428 STATE ROUTE 146, ALTAMONT, NY 12009
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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.
Are you the operator? Claim this listing free →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
High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.
Administrator turnover: 1 in the past year
Ensure that residents are free from significant medication errors.
Corrected: Apr 28, 2025
37 standard deficiencies in the last 3 years
View allProvide and implement an infection prevention and control program.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Dispose of garbage and refuse properly.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Provide timely, quality laboratory services/tests to meet the needs of residents.
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.
Ensure medication error rates are not 5 percent or greater.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Provide safe and appropriate respiratory care for a resident when needed.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
PASARR screening for Mental disorders or Intellectual Disabilities
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.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
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.
Allow residents to self-administer drugs if determined clinically appropriate.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide and implement an infection prevention and control program.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Dispose of garbage and refuse properly.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide or obtain dental services for each resident.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide safe and appropriate respiratory care for a resident when needed.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
No civil monetary penalties on record.
No hospitals found within 10 miles.
Proximity to emergency care is especially important for medically complex residents.
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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