Sapphire Rehabilitation and Care Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 108 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (49 vs median 8.0)
- High staff turnover (67%)
- High RN turnover (94%)
Bottom 25% in OH · Critically understaffed (RN) · Best in DAVID OBERLANDER chain · $97,995 in fines · Special Focus Facility (CMS) · Abuse citation
What this means for your family
Sapphire Rehabilitation and Care Center offers a strong rehab program and a clean, modern environment that many families appreciate. However, the recurring reports of slow response times to patient needs and communication failures are serious red flags. If you choose this facility, ensure you have a dedicated family advocate who visits frequently to monitor care and medication management.
Google Reviews
Google Reviews
108 reviews on Google“Sapphire Rehabilitation and Care Center (formerly Arlington Court) receives highly polarized feedback, with recent reviews highlighting a stark divide between excellent, attentive care and reports of severe neglect. While many families praise the facility for its clean environment, responsive management, and effective physical therapy, a significant number of reviewers report issues with staff responsiveness, hygiene, and poor communication regarding medical status. Prospective families should be aware of these inconsistent experiences and conduct a thorough, in-person tour.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and rehabilitation therapy team
- Clean and well-maintained facility environment
- Responsive and approachable administrative leadership
- Compassionate and attentive nursing staff (noted by many)
Concerns
- Slow or non-existent response to call lights and patient needs (mentioned by 9 reviewers)
- Poor hygiene, including reports of soiled clothing and facility odors (mentioned by 7 reviewers)
- Inadequate communication with family regarding medical status or discharge (mentioned by 6 reviewers)
- Lost or stolen personal belongings and clothing (mentioned by 4 reviewers)
- Understaffing, particularly on weekends and evenings (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 110 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the current staffing levels, what specific protocols are in place to ensure that call lights are answered promptly, especially during evening and weekend shifts?
- 2Could you walk me through your process for maintaining room hygiene and ensuring residents' personal clothing and belongings are tracked and laundered properly?
- 3How does your administrative team facilitate regular, proactive communication with families regarding a resident’s changing medical status or discharge planning?
- 4With your rehabilitation team being a noted strength, how do you integrate their therapy goals into the daily routine of residents who aren't in active sessions?
- 5What steps are you taking to improve the dining experience and ensure that residents receive consistent support during meal times?
- 6How do you manage medication administration to ensure accuracy, and what is your process for notifying families if there is a change in a resident's medication regimen?
Personalized based on this facility's data
Key Review Excerpts
“The physical therapy team is top-notch - professional, encouraging, and they really push him in the best way. The nurses are attentive and caring, always making sure he's comfortable.”
“My grandmother was not fed, staff refused to assist my grandma to the bathroom and made her wear an adult diaper and she asked for staff to call me multiple times and they did not call me.”
“The staff truly cares about their patients. Communication has been fantastic.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
4
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Sapphire Rehabilitation has a concerning pattern of recurring deficiencies across multiple surveys, with families filing numerous complaints that triggered additional inspections. The most persistent issues involve medication management errors, food service and dietary problems, and environmental cleanliness and safety concerns. While the facility has corrected each cited deficiency, the recurring nature of problems in these core care areas, combined with the high volume of family complaints, suggests ongoing systemic challenges that families should carefully evaluate before choosing this facility.
Mar 19, 2026Complaint1
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Jan 28, 2026Complaint1
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Dec 11, 2025Complaint10
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Nov 14, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 22, 2025Complaint2
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Sep 22, 2025Routine41
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Smoke Deficiencies
Provide properly protected cooking facilities.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
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.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Federal Penalties
Payment Denial
Sep 11, 2025
75-day denial
Fine
May 12, 2025
$63,207
Payment Denial
May 12, 2025
18-day denial
Fine
Jun 27, 2023
$34,788
Ownership & Operations
Who Operates This Facility
Sapphire Rehabilitation and Care Center
for profit
Chain Affiliation
David Oberlander
7 facilities nationwide
Chain avg rating: 1.4/5 · Rank 3 of 7 (Best)
Ownership & Management
Owners
Sapphire Holdco LLC
Owner · Organization
Oberlander, David
Owner (parent company)
Wenger, Yehuda
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
108 reviews from families & visitors
Official Website
Visit optalishealthcare.com
Medicare data downloads
Original nursing home datasets
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