Beacon, NY

Fishkill Center For Rehabilitation And Nursing

2-star overall rating with 1-star inspections with $44,500 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

22 Robert R. Kasin Way, Beacon, NY

(845) 831-8704

Compare this facility

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

Facility snapshot

Beds

160

Certified beds

Average residents

154

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Sapphire Care Group

Operator or chain grouping

Approved since

1991-10-25

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 2 overall / 2 health / 2 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.52

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.90

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.90

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.32

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.09

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

2.91

CMS adjusted total nurse staffing hours

Case-mix index

1.56

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,157

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

51.39

Composite VBP score used to determine payment impact.

Payment multiplier

1.0057

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.83

Baseline 15.87% · Performance 18.27% · Measure score 6.83 · Achievement 6.83 · Improvement 0

Healthcare-associated infections

4.98

Baseline 4.86% · Performance 6.35% · Measure score 4.98 · Achievement 4.98 · Improvement 0

Total nurse turnover

8.04

Baseline 92.91% · Performance 34.78% · Measure score 8.04 · Achievement 7.07 · Improvement 8.04

Adjusted total nurse staffing

0.71

Baseline 3.09 hours · Performance 3.28 hours · Measure score 0.71 · Achievement 0.71 · Improvement 0.21

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.43%	10.72% 1.3 pts better	No Different than the National Rate · Eligible stays 179 · Observed rate 7.26% · Lower 95% interval 7.21%
Discharge to community	47.59%	50.57% 3 pts worse	No Different than the National Rate · Eligible stays 186 · Observed rate 41.94% · Lower 95% interval 39.78%
Medicare spending per beneficiary	1.28	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 173 · Denominator 173
Falls with major injury	2.31%	0.77% 1.5 pts worse	Numerator 4 · Denominator 173
Discharge self-care score	66.97%	53.69% 13.3 pts better	Numerator 73 · Denominator 109
Discharge mobility score	61.47%	50.94% 10.5 pts better	Numerator 67 · Denominator 109
Pressure ulcers or injuries, new or worsened	1.16%	2.29% 1.1 pts better	Numerator 2 · Denominator 173 · Adjusted rate 1.07%
Healthcare-associated infections requiring hospitalization	6.35%	7.12% 0.8 pts better	No Different than the National Rate · Eligible stays 101 · Observed rate 4.95% · Lower 95% interval 3.82%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 208
Staff flu vaccination coverage	84.36%	42% 42.4 pts better	Numerator 178 · Denominator 211
Discharge function score	72.48%	56.45% 16 pts better	Numerator 79 · Denominator 109
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 31 · Denominator 31
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 85 · Denominator 85
Resident COVID-19 vaccinations up to date	40.19%	25.2% 15 pts better	Numerator 43 · Denominator 107

