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
1 of 5 overall
The Grand Rehabilitation and Nursing at Barnwell in Valatie, NY has a 1-star overall rating, with 1-star health inspection, staffing, and quality scores. It is a special focus facility candidate with $123,107 in fines over the last 24 months, and reported staffing is 2.46 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
2.4566 hrs/resident/day
Quality measures
Last inspection: June 20, 2025Penalties, last 24 months: $123,107special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.4566.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 0.69
- Nurse aides
- 1.33
- Weekend nursing
- 2.01
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 46%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
34.7%Worsening
Residents with a fall causing major injury
3.4%Improving
Residents with pressure ulcers (bedsores)
8%Steady
Residents with a urinary tract infection
1.8%Improving
Residents who lost too much weight
4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.7%Improving
Residents whose ability to walk got worse
5.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
20.2%Worsening
Short-stay residents newly given an antipsychotic
2.4%Worsening
Residents with a long-term catheter
0.8%Improving
Residents with new or worsening incontinence
19%Improving
Residents with depressive symptoms
1.4%Worsening
Long-stay residents given the seasonal flu vaccine
89.1%Steady
Long-stay residents given the pneumonia vaccine
72.5%Improving
Short-stay residents given the seasonal flu vaccine
38.2%Steady
Short-stay residents given the pneumonia vaccine
44.1%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 properly label and securely store medications and biologicals. Cited June 2025 — widespread issue, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to run its operations effectively and efficiently using its available resources. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — 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 $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 · $159,995 in total fines.
- $17,261
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
- 221.4 residents on an average day (94% 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.