The Grand Rehabilitation And Nrsg At Guilderland
428 State Route 146, Altamont, NY 12009 · Capacity 127 · 5188615141
Nursing home Safety score 30/100
The Grand Rehabilitation And Nrsg At Guilderland holds a 1-of-5-star CMS rating (safety grade F).
CMS cost-report rate
From its public CMS cost report, The Grand Rehabilitation And Nrsg At Guilderland takes in an average of about $343 per resident-day across all payers — Medicare, Medicaid, and private pay combined. That is a facility-wide accounting average, not a private-pay quote, and it is not a monthly price: Medicare short-stay rehab is billed at a far higher daily rate than long-term custodial care, so the day-rate reflects payer mix as much as price.
Source: CMS Skilled Nursing Facility Cost Report (FY2023, data.cms.gov); facility record on CMS Care Compare. See our cost guide for what drives the number and what Medicare & Medicaid cover.
Why the safety grade is F
- CMS overall rating: 1 of 5 stars
- Health-inspection rating: 1 of 5 stars
- Staffing rating: 1 of 5 stars
- A CMS Special Focus Facility candidate
- 1 federal fine(s) totaling $40,937
- 10 complaint-driven health deficiency(ies) in the most recent survey cycle
The grade is computed by Senior Care Record Maps from this facility's public regulatory record — it is not assigned by any agency. Underlying data: CMS Care Compare / Medicare.gov (Jul 2026 snapshot) — verify every stat above on the CMS Care Compare page. Listed since 1976. How this grade is calculated → · ⚑ Report an error or dispute this record
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