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Nursing homeFAID #8610

The Grand Rehabilitation and Nrsg At Guilderland

428 STATE ROUTE 146, ALTAMONT, NY, 12009

(518) 861-5141

127 licensed beds

CMS rates The Grand Rehabilitation and Nrsg At Guilderland 1 out of 5 overall. Federal inspectors issued 88 citations across 8 inspections in the last three years, with $40,937 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare

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Photo of THE GRAND REHABILITATION AND NRSG AT GUILDERLAND

Photo via Google · The Grand Rehabilitation and Nursing at Guilderland

Address

428 State Route 146

Altamont, NY 12009

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Public record summary

What we can show you for free.

Bed capacity

127

CMS facility ID

335540

Care type

Nursing home

County

Albany

Facility name

The Grand Rehabilitation and Nrsg At Guilderland

Street address

428 STATE ROUTE 146

City / state / ZIP

Altamont, NY 12009

Phone

(518) 861-5141

Website

guilderlandcarecenter.com

About this facility — The Grand Rehabilitation and Nrsg At Guilderland

The Grand Rehabilitation and Nrsg At Guilderland is a Medicare/Medicaid-certified skilled nursing facility in Altamont, New York. It is licensed for 127 beds — below the median for skilled nursing facilities in New York (160 beds).

It is one of 1 senior care facility in Altamont and 596 skilled nursing facilities across New York. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of The Grand Healthcare, a group of 16 facilities on this site.

Federal inspectors have cited The Grand Rehabilitation and Nrsg At Guilderland 88 times across 8 inspections in the last three years, including 7 food-safety citations, and CMS has imposed $40,937 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Grand Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Strauss Ventures Llc

Direct owner · Additional disclosable party — 98% stake — since 2016

Strauss, Jeremy

Indirect owner · Officer · Additional disclosable party — 93% stake — since 2016

Hunter, Marc

Operational control · Additional disclosable party — since 1999

Jaganathan, Daisy

Operational control · Additional disclosable party — since 2025

Strauss, Rebecca

Partner — since 2021

Regulatory standing

Federal court records

1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1976-09-01

CMS overall rating

1 of 5 stars

Health deficiencies

26 at the last standard inspection

Federal fines

$40,937 total

Last standard inspection

2025-03-07

Nurse staffing

2.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$343 per day (≈ $10,430/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

74% Medicaid · 18% Medicare · 8% private/other

Occupancy

94% (fiscal year 2023)

Vs. state median

29% below the NY median of $486/day — full state cost breakdown

Services & coverage

Licensed beds

127

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.

2025-03-07Health inspectionComplaint-triggered29 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-28

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-04-28

F-0584

E · No harm foundFrom a complaint

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.

Corrected 2025-04-28

F-0585

D · No harm found

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-04-28

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-28

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-04-28

F-0625

D · No harm found

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-04-28

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-04-28

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-28

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-28

F-0684

E · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-28

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-28

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-28

F-0698

D · No harm foundFrom a complaint

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-04-28

F-0711

E · No harm foundFrom a complaint

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2025-04-28

F-0725

F · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-04-28

F-0726

D · No harm foundFrom a complaint

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-04-28

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-28

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-28

F-0760

J · Immediate jeopardyFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-04-28

F-0761

D · No harm found

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.

Corrected 2025-04-28

F-0770

D · No harm foundFrom a complaint

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-04-28

F-0773

D · No harm foundFrom a complaint

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2025-04-28

F-0808

D · No harm foundFood safetyFrom a complaint

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.

Corrected 2025-04-28

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-19

F-0814

D · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2025-04-28

F-0837

E · No harm foundFrom a complaint

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.

Corrected 2025-04-28

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-28

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-28

2024-01-30Health inspectionComplaint-triggered9 citations

F-0577

D · No harm found

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-03-30

F-0623

D · No harm foundFrom a complaint

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-04-06

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-03-30

F-0725

E · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-04-05

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2024-04-05

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-02-20

F-0814

E · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2024-03-17

F-0867

E · No harm found

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-04-06

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-04-06

4 earlier / fire-safety inspections (50 citations)

2021-08-23Health inspection18 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-10-08

F-0584

E · No harm found

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.

Corrected 2021-10-08

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2021-10-08

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2021-10-08

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2021-10-08

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2021-10-08

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-10-08

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2021-10-08

F-0725

E · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2021-10-08

F-0756

E · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2021-10-08

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2021-10-08

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2021-10-08

F-0761

E · No harm found

Corrected 2021-10-08

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-10-08

F-0813

E · No harm foundFood safety

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2021-10-08

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2021-10-08

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2021-10-08

F-0925

E · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2021-10-08

2025-03-07Fire-safety inspection21 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-04-12

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-04-12

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2025-04-12

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2025-04-12

E-0018

F · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2025-04-12

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2025-04-12

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-04-12

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-04-12

K-0241

D · No harm found

Have correct number of accessible exits for each story.

Corrected 2025-04-12

K-0271

E · No harm found

Have exits that are accessible at all times.

Corrected 2025-05-19

K-0281

E · No harm found

Install proper backup exit lighting.

