Nursing Homes · Medicare certified
The Grand Rehabilitation and Nursing at Barnwell
3230 Church Street · Valatie, NY 12184 · 236 certified beds
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About The Grand Rehabilitation and Nursing at Barnwell
The Grand Rehabilitation and Nursing at Barnwell is a nursing home in Valatie, New York. Its capacity is 236 beds, above the New York median of 160 for nursing homes. It is run by a for-profit operator and is part of The Grand Healthcare. It is Medicare certified. Its public inspection record shows 70 citations, the most recent on May 19, 2026. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 2.68 hours per resident per day. Residents and families can raise concerns with the New York State Long-Term Care Ombudsman Program at 1-855-582-6769. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
2.0Quality measures
1.0CMS Care Compare, October 2026.
Inspection history (70)
Records from June 2023 to May 2026.
May 19, 2026
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2026.
May 19, 2026
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2026.
May 19, 2026
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2026.
May 19, 2026
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2026.
May 19, 2026
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 30, 2026.
May 19, 2026
Tag F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2026.
June 20, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 16, 2025.
June 20, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 16, 2025.
June 17, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2025.
June 17, 2025
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2025.
June 17, 2025
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2025.
June 17, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 16, 2025.
June 17, 2025
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 16, 2025.
June 17, 2025
Tag F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2025.
June 17, 2025
Tag F0837Establish 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 14, 2025.
June 17, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2025.
June 17, 2025
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected August 16, 2025.
June 17, 2025
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2025.
June 17, 2025
Tag F0814Dispose of garbage and refuse properly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2025.
June 17, 2025
Tag F0838Conduct 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 18, 2025.
Penalties (4)
Total fines: $160,303
May 19, 2026 · Fine
CMS recorded a civil money penalty of $20,270 against this nursing home on May 19, 2026.
June 17, 2025 · Fine
CMS recorded a civil money penalty of $17,569 against this nursing home on June 17, 2025.
June 28, 2024 · Fine
CMS recorded a civil money penalty of $105,846 against this nursing home on June 28, 2024.
April 8, 2024 · Fine
CMS recorded a civil money penalty of $36,888 against this nursing home on April 8, 2024.
Staffing
2.68 nurse hours per resident per day in Q2 2026, up from 2.46 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of The Grand Healthcare, a chain of 16 nursing homes.
Average CMS star ratings across the chain: 2.1 overall, 2.2 for health inspections, 2.2 for staffing, 2.1 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in New York.
What Medicaid pays nursing homes
This is what New York Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$273.87per day
About $8,326 a month.
Median we calculated from the state's own facility rate file, January 1, 2025. Based on 591 facilities.
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