The Grand Rehabilitation and Nursing at Barnwell

3230 Church Street, Valatie, NY 12184 · (518) 758-6222
For profit - Partnership · 236 certified beds

The Grand Rehabilitation and Nursing at Barnwell has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 16 citations, 1 for actual harm or immediate jeopardy (the New York average is 8.1). It was fined 4 times in the last three years, $180,573 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on May 19, 2026 found 16 citations. What an inspection citation means

• 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.May 19, 2026 · F0700 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 19, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.May 19, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.May 19, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.May 19, 2026 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 19, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.May 19, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.May 19, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 19, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.May 19, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 19, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.May 19, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.May 19, 2026 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 19, 2026 · F0742 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 19, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Post nurse staffing information every day.May 19, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many

Complaint inspections, last three years

Inspections after complaints found 37 citations.

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 30, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 30, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 19, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.May 19, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.May 19, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.May 19, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 19, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.May 19, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 20, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.June 20, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 17, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 17, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 17, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 17, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.June 17, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 17, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.June 17, 2025 · F0676 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 17, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.June 17, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 17, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.June 17, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure medication error rates are not 5 percent or greater.June 17, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.June 17, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.June 17, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe, appropriate pain management for a resident who requires such services.July 31, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 28, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Allow residents to self-administer drugs if determined clinically appropriate.June 28, 2024 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesJune 28, 2024 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 28, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.June 28, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 28, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide for the safe, appropriate administration of IV fluids for a resident when needed.June 28, 2024 · F0694 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.June 28, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.June 28, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.April 8, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 8, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 8, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $20,270May 19, 2026
• Fine of $17,569June 17, 2025
• Fine of $105,846June 28, 2024
• Fine of $36,888April 8, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home