Nursing HomeInspections

The Grand Rehabilitation and Nursing at Barnwell

Nursing home in Valatie, NY

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

Call (518) 758-6222Send a messageMap ↗

Public-record details

Address
3230 Church Street, Valatie, NY 12184
Phone
(518) 758-6222
Listed under
For-profit
Medicare CCN
335565
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
1 of 5
Certified beds
236
Average residents per day
229
Ownership
For-profit, partnership
Legal business name
Barnwell Operations Associates LLC
Chain
The Grand Healthcare (16 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 1, 1976
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 335565. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 19, 2026. CMS lists 76 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 25, 2023 to Jun 30, 2026): 39 from complaint inspections, 4 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Jun 30, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 30, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection · under dispute review		G
Actual harm, isolated
May 19, 2026Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
May 19, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights		D
Potential for more than minimal harm, isolated
May 19, 2026Honor 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.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 19, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 19, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 19, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 19, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 19, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 19, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 19, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 76. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $180,573 in the last three years.

May 19, 2026Fine: $20,270
Jun 17, 2025Fine: $17,569
Jun 28, 2024Fine: $105,846
Apr 8, 2024Fine: $36,888

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.54 hours
Registered nurse (RN) time per resident per day
0.49 hours
Nurse aide time per resident per day
1.33 hours
Total nurse staffing on weekends
1.96 hours
Nursing staff turnover (yearly)
43%
RN turnover (yearly)
31%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.