The Grand Rehabilitation and Nrsg at Guilderland: Nursing Home OverviewSkip to content

The Grand Rehabilitation and Nrsg at Guilderland

  • Nursing Home

Updated Nov 1, 2023 by Nick Lata

Historical Rating
Grade: F
Oct 18: FNov 18: FDec 18: FJan 19: FFeb 19: FMay 19: FJun 19: FJul 19: FAug 19: FSep 19: FJan 20: FMar 20: FApr 20: FMay 20: DJun 20: DJul 20: DAug 20: DSep 20: COct 20: DNov 20: DJan 21: DFeb 21: DMar 21: DApr 21: DMay 21: DJun 21: DJul 21: DAug 21: DSep 21: DOct 21: FNov 21: FJan 22: FFeb 22: FMar 22: FApr 22: FMay 22: FJun 22: FAug 22: FSep 22: FOct 22: FNov 22: FJan 23: FFeb 23: FMar 23: FApr 23: FJun 23: FJul 23: FAug 23: FSep 23: FOct 23: FNov 23: F
See Rating Overview
The Grand Rehabilitation and Nrsg at Guilderland's website

428 State Route 146,
Altamont NY 12009

(518) 861-5141

93.38% estimated occupancy 1

The Grand Rehabilitation and Nrsg at Guilderland is a large nursing home located in Altamont, New York. This nursing home received an F, which is definitely concerning in our grading scheme. This place is really as bad as it gets. We were surprisingly able to give this nursing home some positive feedback for our inspections category, which you can read more about below.

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Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Corporation
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Home Making
  • Transportation
  • Speech Therapy
  • Stroke Recovery
  • Amputee Recovery
  • Wound Care
  • Occupational Therapy
  • Cardiac Therapy
  • Tracheotomy Care
  • Physical Therapy
  • Nutritional Counseling
  • Bariatric Care
  • Orthopedic Rehabilitation

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
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Facility Inspections

Grade: B

While we gave this facility a poor overall grade, we gave it a B for our inspections category. This was the result of the facility receiving a quality inspection report this year. We weigh several aspects of a nursing home's inspection report in computing these inspection scores. One of those factors is deficiencies. It should be noted that the severity of the deficiencies is usually more important than the quantity of deficiencies, as some are quite minor. Fortunately, although this facility had some minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are ones labeled as categories G through L. This means that CMS didn't deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A couple minor deficiencies aren't the end of the world.

Short-term Care Quality

Grade: F

We also wanted to note this facility's low-end short-term care grade where it was given an F. Our short-term care scores are believed to be most meaningful for people needing rehabilitation services. Rehabilitation typically requires higher levels of highly-skilled nursing. Skilled nursing includes not just nursing services, but also physical and occupational therapy, as well as other forms of therapy. Considering its weak rating in this area, we were not shocked to discover that this place provides significantly fewer registered nurse and physical therapist hours per patient than most nursing homes. Lastly, we assessed the number of residents who returned home from this nursing home. This facility didn't fare well here either. In fact, we found that just 3.5 percent of this facility's residents were able to return home. This figure was quite a bit off the national average.

Long-term Care Quality

Grade: F

Another issue is the F this nursing home was given in the area of long-term care. When facilities receive a score in this range in this category it typically means the nursing home didn't perform well in our quality measures relating to resident care. On top of assessing the amount of care provided by nurses aids and other staff, we analyzed the number of residents vaccinated for pneumonia. This nursing home gave the vaccine to 90.0232 percent of its residents. This is multiple points below average. To our surprise, this nursing home actually fared well at keeping its patients out of the hospital. In fact, it had just 0.03 hospitalizations per one thousand long-term resident days. This is its best feature in this category.

Nurse Quality

Grade: F

The last area we rated was nursing. This facility was given an abysmal grade of F in this category. In determining our nursing scores, we analyze both staffing levels and the skill levels of those nurses. With only 0.3 hours of nursing care per patient on a daily basis, this nursing home's nurse staffing levels were well below average. On top of ranking below average in nursing hours per resident, this place also had poor marks in the quality-based metrics we looked at in calculating our nursing scores. We looked at the percentage of residents sustaining major falls and pressure ulcers. This place was at about 1.5 times the national average in both of these metrics. This is likely a bad sign when you consider that many bed sores and falls are believed to be preventable with better nursing care. These metrics helped pull down this facility's nursing grade significantly.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Dec 23

The Grand Rehabilitation and Nrsg at Guilderland Quality Metrics

Minimizes Pressure Ulcers

Grade: F

In The Grand Rehabilitation and Nrsg at Guilderland, 16.46% of Patients had Pressure Ulcers

This is the percentage of residents that suffered from a pressure ulcer. Pressure ulcers are considered by many experts to be an indicator of the quality of nursing care at a nursing home. Pressure ulcers, also called bed sores, are routinely caused by patients staying in one position for too long.

Minimizes Serious Falls

Grade: D

In The Grand Rehabilitation and Nrsg at Guilderland, 6.26% of Patients had Serious Falls

This indicates the percent of residents that suffered from a fall which caused severe injury.

Minimizes Urinary Tract Infections

Grade: B-minus

In The Grand Rehabilitation and Nrsg at Guilderland, 2.72% of Patients had UTIs

This indicates the percent of patients who sustained a urinary tract infection. UTI's are often linked to lower quality nursing care. Additional nurse staffing can minimize the percentage of residents in a nursing home who suffer from UTI's. Keep in mind that this statistic is sometimes skewed by the fact that nursing homes have different reporting standards for these infections.

