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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 263rd out of 387 homes in New York for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 34m per day | ▼ 19% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 58m per day | ▲ 26% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 55m per day | ▼ 12% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 2m per day | ▼ 4% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 42% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 24m per day | ▼ 13% State avg: 28m per day · National avg: 28m per day |
Higher than the New York average: 88.3%Fishkill Center for Rehabilitation and Nursing is legally operated by Yertle Operations, LLC (For Profit).
In New York State, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York State state average. The score below shows how many points this facility sits above or below the typical New York State nursing home score (the benchmark); higher is better.
1 point below the New York State average for nursing homes (83/100)
Inspection score: 82 out of 100. Letter grade B-. 1 point below the New York State average for nursing homes (83/100)
Enforcement actions are formal penalties or interventions imposed by New York State regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This facility has 1 enforcement action. 33% of New York State nursing homes have zero, and the statewide average is 1.6.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 24 | 13 | This facility has 85% more total citations than a typical New York State nursing home (24 vs. NY avg 13).↑ 85% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 20 | 20 | This facility has health citations in line with the New York State average (20 vs. NY avg 20).— At avg |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 4 | This facility has life safety citations in line with the New York State average (4 vs. NY avg 4).— At avg |
|
Citations per year
Average citations per year since 2020.
| 4 | 2.2 | This facility has 82% more citations per year than a typical New York State nursing home (4 vs. NY avg 2.2).↑ 82% worse |
|
Citations per inspection
Average citations per inspection.
| 2.7 | 1.4 | This facility has 93% more citations per inspection than a typical New York State nursing home (2.7 vs. NY avg 1.4).↑ 93% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 9 | 9 | This facility has total inspections in line with the New York State average (9 vs. NY avg 9).— At avg |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 7 | 4 | This facility has 75% more inspections with citations than a typical New York State nursing home (7 vs. NY avg 4).↑ 75% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 78% | 44% | This facility has 34 percentage points higher inspection citation rate than a typical New York State nursing home (78% vs. NY avg 44%).↑ 34% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 59 | 79 | This facility has 25% fewer total complaints than a typical New York State nursing home (59 vs. NY avg 79).↓ 25% better |
|
Complaints per year
Average complaints per year since 2020.
| 9.8 | 13.2 | This facility has 26% fewer complaints per year than a typical New York State nursing home (9.8 vs. NY avg 13.2).↓ 26% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.38 | 0.50 | This facility has 24% fewer complaints per bed than a typical New York State nursing home (0.38 vs. NY avg 0.5).↓ 24% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York State regulators.
| 13 | 15 | This facility has 13% fewer complaint investigations than a typical New York State nursing home (13 vs. NY avg 15).↓ 13% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New York State average 3.6
Last Health inspection on Feb 2025
New York State average 18.5
New York State average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 27 citations resulted from standard inspections; 2 of 27 resulted from complaint investigations; and 4 of 27 came from combined inspections (standard and complaint).
400% worse than New York State averageNew York State average: 0.2
100% better than New York State averageNew York State average: 0.2
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
5
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
2
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
3
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2022
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2026
Next scheduled court appearance on record across active cases.
May 01, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
503% more staff per resident than New York average
0% compared with New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 19 RN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
All 40 LPN Staff are full-time employees. No contractors work on this role.
40
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursHelps with daily care and mobility.
68 total: 55 full-time employees and 13 contractors.
68
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,169 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 55 | 13 | 68 | 26,677 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 40 | 0 | 40 | 13,005 | 92 | 100% | 7.6 |
| Registered Nurse | 19 | 0 | 19 | 6,408 | 92 | 100% | 8 |
| Other Social Services Staff | 8 | 0 | 8 | 2,694 | 92 | 100% | 6.3 |
| Physical Therapy Aide | 5 | 0 | 5 | 2,244 | 86 | 93% | 8.5 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,872 | 66 | 72% | 7.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,264 | 71 | 77% | 7.7 |
| Mental Health Service Worker | 4 | 0 | 4 | 975 | 67 | 73% | 7.7 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 937 | 68 | 74% | 7.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 872 | 62 | 67% | 8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 868 | 63 | 68% | 8 |
| Administrator | 3 | 0 | 3 | 736 | 50 | 54% | 8 |
| Qualified Social Worker | 3 | 0 | 3 | 600 | 67 | 73% | 6.8 |
| Nurse Practitioner | 2 | 0 | 2 | 588 | 66 | 72% | 4.8 |
| RN Director of Nursing | 1 | 0 | 1 | 483 | 66 | 72% | 7.3 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
33% lower than New York State averageNew York State average: $66K
51% fewer fines than New York State averageNew York State average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New York State averageNew York State average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 11, 2024 · $45K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 11, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.6
23% better than New York State averageNew York State average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.9
In line with New York State averageNew York State average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.4%
31% better than New York State averageNew York State average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
11.6%
30% better than New York State averageNew York State average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.7%
58% worse than New York State averageNew York State average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
34% worse than New York State averageNew York State average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
8.3%
16% worse than New York State averageNew York State average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than New York State averageNew York State average: 1.4%
Percent of long-stay residents who lose too much weight
2.6%
57% better than New York State averageNew York State average: 6.1%
Percent of long-stay residents who have depressive symptoms
22.1%
22% worse than New York State averageNew York State average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
10.4%
18% better than New York State averageNew York State average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
8% better than New York State averageNew York State average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than New York State averageNew York State average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
0.54
68% better than New York State averageNew York State average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.59
56% better than New York State averageNew York State average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
28% better than New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
In line with New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.6%
16% better than New York State averageNew York State average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
13.1%
36% better than New York State averageNew York State average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.8%
40% better than New York State averageNew York State average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
2.3%
200% worse than New York State averageNew York State average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
67.0%
25% better than New York State averageNew York State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
47.6%
6% worse than New York State averageNew York State average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
52% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
160Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Fishkill Center for Rehabilitation and Nursing based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #161 / 382Payroll — State benchmarkedThis home is ranked 161st out of 382 homes in New York. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Beacon's city center to Fishkill Center for Rehabilitation and Nursing's address, calculated via Google Maps.
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Fishkill Center for Rehabilitation and Nursing is located in Beacon, New York.
Here are the financial assistance programs available to residents in New York.
The legal owner and operator of Fishkill Center for Rehabilitation and Nursing is Yertle Operations, LLC (For Profit).
Fishkill Center for Rehabilitation and Nursing has a walk score of 94. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to NY state health department records, Fishkill Center for Rehabilitation and Nursing's license number is 1301302N.
Fishkill Center for Rehabilitation and Nursing's occupancy is 96%.
Fishkill Center for Rehabilitation and Nursing has 160 beds.
Fishkill Center for Rehabilitation and Nursing has had 24 recently reported deficiencies.
Yes — there are 2 photos of Fishkill Center for Rehabilitation and Nursing in the photo gallery on this page.
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