THE GRAND REHABILITATION AND NRSG AT GUILDERLAND — Nursing Home in ALTAMONT, NY
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 127 |
|---|---|
| Average Residents/Day | 122.1 |
| CMS Certification Number | 335540 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | 2.89 HPRD |
|---|---|
| RN Staffing | 0.33 HPRD |
Health Inspection Findings & Deficiencies
THE GRAND REHABILITATION AND NRSG AT GUILDERLAND had 29 health inspection deficiencies on its most recent inspection (March 7, 2025), including 1 classified as severe.
Inspection Findings — March 7, 2025
-
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Level E)Corrected — April 28, 2025
-
Allow residents to self-administer drugs if determined clinically appropriate. (Level D)Corrected — April 28, 2025
-
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. (Level D)Corrected — April 28, 2025
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Level D)Corrected — April 28, 2025
-
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Level D)Corrected — April 28, 2025
-
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. (Level D)Corrected — April 28, 2025
-
PASARR screening for Mental disorders or Intellectual Disabilities (Level D)Corrected — April 28, 2025
-
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Level E)Corrected — April 28, 2025
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Level E)Corrected — April 28, 2025
-
Provide safe and appropriate respiratory care for a resident when needed. (Level D)Corrected — April 28, 2025
-
Ensure medication error rates are not 5 percent or greater. (Level D)Corrected — April 28, 2025
-
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. (Level D)Corrected — April 28, 2025
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level D)Corrected — May 19, 2025
-
Dispose of garbage and refuse properly. (Level D)Corrected — April 28, 2025
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Level E)Corrected — April 28, 2025
-
Provide and implement an infection prevention and control program. (Level E)Corrected — April 28, 2025
-
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. (Level E)Corrected — April 28, 2025
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Level E)Corrected — April 28, 2025
-
Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Level D)Corrected — April 28, 2025
-
Provide safe, appropriate dialysis care/services for a resident who requires such services. (Level D)Corrected — April 28, 2025
-
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Level E)Corrected — April 28, 2025
-
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Level F)Corrected — April 28, 2025
-
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. (Level D)Corrected — April 28, 2025
-
Ensure that residents are free from significant medication errors. (Level J)Corrected — April 28, 2025
-
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. (Level D)Corrected — April 28, 2025
-
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. (Level E)Corrected — April 28, 2025
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Level E)Corrected — April 28, 2025
-
Provide timely, quality laboratory services/tests to meet the needs of residents. (Level D)Corrected — April 28, 2025
-
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Level D)Corrected — April 28, 2025
The Grand Rehabilitation and Nrsg at Guilderland is a 127-bed nursing home in Altamont, New York. It holds a 1-star CMS overall rating. Total nurse staffing is 2.9 hours per resident day, below the New York average of 3.7. Its most recent inspection, in March 2025, cited 29 deficiencies, one of them severe. It is on CMS's Special Focus Facility list, a designation for persistently poor-performing nursing homes.
The fact sheet shows ongoing, serious quality concerns and does not highlight a clear strength to rely on. You should ask why the facility remains on the Special Focus Facility list and what concrete steps and timelines they have to address the cited problems, including plans to improve staffing and protect residents’ rights.
Frequently Asked Questions
Is THE GRAND REHABILITATION AND NRSG AT GUILDERLAND Medicare and Medicaid certified?
THE GRAND REHABILITATION AND NRSG AT GUILDERLAND is Medicare certified and Medicaid certified according to CMS data.
What is THE GRAND REHABILITATION AND NRSG AT GUILDERLAND's CMS star rating?
THE GRAND REHABILITATION AND NRSG AT GUILDERLAND has an overall CMS rating of 1 out of 5 stars.
How is staffing at THE GRAND REHABILITATION AND NRSG AT GUILDERLAND?
THE GRAND REHABILITATION AND NRSG AT GUILDERLAND reports 2.89299 total nurse hours per resident day.
Has THE GRAND REHABILITATION AND NRSG AT GUILDERLAND had health inspection deficiencies?
On its most recent inspection, THE GRAND REHABILITATION AND NRSG AT GUILDERLAND had 29 total deficiencies, including 1 classified as severe.
How many beds does THE GRAND REHABILITATION AND NRSG AT GUILDERLAND have?
THE GRAND REHABILITATION AND NRSG AT GUILDERLAND has 127 certified beds.
Nearby Nursing Homes
- OUR LADY OF MERCY LIFE CENTER — 1/5 — 2.9 mi
- KINGSWAY ARMS NURSING CENTER INC — 4/5 — 5.7 mi
- SCHENECTADY CENTER FOR REHABILITATION AND NURSING — 2/5 — 6.4 mi
- TERESIAN HOUSE NURSING HOME CO INC — 3/5 — 6.8 mi
- DAUGHTERS OF SARAH NURSING CENTER — 4/5 — 6.8 mi
- EDDY VILLAGE GREEN AT BEVERWYCK — 4/5 — 7.0 mi
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated May 1, 2026.
CMS Survey Summary updated May 1, 2026.
CMS Health Deficiencies updated May 1, 2026.
CareQED last updated June 22, 2026.