The Grand Rehabilitation and Nursing at Barnwell
3230 Church Street · Valatie, NY · 12184 · 5187586222
236 certified beds For profit - Partnership Chain: The Grand Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $17,569 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.46 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.46 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 2.01 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 3 · $160,303 |
Inspection citations (64 in the current record)
-
Potential for harm · E June 20, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 16, 2025 · Pharmacy Service
-
Potential for harm · E June 20, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 16, 2025 · Pharmacy Service
-
Potential for harm · D June 17, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 17, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 16, 2025 · Resident Rights
-
Potential for harm · D June 17, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected August 16, 2025 · Resident Rights
-
Potential for harm · D June 17, 2025
Ensure each resident receives an accurate assessment.
Corrected August 16, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 17, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 14, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 17, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 16, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E June 17, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 16, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 16, 2025 · Quality of Life and Care
-
Potential for harm · D June 17, 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.
Corrected August 16, 2025 · Quality of Life and Care
-
Potential for harm · D June 17, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected August 16, 2025 · Quality of Life and Care
-
Potential for harm · D June 17, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected August 16, 2025 · Quality of Life and Care
-
Potential for harm · D June 17, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 22, 2025 · Pharmacy Service
-
Potential for harm · F June 17, 2025
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.
Corrected August 16, 2025 · Pharmacy Service
-
Potential for harm · E June 17, 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.
Corrected August 16, 2025 · Nutrition and Dietary
-
Potential for harm · F June 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 16, 2025 · Nutrition and Dietary
-
Potential for harm · D June 17, 2025
Dispose of garbage and refuse properly.
Corrected August 16, 2025 · Nutrition and Dietary
-
Potential for harm · F June 17, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected November 15, 2025 · Administration
-
Potential for harm · F June 17, 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.
Corrected November 14, 2025 · Administration
-
Potential for harm · D June 17, 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.
Corrected August 18, 2025 · Administration
-
Potential for harm · E June 17, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 16, 2025 · Resident Assessment and Care Planning
-
Potential for harm · F June 17, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected August 16, 2025 · Administration
-
Potential for harm · D June 17, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 16, 2025 · Resident Rights
-
Potential for harm · F June 17, 2025 · found via complaint
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.
Corrected August 16, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 17, 2025 | Fine | $17,569 |
| June 28, 2024 | Fine | $105,846 |
| April 8, 2024 | Fine | $36,888 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335565 · certified since November 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.