Nursing home in Altamont, Albany County
The Grand Rehabilitation and Nursing at Guilderland
428 State Route 146, Altamont, NY 12009 · (518) 861-5141
1 federal penalty on record · $40,937 in fines
1 immediate jeopardy citation
The Grand Rehabilitation and Nursing at Guilderland is a 127-bed for-profit nursing home in Altamont, Albany County. It is one of 11 certified nursing homes in Albany County. Medicare rates it 1 out of 5 stars overall (1 for health inspections, 1 for staffing and 2 for quality measures). That overall rating is below the Albany County average of 2.5 stars. Inspectors issued 56 health citations across 3 inspections in the current federal reporting period, including 1 at the immediate jeopardy level. Federal regulators have imposed 1 fine totaling $40,937 in the past three years. Residents receive about 2.9 hours of total nursing care per day on average, and nursing staff turnover is 56%.
Medicare star ratings
Overall Medicare rating
1 / 5
Medicare's summary rating combining inspections, staffing and quality measures.
Health inspection rating
1 / 5
Based on findings from state health inspections and complaint investigations.
Staffing rating
1 / 5
Based on reported nurse and aide staffing hours per resident.
Quality measures rating
2 / 5
Based on resident outcomes such as falls, pressure ulcers and hospitalizations.
Staffing
- Total nurse hours per resident per day
- 2.91
- RN hours per resident per day
- 0.39
- Nursing staff turnover
- 56.1%
- RN turnover
- 71.4%
Staffing hours are self-reported payroll data published by CMS. Ask the facility about current staffing, including weekends.
Facility facts
- Address
- 428 State Route 146, Altamont, NY 12009
- County
- Albany
- Phone
- (518) 861-5141
- Certified beds
- 127
- Average residents per day
- 120
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Guilderland Operator LLC
- Chain affiliation
- The Grand Healthcare (16 facilities)
- In Medicare/Medicaid since
- 1976
- CMS Certification Number (CCN)
- 335540
- Most recent standard inspection
- March 7, 2025
Location and getting there
The Grand Rehabilitation and Nursing at Guilderland is located at 428 State Route 146 in Altamont, Albany County, in the Capital Region (ZIP 12009). The nearest hospital is St. Peter's Addiction Recovery Center, about 2.9 miles away. Distances are straight-line estimates; confirm travel routes before visiting.
Open in Google MapsInspection record
- Inspections on record
- 3
- Total health citations
- 56
- Serious citations (harm or immediate jeopardy)
- 1
- Immediate jeopardy citations
- 1
Serious citations
Citations where inspectors found actual harm to a resident or immediate jeopardy to resident health or safety; most recent March 7, 2025.
| Date | Federal tag | What inspectors cited | Severity | Complaint? |
|---|---|---|---|---|
| March 7, 2025 | F0760 | Ensure that residents are free from significant medication errors | Immediate jeopardy (isolated) | Yes |
Inspection history
| Inspection date | Type | Citations | Most serious finding | Official report |
|---|---|---|---|---|
| March 7, 2025 | Standard health inspection | 29 | Immediate jeopardy (isolated) | View CMS report |
| January 30, 2024 | Standard health inspection | 9 | Potential for harm (pattern) | View CMS report |
| August 23, 2021 | Standard health inspection | 18 | Potential for harm (pattern) | View CMS report |
Understanding these citations
Inspectors cited this facility for serious deficiencies involving medications. These guides from Leitner Warywoda PLLC, the New York law firm that sponsors this site, explain what these problems look like and what families can do:
Federal penalties
- Federal penalties
- 1
- Fines
- 1
- Total fines
- $40,937
- Payment denials
- 0
- Most recent penalty
- March 7, 2025
| Date | Penalty | Amount / Duration |
|---|---|---|
| March 7, 2025 | Civil money penalty | $40,937 |
Penalty data last updated September 1, 2026.
Complaints to the New York State Department of Health
- Complaints received
- 177
- Complaints per 100 beds
- 145.8
- Statewide average per 100 beds
- 57.1
- On-site complaint inspections
- 11
NYS DOH complaint data through July 31, 2026.
Owners and managers reported to CMS
| Name | Role reported to CMS |
|---|---|
| Jeremy Strauss | Indirect owner (5% or greater) — 93% (since 08/31/2016) |
| Jeremy Strauss | Corporate officer (since 08/31/2016) |
| Marc Hunter | Operational/managerial control (since 12/31/1999) |
| Daisy Jaganathan | Operational/managerial control (since 08/01/2025) |
| Rebecca Strauss | General partner (since 10/01/2021) |
| Marc Hunter | Administrator/director of the SNF (since 09/08/2025) |
| Daisy Jaganathan | Administrator/director of the SNF (since 08/01/2025) |
| Jeremy Strauss | Administrator/director of the SNF (since 08/31/2016) |
Official reports and records
These links open official and independent records for CCN 335540. Read several inspections, not only the most recent, to see whether problems repeat.