CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in New York. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
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. Its overall CMS rating is 1 out of 5.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
+ 26 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| STRAUSS VENTURES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 98% | Nov 14, 2016 |
| STRAUSS, JEREMY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 93% | Aug 31, 2016 |
| STRAUSS, JEREMY | CORPORATE OFFICER | Individual | N/A | Aug 31, 2016 |
| HUNTER, MARC | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 31, 1999 |
| JAGANATHAN, DAISY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 1, 2025 |
| STRAUSS, REBECCA | GENERAL PARTNERSHIP INTEREST | Individual | N/A | Oct 1, 2021 |
| STRAUSS VENTURES LLC | ADP OF THE SNF | Organization | N/A | Sep 30, 2025 |
| HUNTER, MARC | ADP OF THE SNF | Individual | N/A | Sep 8, 2025 |
| JAGANATHAN, DAISY | ADP OF THE SNF | Individual | N/A | Aug 1, 2025 |
| STRAUSS, JEREMY | ADP OF THE SNF | Individual | N/A | Aug 31, 2016 |
Compare CMS ratings and recorded fines for The Grand Rehabilitation and Nrsg at Guilderland and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 16 facilities. View all →