Albany Senior AdvisorThe Grand Rehabilitation and Nursing at Barnwell, 3230 Church Street in Valatie, is a 236-bed nursing home certified for Medicare and Medicaid in the Town of Kinderhook, Columbia County, licensed by New York under certificate 1023302N. The Grand Rehabilitation and Nursing at Barnwell holds a CMS overall rating of 1 out of 5 stars in Care Compare data dated October 1, 2026.
How does CMS rate The Grand Rehabilitation and Nursing at Barnwell in Valatie?
The Grand Rehabilitation and Nursing at Barnwell holds a CMS overall rating of 1 out of 5 stars; out of 5, it scores 1 on health inspections, 2 on staffing and 1 on quality measures.
| Measure | Value |
|---|---|
| CMS overall rating | 1 of 5 |
| CMS health inspection rating | 1 of 5 |
| CMS staffing rating | 2 of 5 |
| CMS quality measures rating | 1 of 5 |
| Certified beds / average daily residents | 236 / 226.0 |
| Ownership type (CMS) | For profit - Partnership |
| Chain affiliation (CMS) | The Grand Healthcare (16 facilities nationwide) |
| First Medicare/Medicaid certification | November 1, 1976 |
| New York operating certificate | 1023302N, 236 beds on the state roster |
| Operator of record (NYSDOH) | Barnwell Operations Associates LLC |
About 226 residents live here on a typical day, filling roughly 96% of certified beds, close to the 95% median for Capital Region nursing homes.
Which deficiencies has CMS recorded for The Grand Rehabilitation and Nursing at Barnwell?
Surveyors completed The Grand Rehabilitation and Nursing at Barnwell's most recent standard health inspection on May 19, 2026. CMS tallies 17 health deficiencies for that cycle, 16 from the survey and 7 from complaints.
In the previous cycle, with a standard survey on June 17, 2025, CMS counted 48 deficiencies, and infection-control inspections added 0 citations. The Capital Region median for the latest cycle is 12, which puts The Grand Rehabilitation and Nursing at Barnwell above the regional middle.
Within CMS's three-year penalty window it reports 4 fines totaling $298,573 and 0 payment denials.
What are staffing and turnover like at The Grand Rehabilitation and Nursing at Barnwell?
The Grand Rehabilitation and Nursing at Barnwell reports 2.68 total nursing hours per resident each day, lower than the Capital Region median of 3.60, with registered nurses supplying 0.50 of them (lower than the Capital Region median of 0.56).
On weekends, total nurse staffing is 1.96 hours per resident per day. Nursing staff turnover stands at 47.3% (about the same as the Capital Region median of 47.5%), and RN turnover at 30.8%. CMS counts 0 administrator departures in its measurement period. New York's staffing law (Public Health Law 2895-b) requires 3.5 hours a day, including at least 2.2 from aides and 1.1 from licensed nurses; using CMS's reported numbers (1.43 aide, 1.24 licensed), this home does not meet that floor, although the state measures compliance one quarter at a time.
Which nursing homes are closest to The Grand Rehabilitation and Nursing at Barnwell?
Its 236 certified beds make it larger than the Columbia County median of 120; the nearest other certified nursing home is Riverside Center for Rehabilitation and Nursing in Schodack, about 9.3 miles away as the crow flies, which CMS rates 2 of 5.
| Facility | Miles away | Certified capacity | CMS overall rating | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|---|
| Riverside Center for Rehabilitation and Nursing 90 No Main Street, Castleton-On-Hudson 12033 | 9.3 | 80 | 2 of 5 | April 14, 2026 | 9 |
| Ghent Rehabilitation & Nursing Center 1 Whittier Way, Ghent 12075 | 9.3 | 120 | 1 of 5 | July 23, 2026 | 15 |
| Pine Haven Home NY Route 217, Philmont 12565 | 11.8 | 116 | 5 of 5 | April 1, 2025 | 2 |
| Evergreen Commons Rehabilitation and Nursing Center 1070 Luther Road, East Greenbush 12061 | 14.0 | 240 | 2 of 5 | January 11, 2024 | 13 |
| Rosewood Rehabilitation and Nursing Center 284 Troy Road, Rensselaer 12144 | 15.6 | 80 | 1 of 5 | February 25, 2026 | 31 |
What surrounds The Grand Rehabilitation and Nursing at Barnwell in Valatie?
The Grand Rehabilitation and Nursing at Barnwell is in the Town of Kinderhook, Columbia County; its closest general hospital is Columbia Memorial Hospital (Albany Med Health System), about 12.9 miles away by straight line.
Albany Medical Center Hospital comes next at about 17.0 miles; these are straight-line figures, not drive times.
What should we ask when touring The Grand Rehabilitation and Nursing at Barnwell?
Let the CMS figures steer the visit: ask for the plan of correction covering the 17 deficiencies cited on May 19, 2026 and what has changed since.
- Turnover of 47.3% is at or under the regional median; ask which charge nurses have worked nights the longest.
- Ask what led to $298,573 in CMS fines and whether the underlying problem is resolved.
- With occupancy near 96%, ask about the waiting list and whether rehab beds are kept separate.
- CMS shows a resident council here; ask when it meets and whether family members may attend.
- If Medicaid will pay later, confirm that The Grand Rehabilitation and Nursing at Barnwell keeps residents in the same room when they convert, and how the $50 monthly personal needs allowance is managed.
New York record: The Grand Rehabilitation and Nursing at Barnwell on NYS Health Profiles.
