The Grand Rehabilitation and Nursing at Chittenango has a 1 out of 5 overall rating, with 1-star staffing and quality measures and 2-star health inspections. Its reported nurse staffing is below the federal benchmark (3.39 vs. 4.1 hours per resident per day), and it has no fines in the last 24 months; it is flagged for the lowest overall rating.
Last inspection: November 18, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3944.
Staffing detail
Registered nurses
0.47
Licensed practical nurses
1.09
Nurse aides
1.84
Weekend nursing
3.05
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
27.2%Steady
Residents with a fall causing major injury
3.3%Improving
Residents with pressure ulcers (bedsores)
8%Improving
Residents with a urinary tract infection
1.6%Worsening
Residents who lost too much weight
11.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.2%Improving
Residents whose ability to walk got worse
16.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
15.2%Worsening
Short-stay residents newly given an antipsychotic
2.2%Improving
Residents with a long-term catheter
2.4%Steady
Residents with new or worsening incontinence
20.6%Improving
Residents with depressive symptoms
4.5%Worsening
Long-stay residents given the seasonal flu vaccine
96.2%Steady
Long-stay residents given the pneumonia vaccine
96.7%Worsening
Short-stay residents given the seasonal flu vaccine
71.4%Steady
Short-stay residents given the pneumonia vaccine
76.3%Worsening
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited January 2024 — limited pattern, immediate jeopardy to residents.
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F-Tag 578 — 42 CFR §483.10 — S/S: K
The home failed to properly label and securely store medications and biologicals. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 919 — 42 CFR §483.90 — S/S: E
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited January 2024 — limited pattern, potential for harm.
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F-Tag 582 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 1 fine · $16,448 in total fines.
Federal fine
Jan 26, 2024
$16,448
Operator & ownership
Ownership
For profit - Individual
Chain
Part of THE GRAND HEALTHCARE · 16 homes · 1.8 stars avg
Occupancy
76.1 residents on an average day (95% of 80 beds)
Resident voice
Resident council
Medicare history
Certified for 49 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.