The Grand Rehabilitation and Nursing at Utica
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 85 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.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (16 vs median 6.0)
- High RN turnover (62%)
Bottom 25% in NY · Critically understaffed (RN) · Worst in THE GRAND HEALTHCARE chain · $189,803 in fines · Special Focus Facility (CMS)
What this means for your family
While the facility's therapy department is frequently praised for helping patients recover, families should be aware of significant, recurring reports of neglect and slow response times. If you choose this facility, we strongly recommend frequent, unannounced visits to monitor your loved one's hygiene and to ensure that care plans are being followed as promised.
Google Reviews
Google Reviews
85 reviews on Google“The Grand Rehabilitation and Nursing at Utica receives highly polarized feedback, with many short-term rehab patients praising the therapy team and specific nursing staff, while long-term family members frequently report severe neglect and communication failures. Recurring complaints highlight issues with staff responsiveness, hygiene, and poor food quality, suggesting a facility where the quality of care may depend heavily on the specific unit or shift.”
Quality Themes
Tap a score for detailsStrengths
- Effective and professional physical therapy team
- Attentive and caring nursing staff on specific units
- Engaging activities and events for residents
- Helpful transportation services for appointments
Concerns
- Slow or non-existent response to call lights and patient needs (mentioned by 9 reviewers)
- Poor hygiene, including soiled bedding and dirty rooms (mentioned by 7 reviewers)
- Unprofessional or rude staff behavior (mentioned by 7 reviewers)
- Poor food quality and cold meals (mentioned by 6 reviewers)
- Lack of communication with family members (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 74 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed that you are very active in responding to online feedback; how do you use that family input to improve daily communication and care coordination?
- 2Given the size of the facility, what is your current protocol for ensuring call lights are answered promptly and that residents' immediate needs are met in a timely manner?
- 3Could you walk me through your daily housekeeping schedule and how you ensure that rooms and bedding are maintained to a high standard of cleanliness?
- 4I understand you have a well-regarded physical therapy team; how does that team collaborate with nursing staff to ensure residents stay active and engaged throughout the day?
- 5What steps are you taking to improve the quality and temperature of meals served in the dining areas to ensure they are both nutritious and appetizing?
- 6In the event of a medical emergency or a sudden change in a resident's health, what is your specific process for notifying family members and keeping them updated?
Personalized based on this facility's data
Key Review Excerpts
“My mother is there for rehab and they accused her of being able to walk on her own which is nearly impossible to do right away after being sedated in the hospital for over a month. My mother presses the call button and it takes them 20 minutes sometimes longer just to come to my mother”
“The aides are always outside smoking instead of taking care of residents. My family member has been soaked with urine many times upon my unannounced arrival.”
“The therapists have been awesome, they are doing everything they can, to get me back on my feet again, (pun intended). If you are ever given the choice to be in a rehabilitation, for what ever reason, pick The Grand, you wil”
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 · 17 measures
4
measures
9
measures
4
measures
Residents on antipsychotic medication
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 whose walking got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
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 repeatedly raised concerns about this facility, with 21 complaint-triggered deficiencies spanning multiple years. The most recurring problems involve fire safety systems, dining and nutrition services, and resident care quality. Issues like emergency exits, fire alarms, medication management, and food safety have persisted across multiple surveys from 2021 to 2025, suggesting ongoing systemic problems despite reported corrections.
Jun 5, 2025Routine41
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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
Have restrictions on the use of portable space heaters.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 enough food/fluids to maintain a resident's health.
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.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Jun 5, 2025Complaint6
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
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jul 1, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Feb 1, 2024Routine25
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
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
Ensure that testing and maintenance of electrical equipment is performed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
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
Provide properly protected cooking facilities.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Environmental Deficiencies
Keep all essential equipment working safely.
Feb 1, 2024Complaint12
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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.
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 enough food/fluids to maintain a resident's health.
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.
Aug 21, 2023Complaint1
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Federal Penalties
Fine
Jun 5, 2025
$109,099
Fine
Jul 1, 2024
$21,958
Ownership & Operations
Who Operates This Facility
The Grand Rehabilitation and Nursing at Utica
for profit
Chain Affiliation
The Grand Healthcare
16 facilities nationwide
Chain avg rating: 1.8/5 · Rank 13 of 16 (Worst)
Ownership & Management
Owners
Heritage Acquisition Holdings LLC
Owner · Organization
Strauss, Jeremy
Owner (parent company)
Strauss, Meryl
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
85 reviews from families & visitors
Official Website
Visit thegrandhealthcare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
The Pines at Utica Center for Nursing and Rehab
< 1 miNursing Home · Utica, NY
Oneida Center for Rehabilitation and Nursing
< 1 miNursing Home · Utica, NY
Focus Senior Living at Utica
< 1 miAssisted Living · Utica, NY
Utica Rehabilitation & Nursing Center
1.1 miNursing Home · Utica, NY
Mvhs Rehabilitation and Nursing Center
1.2 miNursing Home · Utica, NY
Cedarbrook Village, Incorporated
2.5 miAssisted Living · New Hartford, NY