The Grand Rehabilitation and Nursing At Pawling
9 Reservoir Road, Pawling, NY 12564
The Grand Rehabilitation and Nursing At Pawling, a 122-bed for profit - corporation nursing facility in Pawling, NY, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #459 of 590 rated homes in NY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 8458555700
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- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #459 of 590
- In-state rank among rated NY homes
- 3.45
- Below average · nurse hrs/day · nat'l 3.86
- 27
- Inspection findings · 1 serious
The verdict
The Grand Rehabilitation and Nursing At Pawling, a 122-bed for profit - corporation nursing facility in Pawling, NY, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #459 of 590 rated homes in NY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 2 / 5
- CMS overall · national 3.0
- #459 of 590
- In-state rank among rated NY homes
- 3.45
- Nurse hrs/resident-day · national 3.86
- 27
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 593 NY nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 335458
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 122
- Residents
- 110
- In Hospital
- No
- County
- Dutchess
- Last Inspection
- Apr 13, 2023
Staffing Data
How the 3.45 total nursing hours per resident-day are staffed:
- RN Hours
- 0.57 (nat'l avg: 0.69)
- LPN Hours
- 1.06
- CNA Hours
- 1.82
- Total Nursing Hours
- 3.45 (nat'l avg: 3.86)
- PT Hours
- 0.10
- Nursing Turnover
- 53.4%
- RN Turnover
- 40.0%
What the CMS Record Reveals About The Grand Rehabilitation and Nursing At Pawling
According to CMS Nursing Home Compare, The Grand Rehabilitation and Nursing At Pawling ranks #459 of 590 rated nursing homes in NY on overall stars (tie-broken by health+staffing+quality, then fewer fines). The Grand Rehabilitation and Nursing At Pawling operates 122 certified beds in Pawling, NY with approximately 110 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 3★ · quality 2★).
The inspection file contains 27 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $11K against this provider. Reported nurse staffing runs 3.45 total hours per resident day (national average 3.86); RN hours specifically are 0.57 per resident day.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, The Grand Rehabilitation and Nursing At Pawling falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 53.4% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (27 most recent)
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.
Category: Resident Rights Deficiencies
Corrected: Aug 15, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Jul 23, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 8, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 23, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 5, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 10, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Category: Nursing and Physician Services Deficiencies
Corrected: May 20, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 20, 2023
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.
Category: Pharmacy Service Deficiencies
Corrected: May 20, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: May 20, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 20, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: May 20, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 20, 2023
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.
Category: Resident Rights Deficiencies
Corrected: May 20, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: May 20, 2023
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.
Category: Resident Rights Deficiencies
Corrected: May 20, 2023
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.
Category: Resident Rights Deficiencies
Corrected: May 20, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 30, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 30, 2019
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Mar 16, 2018
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Mar 16, 2018
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 16, 2018
Provide care by qualified persons according to each resident's written plan of care.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 16, 2018
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 16, 2018
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 16, 2018
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 16, 2018
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.4% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.2% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.9% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 97.2% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 12.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 95.2% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 16.9% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 57.4% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 57.4% | No |
Penalty History 1 penalties totaling $11K
| Date | Type | Amount |
|---|---|---|
| Jun 17, 2025 | Fine | $11K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for The Grand Rehabilitation and Nursing At Pawling, both outside NY so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NY (122 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NY (3.69 here).
Nearby Nursing Homes in NY
592 other nursing homes are on record in NY; 6 are shown here.
A Holly Patterson Extended Care Facility
Uniondale, NY
Aaron Manor Rehabilitation and Nursing Center
Fairport, NY
Absolut Center for Nursing and Rehabilitation at A
East Aurora, NY
Absolut Center for Nursing and Rehabilitation at A
Allegany, NY
Absolut Center for Nursing and Rehabilitation at G
Gasport, NY
Absolut Center for Nursing and Rehabilitation at T
Painted Post, NY
Understanding Nursing Home Data
What the CMS records show for The Grand Rehabilitation and Nursing At Pawling
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NY registry aggregates state averages and the highest-rated homes in this cohort. View NY registry
- Peer homes near 122 beds show how CMS stars vary at a similar scale in NY. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for The Grand Rehabilitation and Nursing At Pawling?
Where does The Grand Rehabilitation and Nursing At Pawling rank among nursing homes in NY?
What are the staffing levels at The Grand Rehabilitation and Nursing At Pawling?
How many beds does The Grand Rehabilitation and Nursing At Pawling have?
Does The Grand Rehabilitation and Nursing At Pawling have any deficiencies on record?
Has The Grand Rehabilitation and Nursing At Pawling received any fines or penalties?
Who owns The Grand Rehabilitation and Nursing At Pawling?
When was The Grand Rehabilitation and Nursing At Pawling last inspected?
What quality measures are tracked for The Grand Rehabilitation and Nursing At Pawling?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
