The Grand Rehabilitation and Nursing at Barnwell
3230 Church Street, Valatie, NY 12184
The Grand Rehabilitation and Nursing at Barnwell, a 236-bed for profit - partnership nursing facility in Valatie, NY, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #583 of 590 rated homes in NY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 5187586222
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #583 of 590
- In-state rank among rated NY homes
- 2.54
- Well below average · nurse hrs/day · nat'l 3.86
- 50
- Inspection findings · 2 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
The Grand Rehabilitation and Nursing at Barnwell, a 236-bed for profit - partnership nursing facility in Valatie, NY, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #583 of 590 rated homes in NY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #583 of 590
- In-state rank among rated NY homes
- 2.54
- Nurse hrs/resident-day · national 3.86
- 50
- Inspection findings · 2 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 593 NY nursing homes split by ownership sector
This facility is recorded as For profit - Partnership. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 335565
- Ownership
- For profit - Partnership
- Provider Type
- Medicare and Medicaid
- Beds
- 236
- Residents
- 229
- In Hospital
- No
- County
- Columbia
- Last Inspection
- May 19, 2026
- Special Focus
- SFF Candidate
Staffing Data
How the 2.54 total nursing hours per resident-day are staffed:
- RN Hours
- 0.49 (nat'l avg: 0.69)
- LPN Hours
- 0.72
- CNA Hours
- 1.33
- Total Nursing Hours
- 2.54 (nat'l avg: 3.86)
- PT Hours
- 0.04
- Nursing Turnover
- 42.5%
- RN Turnover
- 30.8%
What the CMS Record Reveals About The Grand Rehabilitation and Nursing at Barnwell
According to CMS Nursing Home Compare, The Grand Rehabilitation and Nursing at Barnwell ranks #583 of 590 rated nursing homes in NY on overall stars (tie-broken by health+staffing+quality, then fewer fines). The Grand Rehabilitation and Nursing at Barnwell operates 236 certified beds in Valatie, NY with approximately 229 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 2★ · quality 1★).
The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 4 times by CMS, for a combined $181K. Staffing is reported at 2.54 total nursing hours per resident day (national average 3.86), with RN coverage at 0.49 per resident day. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.
Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, The Grand Rehabilitation and Nursing at Barnwell falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 42.5% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (50 most recent)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Jun 29, 2026
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.
Category: Pharmacy Service Deficiencies
Corrected: Jun 29, 2026
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.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 29, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 29, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 29, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 29, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 29, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 29, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Category: Resident Rights Deficiencies
Corrected: Jun 29, 2026
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 29, 2026
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.
Category: Resident Rights Deficiencies
Corrected: Jun 29, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: Jun 29, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 29, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 29, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 29, 2026
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.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 29, 2026
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Aug 16, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Aug 16, 2025
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.
Category: Administration Deficiencies
Corrected: Aug 18, 2025
Dispose of garbage and refuse properly.
Category: Nutrition and Dietary Deficiencies
Corrected: Aug 16, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Aug 22, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 16, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 16, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 16, 2025
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.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 16, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 16, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 16, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 16, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 14, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 16, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Aug 16, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Aug 16, 2025
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Aug 16, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: Aug 16, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Aug 16, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category: Environmental Deficiencies
Corrected: Aug 16, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 16, 2025
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.
Category: Nutrition and Dietary Deficiencies
Corrected: Aug 16, 2025
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Aug 16, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 16, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 16, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 16, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Aug 16, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Aug 16, 2025
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.
Category: Administration Deficiencies
Corrected: Nov 14, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category: Administration Deficiencies
Corrected: Nov 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Aug 16, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 13, 2025
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.2% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.9% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.6% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 37.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.7% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 79.6% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 20.6% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 89.1% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 19.6% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 47.7% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 38.2% | No |
Penalty History 4 penalties totaling $181K
| Date | Type | Amount |
|---|---|---|
| May 19, 2026 | Fine | $20K |
| Jun 17, 2025 | Fine | $18K |
| Jun 28, 2024 | Fine | $106K |
| Apr 8, 2024 | Fine | $37K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for The Grand Rehabilitation and Nursing at Barnwell, both outside NY so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NY (236 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NY (2.79 here).
Nearby Nursing Homes in NY
592 other nursing homes are on record in NY; 6 are shown here.
A Holly Patterson Extended Care Facility
Uniondale, NY
Aaron Manor Rehabilitation and Nursing Center
Fairport, NY
Absolut Center for Nursing and Rehabilitation at A
East Aurora, NY
Absolut Center for Nursing and Rehabilitation at A
Allegany, NY
Absolut Center for Nursing and Rehabilitation at G
Gasport, NY
Absolut Center for Nursing and Rehabilitation at T
Painted Post, NY
Understanding Nursing Home Data
What the CMS records show for The Grand Rehabilitation and Nursing at Barnwell
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NY registry aggregates state averages and the highest-rated homes in this cohort. View NY registry
- Peer homes near 236 beds show how CMS stars vary at a similar scale in NY. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for The Grand Rehabilitation and Nursing at Barnwell?
Where does The Grand Rehabilitation and Nursing at Barnwell rank among nursing homes in NY?
What are the staffing levels at The Grand Rehabilitation and Nursing at Barnwell?
How many beds does The Grand Rehabilitation and Nursing at Barnwell have?
Does The Grand Rehabilitation and Nursing at Barnwell have any deficiencies on record?
Has The Grand Rehabilitation and Nursing at Barnwell received any fines or penalties?
Who owns The Grand Rehabilitation and Nursing at Barnwell?
When was The Grand Rehabilitation and Nursing at Barnwell last inspected?
What quality measures are tracked for The Grand Rehabilitation and Nursing at Barnwell?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
