THE GRAND REHABILITATION AND NRSG AT GUILDERLAND
428 STATE ROUTE 146
ALTAMONT NY 12009
Phone: 5188615141
Special Focus watch list For profit - Limited Liability company
Official CMS provider data, processing date 2026-09-01. Not an endorsement.
- Overall rating vs. the New York average: 2.0 star lower (3.0), below average
- Overall rating vs. the national average: 2.0 star lower (3.0), below average
- Overall rating vs. the Altamont average: level with the average (1.0)
CMS lists this facility as a candidate for its Special Focus Facility program, which targets homes with a persistent record of poor quality.
Facility details
Size, ownership, and inspection history as reported to CMS.
| Certified beds | 127 |
| Average residents per day | 119.8 |
| Occupancy | 94% |
| Ownership | For profit - Limited Liability company |
| Chain | THE GRAND HEALTHCARE (16 facilities) |
| County | Albany |
| Provider type | Medicare and Medicaid |
| First certified for Medicare & Medicaid | 1976-09-01 |
| CMS certification number (CCN) | 335540 |
| Health deficiencies in the latest inspection cycle | 26 |
Staffing and turnover
Staffing hours and turnover are among the most predictive measures CMS publishes.
| Adjusted total nurse staffing hours per resident per day | 2.97 |
| Reported total nurse staffing hours per resident per day | 2.91 |
| Registered nurse turnover | 71.4% |
| Total nursing staff turnover | 56.1% |
| Resident and family council | No |
Fines and penalties
Civil money penalties and payment denials on record, as published by CMS.
| Fines (count) | 1 |
| Fines (total value) | $40,937 |
| Payment denials | 0 |
| Total penalties | 1 |
Questions to ask THE GRAND REHABILITATION AND NRSG AT GUILDERLAND
- What are the staffing levels on the specific unit my relative would be admitted to, and how do they compare with the figures above?
- How many residents were transferred to hospital in the last year, and for what reasons?
- What was cited at the most recent inspection, and what has changed since?
- Does this facility accept Medicaid on admission, and what happens when private funds are exhausted?
- What is the all-in monthly cost, including therapy, pharmacy, and any ventilator or dialysis surcharges?
Estimate nursing home costs in New York Compare all New York facilities
Is THE GRAND REHABILITATION AND NRSG AT GUILDERLAND highly rated?
CMS rates it 1 out of 5 overall, which CMS labels "Much below average". Health inspections rate 1, staffing 1, and quality measures 2.
How many beds does THE GRAND REHABILITATION AND NRSG AT GUILDERLAND have?
CMS certifies 127 beds; the facility reports an average of 119.8 residents per day (about 94% occupancy).
Does THE GRAND REHABILITATION AND NRSG AT GUILDERLAND have any fines or citations?
Yes. CMS records $40,937 in fines and 0 payment denials for this facility.
Has THE GRAND REHABILITATION AND NRSG AT GUILDERLAND been cited for abuse?
CMS lists this facility as a candidate for its Special Focus Facility program, which targets homes with a persistent record of poor quality.