The Grand Rehabilitation and Nursing at Barnwell
Valatie, New York
Skilled nursing facility in Valatie, NY with 236 certified beds and a 1-star CMS overall rating.
The Grand Rehabilitation and Nursing at Barnwell is a skilled nursing facility in Valatie, New York (Columbia County), with 236 Medicare/Medicaid-certified beds.
Address: 3230 Church Street, Valatie, NY 12184. Phone: (518) 758-6222.
Ownership: For profit - Partnership. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council. Part of the The Grand Healthcare chain.
CMS Five-Star ratings (source: Medicare Care Compare): overall 1 of 5, health inspections 1, staffing 2, quality measures 1.
Levels of care
- Skilled nursing
Facility details
- Street address
- 3230 Church Street
- City
- Valatie
- State
- New York
- ZIP code
- 12184
- Phone
- (518) 758-6222
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 335565
- County
- Columbia
- Ownership Type
- For profit - Partnership
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 236
- Avg Daily Residents
- 228.8
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1976-11-01
- Chain Name
- The Grand Healthcare
- Overall Rating
- 1
- Health Inspection Rating
- 1
- Staffing Rating
- 2
- Quality Measure Rating
- 1
- Special Focus Facility
- SFF Candidate
- Total Nurse Hours Per Resident Day
- 2.53554
- Rn Hours Per Resident Day
- 0.49019
- Latitude
- 42.4164
- Longitude
- -73.677
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 335565. Ratings compare this home with other nursing homes; they are not a pass or fail.
CMS overall rating
1 / 5
Much below average- Certified beds
- 236
- Residents per day
- 226
- Ownership
- For profit - Partnership
- Health citations (latest)
- 18
- Fines
- 4 ($298,573)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Much below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 3.1 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Much below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.7 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Below averageHow many nurses care for each resident, and how stable the nursing team is.
✗ Worse than the state average. State 2.9 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Much below averageHow residents are actually doing.
✗ Worse than the state average. State 3.9 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
- Short-stay quality
- Residents staying for rehab or recovery: outcomes such as rehospitalization and regaining function.
Flags CMS attaches to this home
- ⚑ Special Focus Facility: SFF Candidate. CMS's program for homes with a history of serious quality problems. Homes currently in it get no star ratings; candidates are rated but may be added to the program. [11]
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 0.50 · LPN 0.74 · Nurse aide 1.43. What the home's payroll records show.
RN 0.57 · LPN 0.71 · Nurse aide 1.94. What CMS predicts a home with these residents' needs would staff.
RN 0.60 · LPN 0.89 · Nurse aide 1.72. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with NY and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 2.68
✗ Worse than the state average. State 3.69 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.50
✗ Worse than the state average. State 0.73 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.24
✗ Worse than the state average. State 1.49 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 1.43
✗ Worse than the state average. State 2.20 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 1.96
✗ Worse than the state average. State 3.20 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.20
✗ Worse than the state average. State 0.49 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.14
✓ Better than the state average. State 0.11 · National 0.07
- Nursing staff turnover (%, lower is better)
- 47.3%
✗ Worse than the state average. State 40.3% · National 45.3%
- RN turnover (%, lower is better)
- 30.8%
✓ Better than the state average. State 39.6% · National 42.5%
- Administrators who left (people, lower is better)
- 0
✓ Better than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.17
State 1.43 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
360.5 points — in NY that earns (Much below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in NY [10]
- 5 ★
- 0.000-12.000
- 4 ★
- 12.001-27.000
- 3 ★
- 27.001-46.000
- 2 ★
- 46.001-82.000
- 1 ★ (this home)
- >82.000
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | May 19, 2026 | 17 (7) | 255 | 1 | 0 | 255 |
| Prior cycles (2 and 3) | Jun 17, 2025 | 48 (29) | 451 | 2 | 226 | 677 |
Health citations per inspection
May 19, 2026
Jun 17, 2025
Jun 28, 2024
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
May 19, 2026
Jun 17, 2025
Jun 28, 2024
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Quality of Life and Care 6
- Freedom from Abuse and Neglect and Exploitation 3
- Resident Rights 3
- Nutrition and Dietary 2
- Resident Assessment and Care Planning 1
- Nursing and Physician Services 1
- Pharmacy Service 1
- Infection Control 1
- Emergency Preparedness 1
What the latest fire-safety inspection cited
- Smoke 8
- Egress 6
- Gas and Vacuum and Electrical Systems 4
- Services 3
- Miscellaneous 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 1 | K · 100 pts 0 | L · 150 pts 1 |
| Actual harm, not immediate jeopardy | G · 20 pts 2 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 38 | E · 8 pts 21 | F · 16 pts 10 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 1 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (74) [2]
Inspection on Jun 30, 2026 · 2 citations
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 14, 2026) · From a complaint
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance (Jun 1, 2026) · From a complaint
Inspection on May 19, 2026 · 16 citations
-
D
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026) · From a complaint
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026) · From a complaint
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026)
-
E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026) · From a complaint
-
D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026)
-
D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026) · From a complaint
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026)
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026)
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026) · From a complaint
-
D
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.
