Hudson Valley Senior AdvisorThe Grand Rehabilitation and Nursing at River Valley at 140 Main St, Poughkeepsie, is a 160-bed Medicare- and Medicaid-certified nursing home in the City of Poughkeepsie, Dutchess County, operating under New York certificate 1302309N. CMS gives The Grand Rehabilitation and Nursing at River Valley an overall rating of 2 out of 5 stars in the Care Compare release dated October 1, 2026.
How does Care Compare rate The Grand Rehabilitation and Nursing at River Valley?
CMS gives The Grand Rehabilitation and Nursing at River Valley an overall rating of 2 out of 5 stars; its component scores are 2 for health inspections, 2 for staffing and 3 for quality measures.
| Item | Value |
|---|---|
| CMS overall rating | 2 of 5 |
| Health inspections (CMS) | 2 of 5 |
| Staffing (CMS) | 2 of 5 |
| Quality measures (CMS) | 3 of 5 |
| Certified beds / residents on an average day | 160 / 152.0 |
| Ownership (as CMS reports it) | For profit - Corporation |
| Chain (as CMS reports it) | The Grand Healthcare (16 homes) |
| Medicare/Medicaid participation since | April 2, 2001 |
| NYSDOH certificate | 1302309N, 160 beds on the state roster |
| Operator on the state roster | River Valley Operating Associates LLC |
On an average day about 152 people live here, roughly 95% of certified beds and above the 92% typical of Dutchess and Orange nursing homes.
How did The Grand Rehabilitation and Nursing at River Valley fare in its latest health surveys?
The newest standard survey of The Grand Rehabilitation and Nursing at River Valley on Care Compare is from January 28, 2026, with 12 health deficiencies in that cycle: 10 standard and 3 complaint-related.
The cycle before that, surveyed October 3, 2023, carried 9 deficiencies, and infection-control inspections added 0. Dutchess and Orange homes have a median of 12 deficiencies in the latest cycle, so The Grand Rehabilitation and Nursing at River Valley sits at or below the local middle.
In CMS's three-year penalty window: no fines and 1 payment denials.
How stable is the nursing staff at The Grand Rehabilitation and Nursing at River Valley?
Residents of The Grand Rehabilitation and Nursing at River Valley receive about 3.27 hours of nursing care per day according to CMS payroll data, lower than the Dutchess-Orange midpoint of 3.44; 0.38 of those hours come from registered nurses (lower than the Dutchess-Orange midpoint of 0.51).
Weekend staffing drops or holds at 2.53 hours per resident per day. Turnover among nursing staff is 27.4% (lower than the Dutchess-Orange midpoint of 32.4%); RN turnover is 56.3%. 0 administrators have left during CMS's measurement period. Under Public Health Law 2895-b New York requires 3.5 daily hours per resident, at least 2.2 from aides and 1.1 from licensed nurses. On CMS's figures (1.91 aide hours, 1.36 licensed hours) this home falls short of that floor, though the state judges compliance quarter by quarter.
Which nursing homes are near The Grand Rehabilitation and Nursing at River Valley?
With 160 certified beds it is the same size as the Dutchess County median home (160 beds); the closest other certified home is The Pines at Poughkeepsie Center for Nursing & Rehabilitation in Poughkeepsie, roughly 0.7 miles off, in a straight line, rated 4 of 5 by CMS.
| Facility | Miles away | Certified capacity | CMS overall rating | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|---|
| The Pines at Poughkeepsie Center for Nursing & Rehabilitation 100 Franklin Street, Poughkeepsie 12601 | 0.7 | 200 | 4 of 5 | August 20, 2024 | 8 |
| Lutheran Center at Poughkeepsie, Inc 965 Duthcess Turnpike, Poughkeepsie 12603 | 3.6 | 160 | 3 of 5 | February 6, 2024 | 13 |
| The Eleanor Nursing Care Center 419 North Quaker Lane, Hyde Park 12538 | 7.2 | 120 | 1 of 5 | April 28, 2026 | 32 |
| Sapphire Nursing at Wappingers 37 Mesier Avenue, Wappingers Falls 12590 | 7.7 | 62 | 2 of 5 | April 17, 2024 | 19 |
| Renaissance Rehabilitation and Nursing Care Center 4975 Albany Post Road, Staatsburg 12580 | 8.8 | 120 | 1 of 5 | September 13, 2024 | 44 |
What is near The Grand Rehabilitation and Nursing at River Valley in Poughkeepsie?
The Grand Rehabilitation and Nursing at River Valley is in the City of Poughkeepsie in Dutchess County; the nearest general hospital is Vassar Brothers Medical Center (Northwell Health (formerly Nuvance Health)), roughly 0.7 miles off, measured point to point.
MidHudson Regional Hospital is next, about 0.9 miles away as the crow flies; driving takes longer.
What should families ask The Grand Rehabilitation and Nursing at River Valley before choosing it?
Use the federal numbers to plan the visit: ask to read the full statement of deficiencies from January 28, 2026, even though the count (12 deficiencies) is modest.
- Turnover of 27.4% is at or below the local median; ask which nurses have covered nights the longest.
- With beds about 95% full, ask about the waiting list and whether short-term rehab has its own unit.
- CMS lists a resident council; ask when it meets and whether relatives can join.
- If Medicaid may pay later, confirm that The Grand Rehabilitation and Nursing at River Valley keeps residents in the same room after conversion and how it handles the $50 monthly personal needs allowance.
State record: The Grand Rehabilitation and Nursing at River Valley on NYS Health Profiles.
