Pawling, NY

The Grand Rehabilitation and Nursing At Pawling

1-star overall rating with 1-star inspections with $15,935 in total fines with 17 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

9 Reservoir Road, Pawling, NY

(845) 855-5700

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

122

Certified beds

Average residents

114

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Grand Healthcare

Operator or chain grouping

Approved since

1976-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.43

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

1.09

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.64

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.16

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.52

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.65

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.17

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.46

CMS adjusted RN staffing hours

Adjusted total hours

3.43

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

58%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,057

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

8.68

Composite VBP score used to determine payment impact.

Payment multiplier

0.9808

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.55% · Performance 22.71% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 7.22% · Performance 9.21% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.47

Baseline 54.17% · Performance 49.48% · Measure score 3.47 · Achievement 3.47 · Improvement 1.10

Adjusted total nurse staffing

0

Baseline 3.16 hours · Performance 2.84 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.55%
10.72%
1.2 pts better
No Different than the National Rate · Eligible stays 209 · Observed rate 10.05% · Lower 95% interval 7.03%
Discharge to community 35.45%
50.57%
15.1 pts worse
Worse than the National Rate · Eligible stays 254 · Observed rate 25.2% · Lower 95% interval 29.49%
Medicare spending per beneficiary 1.41
1.02
0.4 pts worse
Drug regimen review with follow-up 99.19%
95.27%
3.9 pts better
Numerator 123 · Denominator 124
Falls with major injury 0.81%
0.77%
About the same
Numerator 1 · Denominator 124
Discharge self-care score 60.61%
53.69%
6.9 pts better
Numerator 40 · Denominator 66
Discharge mobility score 46.97%
50.94%
4 pts worse
Numerator 31 · Denominator 66
Pressure ulcers or injuries, new or worsened 4.03%
2.29%
1.7 pts worse
Numerator 5 · Denominator 124 · Adjusted rate 3.55%
Healthcare-associated infections requiring hospitalization 9.21%
7.12%
2.1 pts worse
No Different than the National Rate · Eligible stays 123 · Observed rate 14.63% · Lower 95% interval 6.26%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 160
Staff flu vaccination coverage 52.81%
42%
10.8 pts better
Numerator 122 · Denominator 231
Discharge function score 62.12%
56.45%
5.7 pts better
Numerator 41 · Denominator 66
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 53 · Denominator 53
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 36 · Denominator 36
Resident COVID-19 vaccinations up to date 51.52%
25.2%
26.3 pts better
Numerator 34 · Denominator 66

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
1.7
0.1 pts worse
1.9
0.1 pts better
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.8 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.0
1.3
0.7 pts worse
1.8
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.0 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.9%
91.2%
5.7 pts better
93.4%
3.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 93.0% · Q3 97.8% · Q4 100.0% · 4Q avg 96.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.2%
95.3%
0.1 pts worse
95.5%
0.3 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2%
Percentage of long-stay residents experiencing one or more falls with major injury 3.7%
3.0%
0.7 pts worse
3.3%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.0% · Q3 5.4% · Q4 3.1% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.1%
18.5%
17.4 pts better
11.4%
10.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 1.1% · Q4 1.1% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight 8.7%
6.1%
2.6 pts worse
5.4%
3.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 12.8% · Q3 9.3% · Q4 4.3% · 4Q avg 8.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.9%
13.5%
0.4 pts worse
19.6%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 14.4% · Q3 13.2% · Q4 13.7% · 4Q avg 13.9%
Percentage of long-stay residents who received an antipsychotic medication 13.5%
14.8%
1.3 pts better
16.7%
3.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 14.5% · Q3 13.2% · Q4 11.1% · 4Q avg 13.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 14.5%
15.1%
0.6 pts better
16.3%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 17.3% · Q3 16.5% · Q4 2.3% · 4Q avg 14.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 14.0%
15.5%
1.5 pts better
14.9%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 17.9% · Q3 10.0% · Q4 10.7% · 4Q avg 14.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
0.6%
0.2 pts better
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.6%
1.4%
0.2 pts worse
1.7%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.1% · Q3 1.1% · Q4 1.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.3%
20.8%
3.5 pts better
19.8%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 21.0% · Q3 16.7% · Q4 15.0% · 4Q avg 17.3%
Percentage of long-stay residents with pressure ulcers 5.0%
6.9%
1.9 pts better
5.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 2.3% · Q3 4.7% · Q4 6.5% · 4Q avg 5.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 58.3%
76.7%
18.4 pts worse
81.7%
23.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 44.7% · Q2 58.1% · Q3 67.6% · Q4 59.1% · 4Q avg 58.3%
Percentage of short-stay residents who had an outpatient emergency department visit 10.1%
9.7%
0.4 pts worse
12.0%
1.9 pts better
Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 11.0% · Expected 12.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.0%
1.2%
0.2 pts better
1.6%
0.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.2% · Q4 1.2% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 57.4%
78.8%
21.4 pts worse
79.7%
22.3 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 57.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 29.4%
20.6%
8.8 pts worse
23.9%
5.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 29.4% · Observed 32.0% · Expected 26.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-04-13 · Fire 2023-04-13

