Fishkill Center for Rehabilitation and Nursing
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 254 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.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (12 vs median 6.0)
Below average in NY · Below recommended RN staffing · $44,500 in fines
What this means for your family
This facility is highly recommended for its exceptional rehabilitation therapy and compassionate nursing care, especially for memory care patients. However, families should be aware of inconsistent weekend staffing and food quality; we recommend visiting on a weekend to observe the environment firsthand before making a final decision.
Google Reviews
Google Reviews
254 reviews on Google“Fishkill Center for Rehabilitation and Nursing receives high praise for its dedicated rehab therapy team and compassionate nursing staff, with many families noting significant improvements in their loved ones' well-being. However, there are recurring concerns regarding inconsistent weekend staffing levels, occasional lapses in room cleanliness, and dissatisfaction with food quality. While many find the facility warm and well-managed, potential families should be aware of these specific operational inconsistencies.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Warm, compassionate, and attentive nursing staff
- Clean and well-maintained facility environment
- Proactive and responsive management team
Concerns
- Inconsistent staffing levels and slow response times on weekends (mentioned by 5 reviewers)
- Poor food quality and unappealing meal options (mentioned by 4 reviewers)
- Inconsistent room cleanliness and maintenance (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 140 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We've heard wonderful things about the physical and occupational therapy programs here; could you tell us more about how the therapists work with residents to reach their goals?
- 2It's great to see how much management engages with feedback online; how does the team use resident and family input to improve the facility?
- 3What are some of the favorite daily activities or social events that keep the residents engaged and connected?
- 4How do you ensure that the high level of attentive nursing care we've heard about is maintained during the weekends and overnight shifts?
- 5Could you tell us a bit about the dining experience, specifically how the menu is planned to ensure variety and nutritional quality?
- 6In the event of a medical emergency or a change in health status, what is the specific protocol for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“The NURSING staff has been superb. When i got here my surgery incision was infected and the nurses worked tirelessly to get it cleared up. The THERAPY is great.”
“My mother is in the memory care unit and she is doing so well. I attribute this to the very loving and caring staff who do an amazing job.”
“As the place through out the week is usually well maintained and smelling clean I can’t always say the same for weekends when I visit. I don’t usually post negative reviews but this happens every weekend.”
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 bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents whose walking 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
Fishkill Center has concerning patterns with families filing multiple complaints, most recently in December 2024 regarding accident hazards and communication failures that remain uncorrected. Care planning problems persist across multiple surveys, alongside recurring issues with accident prevention, medication management, and resident rights. While most deficiencies get corrected, the recent uncorrected complaint-triggered violations and emergency preparedness gaps suggest ongoing operational challenges families should carefully evaluate.
Dec 26, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Feb 14, 2025Routine9
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
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.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Feb 14, 2025Complaint3
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.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jan 11, 2024Routine13
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Egress Deficiencies
Have exits that are accessible at all times.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Jan 11, 2024Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 29, 2023Complaint1
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.
Federal Penalties
Fine
Jan 11, 2024
$44,500
Ownership & Operations
Who Operates This Facility
Fishkill Center for Rehabilitation and Nursing
for profit
Chain Affiliation
Sapphire Care Group
8 facilities nationwide
Chain avg rating: 2.4/5 · Rank 5 of 8
Ownership & Management
Owners
Abramczyk, Machla
Owner
Farkowitz, Esther
Owner
Platschek, Richard
Owner
Schuck, Robert
Owner
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
254 reviews from families & visitors
Official Website
Visit fishkillcare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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