The Grand Rehabilitation and Nursing at Mohawk

99 Sixth Avenue · Ilion, NY · 13357 · 3158954050

120 certified beds For profit - Partnership Chain: The Grand Healthcare

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 29
Serious harm & abuse 20% 58
Staffing 20% 57
Federal penalties 15% 55
Trend 10% 36
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.333.48 min · 4.1 strong
RN hours / resident-day0.430.55–0.75
Weekend hours / resident-day2.76≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)1 · $17,604

Inspection citations (34 in the current record)

  • Immediate jeopardy · K September 4, 2025 · found via complaint

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

    Corrected October 6, 2025 · Quality of Life and Care

  • Actual harm · G September 4, 2025 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected October 6, 2025 · Quality of Life and Care

  • Potential for harm · D September 4, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 30, 2025

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

    Corrected August 29, 2025 · Resident Rights

  • Potential for harm · D June 30, 2025

    Assess the resident when there is a significant change in condition

    Corrected August 29, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 30, 2025

    Provide activities to meet all resident's needs.

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · D June 30, 2025

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

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · D June 30, 2025

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

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · D June 30, 2025

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

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · D June 30, 2025

    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.

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · D June 30, 2025

    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.

    Corrected August 29, 2025 · Nursing and Physician Services

  • Potential for harm · E June 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 29, 2025 · Infection Control

  • Potential for harm · E June 30, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · E May 16, 2024 · found via complaint

    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.

    Corrected July 12, 2024 · Resident Rights

  • Potential for harm · D November 7, 2023

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

    Corrected December 29, 2023 · Quality of Life and Care

  • Potential for harm · D November 7, 2023

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected December 29, 2023 · Quality of Life and Care

  • Potential for harm · D November 7, 2023 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 29, 2023 · Resident Rights

  • Potential for harm · E November 7, 2023 · found via complaint

    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.

    Corrected December 29, 2023 · Resident Rights

  • Potential for harm · D November 7, 2023 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected December 29, 2023 · Resident Rights

  • Potential for harm · D November 7, 2023 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 29, 2023 · Quality of Life and Care

  • Potential for harm · D November 7, 2023 · found via complaint

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

    Corrected December 29, 2023 · Quality of Life and Care

  • Potential for harm · D November 7, 2023 · found via complaint

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

    Corrected December 29, 2023 · Quality of Life and Care

  • Potential for harm · E November 7, 2023 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected December 29, 2023 · Nursing and Physician Services

  • Potential for harm · E November 7, 2023 · found via complaint

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

    Corrected December 29, 2023 · Nutrition and Dietary

  • Potential for harm · F November 7, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 29, 2023 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
June 30, 2025Fine$17,604
June 30, 2025Payment Denial26 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335386 · certified since November 21, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.