Fishkill Center for Rehabilitation and Nursing

    22 Robert R Kasin Way, Beacon, NY, 12508
    4.5 · 67 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Compassionate staff but serious problems

    I have mixed feelings. The CNAs, rehab (PT/OT/SLP) teams and many nurses were compassionate, professional, and went above and beyond, but the place is plagued by chronic understaffing, high turnover, poor supervision and communication during an ownership transition. Cleanliness and facilities are inconsistent-some areas spotless, others with urine smell, sticky tables, dirty wheelchairs and crumbling courtyards-and call bells often go unanswered for 10-30 minutes, so I can't recommend it unless staffing, supervision and cleanliness improve.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.54 · 67 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.9
    • Staff

      4.3
    • Meals

      2.0
    • Amenities

      2.2
    • Value

      3.0

    Pros

    • Many staff described as compassionate, caring, and treating residents like family
    • Dedicated CNAs and long-term staff cited by multiple reviewers
    • Strong rehabilitation services (PT, OT, SLP) and good rehab outcomes reported
    • Memory care unit praised for excellent, attentive care and activities
    • Staff who go above and beyond and provide individualized attention
    • Friendly and helpful receptionists and nursing staff
    • Engaging activities and holiday events (decorations, hot chocolate)
    • Some reports of clean, well-maintained interior areas and spotless units
    • Convenient location close to family members' homes
    • Specific employees praised by name for outstanding care and compassion

    Cons

    • Widespread understaffing and long staff response times to call bells
    • Inconsistent quality of care across shifts and units
    • Strong and recurring urine/fecal odor in rooms and common areas
    • Rooms described as too small, cramped, or with tiny unventilated bathrooms
    • Poor cleanliness in some rooms: dirty chairs, uncleaned beds, matted hair
    • High staff turnover and inadequate supervision/management
    • Facility appears run-down in places: peeling walls, roof leaks, crumbling courtyards
    • Laundry problems and instances of debris/dust under beds
    • Communication gaps with social workers, managers, and ownership
    • Safety concerns: delayed care after falls, episodes of yelling/abuse, agitated patients
    • Food complaints: unappetizing or below-average cafeteria meals
    • Sticky tables, crumbs, dirty wheelchairs and general housekeeping inconsistencies
    • Overwhelmed facility manager and issues during ownership transition
    • Some reports of scolding or yelling at residents by staff
    • Small closets/lack of visitor/visiting-area infrastructure

    Summary review

    Overall sentiment is mixed and polarized: many reviewers strongly praise individual caregivers and certain clinical units (especially rehabilitation and memory care), while a significant set of reviews describe persistent operational, cleanliness, and safety problems. Multiple posts reflect deeply positive personal experiences emphasizing compassionate, knowledgeable staff who made residents comfortable and delivered good clinical outcomes. At the same time, a number of reviews recount troubling conditions: odors, dirty rooms, delays in care, and facility maintenance issues that create a marked contrast to the positive accounts.

    Care quality and clinical services: Rehabilitation services (PT, OT, SLP) are repeatedly called out as a strength — reviewers describe effective therapy, good rehab outcomes, and staff who supported discharge. The memory care unit also receives consistent praise for attentive, loving care and activities that engage residents. Despite these strong pockets of clinical competence, care quality appears inconsistent. Many reviewers report that aides sometimes ignore residents, call bells go unanswered for 10–30 minutes, and nurse aides are occasionally replaced by nurses (or vice versa) resulting in delayed or suboptimal assistance. There are also reports of unsafe incidents (a fall requiring stitches) and emotionally upsetting episodes (residents wailing, yelling from staff), indicating gaps in both routine care and incident prevention.

    Staffing, culture, and personnel: Staff are the clearest dividing line in these reviews. Numerous comments describe CNAs, nurses, and receptionists as kind, dedicated, and going above and beyond — several reviewers named specific employees and described emotional, family-like treatment. Conversely, reviewers frequently raised understaffing, high turnover, and inadequate supervision as systemic problems. These staffing shortages are linked to delays in responding to resident needs, stressed or overwhelmed managers, inconsistent communication from social work and higher-level staff, and uneven resident experiences. There are also troubling allegations of staff yelling at or scolding residents and instances of perceived staff abuse; though not universally reported, those incidents are serious and contribute substantially to negative perceptions.

