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 F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 19, 2025.
March 7, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0808Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
March 7, 2025
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.
January 30, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 20, 2024.
January 30, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 6, 2024.
January 30, 2024
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 6, 2024.
January 30, 2024
Tag F0791Provide or obtain dental services for each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 5, 2024.
January 30, 2024
Tag F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 6, 2024.
January 30, 2024
Tag F0814Dispose of garbage and refuse properly.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 17, 2024.
January 30, 2024
Tag F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 30, 2024.
January 30, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 30, 2024.
January 30, 2024
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 E: pattern, no actual harm, potential for more than minimal harm. Corrected April 5, 2024.
August 23, 2021
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 8, 2021.
August 23, 2021
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 8, 2021.
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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