The Grand Rehabilitation and Nrsg at Guilderland: Staffing, Turnover, and Inspection Record
The Grand Rehabilitation and Nrsg at Guilderland is a 127-bed for-profit nursing home in Altamont, New York, part of The Grand Healthcare. In the CMS August 2026 release it reported 1.49 nurse aide hours per resident per day, 31% below the New York average of 2.15, and 56.1% nursing staff turnover (New York average 40.3%).
The Grand Rehabilitation and Nrsg at Guilderland
428 State Route 146Altamont, NY 12009
Albany County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Grand Rehabilitation and Nrsg at Guilderland, nurse aides logged 1.49 hours per resident per day, 31% below the New York average. With about 120 residents a day, that works out to roughly 178 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | New York avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.49 | 2.15 | 2.32 |
| Licensed practical nurses | 1.03 | 0.76 | 0.86 |
| Registered nurses | 0.39 | 0.71 | 0.69 |
| All nursing staff | 2.91 | 3.62 | 3.86 |
| All nursing staff, weekends | 2.47 | 3.18 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
56.1% of nursing staff at The Grand Rehabilitation and Nrsg at Guilderland left over the year CMS measured, against a New York average of 40.3% and a US average of 45.8%. Registered nurse turnover was 71.4%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 7, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 26 health deficiencies (New York average 8.0). CMS lists 1 fine totaling $40,937 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 7, 2025 | Fine | $40,937 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Grand Rehabilitation and Nrsg at Guilderland holds 1 of 5 overall; the New York average is 3.0.
About The Grand Rehabilitation and Nrsg at Guilderland
- Ownership: For profit - Limited Liability company
- Chain: The Grand Healthcare, 16 homes
- Legal name: Guilderland Operator LLC
- Medicare and Medicaid certified since: Sep 1, 1976
- Councils: resident council
- Area: urban
Nursing homes near The Grand Rehabilitation and Nrsg at Guilderland
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Our Lady of Mercy Life Center Guilderland · abuse citation | 2.9 | 160 | 1.81 | 3.62 | 50.3% | 1 | None |
| Kingsway Arms Nursing Center Inc Schenectady | 5.7 | 160 | 2.46 | 4.13 | 37.6% | 4 | None |
| Schenectady Center for Rehabilitation and Nursing Schenectady | 6.4 | 240 | 2.15 | 3.64 | 51.8% | 2 | None |
| Teresian House Nursing Home Co Inc Albany | 6.8 | 302 | 2.42 | 3.88 | 33.5% | 3 | None |
| Daughters of Sarah Nursing Center Albany | 6.8 | 210 | 2.08 | 3.50 | 42.3% | 4 | None |
| Eddy Village Green at Beverwyck Slingerlands · abuse citation | 7.0 | 24 | 2.95 | 4.76 | 45.0% | 4 | None |
| Shaker Place Rehabilitation and Nursing Center Albany | 8.0 | 250 | 2.36 | 3.83 | — | 3 | None |
| St Peters Nursing and Rehabilitation Center Albany | 8.7 | 160 | 2.44 | 4.33 | 49.3% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.