I've been to the Grand at Pawling twice for therapy. The therapy, which is fantastic and the caring staff, are their greatest assets. I did feel like there was sometimes a lack of proper communication between all departments and that was a bit off putting to me.. I found that staff didn't always have the tools they needed, like extra linens and activity information and scheduling. It may not seem like that big a deal, but when you're in a place for rehab you're already vulnerable and every nuance matters. Still, it didn't damper my overall satisfaction with the quality of care and the therapy. I felt like my aides and CNA's really did care about me and my condition. Some were better than others, but all were professional and qualified. 4 stars is fair.