The Grand Rehabilitation and Nrsg at Guilderland
Nursing Home · Altamont, NY
CMS certification number335540
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
Contact & location
428 State Route 146Altamont, NY 12009
Albany County
- Phone
- (518) 861-5141
- ZIP code
- 12009 – all care providers
Facility details
- Certified beds
- 127
- Residents per day
- 119.8 (94% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Guilderland Operator LLC
- Chain
- The Grand Healthcare (16 facilities, avg 1.8★)
- Medicare certified since
- September 1, 1976
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.91 (state 3.62 · U.S. 3.86)
- Registered nurses (RN)
- 0.39 (state 0.71 · U.S. 0.69)
- Licensed practical nurses
- 1.03 (state 0.76 · U.S. 0.86)
- Nurse aides
- 1.49 (state 2.15 · U.S. 2.32)
- Weekend total
- 2.47 (state 3.18 · U.S. 3.42)
- Nursing staff turnover
- 56.1 (state 40.3 · U.S. 45.8)%
- RN turnover
- 71.4 (state 39.8 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- March 7, 2025
- Health deficiencies (last cycle)
- 26.0 (state 8.0 · U.S. 9.3)
- From complaints
- 10
- Citations on record (3 years)
- 52 health · 28 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-03-07 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-04-28 |
| 2025-03-07 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F0711 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | 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. F0837 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | 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. F0585 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | 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. F0808 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-19 |
| 2025-03-07 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2025-03-07 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. F0773 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-28 |
| 2024-01-30 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-05 |
| 2024-01-30 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-17 |
| 2024-01-30 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-06 |
| 2024-01-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-06 |
| 2024-01-30 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-30 |
| 2024-01-30 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-30 |
| 2024-01-30 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-05 |
| 2024-01-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-30 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-06 |
| 2021-08-23 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-10-08 |
| 2021-08-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-10-08 |
| 2021-08-23 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-10-08 |
| 2021-08-23 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-10-08 |
| 2021-08-23 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-10-08 |
| 2021-08-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-10-08 |
| 2021-08-23 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-10-08 |
| 2021-08-23 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-10-08 |
| 2021-08-23 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-10-08 |
| 2021-08-23 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-10-08 |
| 2021-08-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-10-08 |
| 2021-08-23 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-10-08 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $40,937 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-03-07 | Fine | $40,937 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Strauss Ventures LLC (organization) | 5%+ Direct Ownership Interest · 98% | |
| Strauss, Jeremy (individual) | 5%+ Indirect Ownership Interest · 93% | |
| Hunter, Marc (individual) | Administrator · NOT APPLICABLE | |
| Jaganathan, Daisy (individual) | Administrator · NOT APPLICABLE | |
| Strauss Ventures LLC (organization) | Administrator · NOT APPLICABLE | |
| Strauss, Jeremy (individual) | Administrator · NOT APPLICABLE | |
| Strauss, Jeremy (individual) | Corporate Officer · NOT APPLICABLE | |
| Strauss, Rebecca (individual) | General Partnership Interest · NOT APPLICABLE | |
| Hunter, Marc (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Jaganathan, Daisy (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of The Grand Rehabilitation and Nrsg at Guilderland?
The Grand Rehabilitation and Nrsg at Guilderland has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in New York.
How many beds does The Grand Rehabilitation and Nrsg at Guilderland have?
It has 127 certified beds and cares for about 120 residents per day.
Has The Grand Rehabilitation and Nrsg at Guilderland been fined?
Yes. CMS lists 1 penalty totaling $40,937 in the last three years.
Who owns The Grand Rehabilitation and Nrsg at Guilderland?
It is part of The Grand Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of The Grand Rehabilitation and Nrsg at Guilderland?
(518) 861-5141. The facility is located at 428 State Route 146, Altamont, NY 12009.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.