facebook tracking The Grand Rehabilitation and Nursing at River Valley
Skip to content

The Grand Rehabilitation and Nursing at River Valley

All states › New York › Poughkeepsie › The Grand Rehabilitation and Nursing at River Valley

140 Main Street Poughkeepsie, NY 12601 · Dutchess County

(845) 454-7600

All 3 nursing homes in Poughkeepsie, NY (3 take Medicaid)

Accepts Medicare Accepts Medicaid 160 certified beds For profit

CMS certification number 335827 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 28 citations in the last three years. CMS imposed 1 penalty in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 4 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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.

Nursing care per resident per day 3.27 hours
Below the New York median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.38 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.53 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 27.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 56.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds160
Residents per day 152 About 95% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceApril 2001
Part of a chainThe Grand Healthcare
Legal business nameRIVER VALLEY OPERATING ASSOCIATES LLC

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Apr 30, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Apr 30, 2026)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0568 · Deficient, Provider has date of correction (Mar 6, 2026)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Mar 6, 2026)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 6, 2026)

EDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Mar 6, 2026)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Mar 6, 2026)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Mar 6, 2026)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Mar 6, 2026)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Mar 6, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Mar 6, 2026)

BEnsure each resident receives an accurate assessment.

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Complaint inspection · Deficient, Provider has date of correction (Mar 6, 2026)

February 19, 2025 · 5 citations · includes complaint inspection

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0730 · Complaint inspection · Deficient, Provider has date of correction (Apr 28, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Apr 28, 2025)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Apr 28, 2025)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Apr 28, 2025)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Apr 28, 2025)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 9, 2023)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Nov 9, 2023)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Nov 9, 2023)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Nov 9, 2023)

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.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 9, 2020)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 9, 2020)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Apr 9, 2020)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Apr 9, 2020)

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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (Apr 9, 2020)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Apr 9, 2020)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Apr 9, 2020)

Questions to ask on a tour of The Grand Rehabilitation and Nursing at River Valley

  1. CMS cited the home under its abuse and neglect rules on February 19, 2025. How are staff trained, and how are concerns reported?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Weekend staffing is 23% below the all-week average. Who is on duty on Saturday nights?
  4. 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?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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.

DateTypeAmount or length
Feb 19, 2025 Payment Denial 11 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 2/5 3/5
August 2026 2/5 2/5 2/5 2/5
Add this rating badge to your websiteFree. Shows The Grand Rehabilitation and Nursing at River Valley's Medicare star rating and updates itself.

Size and colour

Preview

The Grand Rehabilitation and Nursing at River Valley Medicare star rating badge

Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.

Examples, sizes and help on the badge page ›

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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

The Pines at Poughkeepsie Center for Nursing & Rehab Poughkeepsie · 0.7 mi away ★★★★☆ Inspection 3/5 · Staffing 3/5 200 beds · Medicaid
Hudson Valley Rehabilitation & Extended Care Center Highland · 2.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 203 beds · Medicaid
Lutheran Center at Poughkeepsie Poughkeepsie · 3.6 mi away ★★★☆☆ Inspection 2/5 · Staffing 4/5 160 beds · Medicaid
Taconic Rehabilitation and Nursing at Ulster Highland · 3.8 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 120 beds · Medicaid
The Eleanor Nursing Care Center Hyde Park · 7.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 120 beds · Medicaid

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

Other The Grand Healthcare nursing homes in New York

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.

Compare

https://www.nursinghomesineachstate.com/new-york/poughkeepsie/the-grand-rehabilitation-and-nursing-at-river-valley/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.