| The Grand Rehabilitation and Nrsg at Guilderland | |
| 428 State Route 146, Altamont, New York 12009 | |
| (518) 861-5141 | |
| Name | The Grand Rehabilitation and Nrsg at Guilderland |
|---|---|
| Location | 428 State Route 146, Altamont, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 127 |
| Occupancy Rate | 94.33% |
| Medicare ID (CCN) | 335540 |
| Legal Business Name | Guilderland Operator LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | The Grand Healthcare (16 nursing homes) |
| Chain Average Overall Rating | 1.8 out of 5 |
| NPI Number | 1346797917 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Guilderland Operator LLC |
| Doing Business As | The Grand Rehabilitation and Nursing at Guilderland |
| Address | 428 New York 146, Altamont, NY 12009 |
| Phone Number | 518-861-5141 |
| NPI Number | 1013902972 |
| Match | Possible same name, address or phone number |
| Organization Name | Guilderland Ltc Management LLC |
| Address | 127 Main St., Guilderland Center, NY 12085 |
| Phone Number | 518-861-5141 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 2.91 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.39 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.03 | 0.86 |
| Nurse aide hours per resident per day | 1.49 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.47 | 3.42 |
| RN hours per resident per day on the weekend | 0.22 | 0.48 |
| Physical therapist hours per resident per day | 0.13 | 0.07 |
| Total nursing staff turnover | 56.1% | 45.8% |
| Registered nurse turnover | 71.4% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $40,937 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 7, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection, Complaint inspection | Immediate jeopardy, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F0711, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F0837, Administration, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. F0773, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. F0808, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Mar 7, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by May 19, 2025 |
| Mar 7, 2025 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Jan 30, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 5, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.22 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.84 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.35 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.51 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 9 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.61 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 47.25 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 40.36 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.92 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.27 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.39 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.48 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.52 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.06 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.69 | 15.38 |