The Grand Rehabilitation and Nrsg at River Valley
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 96 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- High RN turnover (56%)
Below average in NY · Critically understaffed (RN) · Low staff turnover (stable workforce)
What this means for your family
This facility's rehabilitation therapy team is widely regarded as excellent, making it a potential option for short-term recovery. However, the recurring reports of severe neglect, understaffing, and poor communication suggest significant risks for long-term residents. If you choose this facility, ensure you have a plan for frequent, unscheduled visits to monitor your loved one's care and hygiene.
Google Reviews
Google Reviews
96 reviews on Google“The Grand Rehabilitation and Nursing at River Valley receives highly polarized feedback, with a clear divide between those praising the rehabilitation therapy team and those reporting severe neglect. While many reviewers highlight the concierge and therapy staff as bright spots, a significant number of families describe dangerous understaffing, poor hygiene, and inadequate medical oversight. Potential families should be aware of consistent reports regarding delayed medication, poor food quality, and communication breakdowns with management.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Dedicated and helpful concierge staff
- Some compassionate individual nurses and aides
- Clean facility environment (noted by some)
Concerns
- Severe understaffing leading to delayed call bell response (mentioned by 12 reviewers)
- Poor food quality and inedible meals (mentioned by 8 reviewers)
- Neglect regarding hygiene and basic care (e.g., soiled diapers, lack of bathing) (mentioned by 7 reviewers)
- Medication management errors and delays (mentioned by 5 reviewers)
- Poor communication and lack of responsiveness from administration (mentioned by 6 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 89 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed that your team is very active in responding to online feedback; how does that commitment to communication translate into how you update families about their loved one's daily care?
- 2Given that physical and occupational therapy are noted as strong points here, how do you ensure that progress in those sessions is supported by the nursing staff throughout the rest of the day?
- 3With a facility capacity of 160 residents, what specific protocols are in place to ensure that call bells are answered promptly and that residents receive timely assistance with hygiene and personal care?
- 4I understand that medication management is a critical priority; could you walk me through your process for ensuring accuracy and preventing delays when administering daily prescriptions?
- 5Many residents value their dining experience; what steps are you taking to improve the quality and variety of the meals served to ensure they meet the nutritional needs and preferences of your residents?
- 6What does a typical daily activity schedule look like for residents who are looking to stay engaged and social within the facility?
Personalized based on this facility's data
Key Review Excerpts
“The therapy group is the only thing this place has good to offer. The patients are not priority by know means most of the staff does not like to do what is required to treat patients.”
“My mom was there for 24 hours without food or water. I asked to speak with her social worker who was on vacation and the other part time social worker doesn't work on Wednesday.”
“The care plan doesn't go as planned. Communication with day staff to evening staff doesn't happen. My mother fell out of her wheelchair on Valentine's Day at 4pm, she was supposed to have an alarm as she is a fall risk.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
2
measures
12
measures
2
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed reports leading to 9 deficiencies, including a recent incident involving inadequate resident assessment that remains without a correction plan. The facility shows recurring problems with care planning, fire safety systems, and medication management across multiple years. While most violations are eventually corrected, the pattern of repeated issues in essential care areas and the outstanding assessment deficiency raise concerns about consistent quality oversight.
Mar 18, 2026Complaint2
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 28, 2026Routine9
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jan 28, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Feb 19, 2025Complaint5
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
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.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Oct 3, 2023Routine17
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Egress Deficiencies
Have exits that are accessible at all times.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Oct 3, 2023Complaint2
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.
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.
Federal Penalties
Payment Denial
Feb 19, 2025
11-day denial
Ownership & Operations
Who Operates This Facility
The Grand Rehabilitation and Nrsg at River Valley
for profit
Chain Affiliation
The Grand Healthcare
16 facilities nationwide
Chain avg rating: 1.8/5 · Rank 6 of 16
Ownership & Management
Owners
Strauss Ventures LLC
Owner · Organization
Strauss, Jeremy
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
96 reviews from families & visitors
Official Website
Visit thegrandhealthcare.com
Medicare data downloads
Original nursing home datasets
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