Senior Care Records.

The Grand Rehabilitation and NRSG at Guilderland

428 STATE ROUTE 146, Altamont, NY, 12009

Nursing home127 licensed beds0 citations on record
3 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 26 deficiencies against The Grand Rehabilitation and NRSG at Guilderland in Altamont, New York at its most recent standard inspection on 2025-03-07, 10 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $40,937. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
127certified beds
26deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $40,937
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.55
Potential for minimal harmThe least serious band.0
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies · F0760 · 2025-03-07 · from a complaint · Immediate jeopardy to resident health or safety

J

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 · F0725 · 2025-03-07 · from a complaint · No actual harm, potential for more than minimal harm

F

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

Resident Rights Deficiencies · F0550 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm

E

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 · F0584 · 2025-03-07 · from a complaint · No actual harm, potential for more than minimal harm

E

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 · F0656 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm

E

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 · F0657 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm

E

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

Quality of Life and Care Deficiencies · F0684 · 2025-03-07 · from a complaint · No actual harm, potential for more than minimal harm

E

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 · F0711 · 2025-03-07 · from a complaint · No actual harm, potential for more than minimal harm

E

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 · F0837 · 2025-03-07 · from a complaint · No actual harm, potential for more than minimal harm

E

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 · F0842 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm

E

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

Resident Rights Deficiencies · F0554 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Resident Rights Deficiencies · F0585 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm

D

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Rights Deficiencies · F0623 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Resident Rights Deficiencies · F0625 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm

D

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies · F0645 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0686 · 2025-03-07 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0695 · 2025-03-07 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0698 · 2025-03-07 · from a complaint · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS2.91068
Nursing staff turnoverShare of nursing staff who left in a year56.1%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$40,937
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns The Grand Rehabilitation and NRSG at Guilderland

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
STRAUSS VENTURES LLCOrganization98%since 11/14/2016
STRAUSS, JEREMYIndividual93%since 08/31/2016
STRAUSS, JEREMYIndividualNOT APPLICABLEsince 08/31/2016
HUNTER, MARCIndividualNOT APPLICABLEsince 12/31/1999
JAGANATHAN, DAISYIndividualNOT APPLICABLEsince 08/01/2025
STRAUSS, REBECCAIndividualNOT APPLICABLEsince 10/01/2021
STRAUSS VENTURES LLCOrganizationNOT APPLICABLEsince 09/30/2025
HUNTER, MARCIndividualNOT APPLICABLEsince 09/08/2025
JAGANATHAN, DAISYIndividualNOT APPLICABLEsince 08/01/2025
STRAUSS, JEREMYIndividualNOT APPLICABLEsince 08/31/2016

Part of the THE GRAND HEALTHCARE group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask The Grand Rehabilitation and NRSG at Guilderland a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

The Grand Rehabilitation and NRSG at Guilderland has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 5188615141 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 335540.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction