The Grand Rehabilitation and Nursing at PawlingCMS ratings, inspections and fines
- Address
- 9 Reservoir Road, Pawling, NY 12564
- CCN
- 335458
- Ownership type
- For-profit, corporation
- Certified beds
- 122
- Chain
- The Grand Healthcare
- Residents per day
- 110
- CMS flags
- No standard survey in more than 2 years
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives The Grand Rehabilitation and Nursing at Pawling an overall rating of 2 of 5 stars. The last standard survey was on 13 Apr 2023. The latest survey cycle has 11 health citations. The median for nursing homes in New York is 7. CMS lists 1 fine of $10,519 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Dutchess County median | New York median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 12 homes in the county, 593 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | New York median |
|---|---|---|---|
| Cycle 1 (latest) | 13 Apr 2023 | 11 | 7 |
| Cycle 2 | 15 Oct 2019 | 9 | 5 |
| Cycle 3 | No date | 7 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Apr 2023 | F0584 | 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. | D | Standard survey | 20 May 2023 |
| 13 Apr 2023 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard survey | 20 May 2023 |
| 13 Apr 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 20 May 2023 |
| 13 Apr 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 20 May 2023 |
| 13 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 May 2023 |
| 13 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 May 2023 |
| 13 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 May 2023 |
| 13 Apr 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 20 May 2023 |
| 13 Apr 2023 | F0761 | 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. | D | Standard survey | 20 May 2023 |
| 13 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 May 2023 |
| 13 Apr 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 20 May 2023 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Jun 2025 | F0584 | 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. | D | Complaint investigation | 23 Jul 2025 |
| 17 Jun 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 15 Aug 2025 |
| 17 Jun 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 8 Oct 2025 |
| 17 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 23 Jul 2025 |
| 17 Jun 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 8 Oct 2025 |
| 5 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 Apr 2025 |
| 20 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Jan 2025 |
| 15 Oct 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Dec 2019 |
| 15 Oct 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Dec 2019 |
Survey cycle 3: 7 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jan 2018 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Mar 2018 |
| 16 Jan 2018 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 Mar 2018 |
| 16 Jan 2018 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard survey | 16 Mar 2018 |
| 16 Jan 2018 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Mar 2018 |
| 16 Jan 2018 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 16 Mar 2018 |
| 16 Jan 2018 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 16 Mar 2018 |
| 16 Jan 2018 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Mar 2018 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 17 Jun 2025 | Fine | $10,519 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | New York median | New York average (CMS) |
|---|---|---|---|
| All nurse staff | 3.45 | 3.50 | 3.62 |
| Registered nurses (RN) | 0.57 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 1.06 | 0.76 | |
| Nurse aides | 1.82 | 2.15 | |
| All nurse staff, weekends | 2.99 | 3.10 | 3.18 |
- Nurse staff turnover in a year
- 53.4%
- Nurse staff turnover, New York median
- 38.4%
- RN turnover in a year
- 40.0%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.6% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.4% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.2% | 12.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Center for Rehabilitation and Healthcare at Dutchess LLC
- Chain
- The Grand Healthcare (16 homes in the CMS chain file)
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Dutchess County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Taconic Rehabilitation and Nursing at Hopewell | Fishkill | 3 of 5 | 15 | $0 | 12 Feb 2026 | |
| Sapphire Nursing at Wappingers | Wappingers Falls | 2 of 5 | 19 | $0 | 17 Apr 2024 | |
| Lutheran Center at Poughkeepsie Inc | Poughkeepsie | 3 of 5 | 13 | $0 | 6 Feb 2024 | |
| The Pines at Poughkeepsie Ctr for Nursing & Rehab | Poughkeepsie | 4 of 5 | 8 | $0 | 20 Aug 2024 | |
| Taconic Rehabilitation and Nursing at Beacon | Beacon | 4 of 5 | 7 | $0 | 1 Jul 2024 | |
| The Grand Rehabilitation and Nrsg at River Valley | Poughkeepsie | 2 of 5 | 12 | $0 | 28 Jan 2026 | |
| Fishkill Center for Rehabilitation and Nursing | Beacon | 2 of 5 | 13 | $44,500 | 14 Feb 2025 | |
| The Eleanor Nursing Care CenterSpecial Focus candidate | Hyde Park | 1 of 5 | 29 | $132,957 | 28 Apr 2026 | |
| Renaissance Rehabilitation and Nursing Care Center | Staatsburg | 1 of 5 | 44 | $0 | 13 Sep 2024 | |
| The Baptist Home at Brookmeade | Rhinebeck | 5 of 5 | 4 | $0 | 11 Mar 2024 | |
| Ferncliff Nursing Home Co Inc | Rhinebeck | 2 of 5 | 10 | $0 | 27 Feb 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of The Grand Rehabilitation and Nursing at Pawling (CCN 335458). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-grand-rehabilitation-and-nursing-at-pawling-pawling-ny-335458/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was The Grand Rehabilitation and Nursing at Pawling last inspected?
- The latest inspection with a citation in the CMS record was on 17 Jun 2025. It was a complaint investigation. It gave 5 citations. The standard survey before the last one was on 15 Oct 2019. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates The Grand Rehabilitation and Nursing at Pawling?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain The Grand Healthcare. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is The Grand Rehabilitation and Nursing at Pawling a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in New York as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.