The Grand Rehabilitation and Nrsg at Guilderland, Altamont, New York

56
Citations from health inspectionsNew York average: 20 a home: 1
Residents harmed or put in dangerNew York average: 0.8 a home: $40,937
Fines from the federal governmentNew York average: $23,070 a home: 1 out of 5
Overall rating in starsNew York average: 3.0

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Three inspection visits produced 56 citations. Residents were in immediate danger in one finding. Federal fines came to $40,937 (one fine).

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

Are you worried about the way someone was treated at this home?

Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.

Quick Look at the Record

The home's overall star rating: 1 out of 5
Rating for health inspections: 1 out of 5
Rating for staffing: 1 out of 5
Rating for quality of care: 2 out of 5
Nurse time for each resident: 2.91 hours each dayThe New York average is 3.63 hours
Time from registered nurses: 0.39 hours each dayThe New York average is 0.71 hours
Nursing staff who left during one year: 56.1%against the New York average of 40.3%
Beds that are certified: 127
Ownership: Limited Liability company (for profit)
Chain: The Grand Healthcare, with 16 homes
Street address: 428 State Route 146, Altamont, New York 12009
County: Albany

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

29 citations dated March 7, 2025

F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents.
F837 Governing Body and Licensed Administrator: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F814 Dispose of Garbage Properly: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
F808 Doctor Ordered Special Diets: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F773 Order Laboratory Tests and Report Results Promptly: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F770 Timely Quality Laboratory Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F760 Significant Medication Errors: immediate danger to residents, one or a few residents, found on a complaint visit.
F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
F711 Doctor Reviews Care and Writes Notes Each Visit: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents.
F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.

Nine citations dated Jan. 30, 2024

F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, a pattern, several residents.
F814 Dispose of Garbage Properly: risk of harm, no one found hurt, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F577 Access to Inspection Results and Advocates: risk of harm, no one found hurt, one or a few residents.

18 citations dated Aug. 23, 2021

F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
F813 Policy on Food Brought by Visitors: risk of harm, no one found hurt, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
March 7, 2025	Fine	$40,937

Ownership and Management of the Home

The direct 98% owner is Strauss Ventures LLC.

One person with an ownership stake is also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 335540. Other homes in New York.