Hudson Valley Senior AdvisorDutchess Care at 186 Washington Street, Poughkeepsie, is an adult home licensed by the New York State Department of Health for 92 residents, and its beds carry ALP certification; it sits in the City of Poughkeepsie, Dutchess County.
Is Dutchess Care licensed by New York?
Yes. The Department of Health roster carries Dutchess Care under certificate 230-F-044 for 92 residents, larger than the 86-bed typical residence in the two counties.
| State license | Certificate number | Beds | Certified bed types | License start | Census at close of 2026 Q2 |
|---|---|---|---|---|---|
| Adult Home | 230-F-044 | 92 | ALP 92 | September 1, 1981 | 87 |
At the end of 2026 Q2 the building reported 87 residents in its 92 beds, or about 95% full. Operator on file: Azzy Reckess Paula Reckess (Individual ownership). The earliest license date at this address is 1981.
Which care certifications does Dutchess Care hold?
The Department of Health's quarterly capacity figures show that 92 are Assisted Living Program (ALP) beds, where Medicaid pays for services.
Each certification is a hard limit on who may stay. Enhanced beds cover chronic help with walking or transfers, and special needs beds exist only under a dementia plan the state approved. Background: ALR, EALR and SNALR in plain English.
What did Department of Health inspectors find at Dutchess Care?
Department of Health inspectors filed 9 reports on Dutchess Care during the four-year window shown on NYS Health Profiles, the last on December 17, 2025; 4 reports found something to cite, 22 violations in total.
| Date issued | Kind of visit | Violations | Status | Regulation topics |
|---|---|---|---|---|
| December 17, 2025 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| November 5, 2025 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| July 16, 2025 | Other Survey | 1 | Plan/Notice of Correction Approved | Records and reports |
| November 25, 2024 | Complaint Survey | 1 | Plan/Notice of Correction Approved | Resident services |
| November 22, 2024 | Relicensure, Complaint Survey | 15 | Plan/Notice of Correction Approved | Admission standards; Resident services; Resident services |
| February 13, 2024 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| October 25, 2023 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| September 18, 2023 | Complaint Survey | 5 | Plan/Notice of Correction Approved | Criminal history record check process; Responsibilities of providers; required notif; Resident services |
The latest full relicensure visit in the window is dated November 22, 2024. That violation total is above the 13-violation median for Dutchess and Orange residences over the same years. Most frequent topics: environmental standards (7), resident services (6), food service (2).
1 older reports are on the residence's NYS Health Profiles page.
Has Dutchess Care been penalized by the Department of Health?
Yes. NYS Health Profiles lists 2 enforcement actions for Dutchess Care; the most recent is a Stipulation & Order dated March 17, 2025, number ACF-25-022.
- March 17, 2025: Stipulation & Order, #ACF-25-022
- August 23, 2022: Stipulation & Order, #ACF-22-043
Formal enforcement is rare compared with ordinary citations, so it is fair to ask plainly what happened and how the residence shows today that the fix held.
What happens if a resident of Dutchess Care develops dementia?
Dutchess Care has no SNALR beds, so it cannot keep a resident whose dementia requires a secured or specialized setting; the closest SNALR-certified residence is The Landing of Poughkeepsie in Poughkeepsie, roughly 4.3 miles off, measured point to point.
- The Landing of Poughkeepsie — 34 SNALR beds, 4.3 mi
- Braemar Living at Wallkill — 24 SNALR beds, 28.4 mi
Dutchess and Orange counties have very few SNALR beds, so families often also look at nursing home dementia units or at certified residences in neighboring counties.
What other licensed residences are near Dutchess Care?
The nearest other licensed adult care facility is Hyde Park Assisted Living Facility, Inc. in Hyde Park, roughly 2.1 miles off, measured point to point, with 78 certified beds (ALP).
| Facility | Miles away | Certified capacity | ALR certifications | SNALR (memory care) beds | Violations, 4-yr window |
|---|---|---|---|---|---|
| Hyde Park Assisted Living Facility, Inc. 394 Violet Avenue, Poughkeepsie 12601 | 2.1 | 78 | ALP | 0 | 15 |
| The Landing of Poughkeepsie 251 Boardman Road, Poughkeepsie 12603 | 4.3 | 121 | ALR, EALR, SNALR | 34 | 18 |
| The Avalon Assisted Living and Wellness Center 1629 Route 376, Wappingers Falls 12590 | 6.6 | 76 | ALP | 0 | 3 |
| Inspire of McClelland 126 Old Castle Point Road, Wappinger Falls 12590 | 12.2 | 75 | Base license only | 0 | 13 |
| Fishkill Assisted Living 542 Route 9, Fishkill 12524 | 13.4 | — | Base license only | 0 | n/a |
Which hospitals serve residents of Dutchess Care in Poughkeepsie?
Dutchess Care stands in the City of Poughkeepsie in Dutchess County; the nearest general hospital is MidHudson Regional Hospital (WMCHealth (MidHudson Regional Hospital)), roughly 0.2 miles off, measured point to point.
Second closest is Vassar Brothers Medical Center, about 1.4 miles away. We measure straight lines between map points, so real drives run longer.
If nursing home care is ever needed, the closest CMS-certified homes are The Grand Rehabilitation and Nursing at River Valley (0.7 mi, CMS 2 of 5) and The Pines at Poughkeepsie Center for Nursing & Rehabilitation (1.3 mi, CMS 4 of 5).
What should a family ask on a tour of Dutchess Care?
Let the state's numbers drive the visit: ask what led to the March 17, 2025 enforcement action and how the residence proves compliance today.
- Ask how many aides are awake and on duty overnight, and who assists with medications on each shift.
- Ask whether an Assisted Living Program bed is free for a Medicaid applicant and how long people usually wait.
- Get the residency agreement and every fee in writing before any deposit; New York requires a written admission agreement.
Official record: Dutchess Care on NYS Health Profiles.