Corrected 2025-04-12

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-04-12

K-0293

F · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-04-12

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-12

K-0522

E · No harm found

Have an externally vented heating system.

Corrected 2025-04-12

K-0711

F · No harm found

Provide a written emergency evacuation plan.

Corrected 2025-04-12

K-0781

F · No harm found

Have restrictions on the use of portable space heaters.

Corrected 2025-04-12

K-0912

D · No harm found

Have power receptacles that are properly grounded.

Corrected 2025-04-12

K-0915

F · No harm found

Have proper power supply for life support equipment.

Corrected 2025-04-12

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-12

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-04-12

2024-01-30Fire-safety inspection7 citations

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-03-22

K-0341

E · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-04-02

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-28

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-13

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-03-30

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-04-02

2021-08-23Fire-safety inspection4 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2021-10-08

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2021-10-08

K-0916

D · No harm found

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2021-10-08

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-10-08

Federal penalties

2025-03-07Fine$40,937

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 335540.

Quality of care & staffing

How it compares in New York.

Inspection citations, 3 years

More than 97% of nursing homes in the state

State median: 33

Federal fines, 3 years

$40,937

More than 84% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

2.7

Among the lowest of nursing homes in the state

State median: 3.6

Nursing staff turnover, annual

57%

Higher than 85% of nursing homes in the state

State median: 38%

Resident outcomes

On 21 federal quality measures, this facility does better than the New York average on 9 and worse on 10. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	9.5%	13.7%	13.5%	Better than state
Lose too much weight	5.0%	5.7%	5.1%	Better than state
With a catheter inserted and left in their bladder	1.2%	0.5%	0.7%	Worse than state
With a urinary tract infection	1.0%	1.2%	1.5%	Better than state
Have depressive symptoms	13.0%	20.1%	13.5%	Better than state
Were physically restrained	0.0%	0.2%	0.1%	Better than state
Experiencing one or more falls with major injury	2.6%	3.1%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	49.0%	91.8%	93.7%	Worse than state
Ability to walk independently worsened	4.9%	11.1%	12.7%	Better than state
Received an antianxiety or hypnotic medication	12.4%	13.2%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	80.5%	95.2%	95.3%	Worse than state
With pressure ulcers	5.1%	6.5%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	23.0%	18.6%	18.3%	Worse than state
Received an antipsychotic medication	8.7%	13.7%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.91	1.67	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	3.29	1.29	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	50.0%	77.6%	82.3%	Worse than state
Newly received an antipsychotic medication	2.9%	1.1%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	76.5%	78.9%	80.1%	Near state average
Were rehospitalized after a nursing home admission	35.2%	20.6%	23.4%	Worse than state
Had an outpatient emergency department visit	21.7%	9.4%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0695 3 inspections. Provide safe and appropriate respiratory care for a resident when needed.
F-0725 3 inspections. Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
K-0921 3 inspections. Ensure that testing and maintenance of electrical equipment is performed.
F-0550 2 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Verify & compare

Where to check, and what's nearby.

Who to contact in New York

Licensing: New York State Department of Health
File a complaint: 888-201-4563 · Online
Long-Term Care Ombudsman: 855-582-6769. A free advocate for residents and families.
Adult Protective Services: 844-697-3505. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Ellis Hospital, about 8.4 miles. CMS rating 3 of 5.
St Peter's Hospital, about 9.2 miles. CMS rating 2 of 5.
Albany Medical Center Hospital, about 9.8 miles. CMS rating 1 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Our Lady of Mercy Life Center, Guilderland, about 2.9 miles. CMS rating 2 of 5.
Massry Residence At Daughters of Sarah, Albany, about 4.8 miles. 11 state visits on record.
Kingsway Manor, Schenectady, about 5.6 miles. 14 state visits on record.
Kingsway Arms Nursing Center, Schenectady, about 5.7 miles. CMS rating 4 of 5.
Schenectady Center for Rehabilitation and Nursing, Schenectady, about 6.4 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

2.579 ratings on Google

★JOSEPH R · 2026-04-17 · via Google
“This facility is deeply concerning--please exercise caution before going here or sending a loved one. I was admitted following a hospital stay at St. Peter's Hospital, and my condition significantly declined during my time at this center. I entered for rehabilitation but left non-communicative and unable to walk. I had people checking on me frequently to make sure I wasn't neglected. Unfortunate…”

★★Bates Vandenburgh · 2017-12-17 · via Google
“My sister was going to be placed in this facility. When we came on an unannounced tour of the facility, the very first thing that greeted us was an overflowing outdoor garbage can.The facility doesn't appear to be well maintained. We were greeted in the lobby by a very affable young woman that gave us visitor tags and attempted to find someone to give us a tour. When she couldn't find anyone we w…”

★★Nabil Akari · 2025-12-10 · via Google
“Dear Dr. Ali and Facility Management, We are considering having our father admitted to your facility for Palliative long term care. However, after reviewing numerous negative reviews and noticing similar responses provided each time, we have serious concerns. Could you please clarify what specific actions have been taken to ensure the safety and well-being of patients? Understanding these measures…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 88 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered