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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNew YorkThe Grand Rehabilitation and Nrsg at Guilderland

The Grand Rehabilitation and Nrsg at Guilderland

428 State Route 146, Altamont, NY 120095188615141
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
2/5
Beds
127
certified
Special Focus Facility: SFF Candidate
1 fine(s) totaling $40,937

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 127 certified beds with an average of 120.3 residents per day (95% occupancy)

• Last health inspection found 29 deficiencies (inspected Mar 7, 2025)

• Has been fined a total of $40,937 across 1 fine(s)

• Total nursing staff: 2.81 hours per resident per day

• Staff turnover rate: 57.4% (high)

• Part of the The Grand Healthcare chain (16 facilities)

The Grand Rehabilitation and Nrsg at Guilderland is a 1-star Medicare and Medicaid certified nursing home in Altamont, New York with 127 certified beds. It has been operating since 1976. The facility scored below average compared to New York facilities.

Beds
127
Avg Residents/Day
120.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 1, 1976
Sprinklers
Yes
Council
Resident
County
Albany
Last Inspection
Mar 7, 2025
Deficiencies (Cycle 1)
29
Weighted Score
282.3
Infection Citations
0

Deficiency Citations (56)

F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0770Potential for Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0773Potential for Harm

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0585Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0625Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0711Potential for Harm

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0808Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0837Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0577Potential for Harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey: Jan 30, 2024Corrected: NoCycle: 2

+ 26 more deficiencies

Total Fines
$40,937
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMar 7, 2025
$40,937

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.48 hrs
National avg: 2.35 hrs
LPN1.03 hrs
National avg: 0.86 hrs
RN0.30 hrs
National avg: 0.68 hrs
Total Nursing2.81 hrs
National avg: 3.89 hrs
Weekend Total2.34 hrs
National avg: 0.00 hrs
Physical Therapist0.13 hrs
National avg: 0.07 hrs
Total Turnover
57.4%
RN Turnover
81.8%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
STRAUSS VENTURES LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization98%Nov 14, 2016
STRAUSS, JEREMY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual93%Aug 31, 2016
STRAUSS VENTURES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 14, 2016
ROGERS, ERICOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2018
STRAUSS, JONATHANOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 14, 2016
ROGERS, ERICCORPORATE OFFICERIndividualN/AJul 1, 2018
STERN, SAMUELCORPORATE OFFICERIndividualN/AJan 1, 2020
STRAUSS, JONATHANCORPORATE OFFICERIndividualN/ANov 14, 2016
ROGERS, ERICW-2 MANAGING EMPLOYEEIndividualN/AJul 1, 2018

Frequently Asked Questions

What is the CMS rating for The Grand Rehabilitation and Nrsg at Guilderland?▾
The Grand Rehabilitation and Nrsg at Guilderland has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
Has The Grand Rehabilitation and Nrsg at Guilderland had any health inspection violations?▾
The Grand Rehabilitation and Nrsg at Guilderland had 29 deficiency citations in its most recent health inspection (Mar 7, 2025). The facility has been fined a total of $40,937 across 1 fine(s).
What are the staffing levels at The Grand Rehabilitation and Nrsg at Guilderland?▾
The Grand Rehabilitation and Nrsg at Guilderland provides 2.81 total nursing staff hours per resident per day, including 0.30 RN hours, 1.03 LPN hours, and 1.48 nurse aide hours. The total staff turnover rate is 57.4%.
How many beds does The Grand Rehabilitation and Nrsg at Guilderland have?▾
The Grand Rehabilitation and Nrsg at Guilderland has 127 certified beds with an average of 120.3 residents per day, resulting in approximately 95% occupancy. The facility is For profit - Limited Liability company owned and is part of the The Grand Healthcare chain.

Part of The Grand Healthcare

This chain operates 16 facilities. View all →