THE GRAND REHABILITATION AND NRSG AT GUILDERLAND
SNF · ALTAMONT, Albany County, NY · operated by GUILDERLAND OPERATOR LLC · 127 beds
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Federal Special Focus Facility. CMS flags this nursing home among the nation's most persistently poor performers.
CMS overall rating
1★
Care Compare (of 5)
Serious deficiencies
1
actual harm or worse
Federal fines
$40,937
1 penalty
Occupancy
98%
latest reported
Occupancy trend
verified · NYSDOH160 observations · latest 98% occupied. A steadily emptying facility can be an early distress signal.
Serious deficiencies
verified · CMS inspections56 total on record; 1 at actual-harm or immediate-jeopardy severity.
2025-03-07immediate jeopardy (isolated)tag 0760 · from complaint
Ensure that residents are free from significant medication errors.
source record ↗CMS Care Compare
verified · federal| Overall | Health insp. | Staffing | Quality | Ownership |
|---|---|---|---|---|
| 1★ | 1★ | 1★ | 2★ | For profit - Limited Liability company |
Penalties
verified · CMS| Date | Type | Amount |
|---|---|---|
| 2025-03-07 | Fine | $40,937 |
Ownership
verified · disclosures| Name | Role | % | Since |
|---|---|---|---|
| STRAUSS VENTURES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 98% | since 11/14/2016 |
| STRAUSS, JEREMY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 93% | since 08/31/2016 |
| HUNTER, MARC | ADP OF THE SNF | — | since 09/08/2025 |
| HUNTER, MARC | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/31/1999 |
| JAGANATHAN, DAISY | ADP OF THE SNF | — | since 08/01/2025 |
| JAGANATHAN, DAISY | OPERATIONAL/MANAGERIAL CONTROL | — | since 08/01/2025 |
| STRAUSS VENTURES LLC | ADP OF THE SNF | — | since 09/30/2025 |
| STRAUSS, JEREMY | ADP OF THE SNF | — | since 08/31/2016 |
| STRAUSS, JEREMY | CORPORATE OFFICER | — | since 08/31/2016 |
| STRAUSS, REBECCA | GENERAL PARTNERSHIP INTEREST | — | since 10/01/2021 |
Price receipts
reported · familiesNo price reports yet. HomeTruth collects what families actually pay — base rent, care-level fees, all-in monthly, and each year's rate increase — so the next family walks in knowing the real number. Reports are shown with the count behind them, never averaged into a vague "starting at."