The Grand Rehabilitation and Nrsg at Guilderland is a nursing home located in Altamont, New York, which has 7,164 people. Featuring an overall rating of D, this is a well below average nursing home. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Altamont. If you aren't deterred by this place's report card, you can continue reading to find out about its category grades. We discuss inspections in the next paragraph.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 127 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Individual

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
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February
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March
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April
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May
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June
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July
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August
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September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

B+
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: B+Feb 19: B+May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: B+Mar 20: B+Apr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

Although this facility's overall score was not a highlight, it did receive a very good score in the category of inspections. In fact, we awarded it a B+ for that category, which is one of our better grades. Our inspection ratings are tied to several pieces of information located in the a nursing home's recent inspection reports. Deficiencies are a key thing to look for on these reports. You should especially avoid facilities with severe deficiencies associated with risks to resident well being. Fortunately, although this place had some minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are those found in categories G, H, I, J, K and L. This tells you CMS did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A couple minor deficiencies are not the end of the world.

Long-term Care Quality

B-
Oct 18: FNov 18: FDec 18: FJan 19: DFeb 19: DMay 19: DJun 19: DJul 19: DAug 19: DSep 19: DJan 20: DMar 20: DApr 20: FMay 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

This nursing home was given its next highest category grade in the area of long-term care. We awarded this nursing home a grade of B- in this category, which is a respectable grade. In the area of long-term care, we focus on the amount of care offered by a nursing home, as opposed to more healthcare-oriented services. In addition to considering the volume of care provided by aids and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This nursing home administered the vaccine to 98.52941 percent of its patients, which is more than most nursing homes. This place also excelled at keeping its residents out of the hospital. It had only 1.54 hospitalizations per one thousand long-term resident days.

Short-term Care Quality

D
Oct 18: DNov 18: DDec 18: DJan 19: DFeb 19: DMay 19: FJun 19: FJul 19: FAug 19: FSep 19: FJan 20: DMar 20: DApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

Sadly, this facility only earned a grade of D for its short-term care rating, which is not an impressive grade. In the category of short-term care, we try to assess measures of a facility's rehabilitation services. We look at a nursing home's skilled nursing services, including those performed by registered nurses and physical, occupational and other therapists. Based on its score in this category, we were not shocked to find that this nursing home was subpar in terms of its quantity of registered nurse hours offered to its residents. Frankly, this was about what we expected here. Lastly, we looked at the number of residents who who were able to eventually return home from this nursing home. This nursing home didn't fare well in this area. In fact, we found that just 28 percent of this facility's residents were able to return home. This figure was quite a bit off the national average.

Nurse Quality

F
Oct 18: CNov 18: DDec 18: DJan 19: DFeb 19: DMay 19: FJun 19: FJul 19: DAug 19: DSep 19: DJan 20: FMar 20: FApr 20: FMay 20: FJun 20: FJul 20: FAug 20: F
Historical

The last category we graded was nursing, in which this nursing home received a bottom of the barrel score in this category also. Unfortunately, we gave it a lowly F for this category, which is definitely a major disappointment. When determining our nursing scores, we factor in both nursing hours and the training levels of those nurses. This nursing home provides 3 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. To go along with its low totals in the area of nursing hours per patient, this nursing home also did not perform as well in the quality-based measures we looked at in calculating our nursing ratings. We looked at the percentage of patients sustaining pressure ulcers and major falls. This facility had more pressure ulcers and falls than the average facility.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
D
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

The Grand Rehabilitation and Nrsg at Guilderland Quality Metrics

Minimizes Pressure Ulcers

This is the percentage of residents who have had a pressure ulcer. Pressure ulcers are considered to be an indicator of nursing care at a nursing home. Pressure ulcers, also referred to as bed sores, are routinely the result of patients staying in one position for too long.

Provider
B-
8.49%
State
B-
8.47%
National
B
7.34%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This is the percentage of patients that have had a major fall. Falls resulting in major injuries are often linked to poor nursing care. More supervision can minimize the number of major falls sustained by residents in a nursing home.

Provider
D
6.13%
State
B+
2.91%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This tells you the percent of patients who suffered from a urinary tract infection. UTI's are considered to be an indicator of the quality of nursing care . UTI's are routinely linked to a facility with worst hygiene practices. However, this metric could be skewed for certain nursing homes due to inconsistent reporting standards for infections.

