The Grand Rehabilitation and Nrsg at River ValleyCMS ratings, inspections and fines
- Address
- 140 Main Street, Poughkeepsie, NY 12601
- CCN
- 335827
- Ownership type
- For-profit, corporation
- Certified beds
- 160
- Chain
- The Grand Healthcare
- Residents per day
- 153
- CMS flags
- None in the CMS record
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 River Valley an overall rating of 2 of 5 stars. The last standard survey was on 28 Jan 2026. The latest survey cycle has 12 health citations. The median for nursing homes in New York is 7. CMS lists no fines for this home in its penalties file. CMS also lists 1 payment denial.
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 | Dutchess County median | New York median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 12 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) | 28 Jan 2026 | 12 | 7 |
| Cycle 2 | 3 Oct 2023 | 8 | 5 |
| Cycle 3 | No date | 8 | 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 | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Mar 2026 | 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 | Complaint investigation | 30 Apr 2026 |
| 18 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Apr 2026 |
| 28 Jan 2026 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0641 | Ensure each resident receives an accurate assessment. | B | Complaint investigation | 6 Mar 2026 |
| 28 Jan 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Mar 2026 |
| 28 Jan 2026 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 6 Mar 2026 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Feb 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 28 Apr 2025 |
| 19 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 Apr 2025 |
| 19 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Apr 2025 |
| 19 Feb 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. | D | Complaint investigation | 28 Apr 2025 |
| 19 Feb 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Complaint investigation | 28 Apr 2025 |
| 3 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 9 Nov 2023 |
| 3 Oct 2023 | 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 | Complaint investigation | 9 Nov 2023 |
| 3 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Nov 2023 |
Survey cycle 3: 8 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 |
|---|---|---|---|---|---|
| 3 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 9 Nov 2023 |
| 13 Feb 2020 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 9 Apr 2020 |
| 13 Feb 2020 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 9 Apr 2020 |
| 13 Feb 2020 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 9 Apr 2020 |
| 13 Feb 2020 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 9 Apr 2020 |
| 13 Feb 2020 | 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 | Standard survey | 9 Apr 2020 |
| 13 Feb 2020 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 9 Apr 2020 |
| 13 Feb 2020 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 9 Apr 2020 |
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 |
|---|---|---|---|
| 19 Feb 2025 | Payment denial | 11 |
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 | 3.16 | 3.50 | 3.62 |
| Registered nurses (RN) | 0.32 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 0.94 | 0.76 | |
| Nurse aides | 1.91 | 2.15 | |
| All nurse staff, weekends | 2.57 | 3.10 | 3.18 |
- Nurse staff turnover in a year
- 24.6%
- Nurse staff turnover, New York median
- 38.4%
- RN turnover in a year
- 56.3%
- Administrators who left in a year
- 0
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 | 15.5% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.7% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.0% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.2% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.9% | 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, corporation
- Legal business name
- River Valley Operating Associates 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 | 94% | 22 Jul 2016 |
| Strauss Ventures LLC | Operational/managerial control | 22 Jul 2016 |
The site shows organisations only. It does not show the names of persons.
Other homes in Dutchess County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Pines at Poughkeepsie Ctr for Nursing & Rehab | Poughkeepsie | 4 of 5 | 8 | $0 | 20 Aug 2024 | |
| Lutheran Center at Poughkeepsie Inc | Poughkeepsie | 3 of 5 | 13 | $0 | 6 Feb 2024 | |
| The Eleanor Nursing Care CenterSpecial Focus candidate | Hyde Park | 1 of 5 | 29 | $132,957 | 28 Apr 2026 | |
| Sapphire Nursing at Wappingers | Wappingers Falls | 2 of 5 | 19 | $0 | 17 Apr 2024 | |
| Renaissance Rehabilitation and Nursing Care Center | Staatsburg | 1 of 5 | 44 | $0 | 13 Sep 2024 | |
| Taconic Rehabilitation and Nursing at Hopewell | Fishkill | 3 of 5 | 15 | $0 | 12 Feb 2026 | |
| Fishkill Center for Rehabilitation and Nursing | Beacon | 2 of 5 | 13 | $44,500 | 14 Feb 2025 | |
| Taconic Rehabilitation and Nursing at Beacon | Beacon | 4 of 5 | 7 | $0 | 1 Jul 2024 | |
| The Baptist Home at Brookmeade | Rhinebeck | 5 of 5 | 4 | $0 | 11 Mar 2024 | |
| Ferncliff Nursing Home Co Inc | Rhinebeck | 2 of 5 | 10 | $0 | 27 Feb 2025 | |
| The Grand Rehabilitation and Nursing at Pawling | Pawling | 2 of 5 | 11 | $10,519 | 13 Apr 2023 |
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 River Valley (CCN 335827). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-grand-rehabilitation-and-nrsg-at-river-valley-poughkeepsie-ny-335827/
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 River Valley last inspected?
- The latest inspection with a citation in the CMS record was on 18 Mar 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 3 Oct 2023.
- Who operates The Grand Rehabilitation and Nrsg at River Valley?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain The Grand Healthcare. The CMS ownership file names Strauss Ventures LLC for operational or managerial control. This site does not show the names of persons.
- Is The Grand Rehabilitation and Nrsg at River Valley a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. 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.