The Grand Rehabilitation and Nursing at Barnwell: Staffing, Turnover, and Inspection Record
The Grand Rehabilitation and Nursing at Barnwell is a 236-bed for-profit nursing home in Valatie, New York, part of The Grand Healthcare. In the CMS August 2026 release it reported 1.33 nurse aide hours per resident per day, 38% below the New York average of 2.15, and 42.5% nursing staff turnover (New York average 40.3%).
The Grand Rehabilitation and Nursing at Barnwell
3230 Church StreetValatie, NY 12184
Columbia County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Grand Rehabilitation and Nursing at Barnwell, nurse aides logged 1.33 hours per resident per day, 38% below the New York average. With about 229 residents a day, that works out to roughly 303 aide hours a day, or about 38 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 23% below the all-days figure.
| Hours per resident per day | This home | New York avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.33 | 2.15 | 2.32 |
| Licensed practical nurses | 0.72 | 0.76 | 0.86 |
| Registered nurses | 0.49 | 0.71 | 0.69 |
| All nursing staff | 2.54 | 3.62 | 3.86 |
| All nursing staff, weekends | 1.96 | 3.18 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
42.5% of nursing staff at The Grand Rehabilitation and Nursing at Barnwell left over the year CMS measured, against a New York average of 40.3% and a US average of 45.8%. Registered nurse turnover was 30.8%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 19, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 17 health deficiencies (New York average 8.0). CMS lists 4 fines totaling $180,573 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 19, 2026 | Fine | $20,270 |
| Jun 17, 2025 | Fine | $17,569 |
| Jun 28, 2024 | Fine | $105,846 |
| Apr 8, 2024 | Fine | $36,888 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Grand Rehabilitation and Nursing at Barnwell holds 1 of 5 overall; the New York average is 3.0.
About The Grand Rehabilitation and Nursing at Barnwell
- Ownership: For profit - Partnership
- Chain: The Grand Healthcare, 16 homes
- Legal name: Barnwell Operations Associates LLC
- Medicare and Medicaid certified since: Nov 1, 1976
- Councils: resident council
- Area: rural
Nursing homes near The Grand Rehabilitation and Nursing at Barnwell
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Riverside Center for Rehabilitation and Nursing Castleton on Hudson | 8.4 | 80 | 1.65 | 3.24 | 59.8% | 2 | None |
| Ghent Rehabilitation & Nursing Center Ghent | 8.6 | 120 | 2.09 | 3.43 | 27.2% | 2 | None |
| Pine Haven Home Philmont | 11.7 | 128 | 1.18 | 2.57 | 43.2% | 5 | None |
| Evergreen Commons Rehabilitation and Nursing Ctr East Greenbush | 14.1 | 240 | 1.56 | 2.90 | 45.5% | 2 | None |
| Rosewood Rehabilitation and Nursing Center Rensselaer · SFF candidate | 15.5 | 80 | 1.54 | 2.86 | 73.0% | 1 | $219,130 |
| Delmar Center for Rehabilitation and Nursing Delmar | 15.8 | 120 | 1.96 | 3.51 | — | 1 | None |
| The Pines at Catskill Center for Nursing & Rehab Catskill | 16.4 | 136 | 1.82 | 3.15 | 48.5% | 2 | $13,247 |
| Greene Meadows Nursing and Rehabilitation Center Catskill | 16.4 | 120 | 2.24 | 3.95 | 58.6% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.