The Grand Rehabilitation And Nrsg At River Valley

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

35.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 182 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 44.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 93 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.24 therapist hours per resident per day in 2026Q1 — more than 33% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 160 beds and averages 152.9 residents a day — about 96% occupied, or roughly 7 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.16 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.32 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.91 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.57 hrs/resident/day on weekends vs 3.40 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.38 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 25% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · Dcited before2026-03-18 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews during the abbreviated survey (2725858) the facility failed to assure that medications were secure and inaccessible to unauthorized staff and residents. Specifically,1) on 3/3/2026 at 10:20am observed on unit 3 East a treatment cart left unlocked and unattended with Nystatin cream left on top of the cart. This cart was under the responsibility of Licensed Practical Nurse # 1. 2) On unit at 5 East at 11:00 am observed medication cart on the unit left unlocked and unattended; while Licensed Practical Nurse # 2 was passing medication to the resident in room [ROOM NUMBER].The findings include:Review of the facility's Security of Medication Cart policy dated 10/97 and last reviewed 1/25 documented it is the policy of the facility to have the medication cart secured during medication passes. The nurse must secure the medication cart during medication pass to prevent unauthorized entry. Medication carts must be securely locked at all times when out of the nurse's view.On 3/3/2026 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-18 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews and record review conducted during an abbreviated survey (2725858), the facility did not ensure infection prevention and control standards were maintained. Specifically, 1) on 3/2/2026 observed Certified Nurse Aide #1 not applying personal protective equipment to go into Resident # 2's room who had a contact precaution sign on the door. 2) On 3/3/2026 Observed Certified Nurse Aide #2 going into Resident # 3's room on droplet precaution with appropriate personal protective equipment, Certified Nurse Aide #2 exited the room wearing the mask in the hallway.Findings include:Review of the facility's infection control policy dated 8/17 and last reviewed on 1/2025 documented transmission-based precautions will be used whenever measures more stringent than standard precautions are needed to prevent the spread of infection.Review of the facility's Personal Protective Equipment for Healthcare Personnel dated 10/97 and last revised/reviewed 5/2025 documented it is the policy of the facility to utilize a variety of barriers, as appropriate, when working in the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-28 · tag F0568 — pattern
  Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility did not ensure individual financial records were available to residents through quarterly statements. This was evident for (6) six residents (Residents #18, #103, #127, #140, #157, and #160) reviewed for personal funds. Specifically, there was no documented evidence Residents #18, #103, #127, #140, #157, and #160 were provided with quarterly statements for personal need accounts managed by the facility. The findings include:The policy titled Deposit of Resident Funds dated 01/2025 documented the resident was provided with a confidential quarterly statement of funds on deposit with the facility and activity since the previous statement.On 01/20/2026 at 12:26 PM, Resident #127 was interviewed and stated they did not know how much money was in their account and had not received an account statement in the past year.On 01/20/2026 at 2:12 PM, Resident #140 was interviewed and stated they had not received quarterly statements for their personal funds account managed by the facility.On 01/27/2026 at 11:58 AM, Resident #103 was interviewed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-28 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interviews conducted during the recertification survey from 01/20/2026 to 01/28/2026 the facility did not ensure residents were provided food and drink that was palatable, and at a safe and appetizing temperature. Specifically, due to food temperature complaints from residents at the resident council meeting on 01/21/2026 at 11:11AM a test tray temperature was taken of egg salad that had a holding temperature of 70 degrees Fahrenheit, and during the observation of a lunch meal service in the kitchen, the egg salad and yogurt temperatures were held at 58 degrees Fahrenheit. The findings include:According to the United Stated Food and Drug Administration food code, cold holding of cooked eggs and egg containing foods should be at 41 degrees Fahrenheit or below.During Resident Council meeting conducted 01/21/2026 at 11:11 AM multiple residents at the meeting voiced concerns about foods being overcooked, and undercooked and at times food did not arrive hot.During an observation on 01/23/2026 at 1:04 PM, the last lunch tray was served on the second floor, and the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-28 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility did not ensure food was stored and prepared in accordance with professional standards for food service safety. Specifically, 1) unlabeled foods were stored in the kitchen walk in refrigerator, freezer, and cooks prep counter 2) expired foods were stored in the walk-in refrigerator, emergency food supply, and Resident #5's personal refrigerator and 3) staff were observed not wearing beard nets while in the kitchen.The findings include: The policy last reviewed 01/2024 titled Food Receiving and Storage documented all foods stored in the refrigerator or freezer will be covered, labeled and dated ( use by date).The policy last reviewed 01/06/2026 titled Resident Personal Refrigerators documented staff will monitor and discard any expired or improperly stored items.The policy last revised 11/2020 titled Dress code/Professional Appearance Policy documented beards and mustaches must be neat and closely trimmed to a 1/4 of an inch, if longer a beard net is required.During the initial tour of the kitchen on 01/20/2026 at 9:16 AM with the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-28 · tag F0814 — failed to dispose of garbage properly — pattern
