Nursing Homes · Medicare certified
The Grand Rehabilitation and NRSG at Guilderland
428 State Route 146 · Altamont, NY 12009 · 127 certified beds
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About The Grand Rehabilitation and NRSG at Guilderland
The Grand Rehabilitation and NRSG at Guilderland is a nursing home in Altamont, New York. Its capacity is 127 beds, below the Albany County median of 160 for nursing homes. It is run by a for-profit operator and is part of The Grand Healthcare. It is Medicare certified. Its public inspection record shows 56 citations, the most recent on March 7, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 2.70 hours per resident per day. Residents and families can raise concerns with the New York State Long-Term Care Ombudsman Program at 1-855-582-6769. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
1.0CMS Care Compare, October 2026.
Inspection history (56)
Records from August 2021 to March 2025.
March 7, 2025
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0770Provide timely, quality laboratory services/tests to meet the needs of residents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0554Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0625Notify 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity J: isolated, immediate jeopardy. Corrected April 28, 2025.
March 7, 2025
Tag F0585Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0837Establish 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0814Dispose of garbage and refuse properly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
Penalties (1)
Total fines: $40,937
March 7, 2025 · Fine
CMS recorded a civil money penalty of $40,937 against this nursing home on March 7, 2025.
Staffing
2.70 nurse hours per resident per day in Q2 2026, down from 3.01 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of The Grand Healthcare, a chain of 16 nursing homes.
Average CMS star ratings across the chain: 2.1 overall, 2.2 for health inspections, 2.2 for staffing, 2.1 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in New York.
What Medicaid pays nursing homes
This is what New York Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$273.87per day
About $8,326 a month.
Median we calculated from the state's own facility rate file, January 1, 2025. Based on 591 facilities.
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