Overview
The Grand Rehabilitation and Nursing at Guilderland has a Medicare overall rating of 1 out of 5, below the New York average of 3.1. It is the only Medicare-rated nursing home in Altamont. It scores 1 of 5 on health inspections, quality of care and staffing alike.
Residents receive about 2.7 hours of nursing care per day, fewer than at 97% of nursing homes in New York (the state average is 3.7 hours). Of that, 0.3 hours come from registered nurses.
Its most recent standard inspection, on March 7, 2025, found 26 health deficiencies, more than the New York average of 8.0. 10 of them came from complaint investigations. Medicare records 1 fine totaling $40,937 in the past three years.
The Grand Rehabilitation and Nursing at Guilderland is a for-profit facility with 127 certified beds, caring for about 123 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1976.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 100%
Top 100%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- March 7, 2025
- Health deficiencies cited
- 26
- Complaint-related deficiencies
- 10
- Fines in the last 3 years
- 1 totaling $40,937
- Payment denials
- 0
- Total penalties
- 1
Staffing
Average hours of care each resident receives per day.
- All nursing staff2.70 hrs
- Registered nurses (RN)0.32 hrs
- Licensed practical nurses (LPN)0.93 hrs
- Nurse aides1.45 hrs
- Physical therapists0.15 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 127
- Average residents per day
- 123
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- September 1, 1976
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes