The Grand Rehabilitation And Nursing At Barnwell

Name: The Grand Rehabilitation And Nursing At Barnwell: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Valatie, Columbia County, New York · CCN 335565 · For-profit (Partnership) · part of The Grand Healthcare (16 facilities, chain average 1.8 stars)

CMS rates The Grand Rehabilitation And Nursing At Barnwell 1 of 5 overall as of August 2026. 236 certified beds, 229 residents a day on average. 76 citations on record from the current inspection cycles, 2 at immediate jeopardy; 4 fines totalling $180,573.

On record

Special Focus Facility candidate. On CMS’s list of facilities that qualify for the program but are not yet in it.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★☆☆☆☆ 1 of 5
Health inspections	★☆☆☆☆ 1 of 5
Staffing	★★☆☆☆ 2 of 5
Quality measures	★☆☆☆☆ 1 of 5
Quality: long-stay / short-stay	3 / 1 of 5

Staffing

Total nurse staffing	2.53554 hours per resident per day
Registered nurses	0.49019 hours per resident per day
Weekend total	1.96388 hours per resident per day
Nursing staff turnover	42.5% (registered nurses 30.8%)
Administrators who left	1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-06-30 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has no plan of correction
2026-06-30 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Past Non-Compliance
2026-05-19	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. Quality of Life and Care Deficiencies · tag F0700	L Immediate jeopardy to resident health or safety; widespread	Deficient, Provider has date of correction 2026-06-29
2026-05-19	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-06-29
2026-05-19 complaint survey	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-06-29
2026-05-19	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-06-29
2026-05-19	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-29
2026-05-19 complaint survey	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. Resident Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-29
2026-05-19 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-29
2026-05-19 complaint survey	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · tag F0627	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-29
2026-05-19	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-29
2026-05-19 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-29
2026-05-19 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-29
2026-05-19	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-29
2026-05-19	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-29
2026-05-19	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. Quality of Life and Care Deficiencies · tag F0742	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-29
2026-05-19	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. Pharmacy Service Deficiencies · tag F0761	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-29
2026-05-19	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732	C No actual harm, with potential for minimal harm; widespread	Deficient, Provider has date of correction 2026-06-29
2025-06-20 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-08-16
2025-06-20 complaint survey	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	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. Resident Rights Deficiencies · tag F0584	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	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. Nursing and Physician Services Deficiencies · tag F0726	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-08-16
2025-06-17	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. Pharmacy Service Deficiencies · tag F0761	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-11-13
2025-06-17	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-08-16
2025-06-17	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-11-15
2025-06-17	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. Administration Deficiencies · tag F0837	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-11-14
2025-06-17	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-08-16
2025-06-17	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-08-16
2025-06-17	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. Nutrition and Dietary Deficiencies · tag F0809	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-08-16
2025-06-17	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-11-14
2025-06-17	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · tag F0676	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17	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. Quality of Life and Care Deficiencies · tag F0688	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-22
2025-06-17	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-16
2025-06-17	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. Administration Deficiencies · tag F0838	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-18
2024-07-31 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-09-20
2024-06-28 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2024-08-27
2024-06-28 complaint survey	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-08-23
2024-06-28 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-08-29
2024-06-28 complaint survey	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-08-30
2024-06-28	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-09-04
2024-06-28	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. Pharmacy Service Deficiencies · tag F0761	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-09-03
2024-06-28 complaint survey	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-08-29
2024-06-28	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-08-27
2024-06-28	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · tag F0813	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-08-30
2024-06-28 complaint survey	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-25
2024-06-28 complaint survey	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-27
2024-06-28	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. Quality of Life and Care Deficiencies · tag F0693	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-21
2024-06-28 complaint survey	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · tag F0694	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-21
2024-06-28	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-09-03
2024-06-28 complaint survey	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-08-31
2024-06-28	Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · tag F0745	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-07-05
2024-04-08 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2024-05-15
2024-04-08 complaint survey	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-05-15
2024-04-08 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-15
2023-08-25 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-09-29
2023-08-25 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-10-10

Fines and payment denials

Date	Penalty	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

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Barnwell Acquisitions LLC Organization	5% or greater direct ownership interest	98%	2017-12-07
Barnwell Acquisitions LLC Organization	operational/managerial control	—	2017-12-07
Strauss, Jeremy Individual	5% or greater indirect ownership interest	93%	2017-12-07
Stern, Samuel Individual	corporate officer	—	2021-01-01
Strauss, Jonathan Individual	corporate officer	—	2017-12-07
Strauss, Jonathan Individual	operational/managerial control	—	2017-12-07
Held, Joshua Individual	w-2 managing employee	—	2022-01-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for The Grand Rehabilitation And Nursing At Barnwell.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Columbia County.