The Grand Rehabilitation and Nursing At Pawling

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

35.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 254 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 73 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 34% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 122 beds and averages 109.8 residents a day — about 90% occupied, or roughly 12 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.45 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.82 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.99 hrs/resident/day on weekends vs 3.64 on weekdays — 18% thinner on weekends. RN hours go from 0.70 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 3 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

27 citations, most serious first. The 11 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · Gcited before2025-06-17 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  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 note. Additionally, Docusate Sodium (stool softener) 100 milligrams was not held for loose stools as per physician order on 7/24/2024, 7/25/2024 and 7/27/2024. Subsequently Resident #217 was transferred to the hospital on 7/29/2024 due to lethargy and slurred speech and was admitted to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-06-17 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  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. Additionally, residents expressed concerns that there were not enough nurse aides to provide them with necessary care and assistance, residents were observed in bed late into the day shift, and nursing staff expressed concerns about low staffing. The findings included: The July 2024 Facility Assessment Staffing Plan documented: Unit 100: Day shift: one (1) Licensed Practical Nurse Unit Manager, two (2)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-17 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews during the Recertification and Abbreviated Surveys (NY00339190, NY00364897, NY00368159, NY00372669, NY00377396, NY00356909, and NY00373290) from 6/10-6/17/2025, the facility did not ensure that residents unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene for 9 of 9 residents (Residents #46, #14, #74, #216, #364, #214, #78, #314, #165, and 13) reviewed for Activities of Daily Living and 3 additional residents (Residents #61, 76, and 6) observed during the sufficient staffing task. Specifically, 1) Resident # 46 was not provided timely incontinence care and was not gotten out of bed daily. 2) Resident #14 was not provided consistent incontinence care and showers. 3) Resident #74 was observed with long dirty finger nails, clothes soiled with food and a noticeable urine odor. Additionally, Residents #78 and #13 were not showered as planned; Residents #214, #216, #165, #364 and #314's Certified…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-17 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during the recertification and abbreviated (NY00356909, NY00339190) surveys from 6/10/25 to 6/17/25, the facility did not ensure resident's right to a safe, clean, comfortable, and homelike environment. Specifically, 1) Maintenance Care Logs dated January 2024 to present documented more than five hundred (500) reports of television and television remote controls not working properly and many not repaired timely. Additionally, Resident #314's family reported during April and September 2024 visits Resident #314 did not have a functioning television in their room, and 2) the closet door in Resident #39's room had broken hinges which prevented proper attachment. The findings are: The Policy dated January 2025 titled Maintenance Service, documented the maintenance department is responsible for maintaining the buildings, grounds, and equipment in a safe and operable manner. During an interview on 06/10/25 at 11:51 AM, Resident #46 stated every time they…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-17 · tag F0585 — failed to handle grievances — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review conducted during the recertification and abbreviated surveys (NY00364897) from 6/10/25 to 6/17/25, the facility did not ensure each resident's right to file a grievance and/or that prompt efforts were made to resolve a grievance for one of six residents (Resident #14) reviewed for Personal Property. Specifically, there was no documented evidence that a grievance was filed an investigation conducted and/or a grievance was resolved when Resident 14 reported to staff they were missing a bag that contained their license, gift cards, and some cash and multiple clothing items. The findings include: The Policy titled Grievances, complaints, and filing, which was revised in January 2025, documented residents and their representatives have the right to file grievances either orally or in writing with the facility staff. The administrator and staff are committed to making prompt efforts to resolve grievances to the satisfaction of the resident and /or representative. Individuals…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-05 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview during an abbreviated survey (NY00348469, NY00349271) the facility did not ensure a resident was free from physical and verbal abuse from a staff member for 1 of 3 residents reviewed for abuse, neglect, or mistreatment was free from verbal abuse. Specifically, on 7/16/2024, Resident #2 reported that a Certified Nurse Aide #1 that provided care pulled their hair, hit and pulled their thumb. The incident was witnessed by the residents' roommate (Resident #3). In addition, Certified nurse Aide #5's statement revealed that when they walked into Resident #2's room, they found Resident #2 crying and Certified Nurse Aide #1 was telling Resident #2, I am a serious person, and you are racist. The Findings are: The Facility's Policy on Abuse Prevention dated 1/2025 documented that facility's residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. This includes but is not limited to freedom from corporal punishment, involuntary…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews conducted during an abbreviated survey (NY00326926), the facility did not ensure a resident received treatment and care in accordance with professional standards of practice. This was evident for 1 of 3 Residents (Resident #1) reviewed for quality of care. Specifically, the facility did not ensure a endocrinology consult recommendation on 10/17/2023, to start an oral anti diabetic medication (Glipizide) was completed. Resident #1 was discharged on 3/21/2024. The recommendation from the nephrologist was not carried out at the time of discharge. Findings included: Review of facility undated policy, titled, Medication and Treatment Orders last reviewed 01/2024 documented, Orders for medications and treatments will be consistent with principles of safe and effective order writing. Resident # 1 was admitted with diagnoses including Cerebral Infraction affecting left non-dominant side, Type 2 Diabetes and Chronic Kidney Disease. The Quaterly Minimum Data Set (MDS) dated 2 documented a Brief Interview for Mental Status (BIMS) score of 13 which…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-04-13 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interviews during the Recertification survey conducted from 4/4/23 to 4/13/23, the facility failed to maintain a safe, clean, comfortable, and home-like environment for 1 of 3 resident units (Unit 200) and 1 of 9 resident (Resident #358) reviewed for accidents. Specifically, on the 200-unit there were multiple zip ties found (some with sharp edges) attached to residents' bed frames. Findings include: The facility's Bed Inspection/Repair Policy dated 11/03/22 documented, the maintenance department would handle all maintenance, repairs, and inspections on resident beds. Specifically, The maintenance department would conduct regular bed inspections (bed frames, mattresses, bed rails and FDA's Potential Zones of Entrapment) and whenever safety risks were identified and reported by nursing/ building services/ resident/resident representative and or any other facility staff. While completing a bed inspection, maintenance would check the integrity of the bed frame to ensure all bolts and pins…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-04-13 · tag F0622 — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review during a Recertification Survey conducted 4/4/23-4/13/23 the facility failed to provide a safe and appropriate discharge for one of four residents (Resident #105) reviewed for discharge. Specifically, Resident #105 who was found smoking in a non-smoking facility was discharged from the facility without a physician order. Additionally, prior to discharge there was no documented evidence in Resident #105's Electronic Medical Record (EMR) of the facility efforts in meeting the resident's smoking needs and/or smoking cessation prior to the 3/7/23. The findings are: The Facility Policy and Procedure titled Transfer and Discharge Notice with a review date of 1/2/23 documented a 30-day notice would be given as soon as practicable but before the discharge date if the safety/health of individuals in the facility would be endangered. Resident #105 was admitted to the facility on [DATE] with diagnoses including but not limited to Hip Fracture, Respiratory Failure and Depression. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-04-13 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review during Recertification and Abbreviated Surveys (NY00308264 and NY00312103), conducted from 4/4/23-4/13/23, the facility did not ensure that the Office of the State Long Term Care Ombudsman was notified of the transfer/discharge for four of six residents (Residents #25, 31, 208 and 209) reviewed for hospitalization and one of four residents (#105) reviewed for discharge. The findings are: The Facility Policy and Procedure titled Transfer and Discharge Notice with a review date of 1/2/23 documented a copy would be sent to the Ombudsman office at the same time the notice of transfer/discharge was provided to the resident family and/or family representative. 1. Resident #25 was admitted to the facility on [DATE] with diagnosis including but not limited to Arthritis, Cellulitis and Muscle Weakness. The 2/6/23 admission Minimum Data Set (MDS, an assessment tool) documented Resident #25 had a Brief Interview of Mental Status (BIMS)score of 15 (cognitively intact). The 3/5/23 and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-04-13 · tag F0625 — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review conducted during the recertification survey and abbreviated survey from 4/04/23 through 4/13/23 (NY00308264, NY00312103), it was determined that for 3 of 6 residents (#31 #208 and #209) reviewed for hospitalizations, the facility failed to ensure that the resident or the resident's representatives were notified in writing of the facility's Bed Hold Policy. Specifically, the residents were transferred to the hospital and the facility could not provide evidence that a written notice of the facility's Bed Hold Policy was provided to the residents or the resident's representatives. The findings are: 1. Resident #31 was admitted to the facility on [DATE] with diagnoses including but not limited to Sepsis, Metabolic Encephalopathy, and a Pressure Ulcer Right heel. The Quarterly Minimum Data Set (MDS, a resident assessment and screening tool) dated 3/30/23 documented Resident #31's cognition was severely impaired. A review of the Nursing note dated 12/24/2022 documented Resident #31…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$10,519 in federal fines across 1 penalty.

• $10,519 — penalty dated 2025-06-17

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to THE GRAND HEALTHCARE — 16 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 5 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NY