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HomeNew YorkThe Grand Rehabilitation and Nrsg at Guilderland

The Grand Rehabilitation and Nrsg at Guilderland

428 State Route 146, Altamont, NY 120095188615141WebsiteGoogle Maps
2.5on Google(76 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
2/5
Beds
127
certified
Special Focus Facility: SFF Candidate
1 fine(s) totaling $40,937

How The Grand Rehabilitation and Nrsg at Guilderland Compares in New York

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.

CMS overall rating
1/5
NY average
3.0/5
Below state average
Health inspection rating
1/5
NY average
2.7/5
Below state average
Staffing rating
1/5
NY average
2.8/5
Below state average
Nursing hours per resident
2.91 hrs/day
NY average
3.62 hrs/day
Below state average
RN hours per resident
0.39 hrs/day
NY average
0.71 hrs/day
Below state average
Staff turnover
56.1%
NY average
40.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the New York average of 3.0/5.
Its 1/5 health inspection rating is below the New York average of 2.7/5.
Reported nursing time is 2.91 hours per resident per day, below the state average of 3.62.
Reported RN time is 0.39 hours per resident per day, below the state average of 0.71.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
12
deficiency citations
Inspected Jan 30, 2024
Most recent cycle
26
deficiency citations
Inspected Mar 7, 2025
The most recent cycle recorded 14 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$13,718/mo
New York median
Private Room
$14,904/mo
New York median
Albany County 65+
55,160
17.5% of county
County Population
315,041
Albany County

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.

Beds
127
Avg Residents/Day
119.8
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)
26
Weighted Score
268.3
Infection Citations
0

Deficiency Citations (56)

F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

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
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
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
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
F0684Potential for Harm

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

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
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
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
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
F0686Potential for Harm

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

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
F0698Potential for Harm

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

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
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
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
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
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: 2
F0770Potential for Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 2
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: 2
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: 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 Aide1.49 hrs
National avg: 2.32 hrs
LPN1.03 hrs
National avg: 0.86 hrs
RN0.39 hrs
National avg: 0.69 hrs
Total Nursing2.91 hrs
National avg: 3.86 hrs
Weekend Total2.47 hrs
National avg: 0.00 hrs
Physical Therapist0.13 hrs
National avg: 0.07 hrs
Total Turnover
56.1%
RN Turnover
71.4%
Administrators Left
1

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
STRAUSS VENTURES LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization98%Nov 14, 2016
STRAUSS, JEREMY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual93%Aug 31, 2016
STRAUSS, JEREMYCORPORATE OFFICERIndividualN/AAug 31, 2016
HUNTER, MARCOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 31, 1999
JAGANATHAN, DAISYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 1, 2025
STRAUSS, REBECCAGENERAL PARTNERSHIP INTERESTIndividualN/AOct 1, 2021
STRAUSS VENTURES LLCADP OF THE SNFOrganizationN/ASep 30, 2025
HUNTER, MARCADP OF THE SNFIndividualN/ASep 8, 2025
JAGANATHAN, DAISYADP OF THE SNFIndividualN/AAug 1, 2025
STRAUSS, JEREMYADP OF THE SNFIndividualN/AAug 31, 2016

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for The Grand Rehabilitation and Nrsg at Guilderland and nearby alternatives.

All New York facilities
The Grand Rehabilitation and Nrsg at Guilderland
Altamont, NYCurrent facility
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $40,937
Our Lady of Mercy Life Center
Guilderland, NY2.9 miAbuse flag
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: None
Kingsway Arms Nursing Center INC
Schenectady, NY5.7 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
Schenectady Center for Rehabilitation and Nursing
Schenectady, NY6.4 mi
CMS
2/5
Health
1/5
Staffing
2/5
Recorded fines: None
Daughters of Sarah Nursing Center
Albany, NY6.8 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Teresian House Nursing Home Co INC
Albany, NY6.8 mi
CMS
3/5
Health
2/5
Staffing
4/5
Recorded fines: None
Eddy Village Green at Beverwyck
Slingerlands, NY7.0 miAbuse flag
CMS
4/5
Health
2/5
Staffing
5/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
The Grand Rehabilitation and Nrsg at Guilderland
Altamont, NY · Current facility
—1/51/51/5$40,937
Our Lady of Mercy Life Center
Guilderland, NY
2.9 mi1/51/53/5None recorded
Kingsway Arms Nursing Center INC
Schenectady, NY
5.7 mi4/54/54/5None recorded
Schenectady Center for Rehabilitation and Nursing
Schenectady, NY
6.4 mi2/51/52/5None recorded
Daughters of Sarah Nursing Center
Albany, NY
6.8 mi4/54/53/5None recorded
Teresian House Nursing Home Co INC
Albany, NY
6.8 mi3/52/54/5None recorded
Eddy Village Green at Beverwyck
Slingerlands, NY
7.0 mi4/52/55/5None recorded

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.

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.
How much does The Grand Rehabilitation and Nrsg at Guilderland cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in New York is $13,718/month for a semi-private room and $14,904/month for a private room (Genworth/CareScout 2024). The Grand Rehabilitation and Nrsg at Guilderland participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has The Grand Rehabilitation and Nrsg at Guilderland had any health inspection violations?▾
The Grand Rehabilitation and Nrsg at Guilderland had 26 deficiency citations in its most recent health inspection (Mar 7, 2025). The current CMS dataset records 1 fine(s) totaling $40,937.
What are the staffing levels at The Grand Rehabilitation and Nrsg at Guilderland?▾
The Grand Rehabilitation and Nrsg at Guilderland provides 2.91 total nursing staff hours per resident per day, including 0.39 RN hours, 1.03 LPN hours, and 1.49 nurse aide hours. The total staff turnover rate is 56.1%.
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 119.8 residents per day, resulting in approximately 94% occupancy. The facility is For profit - Limited Liability company owned and is part of the The Grand Healthcare chain.
Are there other nursing homes near The Grand Rehabilitation and Nrsg at Guilderland?▾
Yes. This page lists 6 nearby nursing homes in New York. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about The Grand Rehabilitation and Nrsg at Guilderland?▾
On Google Maps, The Grand Rehabilitation and Nrsg at Guilderland has a rating of 2.5 out of 5 based on 76 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of The Grand Healthcare

This chain operates 16 facilities. View all →