The Grand Rehabilitation And Nrsg At Guilderland
Altamont, NY · Medicare and Medicaid-certified nursing home (CCN 335540) · 127 certified beds
Health inspection: 1 · Quality measures: 2 · Staffing: 1
Federal fines: 1 totaling $40,937
Phone: (518) 861-5141 · Verify on Medicare Care Compare ↗
CMS gives The Grand Rehabilitation And Nursing At Guilderland an overall rating of 1 out of 5 stars, below the New York state average of 3.03. Its health inspection rating is 1 out of 5 and its staffing rating is 1 out of 5.
The Grand Rehabilitation And Nursing At Guilderland reports total nurse staffing of 2.91 hours per resident per day, including 0.39 RN hours per resident per day, with a staffing star rating of 1 out of 5. Nursing staff turnover is reported at 56.1%.
The Grand Rehabilitation And Nursing At Guilderland has 1 federal fine on record totaling $40,937.00, with 0 payment denials. CMS has designated this facility as a Special Focus Facility Candidate, indicating a history of persistent quality issues under increased inspection scrutiny.
About this facility
The Grand Rehabilitation And Nursing At Guilderland is a for-profit (limited liability company) nursing home located in Altamont, Albany County, New York. It has been Medicare and Medicaid certified since September 1976, with 127 certified beds and an average daily census of 119.8 residents.
According to CMS Care Compare, this facility holds an overall star rating of 1 out of 5, which is below the New York state average of 3.03. The health inspection rating is 1 out of 5, the quality measure (QM) rating is 2 out of 5, and the staffing rating is 1 out of 5.
Total nurse staffing hours average 2.91 per resident per day, including 0.39 RN hours per resident per day. Nursing staff turnover is reported at 56.1%.
CMS records show 1 federal fine totaling $40,937.00 for this facility, with 0 payment denials on record.
CMS has designated this facility as a Special Focus Facility (SFF) Candidate, meaning it has been identified by CMS as having a history of persistent quality issues and is subject to increased regulatory scrutiny compared to other nursing homes.
This facility is part of The Grand Healthcare chain, which operates 16 facilities with an average chain rating of 1.8 out of 5.
Ownership has not changed in the past 12 months, so the ratings reflect the current operator. Data sourced from CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
The facility has an overall rating of 1 out of 5 stars, which is below the New York state average of 3.03.
Does this facility accept Medicare, Medicaid, or both?
Yes, this facility is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 2.91 hours per resident per day, including 0.39 RN hours, with a staffing rating of 1 out of 5. Nursing turnover is 56.1%.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 1 fine totaling $40,937.00, and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
There is no abuse icon flagged, but CMS has designated this facility as a Special Focus Facility (SFF) Candidate due to a history of persistent quality issues.
How large is this facility and how many residents live there?
The facility has 127 certified beds and an average of 119.8 residents.
Who owns this facility — and is it part of a chain?
It is a for-profit limited liability company and is part of The Grand Healthcare chain, which operates 16 facilities with an average chain rating of 1.8 out of 5.
How long has this facility been Medicare/Medicaid certified?
The facility has been certified since September 1976.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, staffing, and quality measures (QM); this facility scores 1, 1, 1, and 2 respectively out of 5.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; contact the facility at 5188615141 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 5188615141 and verify on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can view the facility's current record at https://www.medicare.gov/care-compare/details/nursing-home/335540?state=NY.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.