All states › New York › Valatie › The Grand Rehabilitation and Nursing at Barnwell
3230 Church Street Valatie, NY 12184 · Columbia County
CMS certification number 335565 · See this home on Medicare Care Compare
Is The Grand Rehabilitation and Nursing at Barnwell a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Grand Rehabilitation and Nursing at Barnwell as of October 2026.
CMS rates it 1 out of 5 stars overall, below the New York average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.68 hours per resident per day at The Grand Rehabilitation and Nursing at Barnwell, below the New York median of 3.57 (US median: 3.72). About 0.50 of those hours are from registered nurses. On weekends it falls to 1.96 hours, 27% below its all-week average. Ask how weekends are staffed. 47.3% of nursing staff left within a year (New York median 38.3%).
About this nursing home
Paying for care at The Grand Rehabilitation and Nursing at Barnwell: Medicare and Medicaid
The Grand Rehabilitation and Nursing at Barnwell is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New York's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 19, 2026 and found 10 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 74 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 74 citations at The Grand Rehabilitation and Nursing at Barnwell across 7 inspection dates, 37 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 19, 2026. The most common areas cited were quality of life and care (20) and resident assessment and care planning (10). The most serious was cited under the CMS rule to "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" (tag F0700, level L, May 19, 2026). 8 citations were under CMS's abuse, neglect and exploitation rules.
June 30, 2026 · 2 citations · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 19, 2026 · 16 citations, includes immediate jeopardy · includes complaint inspection
LTry 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DHonor 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.
DRespond appropriately to all alleged violations.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide 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.
DEnsure 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.
CPost nurse staffing information every day.
June 20, 2025 · 2 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure that residents are free from significant medication errors.
June 17, 2025 · 34 citations · includes complaint inspection
FHonor 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.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
FEnsure 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.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
FEstablish 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.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure medication error rates are not 5 percent or greater.
EEnsure 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.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAllow residents to self-administer drugs if determined clinically appropriate.
DReasonably accommodate the needs and preferences of each resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DDispose of garbage and refuse properly.
DConduct 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.
July 31, 2024 · 1 citation · includes complaint inspection
DProvide safe, appropriate pain management for a resident who requires such services.
June 28, 2024 · 16 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DAllow residents to self-administer drugs if determined clinically appropriate.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure 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.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
April 8, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Questions to ask on a tour of The Grand Rehabilitation and Nursing at Barnwell
- Inspectors cited the home at the immediate-jeopardy level on May 19, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 30, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 27% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
4 penalties in the last three years, including $298,573 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 19, 2026 | Fine | $138,270 |
| Jun 17, 2025 | Fine | $17,569 |
| Jun 28, 2024 | Fine | $105,846 |
| Apr 8, 2024 | Fine | $36,888 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 1/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 1/5 |
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Location
Hospitals near The Grand Rehabilitation and Nursing at Barnwell
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
12.8 mi
Columbia Memorial Hospital HudsonEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 4h 3m for patients treated and sent home
- 16.9 mi
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17.2 mi
Albany Medical Center Hospital AlbanyEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 4h 26m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Grand Rehabilitation and Nursing at Barnwell › All nursing homes in Valatie ›
Compare The Grand Rehabilitation and Nursing at Barnwell with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Riverside Center for Rehabilitation and Nursing · Castleton on Hudson · 2 stars · 8.4 mi
Other The Grand Healthcare nursing homes in New York
- The Grand Rehabilitation and Nursing at Batavia · Batavia · 4 stars
- The Grand Rehabilitation and Nursing at Queens · Whitesone · 4 stars
- The Grand Rehabilitation and Nursing at Great Neck · Great Neck · 4 stars
- Bridge View Nursing Home · Whitestone · 4 stars
- The Grand Rehabilitation and Nursing at South Poin · Island Park · 3 stars
- Fulton Commons Care Center · East Meadow · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 16 The Grand Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.