The nursing home failed to ensure residents were free from significant medication errors. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
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
1 of 5 overall
1 of 5 stars overall. This facility is a Special Focus Facility candidate with 1-star health inspection and staffing ratings, 2-star quality measures, nurse staffing below the federal benchmark (3.01 vs 4.1 hours per resident per day), and $40,937 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0088 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 3.0088.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 1.12
- Nurse aides
- 1.53
- Weekend nursing
- 2.60
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 79%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.7%Improving
Residents with a fall causing major injury
1.8%Worsening
Residents with pressure ulcers (bedsores)
4.3%Steady
Residents with a urinary tract infection
0.5%Worsening
Residents who lost too much weight
2.5%Worsening
Residents who were physically restrained
0.2%Improving
Residents needing more help with daily activities
13.2%Improving
Residents whose ability to walk got worse
10.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
11.8%Worsening
Short-stay residents newly given an antipsychotic
1.7%Worsening
Residents with a long-term catheter
1.2%Worsening
Residents with new or worsening incontinence
24.8%Improving
Residents with depressive symptoms
3.3%Worsening
Long-stay residents given the seasonal flu vaccine
93.4%Steady
Long-stay residents given the pneumonia vaccine
47.3%Worsening
Short-stay residents given the seasonal flu vaccine
40.5%Steady
Short-stay residents given the pneumonia vaccine
29.5%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.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — 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
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE GRAND HEALTHCARE · 16 homes · 1.8 stars avg
- Occupancy
- 118.2 residents on an average day (93% 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.