Hudson Valley Senior AdvisorThis page covers the City of Beacon at the foot of Mount Beacon, the Town of Fishkill with its village and the Route 9 and I-84 interchange area, and East Fishkill, including Hopewell Junction and Stormville. The Newburgh-Beacon Bridge puts Orange County a few minutes away.
Southern Dutchess has a dense cluster of licensed care. Beacon holds a large residence with many Assisted Living Program beds and a nursing home, Fishkill has two nursing homes and an adult home near Castle Point, and the VA Hudson Valley Health Care System's Castle Point campus serves veterans from both sides of the river.
How much licensed senior care is in Beacon, Fishkill & East Fishkill, NY?
Beacon, Fishkill & East Fishkill had about 67,669 residents on July 1, 2025, by Census Bureau estimates (down from 67,695 in the 2020 base), and the New York State Department of Health licenses 3 adult care facilities and 3 nursing homes there.
| In Beacon, Fishkill & East Fishkill | Not in Beacon, Fishkill & East Fishkill | |
|---|---|---|
| Licensed here (state roster) | Licensed residences (adult homes & enriched housing): 3, Nursing homes: 3, Licensed home care agencies: 3 | — |
| Not licensed here | — | Certified home health agencies, Hospices, Adult day health care |
| Medicaid ALP beds | 1 residence | — |
| SNALR dementia beds | — | None in Beacon, Fishkill & East Fishkill |
Which licensed assisted living residences are in Beacon, Fishkill & East Fishkill?
New York's roster shows 3 licensed adult care facilities in Beacon, Fishkill & East Fishkill with 267 certified beds, 192 of them Assisted Living Program (Medicaid) beds and 0 SNALR dementia beds; the largest is Hedgewood Assisted Living with 192 beds.
| Facility | License | Certified capacity | ALR certifications | ALP (Medicaid) beds | Latest DOH inspection | Violations, 4-yr window |
|---|---|---|---|---|---|---|
| Hedgewood Assisted Living 355 Fishkill Ave, Beacon 12508 | AH | 192 | ALP | 192 | None in window | 0 |
| Inspire of McClelland 126 Old Castle Point Road, Wappinger Falls 12590 | AH | 75 | Base license only | 0 | 03/26/2026 | 13 |
| Fishkill Assisted Living 542 Route 9, Fishkill 12524 | AH | — | Base license only | 0 | None in window | n/a |
Has New York taken enforcement action against a residence in Beacon, Fishkill & East Fishkill?
Yes: NYS Health Profiles shows enforcement actions for 1 residence here, most recently a Stipulation & Order involving Hedgewood Assisted Living dated June 20, 2025.
- Hedgewood Assisted Living: 1 action, latest June 20, 2025
Order numbers and the matching inspection reports are on each residence's page. An older order is a question to raise on a visit, not proof of a problem today.
Which nursing homes are in Beacon, Fishkill & East Fishkill, and how does CMS rate them?
Beacon, Fishkill & East Fishkill has 3 licensed nursing homes with 480 beds on the state roster; 1 of the 3 with a CMS overall rating hold four or five stars.
| Facility | CMS overall rating | Certified capacity | Last CMS health inspection | Deficiencies cited | Nurse hrs/resident/day |
|---|---|---|---|---|---|
| Fishkill Center for Rehabilitation and Nursing 22 Robert R. Kasin Way, Beacon 12508 | 2 of 5 | 160 | February 14, 2025 | 13 | 3.42 |
| Taconic Rehabilitation and Nursing at Beacon 10 Hastings Dr, Beacon 12508 | 4 of 5 | 160 | July 1, 2024 | 6 | 3.71 |
| Taconic Rehabilitation and Nursing at Hopewell 3 Summit Court, Fishkill 12524 | 3 of 5 | 160 | February 12, 2026 | 12 | 3.70 |
Which home care agencies and hospices have offices in Beacon, Fishkill & East Fishkill?
The state roster lists 4 home care, hospice or adult day health licenses at office addresses in Beacon, Fishkill & East Fishkill; agencies usually serve a much wider area than their office town.
- Connected Home Care — licensed home care services agency, licensed since 2020
- Jancare Private Health Services, Inc. — licensed home care services agency, licensed since 2019
- Mountainview Home Care Agency — licensed home care services agency, licensed since 2026
- Fishkill Center for Rehabilitation and Nursing — long term home health care program, licensed since 2007
Which hospitals are nearest to Beacon, Fishkill & East Fishkill?
Measured from the center of Beacon, Fishkill & East Fishkill's licensed facilities, the closest hospitals are Montefiore St. Luke's Cornwall (Newburgh) (Montefiore Health System, about 4.3 miles) and Vassar Brothers Medical Center (about 11.8 miles).
MidHudson Regional Hospital is about 13.4 miles away. These are straight-line distances; bridge crossings and winter roads can stretch the drive.
What should families in Beacon, Fishkill & East Fishkill keep in mind?
Because the bridge makes Newburgh's hospital and residences so close, families here often treat Beacon, Fishkill and Newburgh as one market.
The nearest Dutchess hospitals are in Poughkeepsie; Montefiore St. Luke's Cornwall in Newburgh is often closer in practice.
Where can Beacon, Fishkill & East Fishkill families get free help?
The Dutchess County Office for the Aging ((845) 486-2555) is the first free call for families in Beacon, Fishkill & East Fishkill, NY Connects answers statewide at 1-800-342-9871, and the Hudson Valley Long Term Care Ombudsman Program, (845) 229-4680, advocates for anyone living in a licensed residence or nursing home.
Suspected abuse of an adult living at home goes to Dutchess County Adult Protective Services at (845) 486-3000, or the Dutchess 24-hour elder abuse hotline at (845) 485-9700. No PACE program lists Dutchess or Orange in its service area as of November 2026, so Medicaid home care here runs through Managed Long Term Care plans; NY Connects (1-800-342-9871) can confirm whether that has changed.
