nursing home in Valatie, NY
The Grand Rehabilitation and Nursing at Barnwell
3230 Church Street, Valatie, NY 12184 · (518) 758-6222
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★1
- Special Focus candidate
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Grand Rehabilitation and Nursing at Barnwell at a glance
The Grand Rehabilitation and Nursing at Barnwell is a 236-bed for-profit nursing home in Valatie, New York (Columbia County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the New York average of 3.
Residents receive about 2.5 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.6 hours.
Its most recent standard health inspection (May 19, 2026) found 17 health citations. The New York average is 8.
Federal regulators fined it 4 times in the past three years, totaling $180,573.
Nursing staff turnover is 42.5% per year (state average 40.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Partnership
- Beds
- 236
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Grand Healthcare
- Medicare-certified since
- November 1, 1976
- Resident/family council
- Resident
- County
- Columbia County
- CMS Certification Number
- 335565
Ratings
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.8 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.6 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.54 hrs | 3.63 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.49 hrs | 0.71 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.33 hrs | 2.15 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 1.96 hrs | 3.18 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 42.5% | 40.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 30.8% | 39.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 17 | 8 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 7 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 360.5 | 62.2 | 80.6 | Worse |
Penalties
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $180,573 | $23,070 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
Size
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 236 | 188 | 107 | |
| Average residents per day | 229 | 168 | 86 | |
| Occupancy | 96.9% | 90.5% | 80.9% |
Long-stay residents
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.6% | 6.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 37.3% | 13.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.5% | 1.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 0.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.2% | 14.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5.9% | 12.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.7% | 5.8% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.2% | 19.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20.6% | 13.2% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 19.6% | 19.5% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 89.1% | 95.3% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 79.6% | 91.5% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.7% | 1.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 38.2% | 78.8% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 47.7% | 77.4% | 82% | Worse |
Inspection citations
State inspectors cited this home for 74 health deficiencies and 51 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 30, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Deficient, Provider has no plan of correction |
| June 30, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Past Non-Compliance |
| May 19, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 24, 2026 |
| May 19, 2026 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | F Potential harm, widespread | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 31, 2026 |
| May 19, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected July 31, 2026 |
| May 19, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | E Potential harm, pattern | Corrected July 16, 2026 |
| May 19, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected July 16, 2026 |
| May 19, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected June 30, 2026 |
| May 19, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected July 16, 2026 |
| May 19, 2026 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | L Immediate jeopardy, widespread | Corrected June 29, 2026 |
| May 19, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 29, 2026 |
| May 19, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 29, 2026 |
| May 19, 2026 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected June 29, 2026 |
| May 19, 2026 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | D Potential harm, isolated | Corrected June 29, 2026 |
| May 19, 2026 Complaint | 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 Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected June 29, 2026 |
| May 19, 2026 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected June 29, 2026 |
| May 19, 2026 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Tag F0742 | D Potential harm, isolated | Corrected June 29, 2026 |
| May 19, 2026 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected June 29, 2026 |
| May 19, 2026 Standard | 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 Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 29, 2026 |
| May 19, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 29, 2026 |
| May 19, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 29, 2026 |
| May 19, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 29, 2026 |
| May 19, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 29, 2026 |
| May 19, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 29, 2026 |
| May 19, 2026 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected June 29, 2026 |
| June 20, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected August 16, 2025 |
| June 20, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected August 16, 2025 |
| June 17, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | F Potential harm, widespread | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | F Potential harm, widespread | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0915 | F Potential harm, widespread | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | E Potential harm, pattern | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected August 12, 2025 |
| June 17, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 12, 2025 |
| June 17, 2025 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected November 13, 2025 |
| June 17, 2025 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected August 16, 2025 |
| June 17, 2025 Standard | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Tag F0837 | F Potential harm, widespread | Corrected November 14, 2025 |
| June 17, 2025 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | F Potential harm, widespread | Corrected November 15, 2025 |
