All states › New York › Poughkeepsie › The Grand Rehabilitation and Nursing at River Valley
140 Main Street Poughkeepsie, NY 12601 · Dutchess County
All 3 nursing homes in Poughkeepsie, NY (3 take Medicaid)
CMS certification number 335827 · See this home on Medicare Care Compare
Is The Grand Rehabilitation and Nursing at River Valley a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Grand Rehabilitation and Nursing at River Valley as of October 2026.
CMS rates it 2 out of 5 stars overall, below the New York average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.27 hours per resident per day at The Grand Rehabilitation and Nursing at River Valley, below the New York median of 3.57 (US median: 3.72). About 0.38 of those hours are from registered nurses. On weekends it falls to 2.53 hours, 23% below its all-week average. Ask how weekends are staffed. 27.4% of nursing staff left within a year (New York median 38.3%). That is lower than most homes in New York, a sign of a steadier team.
About this nursing home
Paying for care at The Grand Rehabilitation and Nursing at River Valley: Medicare and Medicaid
The Grand Rehabilitation and Nursing at River Valley is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New York's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 28, 2026 and found 9 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 28 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 28 citations at The Grand Rehabilitation and Nursing at River Valley across 5 inspection dates, 10 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 27 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident assessment and care planning (7) and nutrition and dietary (5). The most serious was cited under the CMS rule to "properly hold, secure, and manage each resident's personal money which is deposited with the nursing home" (tag F0568, level E, January 28, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.
March 18, 2026 · 2 citations · includes complaint inspection
DEnsure 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.
DProvide and implement an infection prevention and control program.
January 28, 2026 · 10 citations · includes complaint inspection
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDispose of garbage and refuse properly.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
BEnsure each resident receives an accurate assessment.
February 19, 2025 · 5 citations · includes complaint inspection
EObserve each nurse aide's job performance and give regular training.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
October 3, 2023 · 4 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure 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.
February 13, 2020 · 7 citations
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
Questions to ask on a tour of The Grand Rehabilitation and Nursing at River Valley
- CMS cited the home under its abuse and neglect rules on February 19, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 23% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years.
| Date | Type | Amount or length |
|---|---|---|
| Feb 19, 2025 | Payment Denial | 11 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 2/5 |
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Location
Hospitals near The Grand Rehabilitation and Nursing at River Valley
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.8 mi
Vassar Brothers Medical Center PoughkeepsieEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 55m for patients treated and sent home
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14.5 mi
St Luke's Cornwall Hospital NewburghEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 14m for patients treated and sent home
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15.3 mi
Healthalliance Hospital Marys Avenue Campus KingstonEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 3h 42m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Grand Rehabilitation and Nursing at River Valley › All nursing homes in Poughkeepsie ›
Compare The Grand Rehabilitation and Nursing at River Valley with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Pines at Poughkeepsie Center for Nursing & Rehab · Poughkeepsie · 4 stars · 0.7 mi
- Woodland Pond at New Paltz · New Paltz · 4 stars · 7.6 mi
- Lutheran Center at Poughkeepsie · Poughkeepsie · 3 stars · 3.6 mi
- New Paltz Center for Rehabilitation and Nursing · New Paltz · 3 stars · 8.7 mi
Other The Grand Healthcare nursing homes in New York
- The Grand Rehabilitation and Nursing at Batavia · Batavia · 4 stars
- The Grand Rehabilitation and Nursing at Queens · Whitesone · 4 stars
- The Grand Rehabilitation and Nursing at Great Neck · Great Neck · 4 stars
- Bridge View Nursing Home · Whitestone · 4 stars
- The Grand Rehabilitation and Nursing at South Poin · Island Park · 3 stars
- Fulton Commons Care Center · East Meadow · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 16 The Grand Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.