Nursing homes › New York › The Grand Rehabilitation and Nrsg at Guilderland
428 State Route 146, Altamont, NY 12009 · (518) 861-5141 · 127 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 590 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with The Grand Healthcare, a group operating 16 facilities in 1 state. Group record: average rating 1.8/5, 1 abuse citation icon, 3 facilities on the Special Focus list, $525,091 in federal fines. This facility rates below its group average (1.8/5).
Total nurse staffing: 2.91 (New York median: 3.49). RN hours: 0.39. Weekend total: 2.47. Nursing staff turnover: 56%.
In the downloaded CMS dataset: 56 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-03-07 | Ensure that residents are free from significant medication errors. | J | complaint | 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. | F | complaint | 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. | E | Health | 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. | E | complaint | 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. | E | Health | 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. | E | Health | corrected 2025-04-28 |
| 2025-03-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | 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. | E | complaint | 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. | E | complaint | 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. | E | Health | corrected 2025-04-28 |
| 2025-03-07 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-04-28 |
| 2025-03-07 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | 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. | D | Health | corrected 2025-04-28 |
| 2025-03-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2025-04-28 |
| 2025-03-07 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-04-28 |
| 2025-03-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-04-28 |
| 2025-03-07 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-04-28 |
| 2025-03-07 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | complaint | 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. | D | complaint | corrected 2025-04-28 |
| 2025-03-07 | Ensure medication error rates are not 5 percent or greater. | D | Health | 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. | D | Health | 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. | D | complaint | 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. | D | Health | corrected 2025-05-19 |
| 2025-03-07 | Dispose of garbage and refuse properly. | D | Health | 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. | E | complaint | corrected 2025-04-28 |
| 2025-03-07 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | complaint | corrected 2025-04-28 |
| 2025-03-07 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | complaint | 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. | E | complaint | corrected 2024-04-05 |
| 2024-01-30 | Dispose of garbage and refuse properly. | E | Health | 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. | E | Health | corrected 2024-04-06 |
| 2024-01-30 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-04-06 |
| 2024-01-30 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Health | corrected 2024-03-30 |
| 2024-01-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-03-30 |
| 2024-01-30 | Provide or obtain dental services for each resident. | D | Health | 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. | D | Health | 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. | D | complaint | corrected 2024-04-06 |
| Date | Type | Amount |
|---|---|---|
| 2025-03-07 | Fine | $40,937 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| STRAUSS VENTURES LLC | 5% Or Greater Direct Ownership Interest | Organization | 98% | since 11/14/2016 |
| STRAUSS, JEREMY | 5% Or Greater Indirect Ownership Interest | Individual | 93% | since 08/31/2016 |
| STRAUSS, JEREMY | Corporate Officer | Individual | NOT APPLICABLE | since 08/31/2016 |
| HUNTER, MARC | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/31/1999 |
| JAGANATHAN, DAISY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2025 |
How to cite this page: CareRecords, “The Grand Rehabilitation and Nrsg at Guilderland — compliance, penalty and ownership record” (CCN 335540), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/the-grand-rehabilitation-and-nrsg-at-guilderland-altamont-ny/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 335540. Corrections: data@carerecords.org.