The Grand Rehabilitation and Nursing at Pawling
9 Reservoir Road · Pawling, NY · 12564 · 8458555700
122 certified beds For profit - Corporation Chain: The Grand Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.83 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 1 · $10,519 |
Inspection citations (27 in the current record)
-
Actual harm · G June 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 23, 2025 · Quality of Life and Care
-
Potential for harm · D June 17, 2025 · found via complaint
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.
Corrected July 23, 2025 · Resident Rights
-
Potential for harm · D June 17, 2025 · found via complaint
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.
Corrected August 15, 2025 · Resident Rights
-
Potential for harm · E June 17, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 8, 2025 · Quality of Life and Care
-
Potential for harm · F June 17, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 8, 2025 · Nursing and Physician Services
-
Potential for harm · D March 5, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 20, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 10, 2025 · Quality of Life and Care
-
Potential for harm · D April 13, 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.
Corrected May 20, 2023 · Resident Rights
-
Potential for harm · D April 13, 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.
Corrected May 20, 2023 · Resident Rights
-
Potential for harm · D April 13, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 20, 2023 · Resident Rights
-
Potential for harm · D April 13, 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.
Corrected May 20, 2023 · Resident Rights
-
Potential for harm · D April 13, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 20, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D April 13, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 20, 2023 · Quality of Life and Care
-
Potential for harm · D April 13, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 20, 2023 · Quality of Life and Care
-
Potential for harm · D April 13, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 20, 2023 · Pharmacy Service
-
Potential for harm · D April 13, 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.
Corrected May 20, 2023 · Pharmacy Service
-
Potential for harm · D April 13, 2023
Provide and implement an infection prevention and control program.
Corrected May 20, 2023 · Infection Control
-
Potential for harm · D April 13, 2023
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 20, 2023 · Nursing and Physician Services
-
Potential for harm · D October 15, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 30, 2019 · Resident Assessment and Care Planning
-
Potential for harm · D October 15, 2019
Provide and implement an infection prevention and control program.
Corrected December 30, 2019 · Infection Control
-
Potential for harm · D January 16, 2018
Ensure each resident receives an accurate assessment.
Corrected March 16, 2018 · Resident Assessment and Care Planning
-
Potential for harm · D January 16, 2018
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 16, 2018 · Resident Assessment and Care Planning
-
Potential for harm · D January 16, 2018
Provide care by qualified persons according to each resident's written plan of care.
Corrected March 16, 2018 · Resident Assessment and Care Planning
-
Potential for harm · D January 16, 2018
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 16, 2018 · Quality of Life and Care
-
Potential for harm · D January 16, 2018
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 16, 2018 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 17, 2025 | Fine | $10,519 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335458 · certified since October 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.