Poughkeepsie, NY

The Grand Rehabilitation And Nrsg At River Valley

2-star overall rating with 3-star inspections with 4 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

140 Main Street, Poughkeepsie, NY

(845) 454-7600

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

160

Certified beds

Average residents

154

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Grand Healthcare

Operator or chain grouping

Approved since

2001-04-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.29

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.95

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.99

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.22

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.64

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.16

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.29

CMS adjusted RN staffing hours

Adjusted total hours

3.31

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

56%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

23%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,435

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.66

Composite VBP score used to determine payment impact.

Payment multiplier

0.9832

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.47% · Performance 23.45% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 8.34% · Performance 8.67% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

9.46

Baseline 42.86% · Performance 25.00% · Measure score 9.46 · Achievement 9.46 · Improvement 9

Adjusted total nurse staffing

0

Baseline 2.86 hours · Performance 2.72 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.9%
10.72%
0.2 pts worse
No Different than the National Rate · Eligible stays 202 · Observed rate 11.88% · Lower 95% interval 7.95%
Discharge to community 35.01%
50.57%
15.6 pts worse
Worse than the National Rate · Eligible stays 182 · Observed rate 24.73% · Lower 95% interval 28.79%
Medicare spending per beneficiary 1.27
1.02
0.2 pts worse
Drug regimen review with follow-up 98.79%
95.27%
3.5 pts better
Numerator 163 · Denominator 165
Falls with major injury 1.21%
0.77%
0.4 pts worse
Numerator 2 · Denominator 165
Discharge self-care score 35.45%
53.69%
18.2 pts worse
Numerator 39 · Denominator 110
Discharge mobility score 43.64%
50.94%
7.3 pts worse
Numerator 48 · Denominator 110
Pressure ulcers or injuries, new or worsened 3.64%
2.29%
1.4 pts worse
Numerator 6 · Denominator 165 · Adjusted rate 3.06%
Healthcare-associated infections requiring hospitalization 8.67%
7.12%
1.5 pts worse
No Different than the National Rate · Eligible stays 135 · Observed rate 11.85% · Lower 95% interval 5.93%
Staff COVID-19 vaccination coverage 1.65%
8.2%
6.5 pts worse
Numerator 4 · Denominator 242
Staff flu vaccination coverage 45.33%
42%
3.3 pts better
Numerator 131 · Denominator 289
Discharge function score 49.09%
56.45%
7.4 pts worse
Numerator 54 · Denominator 110
Transfer of health information to provider 95.56%
95.95%
0.4 pts worse
Numerator 43 · Denominator 45
Transfer of health information to patient 97.96%
96.28%
1.7 pts better
Numerator 48 · Denominator 49
Resident COVID-19 vaccinations up to date 24.69%
25.2%
0.5 pts worse
Numerator 20 · Denominator 81

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.2
1.7
1.5 pts worse
1.9
1.3 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.6 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
1.3
0.3 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 81.1%
91.2%
10.1 pts worse
93.4%
12.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 87.9% · Q2 82.7% · Q3 79.9% · Q4 73.7% · 4Q avg 81.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.6%
95.3%
3.7 pts worse
95.5%
3.9 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.6%
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 · Q1 2.9% · Q2 1.4% · Q3 0.7% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 29.0%
18.5%
10.5 pts worse
11.4%
17.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 41.5% · Q2 24.8% · Q3 27.3% · Q4 22.0% · 4Q avg 29.0%
Percentage of long-stay residents who lose too much weight 6.9%
6.1%
0.8 pts worse
5.4%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 10.8% · Q3 6.3% · Q4 3.8% · 4Q avg 6.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.3%
13.5%
0.8 pts worse
19.6%
5.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 14.8% · Q3 12.9% · Q4 14.8% · 4Q avg 14.3%
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 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2%
Percentage of long-stay residents whose ability to walk independently worsened 17.3%
15.1%
2.2 pts worse
16.3%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 16.3% · Q3 19.6% · Q4 23.0% · 4Q avg 17.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.2%
15.5%
0.3 pts better
14.9%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 17.3% · Q3 15.2% · Q4 15.9% · 4Q avg 15.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.1%
0.6%
0.5 pts worse
1.0%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.1% · Q4 2.4% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.4%
1.4%
1 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.8%
20.8%
2 pts worse
19.8%
3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 18.9% · Q3 24.9% · Q4 22.4% · 4Q avg 22.8%
Percentage of long-stay residents with pressure ulcers 8.8%
6.9%
1.9 pts worse
5.1%
3.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 9.2% · Q3 7.8% · Q4 6.9% · 4Q avg 8.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 39.1%
76.7%
37.6 pts worse
81.7%
42.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 44.4% · Q2 41.9% · Q3 41.6% · Q4 28.7% · 4Q avg 39.1%
Percentage of short-stay residents who had an outpatient emergency department visit 9.7%
9.7%
About the same
12.0%
2.3 pts better
Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 10.8% · Expected 12.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.8%
1.2%
0.6 pts worse
1.6%
0.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 1.4% · Q4 2.9% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 50.8%
78.8%
28 pts worse
79.7%
28.9 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.5%
20.6%
1.9 pts worse
23.9%
1.4 pts better
Short Stay · 20240701-20250630 · Adjusted 22.5% · Observed 27.2% · Expected 28.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-10-03 · Fire 2023-10-03

