The Grand Rehabilitation and Nrsg at GuilderlandCMS ratings, inspections and fines
- Address
- 428 State Route 146, Altamont, NY 12009
- CCN
- 335540
- Ownership type
- For-profit, limited liability company
- Certified beds
- 127
- Chain
- The Grand Healthcare
- Residents per day
- 120
- CMS flags
- Special Focus Facility candidate
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives The Grand Rehabilitation and Nrsg at Guilderland an overall rating of 1 of 5 stars. The last standard survey was on 7 Mar 2025. The latest survey cycle has 26 health citations. The median for nursing homes in New York is 7. CMS lists 1 fine of $40,937 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Albany County median | New York median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 11 homes in the county, 593 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | New York median |
|---|---|---|---|
| Cycle 1 (latest) | 7 Mar 2025 | 26 | 7 |
| Cycle 2 | 30 Jan 2024 | 11 | 5 |
| Cycle 3 | No date | 19 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 26 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0584 | 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. | E | Complaint investigation | 28 Apr 2025 |
| 7 Mar 2025 | F0585 | 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. | D | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0625 | 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. | D | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 28 Apr 2025 |
| 7 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 28 Apr 2025 |
| 7 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 28 Apr 2025 |
| 7 Mar 2025 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Complaint investigation | 28 Apr 2025 |
| 7 Mar 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 28 Apr 2025 |
| 7 Mar 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 28 Apr 2025 |
| 7 Mar 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 28 Apr 2025 |
| 7 Mar 2025 | F0761 | 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. | D | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint investigation | 28 Apr 2025 |
| 7 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 19 May 2025 |
| 7 Mar 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | E | Complaint investigation | 28 Apr 2025 |
| 7 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 28 Apr 2025 |
| 7 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Apr 2025 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 28 Apr 2025 |
| 7 Mar 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 28 Apr 2025 |
| 7 Mar 2025 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint investigation | 28 Apr 2025 |
| 30 Jan 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Standard survey | 30 Mar 2024 |
| 30 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Mar 2024 |
| 30 Jan 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 5 Apr 2024 |
| 30 Jan 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 5 Apr 2024 |
| 30 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 20 Feb 2024 |
| 30 Jan 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 17 Mar 2024 |
| 30 Jan 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 6 Apr 2024 |
| 30 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Apr 2024 |
Survey cycle 3: 19 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jan 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 6 Apr 2024 |
| 23 Aug 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0584 | 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. | E | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0761 | 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. | E | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Oct 2021 |
| 23 Aug 2021 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 8 Oct 2021 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 7 Mar 2025 | Fine | $40,937 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | New York median | New York average (CMS) |
|---|---|---|---|
| All nurse staff | 2.91 | 3.50 | 3.62 |
| Registered nurses (RN) | 0.39 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 1.03 | 0.76 | |
| Nurse aides | 1.49 | 2.15 | |
| All nurse staff, weekends | 2.47 | 3.10 | 3.18 |
- Nurse staff turnover in a year
- 56.1%
- Nurse staff turnover, New York median
- 38.4%
- RN turnover in a year
- 71.4%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.2% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.4% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.6% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.9% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.7% | 12.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Guilderland Operator LLC
- Chain
- The Grand Healthcare (16 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Strauss Ventures LLC | 5% or greater direct ownership interest | 98% | 14 Nov 2016 |
| Strauss Ventures LLC | Adp of the snf | 30 Sep 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Albany County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Our Lady of Mercy Life Center | Guilderland | 1 of 5 | 15 | $0 | 15 Oct 2024 | |
| Daughters of Sarah Nursing Center | Albany | 4 of 5 | 5 | $0 | 9 Sep 2024 | |
| Teresian House Nursing Home Co Inc | Albany | 3 of 5 | 9 | $0 | 8 Nov 2024 | |
| Eddy Village Green at Beverwyck | Slingerlands | 4 of 5 | 5 | $0 | 1 May 2026 | |
| Shaker Place Rehabilitation and Nursing Center | Albany | 3 of 5 | 7 | $0 | 10 Oct 2023 | |
| St Peters Nursing and Rehabilitation Center | Albany | 4 of 5 | 5 | $0 | 17 Nov 2022 | |
| Delmar Center for Rehabilitation and Nursing | Delmar | 1 of 5 | 10 | $0 | 13 Mar 2026 | |
| St Margarets Center | Albany | 4 of 5 | 5 | $0 | 18 Feb 2025 | |
| Hudson Park Rehabilitation and Nursing Center | Albany | 1 of 5 | 12 | $0 | 12 Jun 2024 | |
| Eddy Village Green | Cohoes | 1 of 5 | 14 | $97,383 | 3 Apr 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of The Grand Rehabilitation and Nrsg at Guilderland (CCN 335540). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-grand-rehabilitation-and-nrsg-at-guilderland-altamont-ny-335540/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was The Grand Rehabilitation and Nrsg at Guilderland last inspected?
- The latest inspection with a citation in the CMS record was on 7 Mar 2025. It was a standard survey and a complaint investigation. It gave 29 citations. The standard survey before the last one was on 30 Jan 2024.
- Who operates The Grand Rehabilitation and Nrsg at Guilderland?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain The Grand Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for The Grand Rehabilitation and Nrsg at Guilderland?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 3 homes in New York as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.