F0742 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026)
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026) · From a complaint
-
L
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.
F0700 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026)
-
D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026)
-
C
Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026)
-
D
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 29, 2026)
Inspection on Jun 20, 2025 · 2 citations
-
E
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
Inspection on Jun 17, 2025 · 34 citations
-
E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
F
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.
F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
D
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.
F0688 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
E
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.
F0809 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Aug 22, 2025)
-
D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
E
Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
D
Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Nov 14, 2025)
-
D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
D
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.
F0838 · Administration Deficiencies · Deficient, Provider has date of correction (Aug 18, 2025)
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
F
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.
F0837 · Administration Deficiencies · Deficient, Provider has date of correction (Nov 14, 2025)
-
D
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
F
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
F
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Nov 13, 2025) · From a complaint
-
E
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · Deficient, Provider has date of correction (Nov 15, 2025)
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
D
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025) · From a complaint
-
D
PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
-
D
Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Aug 16, 2025)
Inspection on Jul 31, 2024 · 1 citation
-
D
Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 20, 2024) · From a complaint
Inspection on Jun 28, 2024 · 16 citations
-
E
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Sep 3, 2024)
-
E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 23, 2024) · From a complaint
-
D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 5, 2024)
-
E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Aug 29, 2024) · From a complaint
-
D
PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 27, 2024) · From a complaint
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 3, 2024)
-
D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 21, 2024) · From a complaint
-
D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 31, 2024) · From a complaint
-
D
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.
F0693 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 21, 2024)
-
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 29, 2024) · From a complaint
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 27, 2024) · From a complaint
-
D
Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 25, 2024) · From a complaint
-
E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Sep 4, 2024)
-
E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 30, 2024) · From a complaint
-
E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Aug 30, 2024)
-
E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Aug 27, 2024)
Inspection on Apr 8, 2024 · 3 citations
-
E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 15, 2024) · From a complaint
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 15, 2024) · From a complaint
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 15, 2024) · From a complaint
All fire-safety citations (51) [3]
Inspection on May 19, 2026 · 23 citations
-
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
D
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K0223 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
E
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
E
Address subsistence needs for staff and patients.
E0015 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
E
Have exits that are accessible at all times.
K0271 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Deficient, Provider has date of correction (Jul 16, 2026)
-
F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
D
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
F
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
F
Have elevators that firefighters can control in the event of a fire.
K0531 · Services Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
F
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
E
Have properly located and lighted "Exit" signs.
K0293 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
K0916 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
E
Have restrictions on the use of portable space heaters.
K0781 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jul 16, 2026)
-
E
Install proper backup exit lighting.
K0281 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
E
Have an enclosure around a vertical opening shaft.
K0311 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 30, 2026)
-
E
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jul 16, 2026)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jul 24, 2026)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 31, 2026)
-
F
Install an approved automatic sprinkler system.
K0351 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 31, 2026)
Inspection on Jun 17, 2025 · 17 citations
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
F
Ensure that testing and maintenance of electrical equipment is performed.
K0921 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
F
List the names and contact information of those in the facility.
E0030 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
E
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
E
Have exits that are accessible at all times.
K0271 · Egress Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
E
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
F
Install proper backup exit lighting.
K0281 · Egress Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
F
Have proper power supply for life support equipment.
K0915 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
F
Establish staff and initial training requirements.
E0037 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
F
Address patient/client population and determine types of services needed.
E0007 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
F
Conduct risk assessment and an All-Hazards approach.
E0006 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
E
Have elevators that firefighters can control in the event of a fire.
