The Grand Rehabilitation And Nrsg At Guilderland
428 State Route 146, Altamont, NY, 12009
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: The Grand Healthcare
- Certified beds
- 127 · avg 118 residents/day
- Total nursing staff turnover
- 55.3% — higher than most New York nursing homesNew York avg: 40.3% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 79.2% — higher than most New York nursing homesNew York avg: 39.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the New York averageNew York avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $40,937 total
Medicare certification
- CMS Certification Number
- 335540
- Certified beds
- 127 beds · avg 118 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Guilderland Operator Llc
- Chain affiliation
- The Grand Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the The Grand Healthcare chain — 16 facilities. Chain-wide average overall rating 1.8 / 5.
Disclosed owners (5 on record)
- Samuel Stern
Corporate Officer · since 2020
- Eric j Rogers
Corporate Officer · 10% · since 2018
- Jonathan j Strauss
Corporate Officer · 50% · since 2016
- Strauss Ventures Llc
5% or Greater Direct Ownership Interest · 98% · since 2016
- Jeremy Baruch Strauss
5% or Greater Indirect Ownership Interest · 93% · since 2016
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 56)
- D0773·Mar 7, 2025Complaint
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- D0770·Mar 7, 2025Complaint
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
- E0755·Mar 7, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0837·Mar 7, 2025Complaint
Administration Deficiencies
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.
- D0808·Mar 7, 2025Complaint
Nutrition and Dietary Deficiencies
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.
- J0760·Mar 7, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0726·Mar 7, 2025Complaint
Nursing and Physician Services Deficiencies
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.
- F0725·Mar 7, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Federal penalties
By year
- 20251 fine · $41K
Most recent events
- Mar 7, 2025Fine · $41K
Fire-safety citations
32 Life-Safety-Code citations on file. Most recent: Mar 7, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Grand Rehabilitation And Nrsg At Guilderlandinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.