Nursing home
The Grand Rehabilitation and Nursing At Pawling
9 Reservoir Road, Pawling, NY 12564 · Map
For profit - Corporation · Part of The Grand Healthcare (16 facilities) · 122 certified beds
The Grand Rehabilitation and Nursing At Pawling is a Medicare-certified nursing home in Pawling, New York. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.16 hours per resident per day, below the New York average of 3.65. Its most recent inspection on Apr 13, 2023 cited 17 deficiencies.
- 1 fine totaling $15,935In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Grand Rehabilitation and Nursing At Pawling compares
This facility vs. the New York and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New York avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.16 | 3.65 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.43 | 0.70 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.64 | 2.18 | 2.34 | below avg |
| Nursing staff turnover | 49.5% | 40.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 17.0 | 7.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the June 17, 2025 inspection was corrected by October 8, 2025
Penalties in CMS records: 1 fine totaling $15,935, 2 total penalties, 1 Medicare payment denial.
What inspectors found at The Grand Rehabilitation and Nursing At Pawling
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
Provide 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 Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jun 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Protect 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 Deficiencies · Mar 5, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 20, 2024 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Apr 13, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 13, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 13, 2023 - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Apr 13, 2023 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 13, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 9 Reservoir Road
Pawling, NY 12564 - CMS certification #
- 335458
- Ownership
- For profit - Corporation
- Certified beds
- 122
- Avg residents/day
- 113.5
- Provider type
- Medicare and Medicaid
- First certified
- 1976-10-01
- Chain
- The Grand Healthcare (16 facilities)
- Setting
- Urban
Part of The Grand Healthcare
The Grand Healthcare operates 16 nursing facilities across the United States. View all The Grand Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Grand Rehabilitation and Nursing At Pawling using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Putnam Hospital Center, Carmel. 13.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Putnam Nursing & Rehabilitation Center, Holmes. 6.8 miles away, straight line.
- Nearest home health agency office
- Western Connecticut Home Care Inc, Danbury. 14.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 12564 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Celia Dill Dialysis Center, Carmel, 13.8 miles away, straight line (CMS rating 4 of 5 stars)
Davita Danbury Dialysis, Danbury, 14.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars) - Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 12564.
Regional Hospice, office in Danbury, 13.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Hudson Valley Hospice, office in Poughkeepsie, 20.0 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Nuvance Health Medical Practice PC, Poughkeepsie. 19.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane relatively moderate, inland flooding relatively low, wildfire relatively low, tornado relatively low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| New York State Department of Health kitchen inspections | Oct 15, 2026 | No kitchen matched |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is The Grand Rehabilitation and Nursing At Pawling a good nursing home?
CMS gives The Grand Rehabilitation and Nursing At Pawling an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Grand Rehabilitation and Nursing At Pawling staffed?
The Grand Rehabilitation and Nursing At Pawling reports 3.16 total nurse hours per resident per day, compared with the New York average of 3.65.
Has The Grand Rehabilitation and Nursing At Pawling had inspection problems?
Its most recent CMS inspection cited 17 deficiencies.
How many beds does The Grand Rehabilitation and Nursing At Pawling have?
The Grand Rehabilitation and Nursing At Pawling is certified for 122 beds.