THE GRAND REHABILITATION AND NURSING AT PAWLING Nursing Home


THE GRAND REHABILITATION AND NURSING AT PAWLING (CCN: 335458) is a For profit - Corporation facility located in PAWLING, NY (12564). The facility has an overall rating of 3/5, health inspection rating of 4/5, and a staffing rating of 1/5. It offers 122 certified beds and maintains an average of 108. residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.20373 total hours per resident per day. It has been certified since October 1, 1976 and the last listed health inspection was on October 15, 2019, The facility is located in Dutchess county and provides senior and nursing home care.

THE GRAND REHABILITATION AND NURSING AT PAWLING Summary


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Provider Name: THE GRAND REHABILITATION AND NURSING AT PAWLING

Address: 9 RESERVOIR ROAD, PAWLING, NY 12564

Phone: (845) 855-5700

County: Dutchess (230)

Ownership Type: For profit - Corporation

Certified Beds: 122

Average Residents Per Day: 108. ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: CENTER FOR REHABILITATION AND HEALTHCARE AT DUTCHESS LLC

First Approved Date: October 1, 1976

Affiliated Entity: THE GRAND HEALTHCARE (509)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 3 ()

Health Inspection Rating: 4 ()

QM Rating: 3 ()

Long Stay QM Rating: 5 ()

Short Stay QM Rating: 2 ()

Staffing Rating: 1 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 1.77734, LPN Staff Hours Per Day: 0.9029, RN Staff Hours Per Day: 0.5234, Licensed Staff Hours Per Day: 1.4263

Total Nurse Staff Hours Per Day, per resident: 3.20373

Weekend Nurse Staff Hours: 2.77571, Weekend RN Staff Hours: 0.4179

PT Staff Hours Per Day, per resident: 0.1784

Nurse Staff Turnover: 58.1, Nurse Turnover Note:

RN Turnover: 60.0, RN Turnover Note:

Admin Left Number: 1, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.0625, Case Mix LPN Hours Per Day: 0.8492, Case Mix RN Hours Per Day: 0.4832

Adjusted Nurse Aide Hours Per Day, per resident: 1.75552, Adjusted LPN Hours Per Day: 0.7845, Adjusted RN Hours Per Day: 0.4082

Total Adjusted Nurse Hours Per Day, per resident: 2.97440

Adjusted Weekend Nurse Hours Per Day, per resident: 2.57702

Health Survey Dates and Scores: Cycle 1: 2019-10-15 (Score: 12), Cycle 2: 2018-01-16 (Score: 32), Cycle 3: 2016-09-16 (Score: 0)

Total Weighted Health Score: 16.667

Reported Incidents: 0, Substantiated Complaints: 1

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 1, Total Penalties Number: 1

Location and GPS: 9 RESERVOIR ROAD,PAWLING,NY,12564 (41.5753, -73.591)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-04-13

Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-05-20

Citation on 2019-10-15

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

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-12-30

Citation on 2019-10-15

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-12-30

Citation on 2018-01-16

Type: Health, Deficiency: Ensure each resident receives an accurate assessment.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-16

Citation on 2018-01-16

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

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-16

Citation on 2018-01-16

Type: Health, Deficiency: Provide care by qualified persons according to each resident's written plan of care.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-16

Citation on 2018-01-16

Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-16

Citation on 2018-01-16

Type: Health, Deficiency: Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-16

Citation on 2018-01-16

Type: Health, Deficiency: Ensure medication error rates are not 5 percent or greater.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-16

Citation on 2018-01-16

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

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-16


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2019-11-05

Type: Fire Safety, Tag: 0225, Version: New

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

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-12-26

Citation on 2019-11-05

Type: Fire Safety, Tag: 0324, Version: New

Description: Provide properly protected cooking facilities.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-12-26

Citation on 2019-11-05

Type: Fire Safety, Tag: 0345, Version: New

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

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-12-26

Citation on 2019-11-05

Type: Fire Safety, Tag: 0914, Version: New

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

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-12-26

Citation on 2019-11-05

Type: Fire Safety, Tag: 0918, Version: New

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

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-12-26

Citation on 2019-11-05

Type: Fire Safety, Tag: 0921, Version: New

Description: Ensure that testing and maintenance of electrical equipment is performed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-12-26

Citation on 2018-01-16

Type: Fire Safety, Tag: 0009, Version: New

Description: Include a process for Emergency Preparedness collaboration.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-29

Citation on 2018-01-16

Type: Fire Safety, Tag: 0015, Version: New

Description: Address subsistence needs for staff and patients.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-29

Citation on 2018-01-16

Type: Fire Safety, Tag: 0018, Version: New

Description: Establish procedures for tracking staff and patients during an emergency.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-29

Citation on 2018-01-16

Type: Fire Safety, Tag: 0020, Version: New

Description: Establish policies and procedures including evacuation.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-29

Citation on 2018-01-16

Type: Fire Safety, Tag: 0024, Version: New

Description: Establish policies and procedures for volunteers.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-29

Citation on 2018-01-16

Type: Fire Safety, Tag: 0039, Version: New

Description: Conduct testing and exercise requirements.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-29

Citation on 2018-01-16

Type: Fire Safety, Tag: 0041, Version: New

Description: Implement emergency and standby power systems.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-29

Citation on 2018-01-16

Type: Fire Safety, Tag: 0352, Version: New

Description: Properly install and monitor supervisory attachments on automatic sprinkler systems.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-04-13

Citation on 2018-01-16

Type: Fire Safety, Tag: 0372, Version: New

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

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-29

Citation on 2018-01-16

Type: Fire Safety, Tag: 0901, Version: New

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

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-03-29

Citation on 2016-09-16

Type: Fire Safety, Tag: 0038, Version: New

Description: Exits that are accessible at all times.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-11-04

Citation on 2016-09-16

Type: Fire Safety, Tag: 0147, Version: New

Description: Properly installed electrical wiring and equipment.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-11-04