Nursing home
The Grand Rehabilitation and Nursing at Guilderland
428 State Route 146, Altamont, NY 12009 · Map
For profit - Limited Liability company · Part of The Grand Healthcare (16 facilities) · 127 certified beds
The Grand Rehabilitation and Nursing at Guilderland is a Medicare-certified nursing home in Altamont, New York. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.81 hours per resident per day, below the New York average of 3.65. Its most recent inspection on Mar 7, 2025 cited 29 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 1 fine totaling $40,937In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Grand Rehabilitation and Nursing at Guilderland compares
This facility vs. the New York and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New York avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.81 | 3.65 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.30 | 0.70 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.48 | 2.18 | 2.34 | below avg |
| Nursing staff turnover | 57.4% | 40.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 29.0 | 7.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 7, 2025 inspection was corrected by May 19, 2025
Penalties in CMS records: 1 fine totaling $40,937, 1 total penalty.
What inspectors found at The Grand Rehabilitation and Nursing at Guilderland
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
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.
Administration Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · Mar 7, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Mar 7, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 428 State Route 146
Altamont, NY 12009 - CMS certification #
- 335540
- Ownership
- For profit - Limited Liability company
- Certified beds
- 127
- Avg residents/day
- 120.3
- Provider type
- Medicare and Medicaid
- First certified
- 1976-09-01
- Chain
- The Grand Healthcare (16 facilities)
- Setting
- Urban
Part of The Grand Healthcare
The Grand Healthcare operates 16 nursing facilities across the United States. View all The Grand Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Grand Rehabilitation and Nursing at Guilderland using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Ellis Hospital, Schenectady. 8.4 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Our Lady of Mercy Life Center, Guilderland. 2.9 miles away, straight line.
- Nearest home health agency office
- Marquis Certified Home Care, LLC, Albany. 6.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 12009 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Dci - Dialysis Clinic, Inc., Albany, 4.8 miles away, straight line (CMS rating 2 of 5 stars)
Fmc Freedom Center Of Westmere, Albany, 4.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Rotterdam-Schenectady Dialysis Center, Schenectady, 6.4 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 12009.
Community Hospice, Inc, The, office in Albany, 6.7 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Our Lady Of Mercy Life Center, Guilderland. 2.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| New York State Department of Health kitchen inspections | Oct 15, 2026 | No kitchen matched |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is The Grand Rehabilitation and Nursing at Guilderland a good nursing home?
CMS gives The Grand Rehabilitation and Nursing at Guilderland an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Grand Rehabilitation and Nursing at Guilderland staffed?
The Grand Rehabilitation and Nursing at Guilderland reports 2.81 total nurse hours per resident per day, compared with the New York average of 3.65.
Has The Grand Rehabilitation and Nursing at Guilderland had inspection problems?
Its most recent CMS inspection cited 29 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does The Grand Rehabilitation and Nursing at Guilderland have?
The Grand Rehabilitation and Nursing at Guilderland is certified for 127 beds.