Care Considered Care, Considered.

← All NY nursing homes

The Grand Rehabilitation And Nursing At Barnwell

Valatie, NY · Medicare and Medicaid-certified nursing home (CCN 335565) · 236 certified beds

⚠ CMS consumer warning: CMS lists this facility as SFF Candidate in its Special Focus program for persistently underperforming nursing homes. Review the full inspection record on Medicare Care Compare ↗.
CMS overall rating: 1★ (state average 3.03★ — below state average)
Health inspection: 1 · Quality measures: 1 · Staffing: 2
Federal fines: 4 totaling $180,573
Phone: (518) 758-6222 · Verify on Medicare Care Compare ↗

The Grand Rehabilitation And Nursing At Barnwell has a CMS overall rating of 1 out of 5 stars, below the New York state average of 3.03 stars. Its health inspection rating is 1 star and its staffing rating is 2 stars.

CMS reports total nurse staffing of about 2.54 hours per resident per day, including roughly 0.49 RN hours per resident per day, with a nursing staff turnover rate of 42.5%. The facility's CMS staffing rating is 2 out of 5 stars.

CMS records show 4 federal fines totaling $180,573.00 and 0 payment denials for this facility. CMS has also designated it as a Special Focus Facility Candidate, indicating a history of persistent quality issues and increased inspection oversight.

Overall rating vs. benchmarks
The Grand Rehabilitat… The Grand Rehabilitat…: 1★ 1★ NY average NY average: 3.03★ 3.03★ The Grand Healthca chain avg The Grand Healthca chain avg: 1.8★ 1.8★

About this facility

The Grand Rehabilitation And Nursing At Barnwell is a Medicare- and Medicaid-certified nursing home in Valatie, Columbia County, New York, with 236 certified beds and an average of 228.8 residents. The facility is organized as a for-profit partnership and has been federally certified since November 1976.

According to CMS Care Compare, this facility holds an overall rating of 1 out of 5 stars, which is below the New York state average of 3.03 stars. Its health inspection rating is 1 star, its quality measure rating is 1 star, and its staffing rating is 2 stars.

Nurse staffing data reported to CMS shows total nurse staffing of approximately 2.54 hours per resident per day, including about 0.49 RN hours per resident per day. Nursing staff turnover is reported at 42.5%.

On penalties, CMS records show 4 federal fines totaling $180,573.00 and 0 payment denials for this facility.

CMS has designated this facility as a Special Focus Facility (SFF) Candidate, meaning it has been identified as having a history of persistent quality issues and is subject to increased CMS oversight and more frequent inspections. Families should review the full inspection history on Care Compare.

This facility is part of The Grand Healthcare chain, which operates 16 facilities with an average chain rating of 1.8 stars. Ownership has not changed in the past 12 months, according to CMS records.

Source: CMS Medicare Care Compare.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

It has an overall rating of 1 out of 5 stars, which is below the New York state average of 3.03 stars.

Does this facility accept Medicare, Medicaid, or both?

It accepts both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is about 2.54 hours per resident per day, including about 0.49 RN hours, with a staffing rating of 2 stars and nursing turnover of 42.5%.

Does this facility have federal fines or penalties on record?

Yes, CMS records 4 fines totaling $180,573.00 and 0 payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

There is no abuse icon on record, but CMS has designated this facility as a Special Focus Facility (SFF) Candidate due to a history of persistent quality issues and increased oversight.

How large is this facility and how many residents live there?

It has 236 certified beds and an average daily population of 228.8 residents.

Who owns this facility — and is it part of a chain?

It is owned as a for-profit partnership and is part of The Grand Healthcare chain, which operates 16 facilities with an average chain rating of 1.8 stars.

How long has this facility been Medicare/Medicaid certified?

It has been certified since November 1, 1976.

What do the four different CMS star ratings mean?

CMS rates facilities on overall quality, health inspections, staffing, and quality measures; this facility scores 1, 1, 2, and 1 star respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

The provided data does not specify service lines; contact the facility at 518-758-6222 and verify current services on Medicare Care Compare.

What should I look for when touring this facility?

The data provided does not cover tour details; contact the facility at 518-758-6222 to arrange a visit and verify conditions.

How do I verify this facility's current record on Medicare Care Compare?

You can view the latest CMS data for this facility at https://www.medicare.gov/care-compare/details/nursing-home/335565?state=NY.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.