The Grand Rehabilitation and Nursing at Barnwell in Valatie, NY has a 1-star overall rating, with 1-star health inspection and quality ratings and 2-star staffing. It is a Special Focus Facility candidate/flagged special focus facility, reported nurse staffing is 2.54 hours per resident per day versus the 4.1 federal benchmark, and it had $37,839 in fines in the last 24 months.
Last inspection: June 30, 2026Penalties, last 24 months: $37,839special 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).
Last yrNowTrend
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).
Last yrNowTrend
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 home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited May 2026 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: L
The nursing home failed to protect residents from abuse and neglect by others. Cited April 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
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.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2026 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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
Recent history
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 $20,270 was recorded.
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.
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INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal fine of $105,846 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $180,573 in total fines.
Federal fine
May 19, 2026
$20,270
Federal fine
Jun 17, 2025
$17,569
Federal fine
Jun 28, 2024
$105,846
Federal fine
Apr 8, 2024
$36,888
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.