Nursing Homes · Medicare certified
The Grand Rehabilitation and NRSG at Guilderland
428 State Route 146 · Altamont, NY 12009 · 127 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1346797917. Look this up in the CMS NPPES registry (opens in a new tab)
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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, in Albany County. Public records list 127 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to The Grand Healthcare. We hold 56 inspection citations for this listing, the most recent dated 7 March 2025. CMS also lists 1 fine or payment denial action against it. Reported staffing works out to 2.91 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
CMS designation
Special Focus Facility candidate (CMS)
CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVCertification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
38
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
38
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
38
Inspection history (56)
Records from August 2021 to March 2025.
March 7, 2025 · D
Citation F0773Federal surveyors cited this nursing home on 2025-03-07 under CMS tag F0773 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. The deficiency was recorded as corrected on 2025-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-07.GOVMarch 7, 2025 · D
Citation F0645Federal surveyors cited this nursing home on 2025-03-07 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2025-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-07.GOVMarch 7, 2025 · D
Citation F0812Federal surveyors cited this nursing home on 2025-03-07 under CMS tag F0812 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-05-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-07.GOVMarch 7, 2025 · D
Citation F0686Federal surveyors cited this nursing home on 2025-03-07 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2025-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-07.GOVMarch 7, 2025 · D
Citation F0695Federal surveyors cited this nursing home on 2025-03-07 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-07.GOVMarch 7, 2025 · E
Citation F0684Federal surveyors cited this nursing home on 2025-03-07 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-07.GOVMarch 7, 2025 · E
Citation F0711Federal surveyors cited this nursing home on 2025-03-07 under CMS tag F0711 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. The deficiency was recorded as corrected on 2025-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-07.GOVMarch 7, 2025 · D
Citation F0808Federal surveyors cited this nursing home on 2025-03-07 under CMS tag F0808 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-07.GOVMarch 7, 2025 · D
Citation F0759Federal surveyors cited this nursing home on 2025-03-07 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2025-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-07.GOVJanuary 30, 2024 · D
Citation F0812Federal surveyors cited this nursing home on 2024-01-30 under CMS tag F0812 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-30.GOVJanuary 30, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-01-30 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-04-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-30.GOVJanuary 30, 2024 · D
Citation F0623Federal surveyors cited this nursing home on 2024-01-30 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2024-04-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-30.GOVJanuary 30, 2024 · D
Citation F0791Federal surveyors cited this nursing home on 2024-01-30 under CMS tag F0791 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or obtain dental services for each resident. The deficiency was recorded as corrected on 2024-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-30.GOVJanuary 30, 2024 · E
Citation F0867Federal surveyors cited this nursing home on 2024-01-30 under CMS tag F0867 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2024-04-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-30.GOVJanuary 30, 2024 · E
Citation F0814Federal surveyors cited this nursing home on 2024-01-30 under CMS tag F0814 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2024-03-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-30.GOVJanuary 30, 2024 · D
Citation F0577Federal surveyors cited this nursing home on 2024-01-30 under CMS tag F0577 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. The deficiency was recorded as corrected on 2024-03-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-30.GOVJanuary 30, 2024 · D
Citation F0695Federal surveyors cited this nursing home on 2024-01-30 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-03-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-30.GOVJanuary 30, 2024 · E
Citation F0725Federal surveyors cited this nursing home on 2024-01-30 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2024-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-30.GOVAugust 23, 2021 · D
Citation F0695Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2021-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-08-23.GOVAugust 23, 2021 · E
Citation F0756Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0756 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2021-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-08-23.GOV
Penalties (1)
Total fines on file: $40,937
March 7, 2025 · Fine
Citation FINE-22408CMS recorded a civil money penalty of $40,937 against this nursing home on 2025-03-07 (Fine ID: 22408). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-07.GOV
Staffing
Latest: 2.91 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.01 hrs/resident/day
- 2026-06-013.01 hrs/resident/day
- 2026-07-012.91 hrs/resident/day
- 2026-08-012.91 hrs/resident/day
- 2026Q12.91 hrs/resident/day
Most recent period is lower than 2025Q4 (-0.10 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
CMS Care Compare chain: The Grand Healthcare
Chain ID 509 · 16 facilities in chain (CMS)
- Chain average overall rating: 1.8
- Chain average health inspection rating: 2
- Chain average staffing rating: 2.1
- Chain average quality measure rating: 2.1
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical NY range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · NY$15,528/moWhat Medicaid pays nursing homes
New York publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Median facility daily rate
$273.87per day
That works out to about $8,326 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: January 1, 2025. Calculated across 591 facilities in the state's rate file.
Nearby alternatives
No other listed providers in Altamont yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at The Grand Rehabilitation and NRSG at Guilderland
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.