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.5	1.7 1.2 pts better	1.9 1.4 pts better	Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.8 · Expected 2.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.6	1.3 0.7 pts better	1.8 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.7 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	91.2% 7.8 pts better	93.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 100.0% · Q3 99.2% · Q4 99.2% · 4Q avg 99.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.3% 4.7 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.9%	3.0% 0.1 pts better	3.3% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.3% · Q3 1.5% · Q4 2.3% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	28.4%	18.5% 9.9 pts worse	11.4% 17 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 20.4% · Q3 46.1% · Q4 40.2% · 4Q avg 28.4%
Percentage of long-stay residents who lose too much weight	2.4%	6.1% 3.7 pts better	5.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.6% · Q3 2.4% · Q4 1.5% · 4Q avg 2.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.0%	13.5% 6.5 pts worse	19.6% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 21.1% · Q3 20.3% · Q4 18.2% · 4Q avg 20.0%
Percentage of long-stay residents who received an antipsychotic medication	13.3%	14.8% 1.5 pts better	16.7% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 7.9% · Q3 18.4% · Q4 15.2% · 4Q avg 13.3% · 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	13.0%	15.1% 2.1 pts better	16.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 7.4% · Q3 12.3% · Q4 16.6% · 4Q avg 13.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.5%	15.5% 1 pts better	14.9% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 9.8% · Q3 14.5% · Q4 19.0% · 4Q avg 14.5% · 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	0.2%	1.4% 1.2 pts better	1.7% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	35.4%	20.8% 14.6 pts worse	19.8% 15.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.7% · Q2 39.6% · Q3 32.4% · Q4 40.5% · 4Q avg 35.4%
Percentage of long-stay residents with pressure ulcers	7.9%	6.9% 1 pts worse	5.1% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 9.2% · Q3 6.8% · Q4 6.5% · 4Q avg 7.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	76.7% 22.5 pts better	81.7% 17.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 100.0% · Q3 99.4% · Q4 99.3% · 4Q avg 99.2%
Percentage of short-stay residents who had an outpatient emergency department visit	5.8%	9.7% 3.9 pts better	12.0% 6.2 pts better	Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 6.0% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.2% 0.2 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 1.9% · Q4 1.1% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.6%	78.8% 12.8 pts better	79.7% 11.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	13.1%	20.6% 7.5 pts better	23.9% 10.8 pts better	Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 14.0% · Expected 25.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-14 · Fire 2025-02-14

13 health deficiencies

Top issue: Resident Rights (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-01-11 · Fire 2024-01-11

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2020-02-28 · Fire 2020-02-28

9 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-14

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-03

E · Potential for more than minimal harm 2025-02-14

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-03

K · Immediate jeopardy 2024-01-11

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-03-06

D · Potential for more than minimal harm 2024-01-11

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-03-06

D · Potential for more than minimal harm 2024-01-11

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-03-06

D · Potential for more than minimal harm 2024-01-11

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-03-06

C · Minimal harm 2024-01-11

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Not marked corrected

Inspection history

Recent health citations

G · Actual harm 2025-12-26

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2025-12-26

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Not marked corrected

D · Potential for more than minimal harm 2025-12-26

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Not marked corrected

E · Potential for more than minimal harm 2025-02-14

F887 · Infection Control Deficiencies

Health

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.

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-02-14

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-02-14

F584 · Resident Rights Deficiencies

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 2025-04-15

D · Potential for more than minimal harm 2025-02-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-02-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-02-14

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-02-14

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-02-14

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-02-14

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-02-14

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-04-15

K · Immediate jeopardy 2024-01-11

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-19

E · Potential for more than minimal harm 2024-01-11

F835 · Administration Deficiencies

Health

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

Corrected 2024-02-19

E · Potential for more than minimal harm 2024-01-11

F837 · Administration Deficiencies

Health

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.

Corrected 2024-02-19

D · Potential for more than minimal harm 2024-01-11

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-02-19

D · Potential for more than minimal harm 2024-01-11

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-02-19

D · Potential for more than minimal harm 2024-01-11

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-02-19

D · Potential for more than minimal harm 2024-01-11

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-19

D · Potential for more than minimal harm 2024-01-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-19

D · Potential for more than minimal harm 2024-01-11

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-02-19

D · Potential for more than minimal harm 2023-12-29

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-16

D · Potential for more than minimal harm 2023-10-25

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-21

D · Potential for more than minimal harm 2023-05-25

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-06-20

D · Potential for more than minimal harm 2020-02-28

F550 · Resident Rights Deficiencies

Health

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

Corrected 2020-04-22

D · Potential for more than minimal harm 2020-02-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-04-22

D · Potential for more than minimal harm 2020-02-28

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2020-04-22

D · Potential for more than minimal harm 2020-02-28

F761 · Pharmacy Service Deficiencies

Health

Corrected 2020-04-22

D · Potential for more than minimal harm 2020-02-28

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2020-04-22

D · Potential for more than minimal harm 2020-02-28