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
Data as of July 1, 2026
2 of 5 overall
The Grand Rehabilitation and Nursing At Pawling has a 2-star overall rating, with 2-star health inspection and quality ratings and 3-star staffing. Reported nurse staffing is 3.45 hours per resident per day, below the federal benchmark of 4.1, and the facility had $10,519 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4512 hrs/resident/day
Quality measures
Last inspection: June 17, 2025Penalties, last 24 months: $10,519recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4512.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 1.06
- Nurse aides
- 1.82
- Weekend nursing
- 2.99
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.3%7.9%Improving
Residents with a fall causing major injury
5.4%5.1%No change
Residents with pressure ulcers (bedsores)
4.7%7.4%Worsening
Residents with a urinary tract infection
1.1%0%Improving
Residents who lost too much weight
9.3%7.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10%19.8%Worsening
Residents whose ability to walk got worse
16.5%12.3%Improving
Long-stay residents on antianxiety or sleep medication
13.2%10.6%Improving
Short-stay residents newly given an antipsychotic
1.2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.7%24.1%Worsening
Residents with depressive symptoms
1.1%4.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.2%—
Long-stay residents given the pneumonia vaccine
97.8%96%Worsening
Short-stay residents given the seasonal flu vaccine
—57.4%—
Short-stay residents given the pneumonia vaccine
67.6%52.2%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
- PENALTY
A federal fine of $10,519 was recorded.
- 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 · $10,519 in total fines.
- $10,519
Federal fine
Jun 17, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE GRAND HEALTHCARE · 16 homes · 1.8 stars avg
- Occupancy
- 109.8 residents on an average day (90% 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.