Nursing home
The Grand Rehabilitation and Nursing at Barnwell
3230 Church Street, Valatie, NY 12184 · Map
For profit - Partnership · Part of The Grand Healthcare (16 facilities) · 236 certified beds
The Grand Rehabilitation and Nursing at Barnwell is a Medicare-certified nursing home in Valatie, New York. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.57 hours per resident per day, below the New York average of 3.65. Its most recent inspection on Jun 17, 2025 cited 35 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 3 fines totaling $169,289In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Grand Rehabilitation and Nursing at Barnwell compares
This facility vs. the New York and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New York avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.57 | 3.65 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.42 | 0.70 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.47 | 2.18 | 2.34 | below avg |
| Nursing staff turnover | 37.7% | 40.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 35.0 | 7.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $169,289, 3 total penalties.
What inspectors found at The Grand Rehabilitation and Nursing at Barnwell
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jun 20, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jun 20, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Jun 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Resident Rights Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
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.
Administration Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Jun 17, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3230 Church Street
Valatie, NY 12184 - CMS certification #
- 335565
- Ownership
- For profit - Partnership
- Certified beds
- 236
- Avg residents/day
- 227.4
- Provider type
- Medicare and Medicaid
- First certified
- 1976-11-01
- Chain
- The Grand Healthcare (16 facilities)
- Setting
- Rural
Part of The Grand Healthcare
The Grand Healthcare operates 16 nursing facilities across the United States. View all The Grand Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Grand Rehabilitation and Nursing at Barnwell using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2017
- Workplace safety 1 OSHA workplace safety inspection since 2025, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jan 1, 2017 to Jan 1, 2019. Violations found: Family and medical leave. Employer as DOL recorded it: Barnwell Nursing and Rehabilitation Center (The Grand Rehabiliation and Nursing at Barnwe). Case 1868156.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Aug 21, 2025: complaint inspection, partial (health). Case closed Jan 6, 2026. No violations cited. OSHA record. OSHA recorded the employer as Barnwell Operations Associates, LLC.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Columbia Memorial Hospital, Hudson. 12.9 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Riverside Center for Rehabilitation and Nursing, Castleton On Hudson. 8.4 miles away, straight line.
- Nearest home health agency office
- Vna Home Health, Albany. 19.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 12184 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Columbia Greene Dialysis Centers, Ghent, 9.5 miles away, straight line (CMS rating 1 of 5 stars)
Dci-East Greenbush, East Greenbush, 12.8 miles away, straight line (CMS rating 1 of 5 stars) - Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 12184.
Community Hospice, Inc, The, office in Albany, 23.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Select Pt, Ot And Slp Rehabilitation Ny, PLLC, Hudson. 12.2 miles away, straight line. 3 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective December 1, 1982), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| New York State Department of Health kitchen inspections | Oct 15, 2026 | No kitchen matched |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is The Grand Rehabilitation and Nursing at Barnwell a good nursing home?
CMS gives The Grand Rehabilitation and Nursing at Barnwell an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Grand Rehabilitation and Nursing at Barnwell staffed?
The Grand Rehabilitation and Nursing at Barnwell reports 2.57 total nurse hours per resident per day, compared with the New York average of 3.65.
Has The Grand Rehabilitation and Nursing at Barnwell had inspection problems?
Its most recent CMS inspection cited 35 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does The Grand Rehabilitation and Nursing at Barnwell have?
The Grand Rehabilitation and Nursing at Barnwell is certified for 236 beds.