The Grand Rehabilitation and Nursing at Barnwell, Valatie, New York
- 74
- Citations from health inspectionsNew York average: 20 a home
- 4
- Residents harmed or put in dangerNew York average: 0.8 a home
- $180,573
- Fines from the federal governmentNew York average: $23,070 a home
- 1 out of 5
- Overall rating in starsNew York average: 3.0
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Seven inspection visits produced 74 citations. Residents were in immediate danger in two findings. Residents were found hurt in two cases. Federal fines came to $180,573 (four fines).
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 2 out of 5
- Rating for quality of care
- 1 out of 5
- Nurse time for each resident
- 2.54 hours each dayThe New York average is 3.63 hours
- Time from registered nurses
- 0.49 hours each dayThe New York average is 0.71 hours
- Nursing staff who left during one year
- 42.5%against the New York average of 40.3%
- Beds that are certified
- 236
- Ownership
- Partnership (for profit)
- Chain
- The Grand Healthcare, with 16 homes
- Street address
- 3230 Church Street, Valatie, New York 12184
- County
- Columbia
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Two citations dated June 30, 2026
16 citations dated May 19, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F742 Mental Health and Trauma Treatment: risk of harm, no one found hurt, one or a few residents.
- F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread.
- F700 Safe Use of Bed Rails: immediate danger to residents, widespread.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, one or a few residents.
Two citations dated June 20, 2025
34 citations dated June 17, 2025
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, widespread.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents.
- F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, one or a few residents.
- F837 Governing Body and Licensed Administrator: risk of harm, no one found hurt, widespread.
- F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread.
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, a pattern, several residents.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, widespread.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
- F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents.
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated July 31, 2024
- F697 Pain Management: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
16 citations dated June 28, 2024
- F813 Policy on Food Brought by Visitors: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents.
- F745 Medically Related Social Services: risk of harm, no one found hurt, one or a few residents.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F694 Safe Fluids Given Through a Vein: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Three citations dated April 8, 2024
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| May 19, 2026 | Fine | $20,270 |
| June 17, 2025 | Fine | $17,569 |
| June 28, 2024 | Fine | $105,846 |
| April 8, 2024 | Fine | $36,888 |
Ownership and Management of the Home
- The home is run by Barnwell Acquisitions LLC (operational or managerial control).
- The direct 98% owner is Barnwell Acquisitions LLC.
One person with an ownership stake is also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 335565. Other homes in New York.