Cycle 1
Health 2023-05-08 · Fire 2023-05-08
14 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fishkill, NY
Taconic Rehabilitation And Nursing At Hopewell
3-star overall rating with 2-star inspections with 14 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
3 Summit Court, Fishkill, NY
(845) 896-1500
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
160
Certified beds
Average residents
151
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-10-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
Hours and turnover
RN hours / resident day
0.45
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.05
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.56
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.51
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.87
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
3.85
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,714
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43
Composite VBP score used to determine payment impact.
Payment multiplier
0.9960
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.01
Baseline 22.40% · Performance 18.90% · Measure score 6.01 · Achievement 5.46 · Improvement 6.01
Healthcare-associated infections
4.80
Baseline 6.73% · Performance 6.40% · Measure score 4.80 · Achievement 4.80 · Improvement 1.37
Total nurse turnover
3.27
Performance 50.31% · Measure score 3.27 · Achievement 3.27 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.12
Baseline 3.38 hours · Performance 3.97 hours · Measure score 3.12 · Achievement 3.12 · Improvement 1.94
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.55% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 355 · Observed rate 10.14% · Lower 95% interval 8.03% |
| Discharge to community | 60.18% |
50.57%
9.6 pts better
|
Better than the National Rate · Eligible stays 368 · Observed rate 55.16% · Lower 95% interval 54.75% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 79.15% |
95.27%
16.1 pts worse
|
Numerator 167 · Denominator 211 |
| Falls with major injury | 1.9% |
0.77%
1.1 pts worse
|
Numerator 4 · Denominator 211 |
| Discharge self-care score | 50.94% |
53.69%
2.8 pts worse
|
Numerator 81 · Denominator 159 |
| Discharge mobility score | 69.18% |
50.94%
18.2 pts better
|
Numerator 110 · Denominator 159 |
| Pressure ulcers or injuries, new or worsened | 3.32% |
2.29%
1 pts worse
|
Numerator 7 · Denominator 211 · Adjusted rate 4.15% |
| Healthcare-associated infections requiring hospitalization | 6.4% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 190 · Observed rate 5.26% · Lower 95% interval 4.38% |
| Staff COVID-19 vaccination coverage | 7.06% |
8.2%
1.1 pts worse
|
Numerator 18 · Denominator 255 |
| Staff flu vaccination coverage | 47.31% |
42%
5.3 pts better
|
Numerator 123 · Denominator 260 |
| Discharge function score | 60.38% |
56.45%
3.9 pts better
|
Numerator 96 · Denominator 159 |
| Transfer of health information to provider | 97.73% |
95.95%
1.8 pts better
|
Numerator 43 · Denominator 44 |
| Transfer of health information to patient | 97.73% |
96.28%
1.5 pts better
|
Numerator 129 · Denominator 132 |
| Resident COVID-19 vaccinations up to date | 23.08% |
25.2%
2.1 pts worse
|
Numerator 27 · Denominator 117 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.7
0.3 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 2.0 · 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 0.6 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 70.8% |
91.2%
20.4 pts worse
|
93.4%
22.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 69.9% · Q2 66.4% · Q3 74.2% · Q4 72.6% · 4Q avg 70.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 79.2% |
95.3%
16.1 pts worse
|
95.5%
16.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 79.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.0%
0.5 pts worse
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 4.3% · Q3 3.2% · Q4 3.2% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.3% |
18.5%
14.2 pts better
|
11.4%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 3.7% · Q3 2.5% · Q4 3.5% · 4Q avg 4.3% |
| Percentage of long-stay residents who lose too much weight | 11.5% |
6.1%
5.4 pts worse
|
5.4%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 11.2% · Q3 7.8% · Q4 15.1% · 4Q avg 11.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.3% |
13.5%
4.8 pts worse
|
19.6%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 17.6% · Q3 19.3% · Q4 18.3% · 4Q avg 18.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.6% |
14.8%
2.8 pts worse
|
16.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 21.7% · Q3 17.2% · Q4 13.7% · 4Q avg 17.6% · 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 | 17.9% |
15.1%
2.8 pts worse
|
16.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 28.0% · Q3 10.9% · Q4 11.0% · 4Q avg 17.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.5% |
15.5%
2 pts worse
|
14.9%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 26.0% · Q3 11.0% · Q4 12.8% · 4Q avg 17.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.6%
0.3 pts worse
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 0.0% · Q4 1.9% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.4%
0.2 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.7% · Q3 1.7% · Q4 0.8% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.8% |
20.8%
6 pts better
|
19.8%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 31.3% · Q2 16.3% · Q3 5.8% · Q4 5.9% · 4Q avg 14.8% |
| Percentage of long-stay residents with pressure ulcers | 8.2% |
6.9%
1.3 pts worse
|
