The Grand Rehabilitation and Nursing at Pawling
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 86 Google reviews
Watch The Grand Rehabilitation and Nursing at Pawling
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (17 vs median 6.0)
- High RN turnover (58%)
Bottom 25% in NY · Below recommended RN staffing · Worst in THE GRAND HEALTHCARE chain · $15,935 in fines
What this means for your family
While the activities and physical therapy departments are frequently praised for their dedication, the facility suffers from recurring, serious reports of understaffing and neglect. Families considering this facility should conduct an unannounced visit to check for cleanliness and observe staff-to-resident ratios, and should be prepared to be highly involved in their loved one's daily care and advocacy.
Google Reviews
Google Reviews
86 reviews on Google“The Grand Rehabilitation and Nursing at Pawling receives highly polarized feedback, with many families praising specific staff members in activities and nursing while others report severe neglect and systemic issues. While some residents experience successful rehabilitation and compassionate care, multiple reviewers cite concerns regarding chronic understaffing, poor hygiene, and inadequate communication from management. Families should be aware that experiences appear to vary significantly based on the specific unit and the individual staff members assigned to their loved one.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated and caring activities department
- Effective physical and occupational therapy
- Specific nursing and CNA staff members noted for professionalism
- Supportive social work and administrative assistance for transitions
Concerns
- Chronic understaffing leading to neglect (mentioned by 12 reviewers)
- Poor facility hygiene and cleanliness (urine/mold smells) (mentioned by 6 reviewers)
- Inadequate communication and unresponsive management (mentioned by 6 reviewers)
- Poor nutritional care and weight loss (mentioned by 4 reviewers)
- Medication management and medical errors (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 80 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We've heard wonderful things about your activities department and the social work team; could you tell us more about how they help residents transition into the community?
- 2How does the nursing team ensure that medication schedules are strictly followed and that any changes in a resident's health are communicated to the family immediately?
- 3What specific steps is the facility taking to improve the cleanliness of the resident rooms and common areas?
- 4Could you describe the dining experience, specifically how the kitchen manages nutritional needs and prevents weight loss for residents?
- 5What is the protocol for managing medical emergencies or sudden changes in condition during the night shifts?
- 6With the recent state inspections, what specific improvements have been implemented to address the staffing levels and ensure consistent care?
Personalized based on this facility's data
Key Review Excerpts
“Very disheartening to hear my father say they put him in a diaper, because they didn't have time to put him on the toilet, then left him in a soiled diaper for over 4 hours only to have it finally changed by his PT person.”
“My father came here for 3 months after being in the ICU for three weeks. Every facility in the area declined my father due to his weight. This place took him with open arms and started to rehab him immediately.”
“Stay away!!! My father was there and they treated him horrible . I would never ever recommend this place to anyone. They would leave him peed and pooped for hours. He ended up with a stage 4 bed sore.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
5
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering 8 deficiencies, including recent concerns about protection from abuse and neglect. The facility shows recurring problems with treatment and care quality, resident rights, and building safety systems across all surveys from 2018-2025. While the facility reports correcting each violation, the pattern of repeated issues in core care areas suggests ongoing operational challenges that warrant careful consideration during any visit.
Jun 17, 2025Complaint5
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights Deficiencies
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
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.
Mar 5, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Dec 20, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 13, 2023Routine23
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
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
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.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
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
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Emergency Preparedness Deficiencies
Establish policies and procedures for sheltering.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Oct 15, 2019Routine8
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Jan 16, 2018Routine17
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Electrical Deficiencies
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Federal Penalties
Fine
Jun 17, 2025
$10,519
Ownership & Operations
Who Operates This Facility
The Grand Rehabilitation and Nursing at Pawling
for profit
Chain Affiliation
The Grand Healthcare
16 facilities nationwide
Chain avg rating: 1.8/5 · Rank 11 of 16 (Worst)
Ownership & Management
Owners
Strauss, Jeremy
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
86 reviews from families & visitors
Official Website
Visit thegrandhealthcare.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.