Appropriately Uses Anti-Psychotic Medication

Grade: A

In The Grand Rehabilitation and Nrsg at Guilderland, 7.12% of Patients use Anti-Psychotic Medication

This indicates the percentage of residents who were prescribed antipsychotic medications. While antipsychotic medications may be vital to many patients, it is important to make sure these medications are being used only where medically required. In some cases, high levels of antipsychotic drug use may mean a facility is using these drugs to subdue residents.

Appropriately Uses Anti-Anxiety Medication

Grade: A-plus

In The Grand Rehabilitation and Nrsg at Guilderland, 8.18% of Patients use Anti-Anxiety Medication

This statistic indicates the percent of long-term care patients which were administered antianxiety medication. These medications are typically given to residents experiencing depression and anxiety.

Managing Depression Among Residents

Grade: D

In The Grand Rehabilitation and Nrsg at Guilderland, 22.11% of Patients

Measures the percent of long-term care residents who are showing depressive symptoms.

Appropriate Vaccine Usage

Grade: C

In The Grand Rehabilitation and Nrsg at Guilderland, 91.48% of Patients

This tells you the percentage of patients who were administered the pneumonia and flu vaccines. High vaccination rates should be standard at this point.

Residents Maintain Autonomy

Grade: B

In The Grand Rehabilitation and Nrsg at Guilderland, 14.05% of Patients

This datapoint measures the percentage of long-term patients that required additional assistance with activities of daily living over time. Activities of daily living include activities such as getting dressed and eating.

Ability to Keep Residents Mobile

Grade: C

In The Grand Rehabilitation and Nrsg at Guilderland, 10.74% of Residents

This is a measure of the percent of long-term care patients that were able to retain mobility.

Hospitalizations

Grade: C

In The Grand Rehabilitation and Nrsg at Guilderland, 0.03 Hospitalizations per 1,000 resident days

This indicates the number of hospitalizations per thousand days of care.

Short-term Care: Rehospitalizations

Grade: A-minus

In The Grand Rehabilitation and Nrsg at Guilderland, 10.74% of Residents Rehospitalized

This is the number of times residents are rehospitalized per 1,000 days of short-term patient care.

Short-term Care: ER Visits

Grade: D

In The Grand Rehabilitation and Nrsg at Guilderland, 19% of Patients

This is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term patient care. Avoiding medical emergencies is one way to gauge short-term care.

Short-term Care: Facilitates Functional Improvement

Grade: A

In The Grand Rehabilitation and Nrsg at Guilderland, 87.72% of Resident

This indicates the percent of short-term care patients who saw functional improvements, such as enhanced ability to perform activities of daily living.

Nearby Hospitals

  • St Peter's HospitalAcute Care Hospitals 8.38 miles away315 South Manning Boulevard Albany New York 12208Voluntary non-profit - Private(518) 525-1550
  • Ellis HospitalAcute Care Hospitals 8.48 miles away1101 Nott Street Schenectady New York 12308Voluntary non-profit - Private(518) 243-4000
  • Albany Medical Center HospitalAcute Care Hospitals 9.88 miles away43 New Scotland Avenue, Mail Code 34 Albany New York 12208Voluntary non-profit - Private(518) 262-2400
  • Albany Memorial HospitalAcute Care Hospitals 10.72 miles away600 Northern Boulevard Albany New York 12204Voluntary non-profit - Private(518) 471-3490
  • Samaritan Hospital-St Mary's CampusAcute Care Hospitals 14.53 miles away1300 Massachusetts Avenue Troy New York 12180Voluntary non-profit - Private(518) 268-5000
  • Samaritan HospitalAcute Care Hospitals 14.64 miles away2215 Burdett Avenue Troy New York 12180Voluntary non-profit - Private(518) 427-3402

Nearby Dialysis

  • Freedom Center of Westmere5.38 miles away178 Washington Ave Extension Suite 3 Albany New York 12203Dialysis Stations: 17 (518) 407-0505
  • Dialysis Clinic, Inc.5.46 miles away176 Washington Ave Extension Albany New York 12203CMS Rating: 3 stars Dialysis Stations: 18 (518) 456-2429
  • Schenectady Partners LLC6.4 miles away1594 State Street Schenectady New York 12304CMS Rating: 3 stars Dialysis Stations: 17 (518) 382-5309
  • Fms-Capital District Dialysis Center7.39 miles away650 Mcclellan Street Schenectady New York 12304CMS Rating: 5 stars Dialysis Stations: 24 (518) 382-0202
  • Fms-Niskayuna Dialysis Center8.67 miles away2345 Nott Street East Schenectady New York 12309Dialysis Stations: 12 (518) 346-5186
  • Albany Medical Center9.8 miles away43 New Scotland Avenue Mail Code: 73 Peds Dialysis Unit Albany New York 12208Dialysis Stations: 6 (518) 262-3347
  • Fms-Albany Regional Kidney Center9.91 miles away2 Clara Barton Drive Albany New York 12208CMS Rating: 1 stars Dialysis Stations: 34 (518) 434-6565
  • Fms-Albany Dialysis Center10.72 miles away64 Albany Shaker Road Albany New York 12204CMS Rating: 1 stars Dialysis Stations: 24 (518) 427-0473