Resident 2).
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2023
    Inspectors wroteBased on a review of clinical records and the Resident Assessment Instrument and staff interviews, it was determined that the facility failed to ensure that the Minimum Data Set Assessments (MDS - a federally mandated standardized assessment conducted at specific intervals to plan resident care) accurately reflected the status of one resident out of five sampled (Residents 2).
  3. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2023
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide individualized care instructions for the resident's plans for care after discharge for one of two discharged residents reviewed (Resident 1)
  4. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2023
    Inspectors wroteBased on a review of clinical records and staff interviews it was determined that the facility failed to ensure that the resident's drug regimen was free of unnecessary antibiotic drugs for one out of five residents sampled (Resident 1).
  5. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2023
    Inspectors wroteBased on a review of clinical records and the facility's infection prevention and control program and staff interview it was determined that the facility failed to maintain an antibiotic stewardship program that includes a system to effectively monitor antibiotic usage as evidenced by one of five sampled residents (Resident 1).

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)3.403.893.86
Registered nurses0.370.790.69
All nursing staff on weekends3.113.533.42
Nurse aides2.15
Licensed practical nurses0.89
Nursing staff turnover (share who left in a year)60.0%44.5%45.8%
Registered nurse turnover71.4%39.9%42.9%
Administrators who left0

CMS expects 4.29 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.51 on weekdays and 3.11 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.42 in April to June 2025 to 3.40 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.400.373.513.11 16.0%0 of 90122
Oct to Dec 20253.450.343.543.24 21.2%0 of 92117
Jul to Sep 20253.390.323.463.19 27.4%0 of 92115
Apr to Jun 20253.420.393.553.11 23.2%0 of 91108
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.016.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.50.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.31.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.53.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.11.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.617.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.64.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.817.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.522.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.49.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.21.8

Owners and operators

Legal business name: DIAMOND HEALTHCARE AT STROUD LLC.

NameRoleTypeShareSince
Frankel, Yosef5% or greater direct ownership interestIndividual50%12/01/2024
Eichenblatt, YisroelOperational/managerial controlIndividual12/01/2024
Frankel, YosefOperational/managerial controlIndividual12/01/2024
Kurland, BenjaminOperational/managerial controlIndividual12/01/2024
Odeyemi, OlutundeOperational/managerial controlIndividual12/01/2024
Gph East Stroudsburg LPAdp of the SNFOrganization12/01/2024
Eichenblatt, YisroelAdp of the SNFIndividual12/01/2024
Odeyemi, OlutundeAdp of the SNFIndividual12/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 21 problems in this area, most recently on June 30, 2026: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on June 30, 2026: "Reasonably accommodate the needs and preferences of each resident."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on August 15, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on August 15, 2025: "Ensure each resident receives an accurate assessment."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.11 hours per resident per day, below the Pennsylvania average of 3.53.

Other nursing homes nearby

Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Common questions

What is Sapphire Care and Rehab Center's Medicare star rating?
CMS rates Sapphire Care and Rehab Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Sapphire Care and Rehab Center get at its last inspection?
10 health deficiencies at the standard inspection on June 30, 2026. The Pennsylvania average is 10.
Has Sapphire Care and Rehab Center been fined?
CMS lists no fines in the last three years.
Does Sapphire Care and Rehab Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Sapphire Care and Rehab Center?
CMS lists 8 owners and managers. Legal business name: DIAMOND HEALTHCARE AT STROUD LLC.

Sources

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