New York nursing homes › Altamont › The Grand Rehabilitation And Nrsg At Guilderland
The Grand Rehabilitation And Nrsg At Guilderland
428 State Route 146, Altamont, NY 12009 · Albany County · (518) 861-5141
⚠ Special Focus Facility (chronic non-compliance)
Fewer inspection deficiencies (26) than 2% of nursing homes in New York. Rated #480 of 593 nursing homes in New York by overall CMS stars. Nursing hours per resident day: 2.9 — below the New York average of 3.63.
Quality details (CMS data, Oct 2026 release)
| Certified beds | 127 |
| Average residents per day | 119.8 |
| Ownership | For-profit |
| Participation | Medicare and Medicaid |
| Provider chain | THE GRAND HEALTHCARE |
| Nursing hours per resident per day | 2.91 (New York average: 3.63) |
| — of which RN hours | 0.39 |
| — of which nurse aide hours | 1.49 |
| Staff turnover | 56% |
| RN turnover | 71% |
| Most recent health inspection | Mar 07, 2025 |
| Deficiencies cited (latest cycle) | 26 (New York average: 8.0) |
| Weighted inspection score (lower is better) | 268.25 |
| Federal fines in past 3 years | 1 fine(s) totaling $40,937 |
| Payment denials / penalties | 1 |
Compare homes before you choose
Ratings change with every inspection cycle. Compare The Grand Rehabilitation And Nrsg At Guilderland side by side with other homes in Altamont and check the latest red flags:
See all nursing homes in Altamont →Top-rated nursing homes in New York
Plan the cost of care in New York
What does care cost in New York? A semi-private nursing home room runs a median of $15,528 per month — see New York senior care cost medians and check New York Medicaid eligibility limits.
Source: U.S. Centers for Medicare & Medicaid Services (CMS), Provider Information dataset, Oct 2026 release (processing date Sep 1, 2026). Ratings reflect inspection cycles and reported staffing; visit any facility in person before deciding.