Sapphire Nursing At Wappingers

In the surveyor’s words

From the most serious findings on record at Sapphire Nursing At Wappingers, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF684May 7, 2026

  Based on observations, record review, and interviews conducted during the Abbreviated Survey the facility did not ensure necessary care and services were provided related to medication for one (Resident #3) of three (3) residents reviewed for quality of care. Specifically, medications were not available to be administered as ordered upon admission on [DATE]. Resident #3's medication list included Buprenorphine/Naloxone, a controlled substance used for opioid dependence treatment, anticonvulsant, neuropathic pain medication, anti-anxiety medication and antiviral medications. Pharmacy delivery records provided by the facility documented medications for Resident #3 were delivered to the facility between 11/03/2025 through 11/07/2025. […]

• No harm, potential for more than minimal, patternF801May 7, 2026

  Based on observations, record reviews, and interviews conducted during an Abbreviated Survey, the facility did not ensure that a dietitian or other clinically qualified professional was sufficiently involved in carrying out the functions of the food and nutrition services. Specifically, the facility began a project to renovate the kitchen which temporarily prevents the facility from using the kitchen to cook resident meals. As an alternative, the facility is using an outside food vendor(a local restaurant) to provide resident meals, but the arrangement is without a system that provides dietitian oversight of meal preparation and consistently ensures that meals meet the daily nutritional, therapeutic, and other special dietary needs of the residents. […]

• No harm, potential for more than minimal, patternF812May 7, 2026

  Based on observations, record review, and interviews conducted during the Abbreviated Survey, the facility did not ensure food was procured, distributed, and served under sanitary conditions and at safe temperatures. Specifically, the surveyor observed the facility plating lunch meals on 03/30/2026. Hot foods were not maintained at safe temperatures during holding, as evidenced by temperatures declining below 135 F during continued plating. A test tray performed at the completion of meal service at 1:07pm on 03/30/2026 showed hot food items were not maintained at safe temperatures and were below acceptable ranges. […]

• No harm, potential for more than minimal, patternF600Jul 8, 2025

  Based on record review and interviews during an abbreviated survey (NY00373412, NY00374723), the facility did not ensure residents were free from abuse for 3 out of 3 residents (Resident #1, Resident # 2, Resident # 6) reviewed for abuse. Specifically, 1) On 2/26/2025 Resident #1 who had a known history of wandering, wandered into Resident # 2's room and Resident # 2 became agitated and put their hands on Resident # 1. Resident # 1 fell to the floor and kicked Resident # 2 in the leg. Resident #1 had no behavior care plan initiated before the incident. 2) On 3/11/2025 Resident # 1 was observed by staff in the doorway of their room holding their roommate(Resident # 6) by the collar. […]

• No harm, potential for more than minimal, patternF760Jul 8, 2025

  Based on record review and interviews during an abbreviated survey (NY00360874), the facility did not ensure 1 out of 3 (Resident # 7) residents were free from significant medication errors. Specifically, Resident # 7 did not receive their physician ordered medication Enoxaparin Sodium (a medication to prevent blood clots) from 11/6/2024-11/12/2024. There were omissions on the Medication Administration Record with no documented nursing notes as to why the medications were not administered. 2) Resident #7 did not receive their medication Diazepam (a central nervous system depressant) from 11/6/2024-11/12/2024 as ordered by the physician. There was no documentation that the physician was notified or reasons why the medications were not administered. […]