The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
The Grand Rehabilitation and Nursing At Pawling
PAWLING, NY · Medicare-certified · 122 beds
Needs attention
For-profitChain member
1 of 5 overall
The Grand Rehabilitation and Nursing At Pawling has a 1 out of 5 star overall rating, with a 1-star health inspection rating and 2-star staffing and quality ratings. It has a recent federal penalty, $10,358 in fines over the last 24 months, and reported nursing staff is 3.36 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.3649 hrs/resident/day
Quality measures
Last inspection: June 17, 2025Penalties, last 24 months: $10,358recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3649.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 1.06
- Nurse aides
- 1.78
- Weekend nursing
- 2.83
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 53%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.9%Improving
Residents with a fall causing major injury
4.1%Steady
Residents with pressure ulcers (bedsores)
4.2%Worsening
Residents with a urinary tract infection
2.1%Steady
Residents who lost too much weight
8.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.1%Improving
Residents whose ability to walk got worse
11.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.2%Improving
Short-stay residents newly given an antipsychotic
1.3%Steady
Residents with a long-term catheter
0.2%Steady
Residents with new or worsening incontinence
16.1%Improving
Residents with depressive symptoms
1.9%Worsening
Long-stay residents given the seasonal flu vaccine
95.2%Steady
Long-stay residents given the pneumonia vaccine
96.4%Improving
Short-stay residents given the seasonal flu vaccine
57.4%Steady
Short-stay residents given the pneumonia vaccine
58.7%Worsening
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2018 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $10,358 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $10,358 in total fines.
- $10,358
Federal fine
Jun 17, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE GRAND HEALTHCARE · 16 homes · 1.8 stars avg
- Occupancy
- 114.4 residents on an average day (94% of 122 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 49 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.