The Grand Rehabilitation and NRSG at Guilderland
Nursing home in Altamont, New York, CMS certification number 335540
428 State Route 146, Altamont, NY 12009 · Albany County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 127
- Certified for
- Medicare and Medicaid
- Last standard inspection
- March 7, 2025
- Deficiencies at that inspection
- 26
- Fines in 3 years
- $40,937 (1)
Does The Grand Rehabilitation and NRSG at Guilderland take Medicare and Medicaid?
Yes to both. The Grand Rehabilitation and NRSG at Guilderland is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 1 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | 1 of 5 |
Nurse staffing hours and turnover
These are the hours The Grand Rehabilitation and NRSG at Guilderland reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.70
- Registered nurse hours
- 0.32
- Licensed practical nurse hours
- 0.93
- Nurse aide hours
- 1.45
- Weekend total hours
- 2.24
- Nursing staff turnover
- 57%
- Registered nurse turnover
- 62.5%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on March 7, 2025 and cited 26 deficiencies, plus 10 from complaint visits.
The visit before, on January 30, 2024, found 8.
It is a candidate for the CMS special focus program. CMS puts homes with a long record of serious problems on this list for extra inspections.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined The Grand Rehabilitation and NRSG at Guilderland 1 time in the past 3 years, for $40,937 in total.
Beds and residents
On an average day 122.6 residents live here, about 97% of its 127 certified beds.
- Certified beds
- 127
- Average residents per day
- 122.6
- Certified since
- September 1, 1976
- Resident or family council
- Resident
Who owns The Grand Rehabilitation and NRSG at Guilderland
- Legal business name
- Guilderland Operator LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 16 homes nationally under The Grand Healthcare, 2.1-star chain average
Other nursing homes near The Grand Rehabilitation and NRSG at Guilderland
- Our Lady of Mercy Life Center2 Mercycare Lane, Guilderland 12084
- Kingsway Arms Nursing Center Inc323 Kings Road, Schenectady 12304
- Schenectady Center for Rehabilitation and Nursing526 Altamont Ave, Schenectady 12303
- Daughters of Sarah Nursing Center180 Washington Ave Ext, Albany 12203
- Teresian House Nursing Home Co Inc200 Washington Ave Ext, Albany 12203
Who inspects nursing homes in New York
New York's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in New York, or see how assisted living and nursing homes differ.
Is this your facility?
If you run The Grand Rehabilitation and NRSG at Guilderland, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about The Grand Rehabilitation and NRSG at Guilderland
What is the CMS star rating of The Grand Rehabilitation and NRSG at Guilderland?
1 out of 5 stars overall.
Does The Grand Rehabilitation and NRSG at Guilderland accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at The Grand Rehabilitation and NRSG at Guilderland?
26 cited at the last standard visit.
Who owns The Grand Rehabilitation and NRSG at Guilderland?
Guilderland Operator LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.