Nursing Home Alerts

The Grand Rehabilitation and Nursing At Pawling

9 Reservoir Road, Pawling, NY 12564

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The Grand Rehabilitation and Nursing At Pawling is a nursing home in Pawling, New York. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

  2. Health inspection on August 21, 2026

    16 citations

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    59 of 592 New York homes (10%) got a citation at the actual harm level in 2026.

    Show the 16 citations
    • Citation F0559. Severity G: actual harm, isolated.

      The rule CMS cited: Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS has cited this home for F0689 2 times since 2023.

    • Citation F0627. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

      The home is disputing this citation through CMS's informal review.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS has cited this home for F0584 3 times since 2023.

    • Citation F0585. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS has cited this home for F0585 2 times since 2025.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS has cited this home for F0656 4 times since 2018.

    • Citation F0745. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide medically-related social services to help each resident achieve the highest possible quality of life.

    • Citation F0760. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

    • Citation F0835. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      The home is disputing this citation through CMS's informal review.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

    • Citation F0726. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    • Citation F0732. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Post nurse staffing information every day.

    • Citation F0740. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS has cited this home for F0880 3 times since 2019.

    See this home on CMS Care Compare

  3. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  4. CMS update of June 24, 2026

    • Fine

      CMS changed the fine from June 17, 2025 from $10,358 to $10,519.

  5. CMS update of April 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

    • Fine

      CMS changed the fine from June 17, 2025 from $15,935 to $10,358.

  6. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  7. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  8. Health inspection on June 17, 2025

    5 citations

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    68 of 592 New York homes (11%) got a citation at the actual harm level in 2025.

    CMS fine of $10,519 on June 17, 2025.

    Show the 5 citations
    • Citation F0684. Severity G: actual harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on July 23, 2025.

      CMS has cited this home for F0684 4 times since 2018.

    • Citation F0725. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      CMS lists it as corrected on October 8, 2025.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on October 8, 2025.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 23, 2025.

    • Citation F0585. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on August 15, 2025.

    See this home on CMS Care Compare

  9. CMS update of April 30, 2025

    • Staffing

      Total nurse staffing reported to CMS went from 3.3 to 2.9 hours per resident per day.

  10. Health inspection on March 5, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on April 5, 2025.

    See this home on CMS Care Compare

  11. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  12. Health inspection on December 20, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on January 10, 2025.

    See this home on CMS Care Compare

  13. CMS update of October 30, 2024

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  14. CMS update of June 26, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 2 of 5.

  15. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

  16. Health inspection on April 13, 2023

    11 citations

    CMS lists this as a standard inspection.

    Show the 11 citations
    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 20, 2023.

    • Citation F0622. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 20, 2023.

    • Citation F0623. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on May 20, 2023.

    • Citation F0625. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 20, 2023.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on May 20, 2023.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on May 20, 2023.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on May 20, 2023.

    • Citation F0756. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on May 20, 2023.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 20, 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on May 20, 2023.

    • Citation F0947. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

      CMS lists it as corrected on May 20, 2023.

    See this home on CMS Care Compare

  17. Fire safety inspection on April 13, 2023

    12 citations

    CMS lists this as a standard inspection.

    Show the 12 citations
    • Citation K0161. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on July 21, 2023.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on June 9, 2023.

      CMS has cited this home for K0345 2 times since 2019.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on June 9, 2023.

    • Citation K0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on May 21, 2023.

    • Citation K0918. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on July 21, 2023.

      CMS has cited this home for K0918 2 times since 2019.

    • Citation K0372. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on June 1, 2023.

      CMS has cited this home for K0372 2 times since 2018.

    • Citation K0521. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on June 9, 2023.

    • Citation K0923. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on May 18, 2023.

    • Citation E0022. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Establish policies and procedures for sheltering.

      CMS lists it as corrected on April 27, 2023.

    • Citation E0025. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Create arrangements with other facilities to receive patients.

      CMS lists it as corrected on June 2, 2023.

    • Citation E0026. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Establish roles under a Waiver declared by secretary.

      CMS lists it as corrected on May 30, 2023.

    • Citation K0712. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on May 17, 2023.

    See this home on CMS Care Compare

  18. Health inspection on October 15, 2019

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on December 30, 2019.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on December 30, 2019.

    See this home on CMS Care Compare

  19. Fire safety inspection on October 15, 2019

    6 citations

    CMS lists this as a standard inspection.

    Show the 6 citations
    • Citation K0225. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have stairways and smokeproof enclosures used as exits that meet safety requirements.

      CMS lists it as corrected on December 26, 2019.

    • Citation K0914. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      CMS lists it as corrected on December 26, 2019.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on December 26, 2019.

    • Citation K0345. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on December 26, 2019.

    • Citation K0918. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on December 26, 2019.

    • Citation K0921. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on December 26, 2019.

    See this home on CMS Care Compare

  20. Health inspection on January 16, 2018

    7 citations

    CMS lists this as a standard inspection.

    Show the 7 citations
    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on March 16, 2018.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on March 16, 2018.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on March 16, 2018.

    • Citation F0659. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care by qualified persons according to each resident's written plan of care.

      CMS lists it as corrected on March 16, 2018.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on March 16, 2018.

    • Citation F0757. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on March 16, 2018.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on March 16, 2018.

    See this home on CMS Care Compare

  21. Fire safety inspection on January 16, 2018

    10 citations

    CMS lists this as a standard inspection.

    Show the 10 citations
    • Citation K0372. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on March 29, 2018.

    • Citation E0009. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Include a process for Emergency Preparedness collaboration.

      CMS lists it as corrected on March 29, 2018.

    • Citation E0015. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Address subsistence needs for staff and patients.

      CMS lists it as corrected on March 29, 2018.

    • Citation E0018. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Establish procedures for tracking staff and patients during an emergency.

      CMS lists it as corrected on March 29, 2018.

    • Citation E0020. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Establish policies and procedures including evacuation.

      CMS lists it as corrected on March 29, 2018.

    • Citation E0024. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Establish policies and procedures for volunteers.

      CMS lists it as corrected on March 29, 2018.

    • Citation E0039. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on March 29, 2018.

    • Citation E0041. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement emergency and standby power systems.

      CMS lists it as corrected on March 29, 2018.

    • Citation K0352. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Properly install and monitor supervisory attachments on automatic sprinkler systems.

      CMS lists it as corrected on April 13, 2018.

    • Citation K0901. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

      CMS lists it as corrected on March 29, 2018.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(845) 855-5700
Last standard health inspection
April 13, 2023 (3 years ago)
Certified beds
122
Residents per day, on average
114.9
Ownership type
For profit - Corporation
Legal business name
Center for Rehabilitation and Healthcare at Dutchess LLC
Chain
The Grand Healthcare
Takes part in
Medicare and Medicaid

More health citations than the New York average (43 vs 21).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was The Grand Rehabilitation and Nursing At Pawling last inspected?

CMS lists April 13, 2023 as the date of its most recent standard health inspection.

How many citations (violations) does The Grand Rehabilitation and Nursing At Pawling have?

CMS lists 43 health citations since January 16, 2018. CMS also calls these deficiencies.

Has The Grand Rehabilitation and Nursing At Pawling been fined?

CMS lists 1 fine in the past three years, $10,519 in total.

What is the CMS star rating of The Grand Rehabilitation and Nursing At Pawling?

Its CMS overall star rating is 1 of 5.

Is The Grand Rehabilitation and Nursing At Pawling a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.