The Grand Rehabilitation and Nursing at Barnwell
A nursing home in Valatie, New York 12184
3230 Church Street, Valatie, New York 12184. (518) 758-6222.
- A candidate for CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 17 health citations at the latest inspection cycle New York average: 8.1
- 2.68 nurse hours per resident per day New York average: 3.69
- 4 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
17 health citations at the latest inspection cycle
The New York average is 8.1.
Last standard inspection May 19, 2026.
Most serious in three years: immediate jeopardy to health or safety (L), at a standard inspection on May 19, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
74 citations in 6 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 74 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 37 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 30, 2026: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 19, 2026: standard inspection10 citations
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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.
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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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.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Post nurse staffing information every day.
May 19, 2026: standard and complaint inspection6 citations
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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.
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Respond appropriately to all alleged violations.
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Jun 20, 2025: complaint inspection2 citations
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
Jun 17, 2025: standard inspection20 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Reasonably accommodate the needs and preferences of each resident.
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Ensure each resident receives an accurate assessment.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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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.
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Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Dispose of garbage and refuse properly.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
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Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Jun 17, 2025: standard and complaint inspection13 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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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.
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Ensure medication error rates are not 5 percent or greater.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jun 17, 2025: complaint inspection1 citation
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Respond appropriately to all alleged violations.
Jul 31, 2024: complaint inspection1 citation
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Provide safe, appropriate pain management for a resident who requires such services.
Jun 28, 2024: standard inspection7 citations
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Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Jun 28, 2024: standard and complaint inspection8 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Allow residents to self-administer drugs if determined clinically appropriate.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Jun 28, 2024: complaint inspection1 citation
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PASARR screening for Mental disorders or Intellectual Disabilities
Apr 8, 2024: complaint inspection3 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Nov 1, 1976.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, partnership.
- 236 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 4 fines in the last three years, $298,573 in all.
- No Medicare payment denials in the last three years.
- 37 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| May 19, 2026 | Fine | $138,270 |
| Jun 17, 2025 | Fine | $17,569 |
| Jun 28, 2024 | Fine | $105,846 |
| Apr 8, 2024 | Fine | $36,888 |
Who does the caring?
2.68 nurse hours per resident per day
The New York average is 3.69.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | New York average |
|---|---|---|
| Nurse hours per resident per day | 2.68 | 3.69 |
| Of which registered nurses | 0.50 | 0.73 |
| At weekends | 1.96 | 3.20 |
| Nursing staff turnover | 47.3% | 40.3% |
| Registered nurse turnover | 30.8% | 39.6% |
| Administrators who left | 0 | Not given |
Who owns it?
- Barnwell Acquisitions LLC owns 97.5% directly since Dec 7, 2017.
- Barnwell Acquisitions LLC runs it.
- 5 owners or officers are people: Jeremy Baruch Strauss (owns 5% or more through other companies, 92.6%); Jonathan J Strauss (corporate officer, 50%); Jonathan J Strauss (runs it (operational or managerial control), 50%); Samuel Stern (corporate officer); Joshua Held (managing employee (on the payroll)).
- Part of The Grand Healthcare (16 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Barnwell Acquisitions LLC | Owns 5% or more directly | 97.5% | Dec 7, 2017 |
| Barnwell Acquisitions LLC | Runs it (operational or managerial control) | 50% | Dec 7, 2017 |
How do residents fare?
- CMS rates its quality measures 1 of 5 (New York average 3.9).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 1 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 18.4 miles, this one had the 2nd most health citations at the latest inspection cycle (17; the middle value was 11).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| The Grand Rehabilitation and Nursing at Barnwell This nursing home | 17 | |
| Riverside Center for Rehabilitation and Nursing | 8.4 | 9 |
| Ghent Rehabilitation & Nursing Center | 8.6 | 15 |
| Pine Haven Home | 11.7 | 2 |
| Evergreen Commons Rehabilitation and Nursing Ctr | 14.1 | 13 |
| Rosewood Rehabilitation and Nursing Center | 15.5 | 31 |
| Delmar Center for Rehabilitation and Nursing | 15.8 | 10 |
| The Pines at Catskill Center for Nursing & Rehab | 16.4 | 10 |
| Greene Meadows Nursing and Rehabilitation Center | 16.4 | 13 |
| St Margarets Center | 16.6 | 5 |
| Hudson Park Rehabilitation and Nursing Center | 18.1 | 12 |
| Eddy Village Green at Beverwyck | 18.4 | 4 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.