Nursing HomeInspections

The Grand Rehabilitation and Nursing At Pawling

Nursing home in Pawling, NY

Medicare & Medicaid certified2★ overall (CMS)

Call (845) 855-5700Send a messageMap ↗

Public-record details

Address
9 Reservoir Road, Pawling, NY 12564
Phone
(845) 855-5700
Listed under
For-profit
Medicare CCN
335458
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
122
Average residents per day
110
Ownership
For-profit, corporation
Legal business name
Center for Rehabilitation and Healthcare at Dutchess LLC
Chain
The Grand Healthcare (16 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 1, 1976
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 335458. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 13, 2023. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 16, 2018 to Jun 17, 2025): 7 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 17, 2025Honor 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.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 17, 2025Honor 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.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 17, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 17, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Jun 17, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Mar 5, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 20, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 13, 2023Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 13, 2023Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 13, 2023Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 13, 2023Notify 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 13, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 27. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,519 in the last three years.

Jun 17, 2025Fine: $10,519

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.45 hours
Registered nurse (RN) time per resident per day
0.57 hours
Nurse aide time per resident per day
1.82 hours
Total nurse staffing on weekends
2.99 hours
Nursing staff turnover (yearly)
53%
RN turnover (yearly)
40%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.