New York ›Beacon

Fishkill Center for Rehabilitation and Nursing

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22 Robert R. Kasin Way, Beacon, NY 12508 (opens Google Maps) · Dutchess County · (845) 831-8704· 160 certified beds · avg 153 residents/day · certified since Oct 25, 1991 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: SAPPHIRE CARE GROUP (8 facilities, chain avg rating 2.6★)

1/5
Health inspection rating (on-site)
inspected Feb 14, 2025
2
Serious findings on record
most recent Dec 26, 2025
$44,500
Fines, last 3 years
3.01
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, pattern · Jan 11, 2024 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Feb 19, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Dec 26, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 4, 2026 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 30 inspection findings. Open the full record below to read every finding.

  1. G · Actual harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

  2. D · Potential for more than minimal harm, isolated

    The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint F-0580

  3. D · Potential for more than minimal harm, isolated

    The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint F-0657

View all 30 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Dec 26, 2025▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Dec 26, 2025D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Dec 26, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Feb 14, 2025E · Potential for more than minimal harm, patternThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887
Feb 14, 2025D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Feb 14, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Feb 14, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Feb 14, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Feb 14, 2025D · Potential for more than minimal harm, isolatedThe facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint · F-0730
Feb 14, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Feb 14, 2025D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Feb 14, 2025D · Potential for more than minimal harm, isolatedThe facility did not dispose of garbage and refuse properly. · F-0814
Feb 14, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Jan 11, 2024▲ K · Immediate jeopardy, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jan 11, 2024E · Potential for more than minimal harm, patternThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · F-0835
Jan 11, 2024E · Potential for more than minimal harm, patternThe facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. · F-0837
Jan 11, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Jan 11, 2024D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Jan 11, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Jan 11, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Jan 11, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Jan 11, 2024D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Dec 29, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Oct 25, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Feb 28, 2020D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Feb 28, 2020D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Feb 28, 2020D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Feb 28, 2020D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Feb 28, 2020D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Feb 28, 2020D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 10).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2020
All citations: 6
Serious citations (G–L): 0
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 9
Serious citations (G–L): 1
2025
All citations: 13
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202060D
202320D
202491K ▲
2025131G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

1 fine totaling $44,500.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Jan 11, 2024Fine$44,500

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNew York averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.01
New York average: 3.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.46
New York average: 0.68
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.66
New York average: 3.13
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNew York avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.013.583.95bottom 26% in New York; bottom 14% in the U.S.
Registered Nurse hours0.460.680.69bottom 25% in New York; bottom 31% in the U.S.
Weekend total nurse staffing2.663.133.50bottom 28% in New York; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)0.350.480.48bottom 49% in New York; bottom 43% in the U.S.
Total nursing staff turnover (%)37.840.345.8top 49% in New York; top 31% in the U.S.
RN turnover (%)29.239.842.9top 27% in New York; top 28% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.43, RN 0.52, weekend 3.03.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.43 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Fishkill Center for Rehabilitation and Nursing. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Abramczyk, MachlaIndividual5% or Greater Direct Ownership Interest20%04/26/2017
Farkowitz, EstherIndividual5% or Greater Direct Ownership Interest33%04/26/2017
Platschek, RichardIndividual5% or Greater Direct Ownership Interest33%04/26/2017
Schuck, RobertIndividual5% or Greater Direct Ownership Interest13%04/26/2017
Platschek, RichardIndividualOperational/Managerial ControlNOT APPLICABLE04/26/2017

All 5 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Sapphire Care Group — 8 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "If my family member falls or their condition changes, exactly when and how will I be notified?"
  • "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
  • "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
  • "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the New York midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 38% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 23 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Taconic Rehabilitation and Nursing at Beacon1.0 miBeacon, NY★★★★☆4/5
Taconic Rehabilitation and Nursing at Hopewell4.8 miFishkill, NY★★★☆☆2/5
Sapphire Nursing at Meadow Hill5.4 miNewburgh, NY★★★★☆3/5
Sapphire Nursing at Wappingers6.3 miWappingers Falls, NY★★☆☆☆1/5
The Pines at Poughkeepsie Ctr for Nursing & Rehab12.4 miPoughkeepsie, NY★★★★☆3/5
Hudson Valley Rehabilitation & Extended Care Ctr12.7 miHighland, NY★☆☆☆☆1/5
The Grand Rehabilitation and Nrsg at River Valley13.0 miPoughkeepsie, NY★★☆☆☆2/5
Taconic Rehabilitation and Nursing at Ulster13.8 miHighland, NY★★☆☆☆2/5
Montgomery Nursing and Rehabilitation Center13.9 miMontgomery, NY★★☆☆☆2/5
Lutheran Center at Poughkeepsie INC14.3 miPoughkeepsie, NY★★★☆☆2/5
Cortlandt Healthcare14.8 miCortlandt Manor, NY★★★★★4/5
North Westchester Restorative Therapy & Nrsg Crt14.9 miMohegan Lake, NY★★★★★4/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Dutchess, NY — 12 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Beacon →

Facility data as of CMS processing date 2026-08-01. CCN 335750.

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