10 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Rhinebeck, NY
2-star overall rating with 1-star inspections with abuse icon flag with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
21 Ferncliff Drive, Rhinebeck, NY
(845) 876-2011
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
309
Certified beds
Average residents
235
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Archcare
Operator or chain grouping
Approved since
1973-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.37
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.21
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.37
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.16
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.84
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.18
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.42
CMS adjusted RN staffing hours
Adjusted total hours
3.88
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
10,080
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.50
Composite VBP score used to determine payment impact.
Payment multiplier
0.9826
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.53
Baseline 20.96% · Performance 20.26% · Measure score 2.53 · Achievement 2.53 · Improvement 1.27
Healthcare-associated infections
0.13
Baseline 8.77% · Performance 8.53% · Measure score 0.13 · Achievement 0 · Improvement 0.13
Total nurse turnover
4.89
Baseline 42.03% · Performance 43.70% · Measure score 4.89 · Achievement 4.89 · Improvement 0
Adjusted total nurse staffing
1.06
Baseline 3.06 hours · Performance 3.38 hours · Measure score 1.06 · Achievement 1.06 · Improvement 0.68
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.68% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 280 · Observed rate 9.29% · Lower 95% interval 7.54% |
| Discharge to community | 47.89% |
50.57%
2.7 pts worse
|
No Different than the National Rate · Eligible stays 257 · Observed rate 42.02% · Lower 95% interval 42.03% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 178 · Denominator 178 |
| Falls with major injury | 0.56% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 178 |
| Discharge self-care score | 67.48% |
53.69%
13.8 pts better
|
Numerator 83 · Denominator 123 |
| Discharge mobility score | 73.98% |
50.94%
23 pts better
|
Numerator 91 · Denominator 123 |
| Pressure ulcers or injuries, new or worsened | 2.82% |
2.29%
0.5 pts worse
|
Numerator 5 · Denominator 177 · Adjusted rate 2.17% |
| Healthcare-associated infections requiring hospitalization | 8.53% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 159 · Observed rate 10.06% · Lower 95% interval 5.3% |
| Staff COVID-19 vaccination coverage | 3.29% |
8.2%
4.9 pts worse
|
Numerator 11 · Denominator 334 |
| Staff flu vaccination coverage | 60.14% |
42%
18.1 pts better
|
Numerator 267 · Denominator 444 |
| Discharge function score | 75.61% |
56.45%
19.2 pts better
|
Numerator 93 · Denominator 123 |
| Transfer of health information to provider | 97.5% |
95.95%
1.5 pts better
|
Numerator 39 · Denominator 40 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 72 · Denominator 72 |
| Resident COVID-19 vaccinations up to date | 37.65% |
25.2%
12.4 pts better
|
Numerator 32 · Denominator 85 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.7
0.6 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.9 |
1.3
1.6 pts worse
|
1.8
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
91.2%
7.2 pts better
|
93.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 99.6% · Q3 99.6% · Q4 95.2% · 4Q avg 98.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.2% |
95.3%
3.9 pts better
|
95.5%
3.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
3.0%
0.6 pts worse
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.2% · Q3 3.0% · Q4 2.6% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 24.0% |
18.5%
5.5 pts worse
|
11.4%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.6% · Q2 22.8% · Q3 17.6% · Q4 18.3% · 4Q avg 24.0% |
| Percentage of long-stay residents who lose too much weight | 6.4% |
6.1%
0.3 pts worse
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 7.2% · Q3 6.5% · Q4 2.9% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.4% |
13.5%
8.9 pts worse
|
19.6%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 23.0% · Q3 23.4% · Q4 22.4% · 4Q avg 22.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.7% |
14.8%
1.9 pts worse
|
16.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 16.1% · Q3 15.9% · Q4 16.9% · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.6% |
15.1%
5.5 pts better
|
16.3%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 8.9% · Q3 7.5% · Q4 12.1% · 4Q avg 9.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.5% |
15.5%
6 pts better
|
14.9%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 7.5% · Q3 6.7% · Q4 8.8% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.1% |
1.4%
1.3 pts better
|
1.7%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.5% |
20.8%
7.7 pts worse
|
19.8%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 32.0% · Q3 25.0% · Q4 30.0% · 4Q avg 28.5% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
6.9%
3.4 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 4.4% · Q3 2.5% · Q4 1.3% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.3% |
76.7%
6.6 pts better
|
81.7%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.6% · Q2 89.0% · Q3 83.2% · Q4 69.0% · 4Q avg 83.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
9.7%
2.2 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 7.3% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.2%
0.2 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.3% · Q3 1.4% · Q4 1.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.0% |
78.8%
16.2 pts better
|
79.7%
15.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.7% |
20.6%
0.1 pts worse
|
23.9%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 21.8% · Expected 25.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-13
Fire Safety
Install proper backup exit lighting.
Corrected 2025-03-06
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-03-14
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-05-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-05-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-15
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2021-06-09
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-06-09
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-06-09
Fire Safety
Install proper backup exit lighting.
Corrected 2021-06-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-06-09
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-04-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-18
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-18
Health
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.
Corrected 2025-04-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-18
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-04-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-18
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-04-18
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-17
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-25
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-05-23
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2024-05-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-23
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-06-25
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-23
Health
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.
Corrected 2024-06-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-23
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-06-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-23
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-05-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-23
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-06-25
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-05-23
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-16
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-09
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-06-09
Health
Respond appropriately to all alleged violations.
Corrected 2023-06-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-09
Health
Respond appropriately to all alleged violations.
Corrected 2021-06-18
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-06-18
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2021-06-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-06-18
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-06-18
Penalties and ownership
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
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