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Establishment profile

THE GRAND REHABILITATION AND NRSG AT GUILDERLAND

428 STATE ROUTE 146, ALTAMONT, NY, 12009
Operated by THE GRAND HEALTHCARE · 1 of 12 establishments

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OSHA inspections
0
Violations
0
Penalties
$0
Context
No OSHA inspections on record. This does not mean the employer is violation-free — OSHA inspects a small fraction of workplaces annually.

Summary

THE GRAND REHABILITATION AND NRSG AT GUILDERLAND has no OSHA inspection history on file. Federal records covering wage, environmental, labor relations, and other agencies are noted below where present.

The most recent federal enforcement activity was recorded 0 days ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

THE GRAND REHABILITATION AND NRSG AT GUILDERLAND appears in CMS nursing home enforcement record only. No matching records were found in OSHA workplace safety, WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls. Single-agency enforcement records typically indicate either a discrete incident-based inspection or a low-risk operational profile.

OSHA workplace safety

No OSHA inspections, citations, or accidents on file for THE GRAND REHABILITATION AND NRSG AT GUILDERLAND. Verify directly with Occupational Safety and Health Administration

Safety self-report (OSHA 300A)

No self-reported injury rates filed with OSHA's Injury Tracking Application for THE GRAND REHABILITATION AND NRSG AT GUILDERLAND. Verify directly with OSHA Injury Tracking Application

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for THE GRAND REHABILITATION AND NRSG AT GUILDERLAND. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
0 days ago

Most recent federal enforcement activity recorded 0 days ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for THE GRAND REHABILITATION AND NRSG AT GUILDERLAND. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for THE GRAND REHABILITATION AND NRSG AT GUILDERLAND. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for THE GRAND REHABILITATION AND NRSG AT GUILDERLAND. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for THE GRAND REHABILITATION AND NRSG AT GUILDERLAND. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for THE GRAND REHABILITATION AND NRSG AT GUILDERLAND. Verify directly with Environmental Protection Agency

CMS nursing-home record

CCN 335540 · Chain: THE GRAND HEALTHCARE

CMS abuse iconSpecial focus: SFF Candidate
Overall rating
1 of 5 stars
Certified beds
127
Deficiencies (3y)
38
CMS fines
$40,937

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 56 citations across 3 surveys · 1 immediate jeopardy · 15 complaint-triggered.

Survey dateF-TagSeverityDescriptionTypeCorrected
Mar 20250760J (IJ)
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint
Mar 20250725F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Complaint
Mar 20250550E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard
Mar 20250584E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Complaint
Mar 20250656E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
Mar 20250657E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard
Mar 20250684E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint
Mar 20250711E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies
Complaint
Mar 20250755E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint
Mar 20250837E
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration Deficiencies
Complaint
Mar 20250842E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Standard
Mar 20250880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Mar 20250554D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Standard
Mar 20250585D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies
Standard
Mar 20250609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard
Mar 20250623D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Standard
Mar 20250625D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
Standard
Mar 20250645D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Standard
Mar 20250686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint
Mar 20250695D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard
Mar 20250698D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Complaint
Mar 20250726D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies
Complaint
Mar 20250759D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Standard
Mar 20250761D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Standard
Mar 20250770D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies
Complaint
Mar 20250773D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies
Complaint
Mar 20250808D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies
Complaint
Mar 20250812D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard
Mar 20250814D
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
Standard
Jan 20240725E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Complaint
Jan 20240814E
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
Standard
Jan 20240867E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies
Standard
Jan 20240880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Jan 20240577D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies
Standard
Jan 20240623D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Complaint
Jan 20240695D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard
Jan 20240791D
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies
Standard
Jan 20240812D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard
Aug 20210584E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Standard
Aug 20210656E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
Aug 20210725E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Standard
Aug 20210756E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Standard
Aug 20210761E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Standard
Aug 20210812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard
Aug 20210813E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies
Standard
Aug 20210880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Aug 20210925E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Standard
Aug 20210550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard
Aug 20210609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard
Aug 20210641D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard
Aug 20210677D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard
Aug 20210684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard
Aug 20210695D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard
Aug 20210757D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Standard
Aug 20210760D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Standard
Aug 20210842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Standard

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for THE GRAND REHABILITATION AND NRSG AT GUILDERLAND. Verify directly with UVA Corporate Prosecution Registry

In the news

Part of a larger organization

THE GRAND REHABILITATION AND NRSG AT GUILDERLAND is one of 12 establishments rolled up under the parent organization THE GRAND HEALTHCARE.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of THE GRAND HEALTHCARE across all 12 of its tracked locations is viewable on the parent profile.

Other locations under this parent

Other establishments operated by THE GRAND HEALTHCARE, ordered by federal enforcement volume:

Related searches

About this data

This profile aggregates federal enforcement records on THE GRAND REHABILITATION AND NRSG AT GUILDERLAND from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup THE GRAND HEALTHCARE, which operates 12 establishments in our dataset.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is THE GRAND REHABILITATION AND NRSG AT GUILDERLAND's OSHA violation history?
THE GRAND REHABILITATION AND NRSG AT GUILDERLAND has no OSHA inspections on record.