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Nursing HomeMedicaid Investigative

Fishkill Center for Rehabilitation and Nursing

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

22 Robert R. Kasin Way, Beacon, NY 12508160 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 254 Google reviews

Fishkill Center for Rehabilitation and Nursing Nursing Home in Beacon, NY — Street View
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4/ 10
moderate Risk

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

Source: Medicare data

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 details
Food4.0Staff9.0Clean8.0Activities8.0Meds6.0Memory9.0Comms7.0ValueN/A

Strengths

  • 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

2345.02022(4)3.72023(6)4.42024(50)4.52025(44)4.92026(36)

Distribution · 140 analyzed

5
114
4
12
3
3
2
1
1
10

How They Respond to Reviews

100%response rate

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.

Rehab patient · 2024★★★★★

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.

Memory care family member · 2025★★★★★

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.

Visitor · 2025☆☆☆☆
Source: 254 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.56hrs
75%
Registered nurses for medical care
Total Nursing
3.45hrs
84%
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility33.7%
Worse than Avg
Here
33.7%
US
12.1%
NY
18.9%
Dutchess
11.0%

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

↓ Lower is better
This Facility35.4%
Worse than Avg
Here
35.4%
US
19.4%
NY
20.2%
Dutchess
22.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
NY
91.3%
Dutchess
91.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
NY
95.3%
Dutchess
93.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility19.9%
Worse than Avg
Here
19.9%
US
19.5%
NY
13.3%
Dutchess
17.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
15.3%
NY
13.8%
Dutchess
15.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
81.8%
NY
77.0%
Dutchess
76.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.6%
Better than Avg
Here
91.6%
US
79.8%
NY
78.8%
Dutchess
75.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
NY
1.2%
Dutchess
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
1penalties
Well above state avg (7.6)
9 complaint-triggered
$44,500 in fines

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, 2025Complaint
3
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0580Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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, 2025Routine
9
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0887Potential for harm · PatternCorrected

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.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Feb 14, 2025Complaint
3
0584Potential for harm · IsolatedCorrected

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.

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jan 11, 2024Routine
13
0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0781Immediate jeopardy · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0835Potential for harm · PatternCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0837Potential for harm · PatternCorrected

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0657Potential for harm · IsolatedCorrected

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0761Potential for harm · IsolatedCorrected

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.

0271Potential for harm · IsolatedCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0006Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

Jan 11, 2024Complaint
1
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Dec 29, 2023Complaint
1
0656Potential for harm · IsolatedCorrected

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

Owner / Operator

Fishkill Center for Rehabilitation and Nursing

Organization Type

for profit

Chain Affiliation

Chain Name

Sapphire Care Group

Chain Size

8 facilities nationwide

Chain avg rating: 2.4/5 · Rank 5 of 8

Ownership & Management

Owners

Abramczyk, Machla

Owner

20%

Farkowitz, Esther

Owner

33%

Platschek, Richard

Owner

33%

Schuck, Robert

Owner

13%

Key personnel

Platschek, RichardManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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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