SNF

THE GRAND REHABILITATION AND NRSG AT RIVER VALLEY

CCN: 335827 · POUGHKEEPSIE, NY 12601 · Dutchess County

⚠ Inspection > 2 years ago

Overview

Address
140 MAIN STREET, POUGHKEEPSIE, NY 12601
Phone
8454547600
Certified beds
160
Avg daily residents
154 (96% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2001-04-02
Setting
Urban
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
Data not available — PBJ submission issue.
★★★★★ 1/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 1/5 Data not available — PBJ submission issue.
Short-Stay Quality Measures — Data not available — PBJ submission issue.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.22 3.76 3.31 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.29 0.66 0.29 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.95 0.83 0.98 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.99 2.27 2.04 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.24 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.12 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.64
hrs / resident / day
RN (weekend)
0.16
hrs / resident / day
Total nurse (adjusted, weekend)
2.71
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
22.8%
annual
RN turnover
55.6%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.33
higher acuity than avg
Case-Mix Index Ratio
0.97
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2023-10-03 4 3 2 16 1 16
Cycle 2/3 (prior) 2020-02-13 14 7 7 60 1 60
Total weighted health score
27.0
lower is better

Deficiencies (25)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
24 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0641 Ensure each resident receives an accurate assessment. B 2026-01-28 —
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-02-19 2025-04-28
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-02-19 2025-04-28
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-02-19 2025-04-28
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-02-19 2025-04-28
0730 Observe each nurse aide's job performance and give regular training. E 2025-02-19 2025-04-28
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-10-03 2023-11-09
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-10-03 2023-11-09
0761 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. D 2023-10-03 2023-11-09
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2023-10-03 2023-11-09
0625 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. D 2023-06-09 2023-06-30
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2020-02-13 2020-04-09
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2020-02-13 2020-04-09
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2020-02-13 2020-04-09
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2020-02-13 2020-04-09
0726 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. D 2020-02-13 2020-04-09
0759 Ensure medication error rates are not 5 percent or greater. D 2020-02-13 2020-04-09
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. D 2020-02-13 2020-04-09
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2018-05-14 2018-07-12
0641 Ensure each resident receives an accurate assessment. D 2018-05-14 2018-07-12
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2018-05-14 2018-07-12
0685 Assist a resident in gaining access to vision and hearing services. D 2018-05-14 2018-07-12
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2018-05-14 2018-07-12
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2018-05-14 2018-07-12
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2018-05-14 2018-07-12

Penalties (1)

Fines issued
0
last 3 years
Payment denials
1
Date Type Fine amount
2025-02-19 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 16.2% Medicaid 72.8% Other 11.0%

Operating performance

Operating Margin
-5.8%
Total Margin
3.7%
Occupancy Rate
93.7%
Cost per Resident Day
$40

Revenue & costs

Net Patient Revenue
$21.9M
Total Costs
$2.2M
Net Income
$894K

Balance sheet

Total Assets
$44.5M
Total Liabilities
$52.1M
Fund Balance
-$7.6M
Current Ratio
1.77

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: THE GRAND HEALTHCARE

Chain ID
509
Facilities in chain
16
Legal business name
RIVER VALLEY OPERATING ASSOCIATES LLC
Chain-average star ratings (for peer context)
Overall
1.8
Health
1.9
Staffing
1.9
QM
2.5

Owner / manager organizations (2)

Organization Role Association
STRAUSS VENTURES LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/22/2016
STRAUSS VENTURES LLC OPERATIONAL/MANAGERIAL CONTROL since 07/22/2016

Owner / manager individuals (6)

Name Role Association
STRAUSS, JEREMY 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/22/2016
ROGERS, ERIC OPERATIONAL/MANAGERIAL CONTROL since 07/01/2018
STRAUSS, JONATHAN OPERATIONAL/MANAGERIAL CONTROL since 07/22/2016
ROGERS, ERIC CORPORATE OFFICER since 07/01/2018
STRAUSS, JONATHAN CORPORATE OFFICER since 07/22/2016
ROGERS, ERIC W-2 MANAGING EMPLOYEE since 07/01/2018

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $40 metrics.cost_per_resident_day
Cost Report Current Ratio 1.77 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 72.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 16.2% metrics.medicare_day_share
Cost Report Net Income ($) $894,459 metrics.net_income
Cost Report Net Patient Revenue ($) $21,890,009 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 93.7% metrics.occupancy_rate
Cost Report Operating Margin (%) -5.8% metrics.operating_margin
Cost Report Total Assets ($) $44,452,281 metrics.total_assets
Cost Report Total Costs ($) $2,179,080 metrics.total_costs
Cost Report Total Fund Balances ($) $-7,649,762 metrics.fund_balance
Cost Report Total Liabilities ($) $52,102,043 metrics.total_liabilities
Cost Report Total Margin (%) 3.7% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.97747 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.04165 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.29356 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.31268 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.70946 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 153.9 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.83356 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.26543 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.65703 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.75602 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.31053 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 1.8 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.5 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.9 Chain Average Staffing Rating
Provider Information Chain ID 509 Chain ID
Provider Information Chain Name THE GRAND HEALTHCARE Chain Name
Provider Information City/Town POUGHKEEPSIE City/Town
Provider Information CMS Certification Number (CCN) 335827 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Dutchess County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2001-04-02 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 41.7053 Latitude
Provider Information Legal Business Name RIVER VALLEY OPERATING ASSOCIATES LLC Legal Business Name
Provider Information Location 140 MAIN STREET,POUGHKEEPSIE,NY,12601 Location
Provider Information Long-Stay QM Rating 1 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 20 Long-Stay QM Rating Footnote
Provider Information Longitude -73.934 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago Y Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 160 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 16 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.33059 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.96584 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 140 MAIN STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name THE GRAND REHABILITATION AND NRSG AT RIVER VALLEY Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 230 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 1 QM Rating
Provider Information QM Rating Footnote 20 QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 16 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 2 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 3 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2023-10-03 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 16 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 4 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 7 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2020-02-13 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 60 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 7 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 60 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 14 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.15913 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 55.6 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.23649 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.95091 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.98617 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.12062 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.28558 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.22267 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 20 Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State NY State
Provider Information Telephone Number 8454547600 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.63584 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 22.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 27.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 12601 ZIP Code