Open Care Data
Independent Review & Safety Record · CCN 335540 Monitoring available

THE GRAND REHABILITATION AND NRSG AT GUILDERLAND

An independent review of The Grand Rehabilitation And Nrsg At Guilderland's safety record, its Medicare rating, health-inspection citations, staffing, fines and complaints, drawn from public federal data (not user star-ratings).

428 STATE ROUTE 146 · ALTAMONT, NY 12009 · 127 beds
Phone: 5188615141
F
Open Care Data Safety Grade

This facility raises serious safety concerns and ranks well below its peers.

Starts from the Medicare rating, then weighs Special Focus Facility status; below-average staffing; high RN turnover (71%). How we grade · See how it compares
Open Care Data's independent assessment of public federal data, not an official CMS rating. Data can lag or change. Operate this facility? Report a correction.

Recent News August 2026 federal update

As of the August 2026 federal update, there were no changes to this facility's Medicare ratings, Special Focus watch-list status, fines, or complaints since the prior release.

Medicare Five-Star Rating · as of the latest federal update

Overall
1 / 5
Staffing
1 / 5
Health Inspection
1 / 5
Quality Measures
★★
2 / 5

Top concerns What stands out in the record

  • On the federal Special Focus Facility watch list for persistent quality problems.
  • Below-average overall Medicare rating (1 of 5 stars).
  • Staffing rating is in the bottom tier, often the strongest predictor of care quality.
  • High registered-nurse turnover (71%), care continuity may suffer.

How it compares vs. 596 NY nursing homes

Overall Medicare rating
1of 5 stars
Better than 0% of NY homes
Staffing rating
1of 5 stars
Better than 0% of NY homes
Health-inspection rating
1of 5 stars
Better than 0% of NY homes
Total nurse hours / resident / day
2.91068hrs
Better than 10% of NY homes
RN hours / resident / day
0.39297hrs
Better than 15% of NY homes
RN turnover
71.4%
Better than 5% of NY homes

Percentiles rank this facility against every other Medicare-rated nursing home in New York, using the latest federal data.

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Safety & Enforcement Federal inspection record

Safety indicators

Abuse indicator None on record
Special Focus Facility Enhanced oversight
Substantiated complaints 0

Financial penalties

1
Fines
$40,937
Total fines
0
Payment denials
1
Total penalties

Staffing Hours per resident / day

0.39297
RN hours per resident / day
Benchmark ≥ 0.75
2.91068
Total nursing hours / day
Benchmark ≈ 4.1
2.51827
Weekend nursing hours / day
Look for parity with weekdays

Higher staffing, especially RN time, correlates with better outcomes and higher Medicare star ratings.

Recent Deficiency Citations Last 36 months · federal inspections

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Quality Measures Medicare quality data · lower is better

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Highly-rated facilities nearby Same area · by rating