With a score of 14/100, The Grand Rehabilitation And Nrsg At Guilderland ranks in the bottom tier of New York nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
With 2.81 total nurse hours per resident per day, The Grand Rehabilitation And Nrsg At Guilderland falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 56 deficiencies at The Grand Rehabilitation And Nrsg At Guilderland, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are free from significant medication errors..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.81 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.30 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.03 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.48 | 2.4 | Below Average |
| Weekend Total Nursing | 2.34 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0760 Severity JEnsure that residents are free from significant medication errors.Mar 6, 2025 · Pharmacy Service Deficiencies
- Tag 0725 Severity FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Mar 6, 2025 · Nursing and Physician Services Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Mar 6, 2025 · Pharmacy Service Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Mar 6, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Mar 6, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.5% | 4.5% | Average |
| Falls with major injury | 1.3% | 3.0% | Better |
| On antipsychotic medication | 17.9% | 14.5% | Worse |
| Urinary tract infections | 0.5% | 2.5% | Better |
| ADL decline (daily activities) | 17.3% | 14.0% | Worse |
| Excessive weight loss | 2.2% | 7.5% | Better |
| New/worsened incontinence | 25.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $40,937
How This Grade Was Calculated
This facility's grade of F is based on a score of 14 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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