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Nursing homes in the Mid-Hudson

Round-the-clock nursing, CMS ratings and New York's staffing floor.

Quick answer

A nursing home provides 24-hour nursing care, rehabilitation therapy, medical oversight, meals and help with every daily activity, for short rehab stays after a hospital admission and for long-term residents with continual needs.

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What does a nursing home provide?

A nursing home provides 24-hour nursing care, rehabilitation therapy, medical oversight, meals and help with every daily activity, for short rehab stays after a hospital admission and for long-term residents with continual needs.

The state lists 22 nursing homes in the two counties with 3,279 beds; CMS rates 21 of them, and 7 carry four or five stars overall (Care Compare data as of October 1, 2026).

How are nursing homes rated?

CMS rates every Medicare- and Medicaid-certified home from one to five stars overall, with separate stars for health inspections, staffing and quality measures, and publishes deficiency lists, staffing hours, turnover and fines.

New York adds its 3.5-hour minimum staffing rule under Public Health Law 2895-b.

What does a nursing home cost?

CareScout's 2025 New York median is about $15,528 a month for a semi-private room, and Medicaid's 2026 Northern Metropolitan rate is $15,024 a month.

Medicare covers up to 100 days of rehab after a qualifying stay; Medicaid covers long-term care for eligible residents.

What is the difference between short-term rehab and long-term care?

Short-term rehab is a Medicare-covered stay after a qualifying hospital admission, focused on therapy and a return home or to assisted living; long-term care is ongoing residence for people who need nursing every day, usually paid privately and then by Medicaid.

Many homes keep separate rehab units. Ask whether a rehab patient who needs to stay long term can keep the same room.

How should we compare nursing homes near Poughkeepsie or Middletown?

Compare the CMS overall and component stars, the latest inspection date and deficiency count, reported nurse staffing against New York's 3.5-hour minimum, turnover and fines, then visit on a weekend and at a shift change.

Our nursing home roster sorts every home in the two counties by rating, beds, staffing and town.

Does any Dutchess or Orange nursing home appear on CMS's Special Focus list?

Each facility page shows CMS's Special Focus status exactly as CMS publishes it; the program covers homes with a persistent record of serious quality problems, and candidates are listed too.

The status can change between CMS releases, so check Care Compare again close to a decision.

How is nursing homes licensed across Dutchess and Orange?

This is how New York's roster divides nursing homes between the two counties; agencies and hospices carry no bed count.

CountyLicensesBeds
Dutchess County121853
Orange County101426

At a glance

Nursing homes in New York isNursing homes in New York is not
CareRound-the-clock licensed nursing and rehabResidential help only
RatingsCMS stars and inspection recordsUnrated
Staffing3.5 hours per resident per day minimumUnregulated

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