K0531 · Services Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
D
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 12, 2025)
Inspection on Jun 28, 2024 · 11 citations
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Aug 27, 2024)
-
F
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Waiver has been granted (Sep 9, 2024)
-
F
Ensure that testing and maintenance of electrical equipment is performed.
K0921 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Aug 27, 2024)
-
F
Establish roles under a Waiver declared by secretary.
E0026 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 27, 2024)
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 27, 2024)
-
F
Have elevators that firefighters can control in the event of a fire.
K0531 · Services Deficiencies · Deficient, Provider has date of correction (Aug 27, 2024)
-
F
Establish procedures for tracking staff and patients during an emergency.
E0018 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 27, 2024)
-
E
Install a fire alarm system that can be heard throughout the facility.
K0341 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 27, 2024)
-
E
Have an enclosure around a vertical opening shaft.
K0311 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 27, 2024)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 20, 2024)
-
F
Install an approved automatic sprinkler system.
K0351 · Smoke Deficiencies · Deficient, Provider has date of correction (Sep 9, 2024)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 4 State avg 0.5 · National 0.9
- Total fined
- $298,573 State avg 23,590 · National 30,351
- Payment denials
- 0 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| May 19, 2026 | Fine | $138,270 | — |
| Jun 17, 2025 | Fine | $17,569 | — |
| Jun 28, 2024 | Fine | $105,846 | — |
| Apr 8, 2024 | Fine | $36,888 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 86.7
✗ Worse than the state average. State 91.8 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 94.8
≈ About the state average. State 95.2 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 3.1
≈ About the state average. State 3.1 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 4.4
✓ Better than the state average. State 20.1 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 2.7
✓ Better than the state average. State 5.7 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 20.0
✗ Worse than the state average. State 13.2 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 40.2
✗ Worse than the state average. State 13.7 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.2 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 5.3
✓ Better than the state average. State 11.1 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 7.1
✓ Better than the state average. State 13.7 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 0.4
✓ Better than the state average. State 0.5 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 1.0
✓ Better than the state average. State 1.2 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 19.7
✗ Worse than the state average. State 18.6 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 6.7
✗ Worse than the state average. State 6.5 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 54.1
✗ Worse than the state average. State 77.6 · National 82.3
- Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
- 1.7
✗ Worse than the state average. State 1.1 · National 1.5
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Higher is better
- 57.1
✗ Worse than the state average. State 78.9 · National 80.1
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
- Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 2.0
- 2.2
✗ Worse than the state average. State 1.7 · National 1.8
- Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.8
- 3.5
✗ Worse than the state average. State 1.3 · National 1.7
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
- Percentage of short-stay residents who had an outpatient emergency department visit ★ Lower is better · Expected for these residents: 12.2
- 22.7
✗ Worse than the state average. State 9.4 · National 11.8
- Percentage of short-stay residents who were rehospitalized after a nursing home admission ★ Lower is better · Expected for these residents: 24.9
- 28.4
✗ Worse than the state average. State 20.6 · National 23.4
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Partnership
- Legal business name
- BARNWELL OPERATIONS ASSOCIATES LLC
- Certified for
- Medicare and Medicaid
- Certified beds
- 236
- Residents per day (average)
- 226
- In Medicare/Medicaid since
- Nov 1, 1976
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Columbia
- Located in a hospital
- No
Company profiles: The Grand Healthcare (16 homes, average 2.1 stars)
Part of THE GRAND HEALTHCARE
One of 16 homes in this chain. Average star ratings across the chain (1 to 5):
- Overall
- 2.1
- Health inspections
- 2.2
- Staffing
- 2.2
- Quality
- 2.1
Owners, officers and managers (7) [6]
5% Or Greater Direct Ownership Interest
- BARNWELL ACQUISITIONS LLC (organization, 98%, since 12/07/2017)
Operational/Managerial Control
- BARNWELL ACQUISITIONS LLC (organization, NOT APPLICABLE, since 12/07/2017)
- STRAUSS, JONATHAN (individual, NOT APPLICABLE, since 12/07/2017)
W-2 Managing Employee
- HELD, JOSHUA (individual, NOT APPLICABLE, since 01/01/2022)
Corporate Officer
- STERN, SAMUEL (individual, NOT APPLICABLE, since 01/01/2021)
- STRAUSS, JONATHAN (individual, NOT APPLICABLE, since 12/07/2017)
5% Or Greater Indirect Ownership Interest
- STRAUSS, JEREMY (individual, 93%, since 12/07/2017)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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