Skilled Nursing

THE GRAND REHABILITATION AND NRSG AT GUILDERLAND

428 STATE ROUTE 146, ALTAMONT, NY 12009

127beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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We have basic information about THE GRAND REHABILITATION AND NRSG AT GUILDERLANDfrom government records — including the address, care types, and bed count shown above. For current pricing, photos, and amenities, contact the community directly or check back soon. We're actively reaching out to operators nationwide to claim and complete their listings.

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

Special Focus Candidate — This facility has been identified as a candidate for the Special Focus Facility program, indicating below-average inspection performance.

2.6h

Hrs/resident · weekday

Expected: 3.1h

2.7h

Hrs/resident · weekend

vs 2.6h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
79%
LPNs
CNAs
55%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0760Severity JMar 7, 2025

Ensure that residents are free from significant medication errors.

Corrected: Apr 28, 2025

37 standard deficiencies in the last 3 years

View all
0880Severity EMar 7, 2025

Provide and implement an infection prevention and control program.

0842Severity EMar 7, 2025

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

0837Severity EMar 7, 2025

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.

0814Severity DMar 7, 2025

Dispose of garbage and refuse properly.

0812Severity DMar 7, 2025

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

0808Severity DMar 7, 2025

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.

0773Severity DMar 7, 2025

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

0770Severity DMar 7, 2025

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

0761Severity DMar 7, 2025

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.

0759Severity DMar 7, 2025

Ensure medication error rates are not 5 percent or greater.

0755Severity EMar 7, 2025

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

0726Severity DMar 7, 2025

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.

0725Severity FMar 7, 2025

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

0711Severity EMar 7, 2025

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

0698Severity DMar 7, 2025

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

0695Severity DMar 7, 2025

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

0686Severity DMar 7, 2025

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

0684Severity EMar 7, 2025

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

0657Severity EMar 7, 2025

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

0656Severity EMar 7, 2025

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

0645Severity DMar 7, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

0625Severity DMar 7, 2025

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.

0623Severity DMar 7, 2025

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

0609Severity DMar 7, 2025

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

0585Severity DMar 7, 2025

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.

0584Severity EMar 7, 2025

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.

0554Severity DMar 7, 2025

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

0550Severity EMar 7, 2025

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

0880Severity EJan 30, 2024

Provide and implement an infection prevention and control program.

0867Severity EJan 30, 2024

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

0814Severity EJan 30, 2024

Dispose of garbage and refuse properly.

0812Severity DJan 30, 2024

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

0791Severity DJan 30, 2024

Provide or obtain dental services for each resident.

0725Severity EJan 30, 2024

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

0695Severity DJan 30, 2024

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

0623Severity DJan 30, 2024

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

0577Severity DJan 30, 2024

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

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

GUILDERLAND OPERATOR LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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