Nursing Homes · Medicare certified
The Grand Rehabilitation And Nursing At Barnwell
3230 Church Street · Valatie, NY 12184 · 236 certified beds
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Public record
CMS Care Compare · Updated Jul 2026
CMS designation
Special Focus Facility candidate (CMS)
CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVCertification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
63
Inspection history (64)
June 20, 2025 · E
Citation F0760Federal surveyors cited this nursing home on 2025-06-20 under CMS tag F0760 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-20.GOVJune 20, 2025 · E
Citation F0755Federal surveyors cited this nursing home on 2025-06-20 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-20.GOVJune 17, 2025 · E
Citation F0695Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · F
Citation F0837Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0837 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-11-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · D
Citation F0689Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · F
Citation F0725Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0725 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · D
Citation F0558Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · D
Citation F0814Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0814 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · D
Citation F0838Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0838 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-08-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · F
Citation F0584Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0584 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · D
Citation F0645Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · F
Citation F0835Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0835 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. The deficiency was recorded as corrected on 2025-11-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · D
Citation F0684Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · F
Citation F0812Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · E
Citation F0656Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · D
Citation F0644Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2025-11-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · D
Citation F0698Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · E
Citation F0842Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0842 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · D
Citation F0554Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOVJune 17, 2025 · E
Citation F0809Federal surveyors cited this nursing home on 2025-06-17 under CMS tag F0809 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-17.GOV
Penalties
Total fines on file: $160,303
Staffing
Latest: 2.46 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
- 2025Q42.46 hrs/resident/day
- 2026-06-012.46 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit - Partnership
CMS Care Compare chain: The Grand Healthcare
Chain ID 509 · 16 facilities in chain (CMS)
- Chain average overall rating: 1.8
- Chain average health inspection rating: 1.9
- Chain average staffing rating: 1.9
- Chain average quality measure rating: 2.2
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Barnwell Acquisitions LLC
parent · PAC 8921360033
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical NY range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · NY$14,734/moNursing Homes
Median · NY$15,528/moNearby alternatives
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