THE GRAND REHABILITATION AND NRSG AT GUILDERLAND

πŸ“ 428 STATE ROUTE 146, altamont, NY 12009 πŸ“ž 5188615141 πŸ›οΈ 127 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

107
Total Violations
10 years of data
$40,937
Total Fines
1 penalties
9
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 24 violations

Tag 0550 E Mar 7, 2025

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

βœ“ Corrected: Apr 28, 2025
Tag 0554 D Mar 7, 2025

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

βœ“ Corrected: Apr 28, 2025
Tag 0584 E Mar 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.

βœ“ Corrected: Apr 28, 2025
Tag 0585 D Mar 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.

βœ“ Corrected: Apr 28, 2025
Tag 0609 D Mar 7, 2025

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

βœ“ Corrected: Apr 28, 2025
Tag 0645 D Mar 7, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Apr 28, 2025
Tag 0656 E Mar 7, 2025

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

βœ“ Corrected: Apr 28, 2025
Tag 0657 E Mar 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.

βœ“ Corrected: Apr 28, 2025
Tag 0684 E Mar 7, 2025

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

βœ“ Corrected: Apr 28, 2025
Tag 0686 D Mar 7, 2025

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

βœ“ Corrected: Apr 28, 2025
Tag 0695 D Mar 7, 2025

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

βœ“ Corrected: Apr 28, 2025
Tag 0698 D Mar 7, 2025

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

βœ“ Corrected: Apr 28, 2025
Tag 0711 E Mar 7, 2025

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

βœ“ Corrected: Apr 28, 2025
Tag 0725 F Mar 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.

βœ“ Corrected: Apr 28, 2025
Tag 0726 D Mar 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.

βœ“ Corrected: Apr 28, 2025
Tag 0759 D Mar 7, 2025

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Apr 28, 2025
Tag 0760 J Mar 7, 2025

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Apr 28, 2025
Tag 0761 D Mar 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.

βœ“ Corrected: Apr 28, 2025
Tag 0808 D Mar 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.

βœ“ Corrected: Apr 28, 2025
Tag 0812 D Mar 7, 2025

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

βœ“ Corrected: May 19, 2025

2024 9 violations

Tag 0577 D Jan 30, 2024

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

βœ“ Corrected: Mar 30, 2024
Tag 0623 D Jan 30, 2024

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

βœ“ Corrected: Apr 6, 2024
Tag 0695 D Jan 30, 2024

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

βœ“ Corrected: Mar 30, 2024
Tag 0725 E Jan 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.

βœ“ Corrected: Apr 5, 2024
Tag 0791 D Jan 30, 2024

Provide or obtain dental services for each resident.

βœ“ Corrected: Apr 5, 2024
Tag 0812 D Jan 30, 2024

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

βœ“ Corrected: Feb 20, 2024
Tag 0814 E Jan 30, 2024

Dispose of garbage and refuse properly.

βœ“ Corrected: Mar 17, 2024
Tag 0867 E Jan 30, 2024

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

βœ“ Corrected: Apr 6, 2024
Tag 0880 E Jan 30, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 6, 2024

2023 1 violations

Tag 0600 E Jan 19, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Mar 21, 2023

2022 6 violations

Tag 0580 D Oct 26, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Dec 24, 2022
Tag 0755 D Oct 26, 2022

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

βœ“ Corrected: Dec 24, 2022
Tag 0760 D Oct 26, 2022

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Dec 24, 2022
Tag 0761 D Oct 26, 2022

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.

βœ“ Corrected: Dec 24, 2022
Tag 0842 D Oct 26, 2022

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

βœ“ Corrected: Dec 24, 2022
Tag 0584 E May 23, 2022

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.

βœ“ Corrected: Jul 22, 2022

2021 21 violations

Tag 0580 D Dec 13, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jan 21, 2022
Tag 0656 D Dec 13, 2021

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

βœ“ Corrected: Jan 21, 2022
Tag 0580 D Aug 26, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Tag 0550 D Aug 23, 2021

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

βœ“ Corrected: Oct 8, 2021
Tag 0584 E Aug 23, 2021

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.

βœ“ Corrected: Oct 8, 2021
Tag 0609 D Aug 23, 2021

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

Tag 0641 D Aug 23, 2021

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Oct 8, 2021
Tag 0656 E Aug 23, 2021

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

Tag 0677 D Aug 23, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag 0684 D Aug 23, 2021

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

βœ“ Corrected: Oct 8, 2021
Tag 0695 D Aug 23, 2021

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

βœ“ Corrected: Oct 8, 2021
Tag 0725 E Aug 23, 2021

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

Tag 0756 E Aug 23, 2021

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Oct 8, 2021
Tag 0757 D Aug 23, 2021

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Oct 8, 2021
Tag 0760 D Aug 23, 2021

Ensure that residents are free from significant medication errors.

Tag 0761 E Aug 23, 2021

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.

