The Grand Rehabilitation and Nursing at BarnwellCMS ratings, inspections and fines
- Address
- 3230 Church Street, Valatie, NY 12184
- CCN
- 335565
- Ownership type
- For-profit, partnership
- Certified beds
- 236
- Chain
- The Grand Healthcare
- Residents per day
- 229
- CMS flags
- Special Focus Facility candidate
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives The Grand Rehabilitation and Nursing at Barnwell an overall rating of 1 of 5 stars. The last standard survey was on 19 May 2026. The latest survey cycle has 18 health citations. The median for nursing homes in New York is 7. CMS lists 4 fines with a total of $180,573 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Columbia County median | New York median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 1 | 3.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 593 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | New York median |
|---|---|---|---|
| Cycle 1 (latest) | 19 May 2026 | 18 | 7 |
| Cycle 2 | 17 Jun 2025 | 36 | 5 |
| Cycle 3 | No date | 22 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jun 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation (in dispute review) | Deficient, Provider has no plan of correction |
| 30 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | Past Non-Compliance |
| 19 May 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 29 Jun 2026 |
| 19 May 2026 | F0584 | 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. | D | Complaint investigation | 29 Jun 2026 |
| 19 May 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 29 Jun 2026 |
| 19 May 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 29 Jun 2026 |
| 19 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Jun 2026 |
| 19 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 29 Jun 2026 |
| 19 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Jun 2026 |
| 19 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Jun 2026 |
| 19 May 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 29 Jun 2026 |
| 19 May 2026 | F0700 | 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. | L | Standard survey | 29 Jun 2026 |
| 19 May 2026 | F0732 | Post nurse staffing information every day. | C | Standard survey | 29 Jun 2026 |
| 19 May 2026 | F0742 | 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. | D | Standard survey | 29 Jun 2026 |
| 19 May 2026 | F0761 | 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. | D | Standard survey | 29 Jun 2026 |
| 19 May 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 29 Jun 2026 |
| 19 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Jun 2026 |
| 19 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 Jun 2026 |
Survey cycle 2: 36 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 16 Aug 2025 |
| 20 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0584 | 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. | F | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey (in dispute review) | 16 Aug 2025 |
| 17 Jun 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 14 Nov 2025 |
| 17 Jun 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0688 | 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. | D | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0726 | 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. | F | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 22 Aug 2025 |
| 17 Jun 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 16 Aug 2025 |
| 17 Jun 2025 | F0761 | 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. | F | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint investigation | 13 Nov 2025 |
| 17 Jun 2025 | F0809 | 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. | E | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 15 Nov 2025 |
| 17 Jun 2025 | F0837 | 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. | F | Standard survey | 14 Nov 2025 |
| 17 Jun 2025 | F0838 | 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. | D | Standard survey | 18 Aug 2025 |
| 17 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 16 Aug 2025 |
| 17 Jun 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 16 Aug 2025 |
Survey cycle 3: 22 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 31 Jul 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 20 Sep 2024 |
| 28 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 23 Aug 2024 |
| 28 Jun 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 25 Aug 2024 |
| 28 Jun 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 27 Aug 2024 |
| 28 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 29 Aug 2024 |
| 28 Jun 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 30 Aug 2024 |
| 28 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 27 Aug 2024 |
| 28 Jun 2024 | F0693 | 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. | D | Standard survey | 21 Aug 2024 |
| 28 Jun 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint investigation | 21 Aug 2024 |
| 28 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Sep 2024 |
| 28 Jun 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 31 Aug 2024 |
| 28 Jun 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 5 Jul 2024 |
| 28 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 4 Sep 2024 |
| 28 Jun 2024 | F0761 | 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. | E | Standard survey | 3 Sep 2024 |
| 28 Jun 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 29 Aug 2024 |
| 28 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Aug 2024 |
| 28 Jun 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 30 Aug 2024 |
| 8 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 15 May 2024 |
| 8 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 15 May 2024 |
| 8 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 May 2024 |
| 25 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Sep 2023 |
| 25 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 19 May 2026 | Fine | $20,270 | |
| 17 Jun 2025 | Fine | $17,569 | |
| 28 Jun 2024 | Fine | $105,846 | |
| 8 Apr 2024 | Fine | $36,888 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | New York median | New York average (CMS) |
|---|---|---|---|
| All nurse staff | 2.54 | 3.50 | 3.62 |
| Registered nurses (RN) | 0.49 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 0.72 | 0.76 | |
| Nurse aides | 1.33 | 2.15 | |
| All nurse staff, weekends | 1.96 | 3.10 | 3.18 |
- Nurse staff turnover in a year
- 42.5%
- Nurse staff turnover, New York median
- 38.4%
- RN turnover in a year
- 30.8%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.2% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.9% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.6% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 37.3% | 12.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, partnership
- Legal business name
- Barnwell Operations Associates LLC
- Chain
- The Grand Healthcare (16 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Barnwell Acquisitions LLC | 5% or greater direct ownership interest | 98% | 7 Dec 2017 |
| Barnwell Acquisitions LLC | Operational/managerial control | 7 Dec 2017 |
The site shows organisations only. It does not show the names of persons.
Other homes in Columbia County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Ghent Rehabilitation & Nursing Center | Ghent | 2 of 5 | 7 | $0 | 1 Sep 2023 | |
| Pine Haven Home | Philmont | 5 of 5 | 2 | $0 | 1 Apr 2025 | |
| Livingston Hills Nursing and Rehabilitation CenterSpecial Focus candidate | Livingston | 1 of 5 | 28 | $89,794 | 30 Jul 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of The Grand Rehabilitation and Nursing at Barnwell (CCN 335565). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-grand-rehabilitation-and-nursing-at-barnwell-valatie-ny-335565/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was The Grand Rehabilitation and Nursing at Barnwell last inspected?
- The latest inspection with a citation in the CMS record was on 30 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 17 Jun 2025.
- Who operates The Grand Rehabilitation and Nursing at Barnwell?
- The CMS record gives the ownership type as for-profit, partnership. CMS lists the home in the chain The Grand Healthcare. The CMS ownership file names Barnwell Acquisitions LLC for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for The Grand Rehabilitation and Nursing at Barnwell?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 3 homes in New York as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.