| June 17, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 16, 2025 |
| June 17, 2025 Complaint | 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 Deficiencies · Tag F0584 | F Potential harm, widespread | Corrected August 16, 2025 |
| June 17, 2025 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected August 16, 2025 |
| June 17, 2025 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | F Potential harm, widespread | Corrected August 16, 2025 |
| June 17, 2025 Standard | 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 Deficiencies · Tag F0761 | F Potential harm, widespread | Corrected August 16, 2025 |
| June 17, 2025 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected August 16, 2025 |
| June 17, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected August 16, 2025 |
| June 17, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected August 16, 2025 |
| June 17, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected August 16, 2025 |
| June 17, 2025 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected August 16, 2025 |
| June 17, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected August 16, 2025 |
| June 17, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected August 16, 2025 |
| June 17, 2025 Standard | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected August 16, 2025 |
| June 17, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected November 14, 2025 |
| June 17, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Standard | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | D Potential harm, isolated | Corrected August 18, 2025 |
| June 17, 2025 Complaint | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Standard | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected August 16, 2025 |
| June 17, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected August 22, 2025 |
| July 31, 2024 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected September 20, 2024 |
| June 28, 2024 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected August 27, 2024 |
| June 28, 2024 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | F Potential harm, widespread | Corrected August 27, 2024 |
| June 28, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected August 27, 2024 |
| June 28, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 27, 2024 |
| June 28, 2024 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | F Potential harm, widespread | Corrected August 27, 2024 |
| June 28, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected September 9, 2024 |
| June 28, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected September 9, 2024 |
| June 28, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 20, 2024 |
| June 28, 2024 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | E Potential harm, pattern | Corrected August 27, 2024 |
| June 28, 2024 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | E Potential harm, pattern | Corrected August 27, 2024 |
| June 28, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected August 27, 2024 |
| June 28, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected August 27, 2024 |
| June 28, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 27, 2024 |
| June 28, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected August 30, 2024 |
| June 28, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected August 29, 2024 |
| June 28, 2024 Standard | 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 Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected September 3, 2024 |
| June 28, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected September 4, 2024 |
| June 28, 2024 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected August 29, 2024 |
| June 28, 2024 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | E Potential harm, pattern | Corrected August 30, 2024 |
| June 28, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected August 23, 2024 |
| June 28, 2024 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected August 31, 2024 |
| June 28, 2024 Complaint | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected August 21, 2024 |
| June 28, 2024 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected August 21, 2024 |
| June 28, 2024 Complaint | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected August 27, 2024 |
| June 28, 2024 Complaint | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected August 25, 2024 |
| June 28, 2024 Standard | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | D Potential harm, isolated | Corrected July 5, 2024 |
| June 28, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 3, 2024 |
| April 8, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected May 15, 2024 |
| April 8, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected May 15, 2024 |
| April 8, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 15, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $180,573 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 19, 2026 | Fine | $20,270 |
| June 17, 2025 | Fine | $17,569 |
| June 28, 2024 | Fine | $105,846 |
| April 8, 2024 | Fine | $36,888 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BARNWELL ACQUISITIONS LLC Organization | 5% or greater direct ownership interest | 98% | 12/07/2017 |
| STRAUSS, JEREMY Individual | 5% or greater indirect ownership interest | 93% | 12/07/2017 |
| STERN, SAMUEL Individual | corporate officer | NOT APPLICABLE | 01/01/2021 |
| STRAUSS, JONATHAN Individual | corporate officer | NOT APPLICABLE | 12/07/2017 |
| BARNWELL ACQUISITIONS LLC Organization | operational/managerial control | NOT APPLICABLE | 12/07/2017 |
| STRAUSS, JONATHAN Individual | operational/managerial control | NOT APPLICABLE | 12/07/2017 |
| HELD, JOSHUA Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2022 |
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Frequently asked questions
What is The Grand Rehabilitation and Nursing at Barnwell's rating?
The Grand Rehabilitation and Nursing at Barnwell has 1 out of 5 stars on the CMS overall star rating. The average for New York nursing homes is 3 stars.
How many inspection citations did The Grand Rehabilitation and Nursing at Barnwell receive?
Its most recent standard health inspection found 17 citations, compared with a New York average of 8. Every citation is listed on this page with its severity.
Does The Grand Rehabilitation and Nursing at Barnwell accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Grand Rehabilitation and Nursing at Barnwell?
It is for profit - partnership and part of The Grand Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Grand Rehabilitation and Nursing at Barnwell and how do I contact it?
The Grand Rehabilitation and Nursing at Barnwell is at 3230 Church Street, Valatie, NY 12184. Phone: (518) 758-6222.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.