Nursing home
The Grand Rehabilitation and Nursing at River Valley
140 Main Street, Poughkeepsie, NY 12601 · Map
For profit - Corporation · Part of The Grand Healthcare (16 facilities) · 160 certified beds
The Grand Rehabilitation and Nursing at River Valley is a Medicare-certified nursing home in Poughkeepsie, New York. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.22 hours per resident per day, below the New York average of 3.65. Its most recent inspection on Oct 3, 2023 cited 4 deficiencies.
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 River Valley 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) | 3.22 | 3.65 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.29 | 0.70 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.99 | 2.18 | 2.34 | below avg |
| Nursing staff turnover | 22.8% | 40.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 7.6 | 9.5 | below 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 18, 2026 inspection was corrected by April 30, 2026
Penalties in CMS records: 1 total penalty, 1 Medicare payment denial.
What inspectors found at The Grand Rehabilitation and Nursing at River Valley
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 18, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Mar 18, 2026 · Full report (PDF) - Minimal
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jan 28, 2026 · Full report (PDF) - Potential for harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Feb 19, 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 · Feb 19, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 19, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 19, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Feb 19, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 3, 2023 - 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 · Oct 3, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Oct 3, 2023 - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 3, 2023
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
- 140 Main Street
Poughkeepsie, NY 12601 - CMS certification #
- 335827
- Ownership
- For profit - Corporation
- Certified beds
- 160
- Avg residents/day
- 153.9
- Provider type
- Medicare and Medicaid
- First certified
- 2001-04-02
- 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 River Valley using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2020
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jan 9, 2020 to Jan 8, 2022. Violations found: Overtime. Back wages: $6,384 owed to 34 employees. DOL marked the employer as a repeat violator. Employer as DOL recorded it: The Grand Rehabilitation & Nursing (River Valley Operating Associate LLC). Case 1956890.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Vassar Brothers Medical Center, Poughkeepsie. 0.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- The Pines at Poughkeepsie CTR for Nursing & Rehab, Poughkeepsie. 0.7 miles away, straight line.
- Nearest home health agency office
- Health Quest Home Care, Inc (Certified) Chha, Poughkeepsie. 2.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 12601 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Dutchess Dialysis, Poughkeepsie, 2.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Fmc Liberty Dialysis - Hyde Park, Poughkeepsie, 2.6 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Fishkill Dialysis Center, Fishkill, 12.2 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 12601.
Hudson Valley Hospice, office in Poughkeepsie, 2.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Hospice Of Orange & Sullivan Counties Inc, office in Newburgh, 15.3 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Nuvance Health Medical Practice PC, Poughkeepsie. 0.8 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, tornado relatively low, heat wave relatively 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 | See above |
| 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: no FEMA wildfire rating of moderate or higher here |
| 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 River Valley a good nursing home?
CMS gives The Grand Rehabilitation and Nursing at River Valley an overall rating of 2 out of 5 stars, including 2/5 for staffing and 3/5 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 River Valley staffed?
The Grand Rehabilitation and Nursing at River Valley reports 3.22 total nurse hours per resident per day, compared with the New York average of 3.65.
Has The Grand Rehabilitation and Nursing at River Valley had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does The Grand Rehabilitation and Nursing at River Valley have?
The Grand Rehabilitation and Nursing at River Valley is certified for 160 beds.