The Grand Rehabilitation and Nursing At Pawling

In the surveyor’s words

From the most serious findings on record at The Grand Rehabilitation and Nursing At Pawling, in the surveyor’s own words.

• Actual harm, isolatedF559Aug 21, 2026

  Based on observations, interviews, and record review conducted during a survey, the facility failed to ensure the resident's right to receive written notice, including the reason for the change, before the resident's room or roommate in the facility was changed. This was evident for two (Residents #5 and #15) of three residents reviewed for resident rights. Specifically, 1) Resident #5 and their designated representative were not provided with notification nor an opportunity to meet their new roommate prior to receiving one on 02/13/2026, and 2) Resident #15 was cognitively impaired and had their room changed on 02/13/2026 without a documented explanation or plan to address the resident's potential adjustment needs. […]

• Actual harm, isolatedF689Aug 21, 2026

  Based on interviews and record review conducted during the survey, the facility failed to ensure a resident remained free from accident hazards for one (Resident #5) of three residents reviewed for accidents. Specifically, on 06/16/2025 Certified Nurse Aide #11 turned Resident #5 on their side to provide care and the resident rolled out of bed and onto the floor sustaining a right tibia and fibula fracture (a break in the two long bones of the lower leg). This resulted in actual harm to Resident #5 that was not Immediate Jeopardy.The findings are:Resident #5 had diagnoses of epilepsy (a chronic brain disorder characterized by seizures), chronic obstructive pulmonary disease (progressive lung disease), and cerebral infarction without residual deficits (a stroke without lasting neurological… […]

• Actual harm, isolatedF684Jun 17, 2025

  Based on observation, record review and interviews during the recertification and abbreviated surveys (NY00351988), the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one (1) of four (4) residents (Resident #217) reviewed for pressure ulcers. Specifically, Resident #217 reported ongoing loose bowel movements and there was no documented evidence of clinical monitoring and collection of stool for Clostridium Difficile as planned in the 7/22/2024 Nurse Practitioner progress note, and no documented evidence that stool for Clostridium Difficile (a bacterium that causes an infection of the colon) and a Complete Blood Count/Comprehensive Metabolic Panel were collected as planned in the 7/24/2024 Nurse Practitioner progress… […]

• No harm, potential for more than minimal, widespreadF627Aug 21, 2026

  Based on observations, interviews, and record reviews conducted during a survey, the facility did not ensure an effective discharge planning process that focuses on the resident's discharge goals and preparation for residents to effectively transition to post-discharge care for four of four residents reviewed for discharge (Resident #10, Resident #12, Resident #13, and Resident #15). Specifically, 1) Resident #13 was discharged home on [DATE]. The referral for the resident's post discharge care for intravenous management was not completed before discharge. […]

• No harm, potential for more than minimal, widespreadF725Jun 17, 2025

  Based on record review and interviews conducted during the Recertification and Abbreviated surveys (NY00339190) from 06/10/25 to 06/17/25, the facility did not ensure there was sufficient nursing staff to attain or maintain the highest practicable physical and psychosocial well-being of each resident. Specifically, the facility did not provide adequate nurse staffing per the Facility Assessment Staffing Plan to meet the needs of the residents on sixty-nine of ninety days reviewed. This was evidenced by the nurse staffing schedules dated April 26, 2024, May 7, 2024, December 1 through December 31, 2024, weekends from January 1, 2025 through March 31, 2025, and May 10-June 10, 2025. […]