    Facility condition and cleanliness: Reviews present a split picture. Many commenters say the interior is clean and well run, with spotlessly maintained areas and courteous staff. However, an equally strong thread details rundown conditions in other parts of the facility: persistent urine smells, tiny and unventilated shared bathrooms, dirty chairs and wheelchairs, sticky tables, crumbs, debris/dust under beds, laundry issues, crumbling outdoor courtyards, peeling walls, and roof leaks. These physical-plant problems are not isolated minor complaints; several reviewers describe pervasive smells and visible disrepair that suggest ongoing housekeeping and maintenance gaps. The contrast between clean/interior praise and descriptions of filthy rooms indicates inconsistent housekeeping standards across units or shifts.

    Dining, activities, and resident life: Activities and seasonal events receive positive mentions — holiday decorations, hot chocolate, and engaging programming were appreciated and helped residents feel cared for. Food receives mixed feedback: some reviewers praised meals and the caring environment, while others called the cafeteria unappetizing or below average. Overall, activities and social programming appear to be a strength in many cases, while dining quality is inconsistent.

    Management, communication, and operations: Several reviewers report communication breakdowns with social workers and management, an overwhelmed facility manager, and complications during an ownership transition. These operational issues are tied to the observed inconsistencies in cleanliness, staffing, and follow-through on care concerns. Reviewers who intervened or advocated for loved ones sometimes felt obliged to escalate basic care needs, suggesting systemic shortfalls in responsiveness. Positive reviews often single out managers or staff who were communicative and effective, which reinforces the pattern that leadership quality varies and strongly influences resident experiences.

    Patterns, risks, and recommendations: The reviews cluster into two main patterns — care experiences centered on compassionate, capable frontline staff and effective therapy/memory care versus experiences dominated by understaffing, facility disrepair, hygiene problems, and safety lapses. For prospective residents or families: if the priorities are effective rehab and a potentially warm caregiving culture, there are many testimonials supporting that. However, if reliable housekeeping, rapid response to call bells, safe physical conditions, and consistent, well-supervised staffing are essential, the documented concerns are significant. Management should prioritize staffing stability, consistent housekeeping protocols, maintenance of building infrastructure (to eliminate odors and repair bathrooms and roofs), improved incident reporting and response times, and clearer communication channels with families. Addressing these operational issues would better align the facility's praised strengths (compassionate staff and good therapy) with a uniformly safe and clean environment.

    Location

    Map showing location of Fishkill Center for Rehabilitation and Nursing

    About Fishkill Center for Rehabilitation and Nursing

    Fishkill Center for Rehabilitation and Nursing is a for-profit facility with 160 certified beds, usually serving about 150 residents each day, that focuses on skilled nursing, subacute care, long-term care, memory care, and home care. The facility's rooms are simple, described as being similar to a 1-star motel, but they've got air conditioning, wheelchair accessible features, onsite parking, and amenities aimed at resident comfort and well-being. Fishkill Center belongs to the Sapphire Care Group and has its own trained wound care and physical therapy teams, as well as programs for residents recovering from dementia and COVID.

    While the Center says it's committed to high standards of care and offers infection control programs, state inspections have reported 28 deficiencies, including three related to infections, and findings about incomplete resident care plans and gaps in COVID-19 education and record-keeping. The CMS overall rating is two stars, and nurse staffing is measured at 3.46 hours per resident per day, which is below the state average. The nurse turnover rate is 34.8%, lower than the New York state average. Staff receive recognition through the FISHKILL PROPS program for exceptional service, with PROPS Cards often given by residents, families, and coworkers.

    Fishkill Center provides health inspections, and its quality measures recently received a five-star rating, but the staff rating stands at one star. The facility supports residents who need wound and physical therapy, offers different tools for accessibility like text resizing and color adjustments, and has a form for concerns or inquiries. People can schedule tours if they want to visit. Fishkill Center aims for a warm, welcoming environment and emphasizes quality of life, but it has a record of deficiencies that potential residents and families may want to consider carefully.

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