Nursing HomeInspections

The Grand Rehabilitation and Nursing At Pawling

Nursing home in Pawling, NY

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
9 Reservoir Road, Pawling, NY 12564
Phone
(845) 855-5700
Listed under
For-profit
Medicare CCN
335458
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
122
Average residents per day
115
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 2026-11-07.

Inspection record

Most recent standard health inspection: Apr 13, 2023. CMS lists 43 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 16, 2018 to Aug 21, 2026): 23 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 21, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection · under dispute review
D
Potential for more than minimal harm, isolated
Aug 21, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 21, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 21, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 21, 2026Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 21, 2026Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 21, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 21, 2026Honor 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
E
Potential for more than minimal harm, pattern
Aug 21, 2026Honor 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
E
Potential for more than minimal harm, pattern
Aug 21, 2026Develop 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 · complaint inspection
E
Potential for more than minimal harm, pattern
Aug 21, 2026Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Aug 21, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 43. 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 Oct 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 Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.44 hours
Registered nurse (RN) time per resident per day
0.46 hours
Nurse aide time per resident per day
1.94 hours
Total nurse staffing on weekends
3.07 hours
Nursing staff turnover (yearly)
53%
RN turnover (yearly)
36%
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.