The Grand Rehabilitation and Nrsg at River Valley
140 Main Street, Poughkeepsie, NY 12601 · Dutchess County · 160 certified beds · avg 153 residents/day · certified since Apr 2, 2001
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: 2/5
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.
All citations in the current public record (28)
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 |
|---|---|---|
| Mar 18, 2026 | D · Potential for harm, one-off | 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 |
| Mar 18, 2026 | 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 28, 2026 | E · Potential for harm, repeated | 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. |
| Jan 28, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 28, 2026 | 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. |
| Jan 28, 2026 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Jan 28, 2026 | D · Potential for harm, one-off | 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 28, 2026 | D · Potential for harm, one-off | The 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. |
| Jan 28, 2026 | D · Potential for harm, one-off | The 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. |
| Jan 28, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 28, 2026 | 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 28, 2026 | B · Minimal risk, repeated | The 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 |
| Feb 19, 2025 | E · Potential for harm, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint |
| Feb 19, 2025 | D · Potential for harm, one-off | The 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 |
| Feb 19, 2025 | 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 |
| Feb 19, 2025 | D · Potential for harm, one-off | The 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 |
| Feb 19, 2025 | D · Potential for harm, one-off | The 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 |
| Oct 3, 2023 | 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. |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Oct 3, 2023 | D · Potential for harm, one-off | 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 |
| Oct 3, 2023 | D · Potential for harm, one-off | The 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 |
| Feb 13, 2020 | D · Potential for harm, one-off | The 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. |
| Feb 13, 2020 | D · Potential for harm, one-off | The 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. |
| Feb 13, 2020 | 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. |
| Feb 13, 2020 | D · Potential for harm, one-off | The 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. |
| Feb 13, 2020 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Feb 13, 2020 | D · Potential for harm, one-off | The 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. |
| Feb 13, 2020 | D · Potential for harm, one-off | The 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 7 | 0 | D |
| 2023 | 4 | 0 | E |
| 2025 | 5 | 0 | E |
| 2026 | 12 | 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)
0 fines totaling $0, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Feb 19, 2025 | Payment Denial | 11 days from May 19, 2025 |
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) | 3.13 | 3.58 | 3.95 | bottom 33% in New York; bottom 18% in the U.S. |
| Registered Nurse hours | 0.31 | 0.68 | 0.69 | bottom 4% in New York; bottom 11% in the U.S. |
| Weekend total nurse staffing | 2.54 | 3.13 | 3.50 | bottom 19% in New York; bottom 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.15 | 0.48 | 0.48 | bottom 5% in New York; bottom 5% in the U.S. |
| Total nursing staff turnover (%) | 24.6 | 40.3 | 45.8 | top 13% in New York; top 7% in the U.S. |
| RN turnover (%) | 56.3 | 39.8 | 42.9 | bottom 17% in New York; bottom 26% 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 3.16, RN 0.32, weekend 2.57. Staffing rating: 2/5.
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: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Strauss Ventures LLC | Organization | 5% or Greater Direct Ownership Interest | 94% | 07/22/2016 |
| Strauss, Jeremy | Individual | 5% or Greater Indirect Ownership Interest | 89% | 07/22/2016 |
| Rogers, Eric | Individual | W-2 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 |
| Strauss Ventures LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/22/2016 |
| Strauss, Jonathan | Individual | Corporate Officer | NOT APPLICABLE | 07/22/2016 |
| Strauss, Jonathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/22/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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?"
- "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 |
|---|---|---|---|---|---|
| The Pines at Poughkeepsie Ctr for Nursing & Rehab | 0.7 mi | Poughkeepsie, NY | ★★★★☆ | 3/5 | |
| Hudson Valley Rehabilitation & Extended Care Ctr | 2.4 mi | Highland, NY | ★☆☆☆☆ | 1/5 | |
| Lutheran Center at Poughkeepsie INC | 3.6 mi | Poughkeepsie, NY | ★★★☆☆ | 2/5 | |
| Taconic Rehabilitation and Nursing at Ulster | 3.8 mi | Highland, NY | ★★☆☆☆ | 2/5 | |
| The Eleanor Nursing Care Center | 7.2 mi | Hyde Park, NY | ★☆☆☆☆ | 1/5 | abuseSFF |
| Sapphire Nursing at Wappingers | 7.3 mi | Wappingers Falls, NY | ★★☆☆☆ | 1/5 | |
| Woodland Pond at New Paltz | 7.6 mi | New Paltz, NY | ★★★★☆ | 3/5 | |
| New Paltz Center for Rehabilitation and Nursing | 8.7 mi | New Paltz, NY | ★★☆☆☆ | 1/5 | |
| Renaissance Rehabilitation and Nursing Care Center | 9.0 mi | Staatsburg, NY | ★☆☆☆☆ | 1/5 | abuse |
| Taconic Rehabilitation and Nursing at Hopewell | 11.7 mi | Fishkill, NY | ★★★☆☆ | 2/5 | |
| Fishkill Center for Rehabilitation and Nursing | 13.0 mi | Beacon, NY | ★★☆☆☆ | 1/5 | |
| Taconic Rehabilitation and Nursing at Beacon | 13.5 mi | Beacon, NY | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 335827.