Nursing home in Valatie, Columbia County
The Grand Rehabilitation and Nursing at Barnwell
3230 Church Street, Valatie, NY 12184 · (518) 758-6222
4 federal penalties on record · $180,573 in fines
2 immediate jeopardy citations
The Grand Rehabilitation and Nursing at Barnwell is a for-profit nursing home with 236 certified beds in Valatie, Columbia County. By certified beds, it is the largest of the 4 Medicare- and Medicaid-certified nursing homes in Columbia County. Medicare rates it 1 out of 5 stars overall (1 for health inspections, 2 for staffing and 1 for quality measures). That overall rating is below the Columbia County average of 2.2 stars. Inspectors issued 76 health citations across 8 inspections in the current federal reporting period, including 2 at the immediate jeopardy level. Federal regulators have imposed 4 fines totaling $180,573 in the past three years. Residents receive about 2.5 hours of total nursing care per day on average, and nursing staff turnover is 42%.
Medicare star ratings
Overall Medicare rating
1 / 5
Medicare's summary rating combining inspections, staffing and quality measures.
Health inspection rating
1 / 5
Based on findings from state health inspections and complaint investigations.
Staffing rating
2 / 5
Based on reported nurse and aide staffing hours per resident.
Quality measures rating
1 / 5
Based on resident outcomes such as falls, pressure ulcers and hospitalizations.
Staffing
- Total nurse hours per resident per day
- 2.54
- RN hours per resident per day
- 0.49
- Nursing staff turnover
- 42.5%
- RN turnover
- 30.8%
Staffing hours are self-reported payroll data published by CMS. Ask the facility about current staffing, including weekends.
Facility facts
- Address
- 3230 Church Street, Valatie, NY 12184
- County
- Columbia
- Phone
- (518) 758-6222
- Certified beds
- 236
- Average residents per day
- 229
- Ownership type
- For profit - Partnership
- Legal business name
- Barnwell Operations Associates LLC
- Chain affiliation
- The Grand Healthcare (16 facilities)
- In Medicare/Medicaid since
- 1976
- CMS Certification Number (CCN)
- 335565
- Most recent standard inspection
- May 19, 2026
Location and getting there
The Grand Rehabilitation and Nursing at Barnwell is located at 3230 Church Street in Valatie, Columbia County, in the Capital Region (ZIP 12184). Distances are straight-line estimates; confirm travel routes before visiting.
Open in Google MapsInspection record
- Inspections on record
- 8
- Total health citations
- 76
- Serious citations (harm or immediate jeopardy)
- 4
- Immediate jeopardy citations
- 2
Serious citations
Citations where inspectors found actual harm to a resident or immediate jeopardy to resident health or safety; most recent June 30, 2026.
| Date | Federal tag | What inspectors cited | Severity | Complaint? |
|---|---|---|---|---|
| June 30, 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody | Actual harm (isolated) | Yes |
| May 19, 2026 | 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 | Immediate jeopardy (widespread) | No |
| June 28, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents | Actual harm (isolated) | Yes |
| April 8, 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody | Immediate jeopardy (isolated) | Yes |
Inspection history
| Inspection date | Type | Citations | Most serious finding | Official report |
|---|---|---|---|---|
| June 30, 2026 | Complaint investigation | 2 | Actual harm (isolated) | View CMS report |
| May 19, 2026 | Standard health inspection | 16 | Immediate jeopardy (widespread) | View CMS report |
| June 20, 2025 | Complaint investigation | 2 | Potential for harm (pattern) | View CMS report |
| June 17, 2025 | Standard health inspection | 34 | Potential for harm (widespread) | View CMS report |
| July 31, 2024 | Complaint investigation | 1 | Potential for harm (isolated) | View CMS report |
| June 28, 2024 | Standard health inspection | 16 | Actual harm (isolated) | View CMS report |
| April 8, 2024 | Complaint investigation | 3 | Immediate jeopardy (isolated) | View CMS report |
| August 25, 2023 | Complaint investigation | 2 | Potential for harm (isolated) | View CMS report |
Understanding these citations
Inspectors cited this facility for serious deficiencies involving abuse, neglect or failure to investigate; accident hazards, supervision or falls. These guides from Leitner Warywoda PLLC, the New York law firm that sponsors this site, explain what these problems look like and what families can do:
Federal penalties
- Federal penalties
- 4
- Fines
- 4
- Total fines
- $180,573
- Payment denials
- 0
- Most recent penalty
- May 19, 2026
| Date | Penalty | Amount / Duration |
|---|---|---|
| May 19, 2026 | Civil money penalty | $20,270 |
| June 17, 2025 | Civil money penalty | $17,569 |
| June 28, 2024 | Civil money penalty | $105,846 |
| April 8, 2024 | Civil money penalty | $36,888 |
Penalty data last updated September 1, 2026.
Complaints to the New York State Department of Health
- Complaints received
- 387
- Complaints per 100 beds
- 172.6
- Statewide average per 100 beds
- 57.1
- On-site complaint inspections
- 40
NYS DOH complaint data through July 31, 2026.
Owners and managers reported to CMS
| Name | Role reported to CMS |
|---|---|
| Jeremy Strauss | Indirect owner (5% or greater) — 93% (since 12/07/2017) |
| Joshua Held | Managing employee (since 01/01/2022) |
| Samuel Stern | Corporate officer (since 01/01/2021) |
| Jonathan Strauss | Corporate officer (since 12/07/2017) |
| Jonathan Strauss | Operational/managerial control (since 12/07/2017) |
Official reports and records
These links open official and independent records for CCN 335565. Read several inspections, not only the most recent, to see whether problems repeat.