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

15 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 2 Health 2020-02-13 · Fire 2020-02-13

12 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2018-05-14 · Fire 2018-05-14

9 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-10-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-11-27

E · Potential for more than minimal harm 2023-10-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-27

E · Potential for more than minimal harm 2023-10-03

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-11-27

E · Potential for more than minimal harm 2023-10-03

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-11-27

E · Potential for more than minimal harm 2023-10-03

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-11-27

E · Potential for more than minimal harm 2023-10-03

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-11-27

E · Potential for more than minimal harm 2023-10-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-03

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-03

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-03

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-03

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-03

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-03

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-03

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2023-11-27

D · Potential for more than minimal harm 2020-02-13

K224 · Egress Deficiencies

Fire Safety

Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.

Corrected 2020-04-27

D · Potential for more than minimal harm 2020-02-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-04-27

D · Potential for more than minimal harm 2020-02-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-04-27

D · Potential for more than minimal harm 2020-02-13

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2020-04-27

D · Potential for more than minimal harm 2020-02-13

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2020-04-27

D · Potential for more than minimal harm 2020-02-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2020-04-27

D · Potential for more than minimal harm 2020-02-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-04-27

D · Potential for more than minimal harm 2020-02-13

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2020-04-27

C · Minimal harm 2020-02-13

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2020-04-27

E · Potential for more than minimal harm 2018-05-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-07-19

E · Potential for more than minimal harm 2018-05-14

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2018-07-19

D · Potential for more than minimal harm 2018-05-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2018-07-19

D · Potential for more than minimal harm 2018-05-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2018-07-19

C · Minimal harm 2018-05-14

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2018-08-26

Inspection history

Recent health citations

B · Minimal harm 2026-01-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Not marked corrected

E · Potential for more than minimal harm 2025-02-19

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-02-19

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-02-19

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-02-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-02-19

F657 · Resident Assessment and Care Planning Deficiencies

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

E · Potential for more than minimal harm 2023-10-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-09

D · Potential for more than minimal harm 2023-10-03

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-11-09

D · Potential for more than minimal harm 2023-10-03

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-11-09

D · Potential for more than minimal harm 2023-10-03

F761 · Pharmacy Service Deficiencies

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 2023-11-09

D · Potential for more than minimal harm 2023-06-09

F625 · Resident Rights Deficiencies

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 2023-06-30

D · Potential for more than minimal harm 2020-02-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-04-09

D · Potential for more than minimal harm 2020-02-13

F657 · Resident Assessment and Care Planning Deficiencies

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 2020-04-09

D · Potential for more than minimal harm 2020-02-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-04-09

D · Potential for more than minimal harm 2020-02-13

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2020-04-09

D · Potential for more than minimal harm 2020-02-13

F726 · Nursing and Physician Services Deficiencies

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 2020-04-09

D · Potential for more than minimal harm 2020-02-13

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2020-04-09

D · Potential for more than minimal harm 2020-02-13

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2020-04-09

E · Potential for more than minimal harm 2018-05-14

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2018-07-12

D · Potential for more than minimal harm 2018-05-14

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2018-07-12

D · Potential for more than minimal harm 2018-05-14

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-07-12

D · Potential for more than minimal harm 2018-05-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2018-07-12

D · Potential for more than minimal harm 2018-05-14

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2018-07-12

D · Potential for more than minimal harm 2018-05-14

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2018-07-12

D · Potential for more than minimal harm 2018-05-14

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2018-07-12

Penalties and ownership

What sits behind the stars

$0 2025-02-19

Payment Denial

Payment Denial · denial start 2025-05-19 · 11 days

11 day denial

Ownership

Strauss Ventures LLC

5% Or Greater Direct Ownership Interest · Organization

94% 2 facilities 2016-07-22
Strauss, Jeremy

5% Or Greater Indirect Ownership Interest · Individual

89% 15 facilities 2016-07-22
Rogers, Eric

Operational/Managerial Control · Individual

0% 10 facilities 2018-07-01
Rogers, Eric

Corporate Officer · Individual

0% 10 facilities 2018-07-01
Rogers, Eric

W-2 Managing Employee · Individual

0% 10 facilities 2018-07-01
Strauss Ventures LLC

Operational/Managerial Control · Organization

0% 2 facilities 2016-07-22
Strauss, Jonathan

Operational/Managerial Control · Individual

0% 20 facilities 2016-07-22
Strauss, Jonathan

Corporate Officer · Individual

0% 20 facilities 2016-07-22

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