New York ›Poughkeepsie

The Grand Rehabilitation and Nrsg at River Valley

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140 Main Street, Poughkeepsie, NY 12601 (opens Google Maps) · Dutchess County · (845) 454-7600· 160 certified beds · avg 153 residents/day · certified since Apr 2, 2001 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: THE GRAND HEALTHCARE (16 facilities, chain avg rating 1.8★)

2/5
Health inspection rating (on-site)
inspected Jan 28, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.13
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 28 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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. · from a complaint F-0761

  2. D · Potential for more than minimal harm, isolated

    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 F-0880

  3. E · Potential for more than minimal harm, pattern

    The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. F-0568

View all 28 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Mar 18, 2026D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0761
Mar 18, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0880
Jan 28, 2026E · Potential for more than minimal harm, patternThe facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · F-0568
Jan 28, 2026E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Jan 28, 2026E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jan 28, 2026E · Potential for more than minimal harm, patternThe facility did not dispose of garbage and refuse properly. · F-0814
Jan 28, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0582
Jan 28, 2026D · Potential for more than minimal harm, isolatedThe facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
Jan 28, 2026D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Jan 28, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jan 28, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Jan 28, 2026B · Potential for minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint · F-0641
Feb 19, 2025E · Potential for more than minimal harm, patternThe facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint · F-0730
Feb 19, 2025D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Feb 19, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0600
Feb 19, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Feb 19, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Oct 3, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Oct 3, 2023D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Oct 3, 2023D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0761
Oct 3, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Feb 13, 2020D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Feb 13, 2020D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Feb 13, 2020D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Feb 13, 2020D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Feb 13, 2020D · Potential for more than minimal harm, isolatedThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Feb 13, 2020D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Feb 13, 2020D · Potential for more than minimal harm, isolatedThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 10).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2020
All citations: 7
Serious citations (G–L): 0
2023
All citations: 4
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
2026
All citations: 12
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202070D
202340E
202550E
2026120E

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)

How to file a complaint about care →

0 fines totaling $0, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Feb 19, 2025Payment Denial11 days from May 19, 2025

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNew York averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.13
New York average: 3.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.31
New York average: 0.68
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.54
New York average: 3.13
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNew York avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.133.583.95bottom 33% in New York; bottom 18% in the U.S.
Registered Nurse hours0.310.680.69bottom 4% in New York; bottom 11% in the U.S.
Weekend total nurse staffing2.543.133.50bottom 19% in New York; bottom 11% in the U.S.
Weekend RN hours (not acuity-adjusted)0.150.480.48bottom 5% in New York; bottom 5% in the U.S.
Total nursing staff turnover (%)24.640.345.8top 13% in New York; top 7% in the U.S.
RN turnover (%)56.339.842.9bottom 17% in New York; bottom 26% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.16, RN 0.32, weekend 2.57.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.16 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for The Grand Rehabilitation and Nrsg at River Valley. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Strauss Ventures LLCOrganization5% or Greater Direct Ownership Interest94%07/22/2016
Strauss, JeremyIndividual5% or Greater Indirect Ownership Interest89%07/22/2016
Rogers, EricIndividualW-2 Managing EmployeeNOT APPLICABLE07/01/2018
Rogers, EricIndividualCorporate OfficerNOT APPLICABLE07/01/2018
Rogers, EricIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2018
Strauss Ventures LLCOrganizationOperational/Managerial ControlNOT APPLICABLE07/22/2016
Strauss, JonathanIndividualCorporate OfficerNOT APPLICABLE07/22/2016
Strauss, JonathanIndividualOperational/Managerial ControlNOT APPLICABLE07/22/2016

All 8 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain The Grand Healthcare — 16 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 15 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Can you show me how medications are stored and secured on the units, including controlled drugs?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "How do you manage residents' personal funds, and how often do families receive an accounting?"
  • "Could I join residents for a meal to see the food quality and temperature for myself?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Can I see where garbage is stored and how often it's removed?"
  • "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
  • "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the New York midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 25% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 19 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
The Pines at Poughkeepsie Ctr for Nursing & Rehab0.7 miPoughkeepsie, NY★★★★☆3/5
Hudson Valley Rehabilitation & Extended Care Ctr2.4 miHighland, NY★☆☆☆☆1/5
Lutheran Center at Poughkeepsie INC3.6 miPoughkeepsie, NY★★★☆☆2/5
Taconic Rehabilitation and Nursing at Ulster3.8 miHighland, NY★★☆☆☆2/5
The Eleanor Nursing Care Center7.2 miHyde Park, NY★☆☆☆☆1/5abuseSFF
Sapphire Nursing at Wappingers7.3 miWappingers Falls, NY★★☆☆☆1/5
Woodland Pond at New Paltz7.6 miNew Paltz, NY★★★★☆3/5
New Paltz Center for Rehabilitation and Nursing8.7 miNew Paltz, NY★★☆☆☆1/5
Renaissance Rehabilitation and Nursing Care Center9.0 miStaatsburg, NY★☆☆☆☆1/5abuse
Taconic Rehabilitation and Nursing at Hopewell11.7 miFishkill, NY★★★☆☆2/5
Fishkill Center for Rehabilitation and Nursing13.0 miBeacon, NY★★☆☆☆1/5
Taconic Rehabilitation and Nursing at Beacon13.5 miBeacon, NY★★★★☆4/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Dutchess, NY — 12 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Poughkeepsie →

Facility data as of CMS processing date 2026-08-01. CCN 335827.

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