The Grand Rehabilitation and Nursing at Barnwell
The Grand Rehabilitation and Nursing at Barnwell is a 236-bed nursing home in VALATIE, New York. CMS has certified it for Medicare and Medicaid since 1976-11-01. It averages 228.8 residents a day.
What harm was found in the violations cited at The Grand Rehabilitation and Nursing at Barnwell?
CMS lists 76 health-inspection deficiencies for The Grand Rehabilitation and Nursing at Barnwell, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-06-30.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-30 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2026-06-30 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2026-05-19 | F0700 | 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. | L |
| 2026-05-19 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-05-19 | F0804, F0880 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. | E |
| 2026-05-19 | F0561, F0584, F0610, F0627, F0656, F0677, F0684, F0695, F0698, F0742, F0761 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Respond appropriately to all alleged violations. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / 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. | D |
| 2026-05-19 | F0732 | Post nurse staffing information every day. | C |
| 2025-06-20 | F0755, F0760 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. | E |
| 2025-06-17 | F0584, F0725, F0726, F0761, F0804, F0812, F0835, F0837, F0867 | 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. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2025-06-17 | F0600, F0656, F0657, F0695, F0759, F0809, F0842, F0921 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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 safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2025-06-17 | F0550, F0554, F0558, F0609, F0610, F0641, F0644, F0645, F0676, F0684, F0688, F0689, F0698, F0740, F0757, F0814, F0838 | 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. / Reasonably accommodate the needs and preferences of each resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Dispose of garbage and refuse properly. / 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. | D |
| 2024-07-31 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2024-06-28 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-06-28 | F0550, F0656, F0657, F0755, F0761, F0804, F0812, F0813 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E |
| 2024-06-28 | F0554, F0645, F0693, F0694, F0695, F0698, F0745 | Allow residents to self-administer drugs if determined clinically appropriate. / PASARR screening for Mental disorders or Intellectual Disabilities / 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. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide medically-related social services to help each resident achieve the highest possible quality of life. | D |
| 2024-04-08 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2024-04-08 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2024-04-08 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-08-25 | F0684, F0689 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
Why was The Grand Rehabilitation and Nursing at Barnwell fined 4 times?
| Date | Type | Amount |
|---|---|---|
| 2026-05-19 | Fine | $20,270 |
| 2025-06-17 | Fine | $17,569 |
| 2024-06-28 | Fine | $105,846 |
| 2024-04-08 | Fine | $36,888 |
How is The Grand Rehabilitation and Nursing at Barnwell staffed relative to the NY average?
| Measure | This facility | NY average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.53554 | 3.62468 |
| Total nursing staff turnover (%) | 42.5 | 40.3 |
| Average number of residents per day | 228.8 | 168.0 |
Who owns The Grand Rehabilitation and Nursing at Barnwell, and what chain is it in?
The Grand Rehabilitation and Nursing at Barnwell is registered with CMS as For profit - Partnership, operates under the legal business name BARNWELL OPERATIONS ASSOCIATES LLC and belongs to the THE GRAND HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | BARNWELL ACQUISITIONS LLC | since 12/07/2017 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | STRAUSS, JEREMY | since 12/07/2017 |
| W-2 MANAGING EMPLOYEE | HELD, JOSHUA | since 01/01/2022 |
| CORPORATE OFFICER | STERN, SAMUEL, STRAUSS, JONATHAN | since 01/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | BARNWELL ACQUISITIONS LLC, STRAUSS, JONATHAN | since 12/07/2017 |
Were you or a family member harmed at The Grand Rehabilitation and Nursing at Barnwell?