The Grand Rehabilitation and Nrsg at Guilderland
428 State Route 146, Altamont NY 12009 · (518) 861-5141 · 99.05% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
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 :
Accepts Medicaid 1 : 127 Beds
CCRC :
For profit - Individual
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
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
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
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Percentage of Resident
Higher is Better