29 health deficiencies
Top issue: Resident Rights (6 deficiencies)
21 fire-safety deficiencies
Top issue: Egress (7 deficiencies)
Altamont, NY
1-star overall rating with 1-star inspections with Special Focus status with $40,937 in total fines with 29 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle
428 State Route 146, Altamont, NY
(518) 861-5141
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
127
Certified beds
Average residents
120
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Grand Healthcare
Operator or chain grouping
Approved since
1976-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.30
Registered nurse staffing
LPN hours / resident day
1.03
Licensed practical nurse staffing
Aide hours / resident day
1.48
Nurse aide staffing
Weekend hours
2.34
Weekend nurse staffing
RN turnover
82%
Annual RN turnover
Total nurse turnover
57%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.7
About the same
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.3
1.1 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 48.3% |
91.2%
42.9 pts worse
|
93.4%
45.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.4% |
95.3%
1.9 pts worse
|
95.5%
2.1 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
3.0%
1.7 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
18.5%
17.1 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 2.2% |
6.1%
3.9 pts better
|
5.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.3% |
13.5%
2.2 pts better
|
19.6%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 17.9% |
14.8%
3.1 pts worse
|
16.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.2% |
0.2%
About the same
|
0.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.8% |
15.1%
2.3 pts better
|
16.3%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.3% |
15.5%
1.8 pts worse
|
14.9%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.6%
0.1 pts worse
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.4%
0.9 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.0% |
20.8%
4.2 pts worse
|
19.8%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
6.9%
2.4 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 27.8% |
76.7%
48.9 pts worse
|
81.7%
53.9 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.7% |
9.7%
9 pts worse
|
12.0%
6.7 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.2%
About the same
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.5% |
78.8%
38.3 pts worse
|
79.7%
39.2 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.1% |
20.6%
6.5 pts worse
|
23.9%
3.2 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Resident Rights (6 deficiencies)
21 fire-safety deficiencies
Top issue: Egress (7 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-04-12
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-04-12
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-04-12
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-04-12
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-04-12
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-04-12
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-12
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-12
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-04-12
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-04-12
Fire Safety
Have proper power supply for life support equipment.
Corrected 2025-04-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-12
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-04-12
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-12
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-04-12
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-05-19
Fire Safety
Install proper backup exit lighting.
Corrected 2025-04-12
Fire Safety
Have an externally vented heating system.
Corrected 2025-04-12
Fire Safety
Have correct number of accessible exits for each story.
Corrected 2025-04-12
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-04-12
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Not marked corrected
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-04-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-22
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-04-02
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-10-08
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-10-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-10-08
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2021-10-08
Inspection history
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-28
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-04-28
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-28
Health
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.
Corrected 2025-04-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-28
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-04-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-28
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-04-28
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-28
Health
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.
Corrected 2025-04-28
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-28
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-28
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-04-28
Health
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.
Corrected 2025-04-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-28
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-28
Health
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.
Corrected 2025-04-28
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-04-28
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-28
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-04-28
Health
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.
Corrected 2025-04-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-28
Health
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.
Corrected 2025-04-28
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-04-28
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-04-28
Health
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.
Corrected 2025-04-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-19
Health
Dispose of garbage and refuse properly.
Corrected 2025-04-28
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-04-05
Health
Dispose of garbage and refuse properly.
Corrected 2024-03-17
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-04-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-06
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-03-30
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-30
Health
Provide or obtain dental services for each resident.
Corrected 2024-04-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-20
Health
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.
Corrected 2021-10-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-10-08
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2021-10-08
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2021-10-08
Health
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.
Corrected 2021-10-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-10-08
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2021-10-08
Health
Provide and implement an infection prevention and control program.
Corrected 2021-10-08
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2021-10-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-10-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-10-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-10-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-10-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-10-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-10-08
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-10-08
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-10-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-10-08
Penalties and ownership
Fine · fine $40,937
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
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Schenectady, NY
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Schenectady, NY
2-star overall rating with 1-star inspections with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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