THE GRAND REHABILITATION AND NRSG AT GUILDERLAND

428 STATE ROUTE 146, ALTAMONT, NY 12009 · CCN 335540 · 127 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

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Serious inspection findings

2025-03-07 — IMMEDIATE JEOPARDY (tag F0760, severity J)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

Staffing, from payroll records

Nursing hours / resident / day

2.69

state median 3.31

Weekend staffing gap

−15%

fewer nursing hours on weekends · state median −11%

RN hours / resident / day

0.25

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

56%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $40,937 in fines.

Date	Type	Amount
2025-03-07	Fine	$40,937

Ownership

Ownership type: For profit - Limited Liability company. Part of the THE GRAND HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

THE GRAND REHABILITATION AND NURSING AT QUEENS (WHITESTONE, NY) — CMS overall4 of 5
THE GRAND REHABILITATION AND NURSING AT SOUTH POIN (ISLAND PARK, NY) — CMS overall3 of 5
THE GRAND REHABILITATION AND NURSING AT BATAVIA (BATAVIA, NY) — CMS overall2 of 5
Mayfair Care Center (Hempstead, NY) — CMS overall1 of 5
Bridge View Nursing Home (Whitestone, NY) — CMS overall4 of 5
THE GRAND REHABILITATION AND NURSING AT MOHAWK (ILION, NY) — CMS overall1 of 5
The Grand Rehabilitation and Nursing At Pawling (PAWLING, NY) — CMS overall2 of 5
The Grand Rehabilitation and Nursing at Great Neck (Great Neck, NY) — CMS overall1 of 5

Full citation history

By severity: Potential for more than minimal harm: 55 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2025-03-07	F0550	Resident Rights Deficiencies	E	not recorded
2025-03-07	F0554	Resident Rights Deficiencies	D	not recorded
2025-03-07	F0584	Resident Rights Deficiencies	E	not recorded
2025-03-07	F0585	Resident Rights Deficiencies	D	not recorded
2025-03-07	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-03-07	F0623	Resident Rights Deficiencies	D	not recorded
2025-03-07	F0625	Resident Rights Deficiencies	D	not recorded
2025-03-07	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-07	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-03-07	F0657	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-03-07	F0684	Quality of Life and Care Deficiencies	E	not recorded
2025-03-07	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-03-07	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-03-07	F0698	Quality of Life and Care Deficiencies	D	not recorded
2025-03-07	F0711	Nursing and Physician Services Deficiencies	E	not recorded
2025-03-07	F0725	Nursing and Physician Services Deficiencies	F	not recorded
2025-03-07	F0726	Nursing and Physician Services Deficiencies	D	not recorded
2025-03-07	F0755	Pharmacy Service Deficiencies	E	not recorded
2025-03-07	F0759	Pharmacy Service Deficiencies	D	not recorded
2025-03-07	F0760	Pharmacy Service Deficiencies	J	not recorded
2025-03-07	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-03-07	F0770	Administration Deficiencies	D	not recorded
2025-03-07	F0773	Administration Deficiencies	D	not recorded
2025-03-07	F0808	Nutrition and Dietary Deficiencies	D	not recorded
2025-03-07	F0812	Nutrition and Dietary Deficiencies	D	not recorded
2025-03-07	F0814	Nutrition and Dietary Deficiencies	D	not recorded
2025-03-07	F0837	Administration Deficiencies	E	not recorded
2025-03-07	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-03-07	F0880	Infection Control Deficiencies	E	not recorded
2024-01-30	F0577	Resident Rights Deficiencies	D	not recorded
2024-01-30	F0623	Resident Rights Deficiencies	D	not recorded
2024-01-30	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-01-30	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2024-01-30	F0791	Quality of Life and Care Deficiencies	D	not recorded
2024-01-30	F0812	Nutrition and Dietary Deficiencies	D	not recorded
2024-01-30	F0814	Nutrition and Dietary Deficiencies	E	not recorded
2024-01-30	F0867	Administration Deficiencies	E	not recorded
2024-01-30	F0880	Infection Control Deficiencies	E	not recorded
2021-08-23	F0550	Resident Rights Deficiencies	D	not recorded
2021-08-23	F0584	Resident Rights Deficiencies	E	not recorded
2021-08-23	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2021-08-23	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2021-08-23	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2021-08-23	F0677	Quality of Life and Care Deficiencies	D	not recorded
2021-08-23	F0684	Quality of Life and Care Deficiencies	D	not recorded
2021-08-23	F0695	Quality of Life and Care Deficiencies	D	not recorded
2021-08-23	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2021-08-23	F0756	Pharmacy Service Deficiencies	E	not recorded
2021-08-23	F0757	Pharmacy Service Deficiencies	D	not recorded
2021-08-23	F0760	Pharmacy Service Deficiencies	D	not recorded
2021-08-23	F0761	Pharmacy Service Deficiencies	E	not recorded
2021-08-23	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2021-08-23	F0813	Nutrition and Dietary Deficiencies	E	not recorded
2021-08-23	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2021-08-23	F0880	Infection Control Deficiencies	E	not recorded
2021-08-23	F0925	Environmental Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “THE GRAND REHABILITATION AND NRSG AT GUILDERLAND, ALTAMONT” at medicare.gov/care-compare.