Starfile / New York

THE GRAND REHABILITATION AND NRSG AT GUILDERLAND

428 STATE ROUTE 146, ALTAMONT, NY 12009 · CCN 335540

SFF Candidate

Inspection history vs New York & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$40,937

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

THE GRAND HEALTHCARE

Facilities in chain

16

Chain avg overall

1.80 / 5

Inspection citations (56)1 immediate jeopardy

1. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-07 · Health · corrected 2025-04-28

   Potential for more than minimal harm

2. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-03-07 · Health · corrected 2025-04-28

   Potential for more than minimal harm

3. EF0584Honor 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.2025-03-07 · Health · corrected 2025-04-28

   Potential for more than minimal harm

4. DF0585Honor 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.2025-03-07 · Health · corrected 2025-04-28

   Potential for more than minimal harm

5. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-07 · Health · corrected 2025-04-28

   Potential for more than minimal harm

6. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-07 · Health · corrected 2025-04-28

   Potential for more than minimal harm

7. DF0625Notify 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.2025-03-07 · Health · corrected 2025-04-28

   Potential for more than minimal harm

8. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-03-07 · Health · corrected 2025-04-28

   Potential for more than minimal harm

9. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-07 · Health · corrected 2025-04-28

   Potential for more than minimal harm

10. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

11. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

12. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

13. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

14. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

15. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

16. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

17. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

18. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

19. DF0759Ensure medication error rates are not 5 percent or greater.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

20. JF0760Ensure that residents are free from significant medication errors.2025-03-07 · Health · corrected 2025-04-28

    Immediate jeopardy

21. DF0761Ensure 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.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

22. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

23. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

24. DF0808Ensure 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.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

25. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-07 · Health · corrected 2025-05-19

    Potential for more than minimal harm

26. DF0814Dispose of garbage and refuse properly.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

27. EF0837Establish 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.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

28. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

29. EF0880Provide and implement an infection prevention and control program.2025-03-07 · Health · corrected 2025-04-28

    Potential for more than minimal harm

30. DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-01-30 · Health · corrected 2024-03-30

    Potential for more than minimal harm

31. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-01-30 · Health · corrected 2024-04-06

    Potential for more than minimal harm

32. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-30 · Health · corrected 2024-03-30

    Potential for more than minimal harm

33. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-01-30 · Health · corrected 2024-04-05

    Potential for more than minimal harm

34. DF0791Provide or obtain dental services for each resident.2024-01-30 · Health · corrected 2024-04-05

    Potential for more than minimal harm

35. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-30 · Health · corrected 2024-02-20

    Potential for more than minimal harm

36. EF0814Dispose of garbage and refuse properly.2024-01-30 · Health · corrected 2024-03-17

    Potential for more than minimal harm

37. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-01-30 · Health · corrected 2024-04-06

    Potential for more than minimal harm

38. EF0880Provide and implement an infection prevention and control program.2024-01-30 · Health · corrected 2024-04-06

    Potential for more than minimal harm

39. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

40. EF0584Honor 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.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

41. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

42. DF0641Ensure each resident receives an accurate assessment.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

43. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

44. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

45. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

46. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

47. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

48. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

49. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

50. DF0760Ensure that residents are free from significant medication errors.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

51. EF0761Ensure 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.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

52. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

53. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

54. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

55. EF0880Provide and implement an infection prevention and control program.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

56. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2021-08-23 · Health · corrected 2021-10-08

    Potential for more than minimal harm

Ownership

Other facilities in ALTAMONT

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.