The home failed to properly hold, secure, and manage residents’ personal money kept by the facility. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 568 — 42 CFR §483.10 — S/S: E
Nursing home report
The Grand Rehabilitation And Nrsg At River Valley
Poughkeepsie, NY · Medicare-certified · 160 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Overall rating: 1 out of 5 stars. This facility has the lowest overall rating, with 2-star health inspection and staffing scores, 1-star quality measures, no fines in the last 24 months, and reported nurse staffing of 3.16 hours per resident per day below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.1633 hrs/resident/day
Quality measures
Last inspection: March 18, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1633.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 0.94
- Nurse aides
- 1.91
- Weekend nursing
- 2.57
Hours per resident per day.
Total staff turnover: 25%
Registered nurse turnover: 56%
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).
Residents with a fall causing major injury
0.7%2.2%Worsening
Residents with pressure ulcers (bedsores)
7.8%10%Worsening
Residents with a urinary tract infection
0%0.8%Worsening
Residents who lost too much weight
6.3%1.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.2%19.3%Worsening
Residents whose ability to walk got worse
19.6%13.2%Improving
Long-stay residents on antianxiety or sleep medication
12.9%16.5%Worsening
Short-stay residents newly given an antipsychotic
1.4%1.4%No change
Residents with a long-term catheter
1.1%1.2%No change
Residents with new or worsening incontinence
24.9%27.9%Worsening
Residents with depressive symptoms
27.3%18.8%Improving
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
—91.6%—
Long-stay residents given the pneumonia vaccine
79.9%81%Improving
Short-stay residents given the seasonal flu vaccine
—50.8%—
Short-stay residents given the pneumonia vaccine
41.6%37.5%Worsening
What the inspectors found
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to properly dispose of garbage and other waste. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: E
The home failed to properly watch nurse aides' work and provide regular training. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — 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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 11 days
Medicare/Medicaid payment denial
Feb 19, 2025
Operator & ownership
Recent ownership change · Jul 22, 2016
Now operated by The Grand Rehabilitation and Nursing at River Valley, previously River Valley Care Center.
- Ownership
- For profit - Corporation
- Chain
- Part of THE GRAND HEALTHCARE · 16 homes · 1.8 stars avg
- Occupancy
- 152.9 residents on an average day (96% of 160 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 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.