βœ“ Corrected: Oct 8, 2021
Tag 0812 E Aug 23, 2021

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

βœ“ Corrected: Oct 8, 2021
Tag 0813 E Aug 23, 2021

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

βœ“ Corrected: Oct 8, 2021
Tag 0842 D Aug 23, 2021

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

Tag 0880 E Aug 23, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 8, 2021

2020 2 violations

Tag 0880 K Nov 20, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 30, 2020
Tag 0656 D Feb 7, 2020

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

βœ“ Corrected: Mar 20, 2020

2019 17 violations

Tag 0550 E Aug 27, 2019

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

βœ“ Corrected: Oct 22, 2019
Tag 0582 D Aug 27, 2019

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Oct 22, 2019
Tag 0584 C Aug 27, 2019

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.

βœ“ Corrected: Oct 22, 2019
Tag 0623 D Aug 27, 2019

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

βœ“ Corrected: Oct 22, 2019
Tag 0645 D Aug 27, 2019

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Oct 22, 2019
Tag 0655 E Aug 27, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Oct 22, 2019
Tag 0656 D Aug 27, 2019

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

βœ“ Corrected: Oct 22, 2019
Tag 0679 D Aug 27, 2019

Provide activities to meet all resident's needs.

βœ“ Corrected: Oct 22, 2019
Tag 0692 D Aug 27, 2019

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Oct 22, 2019
Tag 0725 E Aug 27, 2019

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

βœ“ Corrected: Oct 22, 2019
Tag 0758 D Aug 27, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Oct 22, 2019
Tag 0812 E Aug 27, 2019

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

βœ“ Corrected: Oct 22, 2019
Tag 0813 E Aug 27, 2019

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

βœ“ Corrected: Oct 22, 2019
Tag 0836 C Aug 27, 2019

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

βœ“ Corrected: Oct 22, 2019
Tag 0842 D Aug 27, 2019

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

βœ“ Corrected: Oct 22, 2019
Tag 0880 E Aug 27, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 22, 2019
Tag 0600 D Jul 29, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Sep 12, 2019

2018 15 violations

Tag 0583 D Feb 22, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Apr 19, 2018
Tag 0584 E Feb 22, 2018

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.

βœ“ Corrected: Apr 19, 2018
Tag 0606 E Feb 22, 2018

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

βœ“ Corrected: Apr 19, 2018
Tag 0623 E Feb 22, 2018

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

βœ“ Corrected: Apr 19, 2018
Tag 0625 E Feb 22, 2018

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.

βœ“ Corrected: Apr 19, 2018
Tag 0656 D Feb 22, 2018

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

βœ“ Corrected: Apr 19, 2018
Tag 0692 D Feb 22, 2018

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Apr 19, 2018
Tag 0693 D Feb 22, 2018

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: Apr 19, 2018
Tag 0700 E Feb 22, 2018

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

βœ“ Corrected: Apr 19, 2018
Tag 0725 E Feb 22, 2018

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

βœ“ Corrected: Apr 19, 2018
Tag 0760 D Feb 22, 2018

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Apr 19, 2018
Tag 0761 E Feb 22, 2018

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.

βœ“ Corrected: Apr 19, 2018
Tag 0812 E Feb 22, 2018

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

βœ“ Corrected: Apr 19, 2018
Tag 0880 E Feb 22, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 19, 2018
Tag 0908 E Feb 22, 2018

Keep all essential equipment working safely.

βœ“ Corrected: Apr 19, 2018

2017 6 violations

Tag 0314 D Apr 21, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: Jun 14, 2017
Tag 0385 D Apr 21, 2017

Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor.

βœ“ Corrected: Jun 14, 2017
Tag 0157 G Apr 14, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jun 26, 2017
Tag 0280 D Apr 14, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Jun 12, 2017
Tag 0281 E Apr 14, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jun 26, 2017
Tag 0309 E Apr 14, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jun 12, 2017

2016 6 violations

Tag 0156 B Sep 1, 2016

Give residents a notice of rights, rules, services and charges.

βœ“ Corrected: Oct 17, 2016
Tag 0241 D Sep 1, 2016

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

βœ“ Corrected: Oct 17, 2016
Tag 0253 C Sep 1, 2016

Provide housekeeping and maintenance services.

βœ“ Corrected: Oct 17, 2016
Tag 0279 D Sep 1, 2016

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

βœ“ Corrected: Oct 17, 2016
Tag 0280 D Sep 1, 2016

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Oct 17, 2016
Tag 0371 E Sep 1, 2016

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Oct 17, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2025 1 penalties totaling $40,937

$40,937
Fine
March 7, 2025
Average: $40,937 | Range: $40,937 - $40,937

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

January 30, 2024
0.00

Health

January 19, 2023
0.00

Health

October 26, 2022
0.00

Health

May 23, 2022
0.00

Health

December 13, 2021
0.00

Health

August 26, 2021
0.00

Health

August 23, 2021
0.00

Health

August 27, 2019
0.00

Health

February 22, 2018
0.00

Quality Measures

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Ownership Information

For profit - Individual
Independent (Not part of a chain)
335540
335540
5188615141
Albany

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Organization