The Grand Rehabilitation and Nursing at Barnwell

3230 CHURCH STREET, VALATIE, NY 12184 · CCN 335565 · 236 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality1 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

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Serious inspection findings

2024-06-28 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-04-08 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

2.34

state median 3.31

Weekend staffing gap

−22%

fewer nursing hours on weekends · state median −11%

RN hours / resident / day

0.31

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

43%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $160,303 in fines.

Date	Type	Amount
2025-06-17	Fine	$17,569
2024-06-28	Fine	$105,846
2024-04-08	Fine	$36,888

Ownership

Ownership type: For profit - Partnership. Part of the THE GRAND HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

THE GRAND REHABILITATION AND NURSING AT QUEENS (WHITESTONE, NY) — CMS overall4 of 5
THE GRAND REHABILITATION AND NURSING AT SOUTH POIN (ISLAND PARK, NY) — CMS overall3 of 5
THE GRAND REHABILITATION AND NURSING AT BATAVIA (BATAVIA, NY) — CMS overall2 of 5
Mayfair Care Center (Hempstead, NY) — CMS overall1 of 5
Bridge View Nursing Home (Whitestone, NY) — CMS overall4 of 5
THE GRAND REHABILITATION AND NURSING AT MOHAWK (ILION, NY) — CMS overall1 of 5
The Grand Rehabilitation and Nursing At Pawling (PAWLING, NY) — CMS overall2 of 5
The Grand Rehabilitation and Nursing at Great Neck (Great Neck, NY) — CMS overall1 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 67 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-05-19	F0584	Resident Rights Deficiencies	D	not recorded
2026-05-19	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-05-19	F0627	Resident Rights Deficiencies	D	not recorded
2026-05-19	F0677	Quality of Life and Care Deficiencies	D	not recorded
2026-05-19	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-05-19	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2025-06-20	F0755	Pharmacy Service Deficiencies	E	not recorded
2025-06-20	F0760	Pharmacy Service Deficiencies	E	not recorded
2025-06-17	F0550	Resident Rights Deficiencies	D	not recorded
2025-06-17	F0554	Resident Rights Deficiencies	D	not recorded
2025-06-17	F0558	Resident Rights Deficiencies	D	not recorded
2025-06-17	F0584	Resident Rights Deficiencies	F	not recorded
2025-06-17	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2025-06-17	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-06-17	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-06-17	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-06-17	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-06-17	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-06-17	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-06-17	F0657	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-06-17	F0676	Quality of Life and Care Deficiencies	D	not recorded
2025-06-17	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-06-17	F0688	Quality of Life and Care Deficiencies	D	not recorded
2025-06-17	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-06-17	F0695	Quality of Life and Care Deficiencies	E	not recorded
2025-06-17	F0698	Quality of Life and Care Deficiencies	D	not recorded
2025-06-17	F0725	Nursing and Physician Services Deficiencies	F	not recorded
2025-06-17	F0726	Nursing and Physician Services Deficiencies	F	not recorded
2025-06-17	F0740	Quality of Life and Care Deficiencies	D	not recorded
2025-06-17	F0757	Pharmacy Service Deficiencies	D	not recorded
2025-06-17	F0759	Pharmacy Service Deficiencies	E	not recorded
2025-06-17	F0761	Pharmacy Service Deficiencies	F	not recorded
2025-06-17	F0804	Nutrition and Dietary Deficiencies	F	not recorded
2025-06-17	F0809	Nutrition and Dietary Deficiencies	E	not recorded
2025-06-17	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2025-06-17	F0814	Nutrition and Dietary Deficiencies	D	not recorded
2025-06-17	F0835	Administration Deficiencies	F	not recorded
2025-06-17	F0837	Administration Deficiencies	F	not recorded
2025-06-17	F0838	Administration Deficiencies	D	not recorded
2025-06-17	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-06-17	F0867	Administration Deficiencies	F	not recorded
2025-06-17	F0921	Environmental Deficiencies	E	not recorded
2024-07-31	F0697	Quality of Life and Care Deficiencies	D	not recorded
2024-06-28	F0550	Resident Rights Deficiencies	E	not recorded
2024-06-28	F0554	Resident Rights Deficiencies	D	not recorded
2024-06-28	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-06-28	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-06-28	F0657	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-06-28	F0689	Quality of Life and Care Deficiencies	G	not recorded
2024-06-28	F0693	Quality of Life and Care Deficiencies	D	not recorded
2024-06-28	F0694	Quality of Life and Care Deficiencies	D	not recorded
2024-06-28	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-06-28	F0698	Quality of Life and Care Deficiencies	D	not recorded
2024-06-28	F0745	Quality of Life and Care Deficiencies	D	not recorded
2024-06-28	F0755	Pharmacy Service Deficiencies	E	not recorded
2024-06-28	F0761	Pharmacy Service Deficiencies	E	not recorded
2024-06-28	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2024-06-28	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-06-28	F0813	Nutrition and Dietary Deficiencies	E	not recorded
2024-04-08	F0550	Resident Rights Deficiencies	E	not recorded
2024-04-08	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-04-08	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-08-25	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-08-25	F0689	Quality of Life and Care Deficiencies	D	not recorded
2023-06-21	F0576	Resident Rights Deficiencies	E	not recorded
2023-06-21	F0584	Resident Rights Deficiencies	E	not recorded
2023-06-21	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-06-21	F0791	Quality of Life and Care Deficiencies	D	not recorded
2023-06-21	F0925	Environmental Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “The Grand Rehabilitation and Nursing at Barnwell, VALATIE” at medicare.gov/care-compare.