17 health deficiencies

Top issue: Resident Rights (6 deficiencies)

12 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 2 Health 2019-10-15 · Fire 2019-10-15

3 health deficiencies

Top issue: Infection Control (1 deficiency)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2018-01-16 · Fire 2018-01-16

7 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

10 fire-safety deficiencies

Top issue: Emergency Preparedness (7 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-04-13

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-07-21

F · Potential for more than minimal harm 2023-04-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-06-09

E · Potential for more than minimal harm 2023-04-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-09

E · Potential for more than minimal harm 2023-04-13

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-05-21

E · Potential for more than minimal harm 2023-04-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-04-13

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-01

D · Potential for more than minimal harm 2023-04-13

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-04-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-05-18

C · Minimal harm 2023-04-13

E22 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for sheltering.

Corrected 2023-04-27

C · Minimal harm 2023-04-13

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2023-06-02

C · Minimal harm 2023-04-13

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-05-30

C · Minimal harm 2023-04-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-05-17

E · Potential for more than minimal harm 2019-10-15

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2019-12-26

E · Potential for more than minimal harm 2019-10-15

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-12-26

D · Potential for more than minimal harm 2019-10-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-12-26

D · Potential for more than minimal harm 2019-10-15

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-12-26

D · Potential for more than minimal harm 2019-10-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-12-26

D · Potential for more than minimal harm 2019-10-15

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-12-26

E · Potential for more than minimal harm 2018-01-16

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2018-03-29

D · Potential for more than minimal harm 2018-01-16

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2018-03-29

D · Potential for more than minimal harm 2018-01-16

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2018-03-29

D · Potential for more than minimal harm 2018-01-16

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2018-03-29

D · Potential for more than minimal harm 2018-01-16

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2018-03-29

D · Potential for more than minimal harm 2018-01-16

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2018-03-29

D · Potential for more than minimal harm 2018-01-16

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2018-03-29

D · Potential for more than minimal harm 2018-01-16

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2018-03-29

D · Potential for more than minimal harm 2018-01-16

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2018-04-13

D · Potential for more than minimal harm 2018-01-16

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2018-03-29

Inspection history

Recent health citations

G · Actual harm 2025-06-17

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-07-23

F · Potential for more than minimal harm 2025-06-17

F725 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2025-10-08

E · Potential for more than minimal harm 2025-06-17

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-06-17

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-07-23

D · Potential for more than minimal harm 2025-06-17

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2025-08-15

D · Potential for more than minimal harm 2025-03-05

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-04-05

D · Potential for more than minimal harm 2024-12-20

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-01-10

D · Potential for more than minimal harm 2023-04-13

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-05-20

D · Potential for more than minimal harm 2023-04-13

F622 · Resident Rights Deficiencies

Health

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.

Corrected 2023-05-20

D · Potential for more than minimal harm 2023-04-13

F623 · Resident Rights Deficiencies

Health

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

Corrected 2023-05-20

D · Potential for more than minimal harm 2023-04-13

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2023-05-20

D · Potential for more than minimal harm 2023-04-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-05-20

D · Potential for more than minimal harm 2023-04-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-05-20

D · Potential for more than minimal harm 2023-04-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-20

D · Potential for more than minimal harm 2023-04-13

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-05-20

D · Potential for more than minimal harm 2023-04-13

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-05-20

D · Potential for more than minimal harm 2023-04-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-20

D · Potential for more than minimal harm 2023-04-13

F947 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2023-05-20

D · Potential for more than minimal harm 2019-10-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-12-30

D · Potential for more than minimal harm 2019-10-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-12-30

E · Potential for more than minimal harm 2018-01-16

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2018-03-16

D · Potential for more than minimal harm 2018-01-16

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-03-16

D · Potential for more than minimal harm 2018-01-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2018-03-16

D · Potential for more than minimal harm 2018-01-16

F659 · Resident Assessment and Care Planning Deficiencies

Health

Provide care by qualified persons according to each resident's written plan of care.

Corrected 2018-03-16

D · Potential for more than minimal harm 2018-01-16

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2018-03-16

D · Potential for more than minimal harm 2018-01-16

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2018-03-16

D · Potential for more than minimal harm 2018-01-16

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2018-03-16

Penalties and ownership

What sits behind the stars

$15,935 2025-06-17

Fine

Fine · fine $15,935

Fine

$0 2023-04-13

Payment Denial

Payment Denial · denial start 2023-07-13 · 8 days

8 day denial

Ownership

Strauss, Jeremy

5% Or Greater Direct Ownership Interest · Individual

98% 15 facilities 2004-08-18
Rogers, Eric

Operational/Managerial Control · Individual

0% 10 facilities 2018-07-01
Rogers, Eric

Corporate Officer · Individual

0% 10 facilities 2018-07-01
Rogers, Eric

W-2 Managing Employee · Individual

0% 10 facilities 2018-07-01
Strauss, Jeremy

W-2 Managing Employee · Individual

0% 15 facilities 2004-08-21

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