The Grand Rehabilitation and Nrsg at River Valley
140 Main Street · Poughkeepsie, NY · 12601 · 8454547600
160 certified beds For profit - Corporation Chain: The Grand Healthcare
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.72 | ≈ weekday level |
| Nursing turnover / year | 26% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (29 in the current record)
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Potential for harm · D March 18, 2026 · found via complaint
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.
Corrected April 30, 2026 · Pharmacy Service
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Potential for harm · D March 18, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 30, 2026 · Infection Control
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Potential for harm · E January 28, 2026
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected March 6, 2026 · Resident Rights
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Potential for harm · D January 28, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 6, 2026 · Resident Rights
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Potential for harm · D January 28, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 28, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 28, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 6, 2026 · Quality of Life and Care
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Potential for harm · D January 28, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 6, 2026 · Quality of Life and Care
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Potential for harm · E January 28, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 6, 2026 · Nutrition and Dietary
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Potential for harm · E January 28, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 6, 2026 · Nutrition and Dietary
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Potential for harm · E January 28, 2026
Dispose of garbage and refuse properly.
Corrected March 6, 2026 · Nutrition and Dietary
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No harm found · B January 28, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected March 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · D February 19, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 19, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 19, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 19, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected April 28, 2025 · Nursing and Physician Services
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Potential for harm · D October 3, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 9, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 3, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 9, 2023 · Nutrition and Dietary
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Potential for harm · D October 3, 2023 · found via complaint
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.
Corrected November 9, 2023 · Pharmacy Service
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Potential for harm · D October 3, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 9, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 9, 2023 · found via complaint
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected June 30, 2023 · Resident Rights
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Potential for harm · D February 13, 2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 9, 2020 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2020
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 9, 2020 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 9, 2020 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 19, 2025 | Payment Denial | 11 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335827 · certified since April 2, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.