THE GRAND REHABILITATION AND NRSG AT GUILDERLAND
THE GRAND REHABILITATION AND NRSG AT GUILDERLAND is a 127-bed nursing home in ALTAMONT, New York. CMS has certified it for Medicare and Medicaid since 1976-09-01. It averages 119.8 residents a day.
What harm was found in the violations cited at THE GRAND REHABILITATION AND NRSG AT GUILDERLAND?
CMS lists 56 health-inspection deficiencies for THE GRAND REHABILITATION AND NRSG AT GUILDERLAND since 2021-08-23, 38 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-03-07.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-03-07 | F0760 | Ensure that residents are free from significant medication errors. | J |
| 2025-03-07 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2025-03-07 | F0550, F0584, F0656, F0657, F0684, F0711, F0837, F0842, F0880, F0755 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2025-03-07 | F0554, F0585, F0609, F0623, F0625, F0645, F0686, F0695, F0698, F0726, F0759, F0761, F0808, F0812, F0814, F0770, F0773 | Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Ensure medication error rates are not 5 percent or greater. / 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 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D |
| 2024-01-30 | F0725, F0814, F0867, F0880 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Dispose of garbage and refuse properly. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. | E |
| 2024-01-30 | F0577, F0695, F0791, F0812, F0623 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Provide safe and appropriate respiratory care for a resident when needed. / Provide or obtain dental services for each resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D |
| 2021-08-23 | F0584, F0656, F0725, F0756, F0761, F0812, F0813, F0880, F0925 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2021-08-23 | F0550, F0609, F0641, F0677, F0684, F0695, F0757, F0760, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Why was THE GRAND REHABILITATION AND NRSG AT GUILDERLAND fined?
| Date | Type | Amount |
|---|---|---|
| 2025-03-07 | Fine | $40,937 |
How is THE GRAND REHABILITATION AND NRSG AT GUILDERLAND staffed relative to the NY average?
| Measure | This facility | NY average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.91068 | 3.62468 |
| Total nursing staff turnover (%) | 56.1 | 40.3 |
| Average number of residents per day | 119.8 | 168.0 |
Who owns THE GRAND REHABILITATION AND NRSG AT GUILDERLAND, and what chain is it in?
THE GRAND REHABILITATION AND NRSG AT GUILDERLAND is registered with CMS as For profit - Limited Liability company, operates under the legal business name GUILDERLAND OPERATOR LLC and belongs to the THE GRAND HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | STRAUSS VENTURES LLC | since 11/14/2016 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | STRAUSS, JEREMY | since 08/31/2016 |
| CORPORATE OFFICER | STRAUSS, JEREMY | since 08/31/2016 |
| OPERATIONAL/MANAGERIAL CONTROL | HUNTER, MARC, JAGANATHAN, DAISY | since 08/01/2025 |
| GENERAL PARTNERSHIP INTEREST | STRAUSS, REBECCA | since 10/01/2021 |
| ADP OF THE SNF | STRAUSS VENTURES LLC, HUNTER, MARC, JAGANATHAN, DAISY, STRAUSS, JEREMY | since 08/01/2025 |
Were you or a family member harmed at THE GRAND REHABILITATION AND NRSG AT GUILDERLAND?