The Grand Rehabilitation and Nrsg at Chittenango
331 Russell Street, Chittenango, NY 13037 · Madison County · 80 certified beds · avg 78 residents/day · certified since Mar 1, 1977
Part of chain: THE GRAND HEALTHCARE (16 facilities, chain avg rating 1.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Jan 26, 2024 · F-0578
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Mar 1, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 18, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Nov 18, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 18, 2025 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Nov 4, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Jan 26, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 26, 2024 | E · Potential for harm, repeated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jan 26, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 26, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Jan 26, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 26, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jan 26, 2024 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Aug 19, 2021 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 19, 2021 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Aug 19, 2021 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Aug 19, 2021 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 0 | E |
| 2024 | 9 | 1 | K ▲ |
| 2025 | 5 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $16,448.
| Date | Type | Amount / length |
|---|---|---|
| Jan 26, 2024 | Fine | $16,448 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.12 | 3.58 | 3.95 | bottom 32% in New York; bottom 18% in the U.S. |
| Registered Nurse hours | 0.46 | 0.68 | 0.69 | bottom 26% in New York; bottom 32% in the U.S. |
| Weekend total nurse staffing | 2.86 | 3.13 | 3.50 | bottom 42% in New York; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.48 | 0.48 | bottom 47% in New York; bottom 39% in the U.S. |
| Total nursing staff turnover (%) | 61.5 | 40.3 | 45.8 | bottom 9% in New York; bottom 14% in the U.S. |
| RN turnover (%) | 64.3 | 39.8 | 42.9 | bottom 9% in New York; bottom 16% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.36, RN 0.50, weekend 3.08. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Strauss, Jeremy | Individual | 5% or Greater Direct Ownership Interest | 98% | 05/01/2011 |
| Rogers, Eric | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2018 |
| Rogers, Eric | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2018 |
| Rogers, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2018 |
| Stern, Samuel | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2020 |
| Strauss, Jeremy | Individual | Corporate Director | NOT APPLICABLE | 04/01/2010 |
| Strauss, Jonathan | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Strauss, Jonathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/12/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Onondaga Center for Rehabilitation and Nursing | 6.8 mi | Minoa, NY | ★☆☆☆☆ | 1/5 | SFF |
| Sunnyside Care Center | 9.4 mi | East Syracuse, NY | ★★☆☆☆ | 2/5 | |
| Jewish Home of Central New York | 10.5 mi | Syracuse, NY | ★★☆☆☆ | 1/5 | |
| Oneida Health Rehabilitation and Extended Care | 11.0 mi | Oneida, NY | ★☆☆☆☆ | 2/5 | |
| Nottingham R H C F | 11.4 mi | Jamesville, NY | ★★★★★ | 5/5 | |
| Iroquois Nursing Home INC | 13.2 mi | Jamesville, NY | ★★★★☆ | 3/5 | |
| Bishop Rehabilitation and Nursing Center | 13.5 mi | Syracuse, NY | ★☆☆☆☆ | 1/5 | SFF |
| Loretto Health and Rehabilitation Center | 13.6 mi | Syracuse, NY | ★☆☆☆☆ | 1/5 | |
| Central Park Rehabilitation and Nursing Center | 14.1 mi | Syracuse, NY | ★☆☆☆☆ | 1/5 | |
| Van Duyn Center for Rehabilitation and Nursing | 15.4 mi | Syracuse, NY | —/5 | abuseSFF |
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Facility data as of CMS processing date 2026-08-01. CCN 335588.