Oneida County, New York · Nursing home
The Grand Rehabilitation and Nursing At Rome
1 of 5 overall from CMS
801 North James Street, Rome, NY 13440
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.09 hours Below the state average of 3.63
- Nursing staff who left in a year 40.8% Above the state average of 40.3%
- Health citations, last 3 inspection cycles 38 2 at the harm level or above
- Fines in 3 years $77,332 2 fines
- Certified beds in use 94.8% of 160 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
The Grand Rehabilitation and Nursing At Rome is a 160-bed nursing home in Rome, New York (Oneida County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.09 nurse staffing hours per resident per day, below the New York average of 3.63. CMS lists 2 fines totaling $77,332 in the past three years.
- Certified beds
- 160
- Residents per day (average)
- 151.7
- Certified since
- 1976 (50 yrs)
For profit - Individual Participates in Medicare and MedicaidPart of The Grand Healthcare (16 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask The Grand Rehabilitation and Nursing At Rome
Chosen from this home's public data.
- CMS lists 2 fines totaling $77,332 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 12 health deficiencies in the latest inspection cycle (the standard inspection on Apr 17, 2026 plus complaint and infection-control inspections); the New York average is 8.1. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 40.8%, above the New York average of 40.3%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 New York average 3.0
- Health inspections 1 of 5 New York average 2.7
- Staffing 1 of 5 New York average 2.8
- Quality measures 1 of 5 New York average 3.8
The vertical line marks the New York average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.09 h New York average 3.63
- Nurse aides 1.71 h New York average 2.15
- Licensed practical nurses 1.00 h New York average 0.76
- Registered nurses 0.38 h New York average 0.71
- All staff, weekends 2.54 h New York average 3.18
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the New York average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover40.8%
- New York average40.3%
- Registered nurse turnover46.7%
- New York average39.8%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the New York and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | New York | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 12.8% | 14.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.0% | 5.8% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.4% | 1.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 14.7% | 19.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 73.5% | 91.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 13.3% | 12.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.5% | 13.2% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% | 95.3% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.9% | 6.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.5% | 19.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 34.2% | 13.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.63 | 1.70 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 4.02 | 1.36 | 1.78 |
Short-stay residents
| Measure | This home | New York | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 45.1% | 77.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.7% | 78.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.2% | 20.6% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 22.9% | 9.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 38 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level; the rest were graded as no actual harm. 14 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Nov 5, 2025: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 17, 2026 | 12 | 17 |
| Jun 28, 2024 | 9 | 11 |
| Aug 15, 2022 | 17 | 9 |
New York homes averaged 8.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (38)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 3, 2026)
-
EPotential for more than minimal harm, pattern
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 3, 2026)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 3, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 3, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 3, 2026)
-
JImmediate jeopardy, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 2, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 13, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (Aug 27, 2024)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 27, 2024)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Aug 27, 2024)
-
EPotential for more than minimal harm, pattern
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Aug 27, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 27, 2024)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 27, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Aug 27, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 27, 2024)
-
DPotential for more than minimal harm, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (Aug 27, 2024)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 15, 2023)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 15, 2023)
-
DPotential for more than minimal harm, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Nov 15, 2023)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (Oct 7, 2022)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 7, 2022)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Oct 7, 2022)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 7, 2022)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Oct 7, 2022)
Showing the 30 most recent of 38.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Nov 5, 2025 | Fine | $46,047 |
| Oct 25, 2023 | Fine | $31,285 |
New York homes averaged 0.5 fines and $23,070 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New York
- Size308 of 593 by certified beds
- New York average residents per day168.0
- ChainThe Grand Healthcare
- Chain average overall rating1.8 of 5
- Resident or family councilResident
- Homes in Rome5
- Homes in Oneida County17
Common questions
What is the CMS star rating for The Grand Rehabilitation and Nursing At Rome?
The Grand Rehabilitation and Nursing At Rome has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 1.
How many beds does The Grand Rehabilitation and Nursing At Rome have?
The Grand Rehabilitation and Nursing At Rome has 160 certified beds. It averages 151.7 residents per day, about 94.8% of its certified beds.
How much nursing care do residents get at The Grand Rehabilitation and Nursing At Rome?
The home reports 3.09 hours of nurse staffing per resident per day, including 0.38 hours from registered nurses. The New York average is 3.63 hours and 0.71 hours from registered nurses.
Has The Grand Rehabilitation and Nursing At Rome been fined?
Yes. CMS lists 2 fines totaling $77,332 in the past three years.
Does The Grand Rehabilitation and Nursing At Rome accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Rome Memorial Hospital, Inc - R H C F 80beds 96.0%in use 3.92nurse hours a day
- 1 of 5 Colonial Park Rehabilitation and Nursing Center 80beds 95.7%in use 3.04nurse hours a day
- 4 of 5 Bethany Gardens Skilled Living Center 100beds 94.7%in use 4.02nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Oneida County
Who to call in New York
These offices serve residents of every nursing home in New York.
- Long-term care ombudsman New York State Long Term Care Ombudsman Program 1-855-582-6769 An advocate for residents and their families.
- File a complaint about a nursing home Nursing Home Complaint and Discharge Appeal Hotline 1-888-201-4563 (staffed 8:30 a.m. to 4:45 p.m. on weekdays) The state agency that inspects nursing homes.
New York staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 335589. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.