Nursing Home Alerts

The Grand Rehabilitation and Nrsg at Guilderland

428 State Route 146, Altamont, NY 12009

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The Grand Rehabilitation and Nrsg at Guilderland is a nursing home in Altamont, New York. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 1 of 5.

  2. CMS update of June 25, 2025

    • Health citation

      CMS removed citation F0623 from the health inspection on March 7, 2025.

    • Health citation

      CMS removed citation F0625 from the health inspection on March 7, 2025.

  3. CMS update of May 28, 2025

    • Special Focus Facility

      CMS now lists this home as a Special Focus Facility candidate.

  4. Health inspection on March 7, 2025

    29 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    50 of 592 New York homes (8%) got a citation at the immediate jeopardy level in 2025.

    CMS fine of $40,937 on March 7, 2025.

    Show the 29 citations
    • Citation F0760. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0760 2 times since 2021.

    • Citation F0725. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0725 3 times since 2021.

    • Citation F0550. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0550 2 times since 2021.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0584 2 times since 2021.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0656 2 times since 2021.

    • Citation F0657. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0684 2 times since 2021.

    • Citation F0711. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0837. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0842. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0842 2 times since 2021.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0880 3 times since 2021.

    • Citation F0554. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0585. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0609 2 times since 2021.

    • Citation F0623. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0623 2 times since 2024.

    • Citation F0625. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on April 28, 2025.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0695 3 times since 2021.

    • Citation F0698. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0726. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0761 2 times since 2021.

    • Citation F0770. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely, quality laboratory services/tests to meet the needs of residents.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0773. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0808. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on May 19, 2025.

      CMS has cited this home for F0812 3 times since 2021.

    • Citation F0814. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Dispose of garbage and refuse properly.

      CMS lists it as corrected on April 28, 2025.

      CMS has cited this home for F0814 2 times since 2024.

    See this home on CMS Care Compare

  5. Fire safety inspection on March 7, 2025

    21 citations

    CMS lists this as a standard inspection.

    Show the 21 citations
    • Citation E0004. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

      CMS lists it as corrected on April 12, 2025.

    • Citation E0006. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct risk assessment and an All-Hazards approach.

      CMS lists it as corrected on April 12, 2025.

    • Citation E0007. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Address patient/client population and determine types of services needed.

      CMS lists it as corrected on April 12, 2025.

    • Citation E0015. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Address subsistence needs for staff and patients.

      CMS lists it as corrected on April 12, 2025.

    • Citation E0018. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish procedures for tracking staff and patients during an emergency.

      CMS lists it as corrected on April 12, 2025.

    • Citation E0041. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Implement emergency and standby power systems.

      CMS lists it as corrected on April 12, 2025.

    • Citation K0291. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.

      CMS lists it as corrected on April 12, 2025.

    • Citation K0293. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have properly located and lighted "Exit" signs.

      CMS lists it as corrected on April 12, 2025.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on April 12, 2025.

      CMS has cited this home for K0353 2 times since 2024.

    • Citation K0711. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide a written emergency evacuation plan.

      CMS lists it as corrected on April 12, 2025.

    • Citation K0781. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have restrictions on the use of portable space heaters.

      CMS lists it as corrected on April 12, 2025.

    • Citation K0915. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have proper power supply for life support equipment.

      CMS lists it as corrected on April 12, 2025.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on April 12, 2025.

      CMS has cited this home for K0918 2 times since 2024.

    • Citation K0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on April 12, 2025.

      CMS has cited this home for K0921 3 times since 2021.

    • Citation K0211. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on April 12, 2025.

      CMS has cited this home for K0211 2 times since 2021.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on April 12, 2025.

    • Citation K0271. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have exits that are accessible at all times.

      CMS lists it as corrected on May 19, 2025.

    • Citation K0281. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install proper backup exit lighting.

      CMS lists it as corrected on April 12, 2025.

    • Citation K0522. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have an externally vented heating system.

      CMS lists it as corrected on April 12, 2025.

    • Citation K0241. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have correct number of accessible exits for each story.

      CMS lists it as corrected on April 12, 2025.

    • Citation K0912. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have power receptacles that are properly grounded.

      CMS lists it as corrected on April 12, 2025.

    See this home on CMS Care Compare

  6. CMS update of July 31, 2024

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  7. CMS update of May 29, 2024

    • Special Focus Facility

      CMS no longer lists this home as a Special Focus Facility candidate.

  8. Health inspection on January 30, 2024

    9 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 9 citations
    • Citation F0725. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      CMS lists it as corrected on April 5, 2024.

    • Citation F0814. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Dispose of garbage and refuse properly.

      CMS lists it as corrected on March 17, 2024.

    • Citation F0867. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

      CMS lists it as corrected on April 6, 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 6, 2024.

    • Citation F0577. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

      CMS lists it as corrected on March 30, 2024.

    • Citation F0623. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on April 6, 2024.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on March 30, 2024.

    • Citation F0791. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide or obtain dental services for each resident.

      CMS lists it as corrected on April 5, 2024.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on February 20, 2024.

    See this home on CMS Care Compare

  9. Fire safety inspection on January 30, 2024

    7 citations

    CMS lists this as a standard inspection.

    Show the 7 citations
    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on March 28, 2024.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on March 13, 2024.

    • Citation K0511. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on March 30, 2024.

    • Citation K0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on April 2, 2024.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on March 22, 2024.

    • Citation K0341. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install a fire alarm system that can be heard throughout the facility.

      CMS lists it as corrected on April 2, 2024.

    See this home on CMS Care Compare

  10. Health inspection on August 23, 2021

    18 citations

    CMS lists this as a standard inspection.

    Show the 18 citations
    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0725. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0756. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0813. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0925. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0757. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on October 8, 2021.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on October 8, 2021.

    See this home on CMS Care Compare

  11. Fire safety inspection on August 23, 2021

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation K0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on October 8, 2021.

    • Citation K0211. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on October 8, 2021.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on October 8, 2021.

    • Citation K0916. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have a battery powered remote alarm panel in a location accessible by operating personnel.

      CMS lists it as corrected on October 8, 2021.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(518) 861-5141
Last standard health inspection
March 7, 2025 (1 year ago)
Certified beds
127
Residents per day, on average
122.6
Ownership type
For profit - Limited Liability company
Legal business name
Guilderland Operator LLC
Chain
The Grand Healthcare
Takes part in
Medicare and Medicaid

More health citations than the New York average (56 vs 21).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was The Grand Rehabilitation and Nrsg at Guilderland last inspected?

CMS lists March 7, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does The Grand Rehabilitation and Nrsg at Guilderland have?

CMS lists 56 health citations since August 23, 2021. CMS also calls these deficiencies.

Has The Grand Rehabilitation and Nrsg at Guilderland been fined?

CMS lists 1 fine in the past three years, $40,937 in total.

What is the CMS star rating of The Grand Rehabilitation and Nrsg at Guilderland?

Its CMS overall star rating is 1 of 5.

Is The Grand Rehabilitation and Nrsg at Guilderland a Special Focus Facility?

Yes. CMS lists it as a Special Focus Facility candidate.