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The Grand Rehabilitation And Nrsg At River Valley Inspection Report, Violations & Safety Grade (Poughkeepsie, New York)

140 Main Street, Poughkeepsie, New York 12601

Phone: 8454547600

CMS Overall:2/5

Overview & Bed Count

Certified Beds

160

Avg Residents/Day

152

Ownership

For profit - Corporation

Provider Type

Medicare and Medicaid

County

Dutchess

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall2/5

Health2/5

Staffing2/5

Quality3/5

Nurse Staffing Check

Metric	This Facility	New York Avg	Difference
RN Hours per Resident per Day	0.38	0.73	-0.35
Total Nurse Hours per Resident per Day	3.27	3.69	-0.42
CMS Staffing Rating	2/5	2.9/5	-
Nursing Staff Turnover	27.4%	40.3%	-

Health Citation History

28 health citations on record

Date	Category	Description	Severity
2026-03-18	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2026-03-18	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2026-01-28	Resident Rights Deficiencies	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	E – Moderate Harm Potential
2026-01-28	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E – Moderate Harm Potential
2026-01-28	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2026-01-28	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	E – Moderate Harm Potential
2026-01-28	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D – Moderate Harm Potential
2026-01-28	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D – Moderate Harm Potential
2026-01-28	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2026-01-28	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2026-01-28	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2026-01-28	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	B – Minimal Harm Potential
2025-02-19	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	E – Moderate Harm Potential
2025-02-19	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D – Moderate Harm Potential
2025-02-19	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D – Moderate Harm Potential
2025-02-19	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2025-02-19	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2023-10-03	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2023-10-03	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2023-10-03	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2023-10-03	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2020-02-13	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2020-02-13	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2020-02-13	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2020-02-13	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D – Moderate Harm Potential
2020-02-13	Nursing and Physician Services Deficiencies	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.	D – Moderate Harm Potential
2020-02-13	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D – Moderate Harm Potential
2020-02-13	Nutrition and Dietary Deficiencies	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.	D – Moderate Harm Potential

Fire Safety Citation History

29 fire safety citations on record

Date	Category	Description	Severity
2023-10-03	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2023-10-03	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2023-10-03	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	E – Moderate Harm Potential
2023-10-03	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	E – Moderate Harm Potential
2023-10-03	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	E – Moderate Harm Potential
2023-10-03	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	E – Moderate Harm Potential
2023-10-03	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	E – Moderate Harm Potential
2023-10-03	Egress Deficiencies	Have exits that are accessible at all times.	D – Moderate Harm Potential
2023-10-03	Egress Deficiencies	Install emergency lighting that can last at least 1 1/2 hours.	D – Moderate Harm Potential
2023-10-03	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	D – Moderate Harm Potential
2023-10-03	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	D – Moderate Harm Potential
2023-10-03	Smoke Deficiencies	Install an approved automatic sprinkler system.	D – Moderate Harm Potential
2023-10-03	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	D – Moderate Harm Potential
2023-10-03	Services Deficiencies	Have elevators that firefighters can control in the event of a fire.	D – Moderate Harm Potential
2023-10-03	Services Deficiencies	Install properly constructed and protected linen or trash chutes.	D – Moderate Harm Potential
2020-02-13	Egress Deficiencies	Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.	D – Moderate Harm Potential
2020-02-13	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	D – Moderate Harm Potential
2020-02-13	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	D – Moderate Harm Potential
2020-02-13	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	D – Moderate Harm Potential
2020-02-13	Electrical Deficiencies	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	D – Moderate Harm Potential
2020-02-13	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	D – Moderate Harm Potential
2020-02-13	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	D – Moderate Harm Potential
2020-02-13	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that testing and maintenance of electrical equipment is performed.	D – Moderate Harm Potential
2020-02-13	Emergency Preparedness Deficiencies	Address subsistence needs for staff and patients.	C – Minimal Harm Potential
2018-05-14	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2018-05-14	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that testing and maintenance of electrical equipment is performed.	E – Moderate Harm Potential
2018-05-14	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	D – Moderate Harm Potential
2018-05-14	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	D – Moderate Harm Potential
2018-05-14	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	C – Minimal Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2025-02-19	Payment Denial	-	11 days starting 2025-05-19

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