The Grand Rehabilitation And Nrsg At Guilderland
Altamont, New York
428 State Route 146, Altamont, NY, 12009
The Grand Rehabilitation And Nrsg At Guilderland Quality & Safety Report
Poor
CMS Official Overall: 1★ / 5
CMS data as of January 2026
This score is calculated from three federally reported CMS metrics: Health Inspections (weighted 50%), Staffing levels (25%), and Quality Measures (25%). Facilities with serious safety findings receive score deductions. For centers with 5+ Google reviews, resident feedback contributes 15% of the final score. Learn more →
Safety & Inspections
- Health deficiencies
- National median: 7
- Total federal penalties $40,937
- Special Focus Facility
- CMS has identified this facility as having a sustained record of serious quality issues. SFF facilities are inspected twice as often as standard facilities.
CMS data as of January 1, 2026
Staffing breakdown
Average hours of nursing care each resident receives per day, by staff role. Higher numbers generally indicate more attentive care.
- Total nurse staffing
- National median: 4.12 hrs
- Registered nurse (RN) 0.30 hrs
- Licensed practical nurse (LPN) 1.03 hrs
- Certified nursing aide (CNA) 1.48 hrs
- Physical therapy 0.13 hrs
Quality rating trend
Overall rating stable at 1 stars across 18 data points.
- Overall
- Health inspection
- Staffing
- Quality measures
Facility profile
- Type
- Skilled Nursing Facility · Building
- Capacity
- 127 certified beds · ~120 avg residents/day (95% occupancy)
- Ownership
- For profit - Limited Liability company
- Payment accepted
- Medicare Medicaid (Medicare and Medicaid)
About
The Grand Rehabilitation and Nursing at Guilderland is a 127-bed, for-profit skilled nursing facility located in Altamont, New York. The facility holds a 1-star overall rating from the Centers for Medicare & Medicaid Services (CMS), with 1-star ratings in both staffing and health inspections. Clinical quality measures at the site are currently rated at 2 stars.
Location
428 State Route 146, Altamont, NY, 12009, Altamont, NY
Frequently asked questions
- What is the overall CMS rating for The Grand Rehabilitation And Nrsg At Guilderland?
- The Grand Rehabilitation And Nrsg At Guilderland has an overall CMS rating of 1 out of 5 stars.
- How did The Grand Rehabilitation And Nrsg At Guilderland score on health inspections?
- The Grand Rehabilitation And Nrsg At Guilderland received a health inspection rating of 1 out of 5 stars from CMS.
- What is the staffing rating for The Grand Rehabilitation And Nrsg At Guilderland?
- The Grand Rehabilitation And Nrsg At Guilderland has a staffing rating of 1 out of 5 stars, based on nurse-to-resident ratios.
- How many beds does The Grand Rehabilitation And Nrsg At Guilderland have?
- The Grand Rehabilitation And Nrsg At Guilderland has 127 certified beds.
- Does The Grand Rehabilitation And Nrsg At Guilderland accept Medicare or Medicaid?
- Yes, The Grand Rehabilitation And Nrsg At Guilderland accepts Medicare and Medicaid.
- Where is The Grand Rehabilitation And Nrsg At Guilderland located?
- The Grand Rehabilitation And Nrsg At Guilderland is located at 428 State Route 146, Altamont, NY, 12009, Altamont, New York.
- How can I contact The Grand Rehabilitation And Nrsg At Guilderland?
- You can reach The Grand Rehabilitation And Nrsg At Guilderland by phone at +1 518-861-5141.
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About this data
How to read this page
Star ratings vs. Care Quality Score: The Google star rating reflects visitor and family opinions collected from public reviews. The Care Quality Score is an independent metric derived entirely from federal inspection data — the two measure different things, and comparing them side-by-side gives a fuller picture.
Where this data comes from
All clinical data on this page originates from the Centers for Medicare & Medicaid Services (CMS), the federal agency that certifies and inspects every Medicare- and Medicaid-participating nursing home in the United States. Reviews are imported verbatim from public Google business listings.
What to do next
Data is a starting point, not a final answer. We encourage families to visit facilities in person, observe daily routines, and speak with staff and residents. See our guide: Questions to Ask When Visiting →
Listing data sourced from CMS provider records and public Google business data. ACD-HUB independently aggregates and never accepts paid placement.