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.
August 23, 2021 · E
Citation F0925Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0925 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 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 · D
Citation F0677Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. 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 · D
Citation F0550Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. 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 F0813Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0813 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have a policy regarding use and storage of foods brought to residents by family and other visitors. 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 F0725Federal surveyors cited this nursing home on 2021-08-23 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 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 F0584Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. 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 · D
Citation F0684Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0684 (CMS scope/severity D: isolated, 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 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 F0761Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. 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 · D
Citation F0609Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 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 F0812Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0812 (CMS scope/severity E: pattern, 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 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 F0880Federal surveyors cited this nursing home on 2021-08-23 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 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 · D
Citation F0641Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. 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 · D
Citation F0842Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 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 F0656Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 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 · D
Citation F0757Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0757 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. 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 · D
Citation F0760Federal surveyors cited this nursing home on 2021-08-23 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. 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.