THE GRAND REHABILITATION AND NRSG AT GUILDERLAND

428 STATE ROUTE 146, ALTAMONT, NY 12009

Paul Richards, RN, MSHIReviewed by Paul Richards, RN, MSHI|Data updated April 2026

THE GRAND REHABILITATION AND NRSG AT GUILDERLAND is a skilled nursing facility located at 428 STATE ROUTE 146, ALTAMONT, NY 12009. The facility accepts both Medicare and Medicaid and holds a CMS rating of 1 star overall, with a 1-star health inspection rating, 1-star staffing rating, and 2-star quality measures rating. Ratings are sourced from the Centers for Medicare & Medicaid Services and updated monthly.

Overall

1

Health

1

Staffing

1

Quality

2

Source: CMS.gov — Updated April 2026

AI Insights

Sentiment: 15/100

Families love

+Some common areas appear clean and orderly
+Friendly lobby staff initially greet visitors

Worth knowing

-Strong urine odors throughout facility
-Inadequate staff supervision of residents
-Poor facility maintenance and cleanliness
-Safety concerns with unsupervised residents

Based on 76 public reviews — AI-generated by CareNav

Family Reviews

2.5

76 reviews on Google

Nabil Akari
4 months ago

Dear Dr. Ali and Facility Management, We are considering having our father admitted to your facility for Palliative long term care. However, after reviewing numerous negative reviews and noticing simi...

Bates Vandenburgh
8 years ago

My sister was going to be placed in this facility. When we came on an unannounced tour of the facility, the very first thing that greeted us was an overflowing outdoor garbage can.The facility doesn'...

Anastasia Sandiego
7 months ago

My mother died a year ago- she had a stroke, a very bad fall, multiple fractures, and was supposed to go into Hospice. A last minute decision- a very bad one- by the hospital Hospice senior social wor...

Giovanna Murray
9 months ago

If you're looking for a facility where wound care instructions are ignored and blood-stained socks are the epitome of perfect hygiene, then congratulations, The Grand is for you! But me? I wouldn't tr...

Dan Mucci
11 months ago

We were extremely pleased with the care and communication of the staff at The Grand! Our uncle was hospitalized from a fall. We live out of state. The Grand Admission Director Ali, provided over the t...

Reviews from Google — Updated April 2026

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Care types

Skilled Nursing

Accepts

Medicare
Medicaid