Nursing home / skilled nursing
The Grand Rehabilitation And Nrsg At Guilderland
Nursing home / skilled nursing in Altamont, New York
| Provider details | |
|---|---|
| Address | 428 STATE ROUTE 146 |
| City | Altamont |
| State | New York |
| ZIP code | 12009 |
| County | Albany |
| Phone | 518-861-5141 |
| Website | https://guilderlandcarecenter.com/ |
| CMS certification number (CCN) | 335540 |
| Ownership | For profit - Limited Liability company |
| Certified beds | 127 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | September 1, 1976 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Special focus status | SFF Candidate |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services |
The Grand Rehabilitation And Nrsg At Guilderland is in 428 STATE ROUTE 146, Altamont, NY 12009. Phone: 518-861-5141. Ownership: For profit - Limited Liability company. CMS rates it 1 out of 5 stars overall (health inspection 1, staffing 1, quality measures 1). CMS inspection and staffing detail: total weighted health survey score 268.250; 1 federal fines totaling $40937.00; total nursing staff turnover 57.0%.
More about this provider
| Guilderland Care Center describes itself as a skilled nursing and rehabilitation community in Altamont, NY where advanced clinical care meets warmth, dignity and round-the-clock attention, with specialized programs tailored to each resident's recovery, comfort and quality of life, home-like living spaces, restaurant-style dining and a daily calendar of activities. | |
| Services and programs | Complex Medical Care (pain management, wound care, cardiac recovery and other complex medical needs); Therapy & Rehabilitation (physical, occupational and speech therapy); Specialty Programs (stroke recovery, post-surgical orthopedics, bariatric rehabilitation, amputee therapy); Wellness & Living (restaurant-style dining and daily programs) |
| Website | https://guilderlandcarecenter.com/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 1 of 5 |
| Health inspection rating | 1 of 5 |
| Staffing rating | 1 of 5 |
| Quality measure rating | 1 of 5 |
| Long-stay quality rating | 4 of 5 |
| Short-stay quality rating | 1 of 5 |
| RN staffing hours per resident per day | 0.32 |
| Total nurse staffing hours per resident per day | 2.70 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 335 |
| Total Weighted Health Survey Score | 268.250 |
| Rating Cycle 2/3 Total Health Score | 68 |
| Rating Cycle 1 Health Deficiency Score | 223 |
| Rating Cycle 2/3 Health Deficiency Score | 68 |
| Rating Cycle 1 Standard Survey Health Date | 2025-03-07 |
| Rating Cycle 1 Total Number of Health Deficiencies | 26 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 12 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 26 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 10 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 5 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 1.31374 |
| Registered Nurse turnover | 62.5 |
| Nursing Case-Mix Index Ratio | 0.93157 |
| Total nursing staff turnover | 57.0 |
| Reported LPN Staffing Hours per Resident per Day | 0.92581 |
| Reported Licensed Staffing Hours per Resident per Day | 1.24789 |
| Number of administrators who have left the nursing home | 1 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.45446 |
| Registered Nurse hours per resident per day on the weekend | 0.20377 |
| Total number of nurse staff hours per resident per day on the weekend | 2.23793 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 1 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Total Amount of Fines in Dollars | 40937.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Chain ID | 509 |
| Chain Name | THE GRAND HEALTHCARE |
| Legal Business Name | GUILDERLAND OPERATOR LLC |
| Chain Average QM Rating | 2.1 |
| Chain Average Staffing Rating | 2.2 |
| Number of Facilities in Chain | 16 |
| Chain Average Overall 5-star Rating | 2.1 |
| Chain Average Health Inspection Rating | 2.2 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 122.6 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Albany County
- Daughters Of Sarah Nursing Center — Albany
- Hudson Park Rehabilitation And Nursing Center — Albany
- Shaker Place Rehabilitation And Nursing Center — Albany
Common questions about The Grand Rehabilitation And Nrsg At Guilderland
Where is The Grand Rehabilitation And Nrsg At Guilderland located?
The Grand Rehabilitation And Nrsg At Guilderland is at 428 STATE ROUTE 146, Altamont, New York 12009.
What care and services does The Grand Rehabilitation And Nrsg At Guilderland offer?
The Grand Rehabilitation And Nrsg At Guilderland offers skilled nursing, rehab services, skilled nursing care, rehabilitation services.
Is The Grand Rehabilitation And Nrsg At Guilderland Medicare-certified?
Yes. The Grand Rehabilitation And Nrsg At Guilderland is certified for both Medicare and Medicaid.
What is The Grand Rehabilitation And Nrsg At Guilderland's quality rating?
CMS gives The Grand Rehabilitation And Nrsg At Guilderland an overall star rating of 1 out of 5.
How do I contact The Grand Rehabilitation And Nrsg At Guilderland?
Call The Grand Rehabilitation And Nrsg At Guilderland at 518-861-5141.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in New York can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.