Overview of Fishkill Center for Rehabilitation and Nursing At 22 Robert R. Kasin Way in Beacon, Fishkill Center for Rehabilitation and Nursing operates 160 licensed beds under ownership and management by Yertle Operations, LLC. The community handles both short-term post-acute rehabilitation and longer-term skilled nursing placements, alongside dedicated memory care, subacute care, and home care services. It participates in Medicare, Medicaid, and private-pay arrangements across its resident census.
Between 2022 and early 2025, nine inspections and thirteen complaint investigations produced 24 formal citations; a rate 85% higher than the state average. The most recent survey in February 2025 uncovered gaps in immunization protocols, care plan documentation, food sanitation practices, resident rights implementation, and fire safety system maintenance; all were corrected within weeks. An earlier survey in January 2024 likewise identified deficiencies in activities of daily living care, care planning processes, resident safety oversight, and fire code compliance, including one immediate jeopardy finding that the facility remedied within the mandated timeframe.
The citation-per-inspection ratio sits at 2.7, compared with the state median of 1.4, marking a significant spread. No substantiated harm findings were noted in complaint investigations, and the facility paid a $45,000 federal civil penalty in January 2024 for prior regulatory violations.
Nursing hours clock in at 3 hours 2 minutes per resident per day; roughly 13% below New York’s average. RN coverage runs 31 minutes per day (26% below state average), while LPN presence hits 54 minutes (17% above state average), and CNA support delivers 1 hour 54 minutes (13% below state average). Occupancy stands at 96%, notably above the state’s 88.3% baseline, suggesting sustained demand. Staff immunization against influenza reached 59% in the most recent payroll reporting period.
Quality outcomes for long-stay residents show strength in hospitalization prevention (68% better than state average) and low urinary tract infection rates, though falls with injury and incontinence rates exceed state benchmarks. The community typically accommodates stays ranging from weeks to years, depending on payment type and care category. Recent years have brought ongoing litigation, with multiple tort cases currently active in Dutchess County courts.
The facility aligns with families prepared to navigate an elevated citation rate and below-average staffing metrics while seeking comprehensive rehabilitation and memory care in the lower Hudson Valley.
