Federal inspection record · CMS data as of October 1, 2026
Barre Gardens Nursing and Rehab, LLC
378 Prospect Street, Barre, VT · (802) 476-4166
- Special Focus Facility
- Certified beds
- 96
- Residents per day
- 86
- Ownership
- For-Profit
- Chain
- Priority Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1991
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Vermont.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Vermont homes
Barre Gardens Nursing and Rehab, LLC carries 485.5 inspection points. That is fewer than 0% of Vermont's 32 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Vermont: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–21 pts
- 4★ 21–58 pts
- 3★ 58–81 pts
- 2★ 81–150 pts
- 1★ over 150 pts
Bars show every rated home in Vermont by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
55 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
L
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
-
L
Have a plan that describes the process for conducting QAPI and QAA activities.
-
L
Provide and implement an infection prevention and control program.
Everything else, by area of care
Resident Rights11F
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- 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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- 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.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- D
Reasonably accommodate the needs and preferences of each resident.
Nutrition and Dietary7F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care7E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate foot care.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Assist a resident in gaining access to vision and hearing services.
- E
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service7E
- 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.
- 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.
- 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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning6E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services6F
- E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
Observe each nurse aide's job performance and give regular training.
- F
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
- E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- F
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- F
Provide and implement an infection prevention and control program.
Administration3F
- 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.
- F
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.
- B
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspection history
2026-06-17
20 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2025-06-25
13 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-05-09
22 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 32 min
Vermont average
4 h 18 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 80% of nursing staff and 64% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$142,045 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-13 | Fine | $97,585 |
| 2024-05-09 | Fine | $44,460 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.4 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 3.2 | 2.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better | 96.9% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 98.8% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5.3 pts worse | 10.8% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.3 pts better | 4.3% | 14.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.7 pts worse | 12.2% | 6.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.8 pts better | 12.8% | 16.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.8 pts better | 19.2% | 20.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.1 pts better | 11.3% | 16.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.6 pts worse | 22.4% | 19.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 0.8% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts worse | 4.3% | 2.3% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.8 pts worse | 32.3% | 25.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts worse | 6.8% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.2 pts better | 83.8% | 83.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.7 pts worse | 21.4% | 18.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts worse | 3.2% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.7 pts worse | 74.3% | 81.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts worse | 26.4% | 22.2% | 23.4% |
·
Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Fair Oaks Family Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 25% | 11 facilities |
| Gamzeh, David | 5% Or Greater Direct Ownership Interest · Individual | 25% | 15 facilities |
| Samara Holdings Company LLC | 5% Or Greater Direct Ownership Interest · Organization | 25% | 16 facilities |
| Barre Gardens Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Clinical Consulting Services LLC | Operational/Managerial Control · Organization | 0% | 45 facilities |
| Clinical Consulting Services LLC | Adp Of The SNF · Organization | 0% | 45 facilities |
| Glatzer, Akiva | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 12 facilities |
| Greatorex, Tina | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 22 facilities |
| Moxley, Amanda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Moxley, Amanda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Priority Care Group LLC | Operational/Managerial Control · Organization | 0% | 23 facilities |
| Schiowitz, Marc | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Summation Financial Services LLC | Operational/Managerial Control · Organization | 0% | 51 facilities |
| Summation Financial Services LLC | Adp Of The SNF · Organization | 0% | 51 facilities |
| Van Dyck, Alexandra | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Van Dyck, Alexandra | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness4F
- F
Create arrangements with other facilities to receive patients.
- F
Establish staff and initial training requirements.
- C
Establish policies and procedures for volunteers.
- C
Establish roles under a Waiver declared by secretary.
Miscellaneous2E
- E
Provide a written emergency evacuation plan.
- E
Have simulated fire drills held at unexpected times.
Smoke2E
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
-
Woodridge Nursing Home
Barre, VT · University Of Vermont Health Network
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 48 min
- Fines
- $21,453
-
Premier Rehab and Healthcare at Berlin
Barre, VT · Stellar Health Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 17 min
- Fines
- $307,847
-
Mayo Healthcare Inc.
Northfield, VT
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 53 min
- Fines
- $0