Provider
A
0.75%
State
B+
2.21%
National
B
2.66%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This is the percentage of residents prescribed antipsychotic medications. These medications are sometimes used to treat several medical conditions, including Alzheimer's or other dementias.

Provider
B-
14.85%
State
B+
11.1%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This metric tells you the percentage of long-term stay residents receiving antianxiety medications.

Provider
A
11.6%
State
A-
13.33%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is the percent of residents who are exhibiting depressive symptoms. Higher levels of depression could indicate worse patient care.

Provider
F
20%
State
B
7.09%
National
B+
5.11%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This is the percentage of residents that were given the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.

Provider
A-
99.26%
State
B
93.26%
National
B
92.02%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

Measures the percent of long-term stay residents who needed increased assistance with activities of daily living over time. ADL's include activities such as dressing and taking a bath. Many in the industry believe that this is a reliable measure of a patient's well-being.

Provider
B
14.21%
State
B+
13.31%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This is the percent of residents that remained mobile levels over time. Retaining mobility is often a good sign for residents' well-being.

Provider
A
24.01%
State
B-
15.38%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This metric tracks the number of hospitalizations per 1,000 days of patient care. Avoiding hospitalizations is key to the physical well-being of nursing home residents.

Provider
A-
1.21
State
B+
1.46
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This datapoint measures the number of times residents are rehospitalized per 1,000 days of short-term patient care. Avoiding rehospitalizations during rehabilitation is key to restoring the physical well-being of residents.

Provider
D
24.01
State
B+
15.38
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term care. Staying out of the emergency room is one way to measure patient well-being during rehabilitation.

Provider
A-
7.47
State
B+
8.22
National
B
10.26

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This tells you the percentage of short-term care residents who experienced functional improvements, such as enhanced ability to perform activities of daily living.

Provider
C
60.25%
State
B
69.8%
National
B
68.03%

Percentage of Resident
Higher is Better

Nearby Hospitals

St Peter's Hospital 8.38 mi
315 South Manning Boulevard Albany New York 12208
(518) 525-1550
Acute Care Hospitals
Voluntary non-profit - Private
Ellis Hospital 8.48 mi
1101 Nott Street Schenectady New York 12308
(518) 243-4000
Acute Care Hospitals
Voluntary non-profit - Private
Albany Medical Center Hospital 9.88 mi
43 New Scotland Avenue, Mail Code 34 Albany New York 12208
(518) 262-2400
Acute Care Hospitals
Voluntary non-profit - Private
Albany Memorial Hospital 10.72 mi
600 Northern Boulevard Albany New York 12204
(518) 471-3490
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Voluntary non-profit - Private
Samaritan Hospital-St Mary's Campus 14.53 mi
1300 Massachusetts Avenue Troy New York 12180
(518) 268-5000
Acute Care Hospitals
Voluntary non-profit - Private
Samaritan Hospital 14.64 mi
2215 Burdett Avenue Troy New York 12180
(518) 427-3402
Acute Care Hospitals
Voluntary non-profit - Private

Nearby Dialysis

Freedom Center of Westmere 5.38 mi
Dialysis Stations: 17
178 Washington Ave Extension Suite 3 Albany New York 12203
(518) 407-0505
Dialysis Clinic, Inc. 5.46 mi
CMS Rating: 3 stars
Dialysis Stations: 18
176 Washington Ave Extension Albany New York 12203
(518) 456-2429
Schenectady Partners LLC 6.4 mi
CMS Rating: 3 stars
Dialysis Stations: 17
1594 State Street Schenectady New York 12304
(518) 382-5309
Fms-Capital District Dialysis Center 7.39 mi
CMS Rating: 5 stars
Dialysis Stations: 24
650 Mcclellan Street Schenectady New York 12304
(518) 382-0202
Fms-Niskayuna Dialysis Center 8.67 mi
Dialysis Stations: 12
2345 Nott Street East Schenectady New York 12309
(518) 346-5186
Albany Medical Center 9.8 mi
Dialysis Stations: 6
43 New Scotland Avenue Mail Code: 73 Peds Dialysis Unit Albany New York 12208
(518) 262-3347
Fms-Albany Regional Kidney Center 9.91 mi
CMS Rating: 1 stars
Dialysis Stations: 34
2 Clara Barton Drive Albany New York 12208
(518) 434-6565
Fms-Albany Dialysis Center 10.72 mi
CMS Rating: 1 stars
Dialysis Stations: 24
64 Albany Shaker Road Albany New York 12204
(518) 427-0473