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview the facility did not ensure proper disposal of garbage and refuse. Specifically, three (3) garbage/recycle dumpsters were left open and there were cardboard boxes spilling over the top of the dumpsters and litter on the ground around the dumpsters.The findings are:The policy titled Food-Related Garbage and Refuse Disposal reviewed 1/2024 documented outside dumpsters provided by garbage pickup services will be kept closed and free of surrounding litter. During an observation of the garbage area on 01/20/2026 at 10:14 AM with the acting Food Service Director, one (1) of three (3) dumpsters had the lid closed. The remaining two (2) dumpsters were open. There was observed litter on the ground including a plastic unused garbage bag, plastic straws, used blue and white plastic gloves, carboard, and spilled food. There was also a plastic bag full of garbage on the ground between the two (2) open dumpsters.During an observation of the garbage area on 01/22/2026 at 4:17 PM three (3) dumpster lids were open. The dumpster to the right was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility did not ensure residents were informed of items and services the resident may be charged for and the amount charged for those items and services for (2) two of (3) three residents (Residents #13 and #157) reviewed for Beneficiary Notification. Specifically, there was no documented evidence the facility provided Resident #13 and Resident #157's representative with a Skilled Nursing Facility Advanced Beneficiary Notification informing them of the cost to continue receiving skilled services once their Medicare Part A coverage ended.The findings include:The facility list of residents discharged from Medicare Part A services (with benefit days remaining) from 07/20/2025 to 01/20/2026 documented Resident #13 was discharged from services on 09/30/2025, Resident #157 was discharged from services on 12/04/2025, and both Resident #13 and Resident # 157 remained in the facility after their Medicare Part A coverage ended.The Notice of Medicare Non-Coverage dated 09/25/2025 documented Resident #13's signature affirming notification the resident's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview the facility did not ensure the accuracy of the preadmission screening for 1 (one) of thirty-eight residents reviewed for preadmission screening. Specifically, on the preadmission screen for Resident #81, number 23 was marked yes indicating that Resident #81 had a serious mental illness. However, the categorical determinations, numbers 27 to 30, were not completed as instructed to determine if a level two screen was indicated. The findings included:The policy titled Preadmission Screening and Resident Review Requirements last reviewed 01/2025, documented all individuals applying for a new admission to the facility must be screened to identify serious mental illness or mental retardation/developmental disability per regulations. The admissions department will review the screen form completed by the referring entity to determine if the Level I review reflects the need for a Level II referral. If, after the resident is admitted , the social worker determines that a Level II determination was required and not done, the social worker will make Level…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-28 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview the facility did not ensure the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment, including both the comprehensive and quarterly review assessments for (2) two (5) five residents (Resident #18, Resident # 157) reviewed for care planning. Specifically, 1) there was no documented evidence that Resident #18's comprehensive care plan was reviewed and/or revised with the quarterly Minimum Data Set completed on 8/25/2025 and 11/18/2025 and 2) there was no documented evidence that a care plan meeting was conducted between 09/2025 and 01/2026 for Resident #157. The findings are: The policy titled Care Plans, Comprehensive Person-Centered, last reviewed January 2025 documented the Interdisciplinary Team must review and update the care plan at least quarterly, in conjunction with the required quarterly Minimum Data Set Assessment. Resident #18 had diagnoses that included paroxysmal atrial fibrillation, type 2 diabetes mellitus and anemia. The 11/18/2025 Quarterly Minimum Data Set (assessment tool)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, observation and record review the facility did not ensure the resident environment remains as free of accident hazards as is possible for one (1) of seven (7) residents (Resident # 54) reviewed for Accidents. Specifically, there was no documented evidence that hazards and risks were evaluated and analyzed and that care plan interventions were monitored for effectiveness and/or modified when necessary for Resident #54 who was observed in their room on 01/28/2026 with a lighter in their possession. Additionally, the 06/15/2025 Annual Minimum Data Set Assessment documented Resident #54 did not use tobacco.The findings include:The undated details of smoking policy documented residents would be evaluated on admission, quarterly, to determine if they are a smoker, non-smoker, and/or desire to smoke. Evaluation will also include smoking safety and understanding of policy. If a smoker the evaluation will include ability to smoke safely with or without supervision (per a completed smoking evaluation) and residents identified as smokers may not have or keep any smoking…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2025-05-19 for 11 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to THE GRAND HEALTHCARE — 16 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 73% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $3.8M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NY