Albany Senior AdvisorThe Grand Rehabilitation and Nursing at Guilderland, 428 State Route 146 in Altamont, is a 127-bed nursing home certified for Medicare and Medicaid in the Town of Guilderland, Albany County, licensed by New York under certificate 0155304N. The Grand Rehabilitation and Nursing at Guilderland holds a CMS overall rating of 1 out of 5 stars in Care Compare data dated October 1, 2026.
How does CMS rate The Grand Rehabilitation and Nursing at Guilderland in Altamont?
The Grand Rehabilitation and Nursing at Guilderland holds a CMS overall rating of 1 out of 5 stars; out of 5, it scores 1 on health inspections, 1 on staffing and 1 on quality measures.
| Measure | Value |
|---|---|
| CMS overall rating | 1 of 5 |
| CMS health inspection rating | 1 of 5 |
| CMS staffing rating | 1 of 5 |
| CMS quality measures rating | 1 of 5 |
| Certified beds / average daily residents | 127 / 122.6 |
| Ownership type (CMS) | For profit - Limited Liability company |
| Chain affiliation (CMS) | The Grand Healthcare (16 facilities nationwide) |
| First Medicare/Medicaid certification | September 1, 1976 |
| New York operating certificate | 0155304N, 127 beds on the state roster |
| Operator of record (NYSDOH) | Guilderland Operator, LLC |
About 123 residents live here on a typical day, filling roughly 97% of certified beds, above the 95% median for Capital Region nursing homes.
Which deficiencies has CMS recorded for The Grand Rehabilitation and Nursing at Guilderland?
The latest standard health inspection CMS reports for The Grand Rehabilitation and Nursing at Guilderland is dated March 7, 2025 and produced 26 health deficiencies: 26 on the standard survey and 10 from complaint investigations.
Earlier, the January 30, 2024 survey recorded 12 deficiencies, and infection-control visits produced 0 citations. Next to the nine-county median of 12 deficiencies, the most recent count is on the high side.
Within CMS's three-year penalty window it reports 1 fine totaling $40,937 and 0 payment denials.
How much nursing time do residents at The Grand Rehabilitation and Nursing at Guilderland get?
CMS credits The Grand Rehabilitation and Nursing at Guilderland with 2.70 nursing hours per resident day, lower than the Capital Region median of 3.60; registered nurses account for 0.32 hours, lower than the Capital Region median of 0.56.
On weekends, total nurse staffing is 2.24 hours per resident per day. Nursing staff turnover stands at 57.0% (higher than the Capital Region median of 47.5%), and RN turnover at 62.5%. CMS counts 1 administrator departure in its measurement period. New York's staffing law (Public Health Law 2895-b) requires 3.5 hours a day, including at least 2.2 from aides and 1.1 from licensed nurses; using CMS's reported numbers (1.45 aide, 1.25 licensed), this home does not meet that floor, although the state measures compliance one quarter at a time.
Which nursing homes are closest to The Grand Rehabilitation and Nursing at Guilderland?
Its 127 certified beds make it smaller than the Albany County median of 176; the nearest other certified nursing home is Our Lady of Mercy Life Center in Guilderland, about 2.9 miles away as the crow flies, which CMS rates 2 of 5.
| Facility | Miles away | Certified capacity | CMS overall rating | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|---|
| Our Lady of Mercy Life Center 2 Mercycare Lane, Guilderland 12084 | 2.9 | 160 | 2 of 5 | October 15, 2024 | 15 |
| Teresian House Nursing Home Co Inc 200 Washington Ave Ext, Albany 12203 | 5.5 | 300 | 3 of 5 | November 8, 2024 | 9 |
| Daughters of Sarah Nursing Center 180 Washington Avenue Extension, Albany 12203 | 5.6 | 210 | 4 of 5 | September 9, 2024 | 5 |
| Kingsway Arms Nursing Center Inc 323 Kings Road, Schenectady 12304 | 5.7 | 160 | 4 of 5 | August 26, 2024 | 3 |
| Schenectady Center for Rehabilitation and Nursing 526 Altamont Ave, Schenectady 12303 | 6.4 | 240 | 2 of 5 | August 19, 2025 | 15 |
What surrounds The Grand Rehabilitation and Nursing at Guilderland in Altamont?
The Grand Rehabilitation and Nursing at Guilderland is in the Town of Guilderland, Albany County; its closest general hospital is Ellis Hospital (Ellis Medicine), about 8.4 miles away by straight line.
St. Peter's Hospital comes next at about 8.6 miles; these are straight-line figures, not drive times.
What should families ask The Grand Rehabilitation and Nursing at Guilderland before choosing it?
The public data points to specific questions: ask for the plan of correction covering the 26 deficiencies cited on March 7, 2025 and what has changed since.
- Turnover of 57.0% runs above the regional median; ask what share of aides on each shift come from agencies.
- Ask what led to $40,937 in CMS fines and whether the underlying problem is resolved.
- With occupancy near 97%, ask about the waiting list and whether rehab beds are kept separate.
- CMS shows a resident council here; ask when it meets and whether family members may attend.
- If Medicaid will pay later, confirm that The Grand Rehabilitation and Nursing at Guilderland keeps residents in the same room when they convert, and how the $50 monthly personal needs allowance is managed.
New York record: The Grand Rehabilitation and Nursing at Guilderland on NYS Health Profiles.
