Fishkill Center for Rehabilitation and Nursing

22 Robert R. Kasin Way · Beacon, NY · 12508 · 8458318704

160 certified beds For profit - Corporation Chain: Sapphire Care Group

  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 42
Serious harm & abuse 20% 88
Staffing 20% 65
Federal penalties 15% 66
Trend 10% 81
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.453.48 min · 4.1 strong
RN hours / resident-day0.560.55–0.75
Weekend hours / resident-day3.04≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)1 · $44,500

Inspection citations (30 in the current record)

  • Actual harm · G December 26, 2025 · found via complaint

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

    Corrected March 4, 2026 · Quality of Life and Care

  • Potential for harm · D December 26, 2025 · found via complaint

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

    Corrected March 4, 2026 · Resident Rights

  • Potential for harm · D December 26, 2025 · found via complaint

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

    Corrected March 4, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 14, 2025

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

    Corrected April 15, 2025 · Resident Rights

  • Potential for harm · D February 14, 2025

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

    Corrected April 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 14, 2025

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

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · D February 14, 2025

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

    Corrected April 15, 2025 · Nutrition and Dietary

  • Potential for harm · D February 14, 2025

    Dispose of garbage and refuse properly.

    Corrected April 15, 2025 · Nutrition and Dietary

  • Potential for harm · D February 14, 2025

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

    Corrected April 15, 2025 · Infection Control

  • Potential for harm · E February 14, 2025

    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 April 15, 2025 · Infection Control

  • Potential for harm · D February 14, 2025 · found via complaint

    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 April 15, 2025 · Resident Rights

  • Potential for harm · D February 14, 2025 · found via complaint

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

    Corrected April 15, 2025 · Nursing and Physician Services

  • Potential for harm · D February 14, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 15, 2025 · Pharmacy Service

  • Immediate jeopardy · K January 11, 2024

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

    Corrected February 19, 2024 · Quality of Life and Care

  • Potential for harm · D January 11, 2024

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

    Corrected February 19, 2024 · Resident Rights

  • Potential for harm · D January 11, 2024

    Respond appropriately to all alleged violations.

    Corrected February 19, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 11, 2024

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

    Corrected February 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 11, 2024

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

    Corrected February 19, 2024 · Quality of Life and Care

  • Potential for harm · D January 11, 2024

    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 February 19, 2024 · Pharmacy Service

  • Potential for harm · E January 11, 2024

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

    Corrected February 19, 2024 · Administration

  • Potential for harm · E January 11, 2024

    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 February 19, 2024 · Administration

  • Potential for harm · D January 11, 2024 · found via complaint

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

    Corrected February 19, 2024 · Quality of Life and Care

  • Potential for harm · D December 29, 2023 · found via complaint

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

    Corrected April 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 25, 2023 · found via complaint

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

    Corrected November 21, 2023 · Quality of Life and Care

  • Potential for harm · D February 28, 2020

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

    Corrected April 22, 2020 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
January 11, 2024Fine$44,500

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335750 · certified since October 25, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.