The nursing home failed to ensure residents were free from significant medication errors. Cited March 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
THE GRAND REHABILITATION AND NRSG AT GUILDERLAND
ALTAMONT, NY · Medicare-certified · 127 beds
Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
The Grand Rehabilitation and Nursing at Guilderland has a 1-star overall rating, with 1-star health inspection and staffing scores and 2-star quality measures. It is a special focus facility/candidate, reported 2.91 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and had $40,937 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.9107 hrs/resident/day
Quality measures
Last inspection: March 7, 2025Penalties, last 24 months: $40,937special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9107.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 1.03
- Nurse aides
- 1.49
- Weekend nursing
- 2.47
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 71%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.2%8.6%Improving
Residents with a fall causing major injury
0%1%Worsening
Residents with pressure ulcers (bedsores)
4.6%5.7%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0.9%8.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.8%10.4%Worsening
Residents whose ability to walk got worse
10.8%0%Improving
Long-stay residents on antianxiety or sleep medication
10.7%10.8%No change
Short-stay residents newly given an antipsychotic
2.8%3.4%Worsening
Residents with a long-term catheter
0.6%1.6%Worsening
Residents with new or worsening incontinence
24.1%21.8%Improving
Residents with depressive symptoms
3%23.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.4%—
Long-stay residents given the pneumonia vaccine
46.9%50.5%Improving
Short-stay residents given the seasonal flu vaccine
—40.5%—
Short-stay residents given the pneumonia vaccine
21.4%70.7%Improving
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $40,937 was recorded.
- INSPECTION
Health inspection found 29 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $40,937 in total fines.
- $40,937
Federal fine
Mar 7, 2025
Operator & ownership
Recent ownership change · Nov 11, 2016
Now operated by Guilderland Operator LLC, previously Guilderland Center Rehabilitation & Extended Care Facility Op CO LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE GRAND HEALTHCARE · 16 homes · 1.8 stars avg
- Occupancy
- 119.8 residents on an average day (94% of 127 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.