All citations for The Grand Rehabilitation and NRSG at Guilderland

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to The Grand Rehabilitation and NRSG at Guilderland

Last standard health inspection on record

March 7, 2025

Showing 1 to 25 of 88 citations

Immediate jeopardy to resident health or safety
Ensure that residents are free from significant medication errors.
Isolated (one or a few residents). CMS level J.
Health citation F-0760, Pharmacy Service Deficiencies. Inspection of March 7, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Widespread (many residents). CMS level F.
Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 7, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Address patient/client population and determine types of services needed.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Establish procedures for tracking staff and patients during an emergency.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Have restrictions on the use of portable space heaters.
Widespread (many residents). CMS level F.
Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Have proper power supply for life support equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0915, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 12, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 28, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2024).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.
A waiver was granted.
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 30, 2024).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 2, 2024).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 23, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (October 8, 2021).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pattern (more than a few residents). CMS level E.
Health citation F-0550, Resident Rights Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of March 7, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.