Hudson Valley Senior AdvisorThe Grand Rehabilitation and Nursing at Pawling at 9 Reservoir Road, Pawling, is a 122-bed Medicare- and Medicaid-certified nursing home in the Town of Pawling, Dutchess County, operating under New York certificate 1322302N. CMS gives The Grand Rehabilitation and Nursing at Pawling an overall rating of 1 out of 5 stars in the Care Compare release dated October 1, 2026.
How many stars has CMS given The Grand Rehabilitation and Nursing at Pawling?
CMS gives The Grand Rehabilitation and Nursing at Pawling an overall rating of 1 out of 5 stars; its component scores are 1 for health inspections, 3 for staffing and 2 for quality measures.
| Item | Value |
|---|---|
| CMS overall rating | 1 of 5 |
| Health inspections (CMS) | 1 of 5 |
| Staffing (CMS) | 3 of 5 |
| Quality measures (CMS) | 2 of 5 |
| Certified beds / residents on an average day | 122 / 114.9 |
| Ownership (as CMS reports it) | For profit - Corporation |
| Chain (as CMS reports it) | The Grand Healthcare (16 homes) |
| Medicare/Medicaid participation since | October 1, 1976 |
| NYSDOH certificate | 1322302N, 122 beds on the state roster |
| Operator on the state roster | The Center for Rehabilitation and Healthcare at Dutchess, LLC |
On an average day about 115 people live here, roughly 94% of certified beds and above the 92% typical of Dutchess and Orange nursing homes.
What deficiencies does CMS list for The Grand Rehabilitation and Nursing at Pawling?
CMS dates The Grand Rehabilitation and Nursing at Pawling's most recent standard health inspection April 13, 2023; that cycle produced 25 health deficiencies, 11 from the standard survey and 14 from complaint visits.
Its earlier survey (October 15, 2019) shows 9 deficiencies; infection-control reviews contributed 0 more. Against a two-county median of 12, this home has more citations than most neighbors.
In CMS's three-year penalty window: 1 fine totaling $10,519 and 0 payment denials.
What are staffing levels like at The Grand Rehabilitation and Nursing at Pawling?
CMS payroll records put total nurse staffing at The Grand Rehabilitation and Nursing at Pawling at 3.44 hours per resident day (level with the two-county midpoint of 3.44), with RNs providing 0.46 hours (lower than the Dutchess-Orange midpoint of 0.51).
Weekend staffing drops or holds at 3.07 hours per resident per day. Turnover among nursing staff is 52.7% (higher than the Dutchess-Orange midpoint of 32.4%); RN turnover is 35.7%. 1 administrator has left during CMS's measurement period. Under Public Health Law 2895-b New York requires 3.5 daily hours per resident, at least 2.2 from aides and 1.1 from licensed nurses. On CMS's figures (1.94 aide hours, 1.50 licensed hours) this home falls short of that floor, though the state judges compliance quarter by quarter.
How does The Grand Rehabilitation and Nursing at Pawling compare with nearby nursing homes?
With 122 certified beds it is smaller than the Dutchess County median home (160 beds); the closest other certified home is Taconic Rehabilitation and Nursing at Hopewell in Fishkill, roughly 15.4 miles off, in a straight line, rated 3 of 5 by CMS.
| Facility | Miles away | Certified capacity | CMS overall rating | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|---|
| Taconic Rehabilitation and Nursing at Hopewell 3 Summit Court, Fishkill 12524 | 15.4 | 160 | 3 of 5 | February 12, 2026 | 12 |
| Sapphire Nursing at Wappingers 37 Mesier Avenue, Wappingers Falls 12590 | 16.9 | 62 | 2 of 5 | April 17, 2024 | 19 |
| Lutheran Center at Poughkeepsie, Inc 965 Duthcess Turnpike, Poughkeepsie 12603 | 16.9 | 160 | 3 of 5 | February 6, 2024 | 13 |
| The Pines at Poughkeepsie Center for Nursing & Rehabilitation 100 Franklin Street, Poughkeepsie 12601 | 19.4 | 200 | 4 of 5 | August 20, 2024 | 8 |
| Taconic Rehabilitation and Nursing at Beacon 10 Hastings Dr, Beacon 12508 | 19.5 | 160 | 4 of 5 | July 1, 2024 | 6 |
How close is The Grand Rehabilitation and Nursing at Pawling to a hospital?
The Grand Rehabilitation and Nursing at Pawling is in the Town of Pawling in Dutchess County; the nearest general hospital is Vassar Brothers Medical Center (Northwell Health (formerly Nuvance Health)), roughly 19.6 miles off, measured point to point.
MidHudson Regional Hospital is next, about 20.0 miles away as the crow flies; driving takes longer.
What should families ask The Grand Rehabilitation and Nursing at Pawling before choosing it?
The published data suggests where to probe: ask for the plan of correction for the 25 deficiencies cited on April 13, 2023 and what has changed since.
- Turnover of 52.7% is above the local median; ask how many aides on each shift are agency staff.
- Ask what caused $10,519 in CMS fines and whether the problem behind them is fixed.
- With beds about 94% full, ask about the waiting list and whether short-term rehab has its own unit.
- CMS lists a resident council; ask when it meets and whether relatives can join.
- If Medicaid may pay later, confirm that The Grand Rehabilitation and Nursing at Pawling keeps residents in the same room after conversion and how it handles the $50 monthly personal needs allowance.
State record: The Grand Rehabilitation and Nursing at Pawling on NYS Health Profiles.
