The nursing home failed to protect residents from abuse and neglect by others. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
The Grand Rehabilitation and Nursing at Barnwell
VALATIE, NY · Medicare-certified · 236 beds
Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
The Grand Rehabilitation and Nursing at Barnwell in Valatie, NY has a 1 out of 5 overall rating, with 1-star health inspection and quality ratings and 2-star staffing; it is a Special Focus Facility candidate with a special focus flag, had $17,569 in fines in the last 24 months, and reported nurse staffing of 2.54 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
2.5355 hrs/resident/day
Quality measures
Last inspection: May 19, 2026Penalties, last 24 months: $17,569special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.5355.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.72
- Nurse aides
- 1.33
- Weekend nursing
- 1.96
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
32.1%40.4%Worsening
Residents with a fall causing major injury
2.8%2.4%No change
Residents with pressure ulcers (bedsores)
8.7%6.6%Improving
Residents with a urinary tract infection
2%1%Improving
Residents who lost too much weight
6%3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.9%7.9%Improving
Residents whose ability to walk got worse
4.4%7.3%Worsening
Long-stay residents on antianxiety or sleep medication
22%21.3%Improving
Short-stay residents newly given an antipsychotic
4.9%1.8%Improving
Residents with a long-term catheter
0.8%0.4%No change
Residents with new or worsening incontinence
15.9%25.8%Worsening
Residents with depressive symptoms
0%8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—89.1%—
Long-stay residents given the pneumonia vaccine
65.4%95.7%Improving
Short-stay residents given the seasonal flu vaccine
—38.2%—
Short-stay residents given the pneumonia vaccine
38.2%49.6%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $17,569 was recorded.
- PENALTY
A federal fine of $17,261 was recorded.
- INSPECTION
Health inspection found 34 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $105,846 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $160,303 in total fines.
- $17,569
Federal fine
Jun 17, 2025
- $105,846
Federal fine
Jun 28, 2024
- $36,888
Federal fine
Apr 8, 2024
Operator & ownership
- Ownership
- For profit - Partnership
- Chain
- Part of THE GRAND HEALTHCARE · 16 homes · 1.8 stars avg
- Occupancy
- 228.8 residents on an average day (97% of 236 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 49 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.