The Grand Rehabilitation And Nursing At Barnwell
3230 Church Street, Valatie, NY, 12184
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership · Chain: The Grand Healthcare
- Certified beds
- 236 · avg 221 residents/day
- Total nursing staff turnover
- 42.3% — near the New York averageNew York avg: 40.3% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 46.4% — higher than most New York nursing homesNew York avg: 39.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the New York averageNew York avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $160,303 total
Medicare certification
- CMS Certification Number
- 335565
- Certified beds
- 236 beds · avg 221 residents/day
- Ownership type
- For profit - Partnership
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Barnwell Operations Associates Llc
- Chain affiliation
- The Grand Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the The Grand Healthcare chain — 16 facilities. Chain-wide average overall rating 1.8 / 5.
Disclosed owners (5 on record)
- Joshua Held
W-2 Managing Employee · since 2022
- Samuel Stern
Corporate Officer · since 2021
- Barnwell Acquisitions Llc
5% or Greater Direct Ownership Interest · 98% · since 2017
- Jeremy Baruch Strauss
5% or Greater Indirect Ownership Interest · 93% · since 2017
- Jonathan j Strauss
Corporate Officer · 50% · since 2017
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 64)
- E0760·Jun 20, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0755·Jun 20, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0921·Jun 17, 2025Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F0804·Jun 17, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0759·Jun 17, 2025Complaint
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- F0726·Jun 17, 2025Complaint
Nursing and Physician Services Deficiencies
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.
- F0725·Jun 17, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E0695·Jun 17, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal penalties
By year
- 20251 fine · $18K
- 20242 fines · $143K
Most recent events
- Jun 17, 2025Fine · $18K
- Jun 28, 2024Fine · $106K
- Apr 8, 2024Fine · $37K
Largest single fine on record: $106K.
Fire-safety citations
34 Life-Safety-Code citations on file. Most recent: Jun 17, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Grand Rehabilitation And Nursing At Barnwellinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.