5.1%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.3% · Q3 8.5% · Q4 11.7% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 64.2% |
76.7%
12.5 pts worse
|
81.7%
17.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 64.2% · Q2 66.2% · Q3 68.2% · Q4 57.8% · 4Q avg 64.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.3% |
9.7%
2.4 pts better
|
12.0%
4.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.3% · Observed 7.0% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.2%
1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 53.8% |
78.8%
25 pts worse
|
79.7%
25.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 53.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.3% |
20.6%
2.7 pts worse
|
23.9%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 22.6% · Expected 23.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-07-05 · Fire 2019-07-05
8 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Cycle 3
Health 2017-10-16 · Fire 2017-10-16
1 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-05-08
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-07-12
E · Potential for more than minimal harm
2023-05-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-07-12
D · Potential for more than minimal harm
2023-05-08
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2023-07-12
C · Minimal harm
2023-05-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-12
E · Potential for more than minimal harm
2019-07-05
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-08-30
E · Potential for more than minimal harm
2019-07-05
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-07-05
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 2019-08-30
D · Potential for more than minimal harm
2019-07-05
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-07-05
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-07-05
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-07-05
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-07-05
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-08-30
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-05
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.
Not marked corrected
D · Potential for more than minimal harm
2025-12-05
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Not marked corrected
D · Potential for more than minimal harm
2025-12-05
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Not marked corrected
D · Potential for more than minimal harm
2025-12-05
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Not marked corrected
E · Potential for more than minimal harm
2025-08-25
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 2025-10-04
E · Potential for more than minimal harm
2025-08-25
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-10-04
D · Potential for more than minimal harm
2025-08-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-04
E · Potential for more than minimal harm
2023-05-08
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 2023-06-26
E · Potential for more than minimal harm
2023-05-08
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 2023-06-26
D · Potential for more than minimal harm
2023-05-08
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 2023-06-26
D · Potential for more than minimal harm
2023-05-08
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-06-26
D · Potential for more than minimal harm
2023-05-08
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-06-26
D · Potential for more than minimal harm
2023-05-08
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 2023-06-26
D · Potential for more than minimal harm
2023-05-08
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 2023-06-26
F · Potential for more than minimal harm
2019-07-05
F725 · Nursing and Physician Services Deficiencies
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 2019-08-30
E · Potential for more than minimal harm
2019-07-05
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-07-05
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 2019-08-30
D · Potential for more than minimal harm
2019-07-05
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 2019-08-30
D · Potential for more than minimal harm
2019-07-05
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 2019-08-30
D · Potential for more than minimal harm
2019-07-05
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-09-20
C · Minimal harm
2019-07-05
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 2019-08-30
C · Minimal harm
2019-07-05
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2019-08-30
F · Potential for more than minimal harm
2017-10-16
F456 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2017-12-15
Penalties and ownership
What sits behind the stars
Ownership
Eaton Mercurio, Stephen
5% Or Greater Direct Ownership Interest · Individual
Farbenblum, Michael
5% Or Greater Direct Ownership Interest · Individual
Eaton Mercurio, Stephen
Operational/Managerial Control · Individual
Farbenblum, Michael
Operational/Managerial Control · Individual
Mazur, Michael
Corporate Director · Individual
Mazur, Michael
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Taconic Rehabilitation And Nursing At Beacon
Beacon, NY
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Sapphire Nursing At Wappingers
Wappingers Falls, NY
2-star overall rating with 1-star inspections with abuse icon flag with 19 recent health deficiencies
#3
Fishkill Center For Rehabilitation And Nursing
Beacon, NY
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
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