Cycle 1
Health 2025-08-20 · Fire 2023-06-14
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Burlington, VT
Birchwood Terrace Rehab & Healthcare
3-star overall rating with 3-star inspections with $127,834 in total fines with 2 recent health deficiencies
43 Starr Farm Rd, Burlington, VT
(802) 863-6384
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
160
Certified beds
Average residents
131
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Stellar Health Group
Operator or chain grouping
Approved since
1969-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.51
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
1.18
Licensed practical nurse staffing · state 0.90 · national 0.87
Aide hours / resident day
2.03
Nurse aide staffing · state 2.60 · national 2.35
Total nurse hours
3.72
All reported nurse hours · state 4.31 · national 3.89
Licensed hours
1.69
RN + LPN hours · state 1.71 · national 1.54
Weekend hours
3.13
Weekend nurse staffing · state 3.69 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.87
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 60% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,998
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.82
Composite VBP score used to determine payment impact.
Payment multiplier
0.9947
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.89
Baseline 19.89% · Performance 17.77% · Measure score 7.89 · Achievement 7.89 · Improvement 6.90
Healthcare-associated infections
6.24
Baseline 4.96% · Performance 5.97% · Measure score 6.24 · Achievement 6.24 · Improvement 0
Total nurse turnover
0.69
Baseline 60.80% · Performance 60.87% · Measure score 0.69 · Achievement 0.69 · Improvement 0
Adjusted total nurse staffing
1.91
Baseline 3.36 hours · Performance 3.62 hours · Measure score 1.91 · Achievement 1.91 · Improvement 0.57
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.24% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 425 · Observed rate 6.82% · Lower 95% interval 7.19% |
| Discharge to community | 66.01% |
50.57%
15.4 pts better
|
Better than the National Rate · Eligible stays 418 · Observed rate 62.44% · Lower 95% interval 61.54% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.97% |
95.27%
2.7 pts better
|
Numerator 337 · Denominator 344 |
| Falls with major injury | 1.16% |
0.77%
0.4 pts worse
|
Numerator 4 · Denominator 344 |
| Discharge self-care score | 50.55% |
53.69%
3.1 pts worse
|
Numerator 139 · Denominator 275 |
| Discharge mobility score | 46.91% |
50.94%
4 pts worse
|
Numerator 129 · Denominator 275 |
| Pressure ulcers or injuries, new or worsened | 3.85% |
2.29%
1.6 pts worse
|
Numerator 13 · Denominator 338 · Adjusted rate 4.99% |
| Healthcare-associated infections requiring hospitalization | 5.97% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 242 · Observed rate 4.13% · Lower 95% interval 3.97% |
| Staff COVID-19 vaccination coverage | 40% |
8.2%
31.8 pts better
|
Numerator 48 · Denominator 120 |
| Staff flu vaccination coverage | 77.44% |
42%
35.4 pts better
|
Numerator 103 · Denominator 133 |
| Discharge function score | 63.64% |
56.45%
7.2 pts better
|
Numerator 175 · Denominator 275 |
| Transfer of health information to provider | 95.12% |
95.95%
0.8 pts worse
|
Numerator 39 · Denominator 41 |
| Transfer of health information to patient | 97.44% |
96.28%
1.2 pts better
|
Numerator 228 · Denominator 234 |
| Resident COVID-19 vaccinations up to date | 77.01% |
25.2%
51.8 pts better
|
Numerator 134 · Denominator 174 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.4
0.1 pts worse
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
2.5
1.5 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
95.4%
2.1 pts better
|
93.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 100.0% · Q3 98.0% · Q4 93.2% · 4Q avg 97.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
97.6%
1.5 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.4% |
5.9%
0.5 pts better
|
3.3%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 3.9% · Q3 4.0% · Q4 6.8% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.5% |
10.0%
6.5 pts better
|
11.4%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 1.2% · Q3 5.9% · Q4 1.1% · 4Q avg 3.5% |
| Percentage of long-stay residents who lose too much weight | 5.5% |
6.0%
0.5 pts better
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.1% · Q3 9.9% · Q4 5.6% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.2% |
16.4%
5.2 pts better
|
19.6%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 10.1% · Q3 13.8% · Q4 11.0% · 4Q avg 11.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 35.4% |
20.9%
14.5 pts worse
|
16.7%
18.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.8% · Q2 33.3% · Q3 34.1% · Q4 35.5% · 4Q avg 35.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.4% |
19.3%
0.1 pts worse
|
16.3%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 24.1% · Q3 8.4% · Q4 25.1% · 4Q avg 19.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.8% |
20.3%
7.5 pts worse
|
14.9%
12.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.2% · Q2 30.2% · Q3 19.5% · Q4 25.3% · 4Q avg 27.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.2%
0.5 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
2.4%
0.4 pts better
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 3.1% · Q4 4.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.7% |
27.4%
0.3 pts worse
|
19.8%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.7% · Q2 23.9% · Q3 16.5% · Q4 36.7% · 4Q avg 27.7% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
6.1%
3.4 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.7% · Q3 1.7% · Q4 3.7% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.1% |
84.4%
11.7 pts better
|
81.7%
14.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 96.8% · Q3 97.3% · Q4 95.8% · 4Q avg 96.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% |
17.6%
1.6 pts better
|
12.0%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 14.8% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.9%
0.5 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.7% · Q3 1.7% · Q4 0.6% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.7% |
78.9%
16.8 pts better
|
79.7%
16 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.6% |
21.5%
0.9 pts better
|
23.9%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 18.1% · Expected 20.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-03 · Fire 2021-06-24
13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-06-14 · Fire 2019-03-27
7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-08-20
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-15
E · Potential for more than minimal harm
2025-08-20
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-15
D · Potential for more than minimal harm
2024-12-31
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-14
L · Immediate jeopardy
2024-09-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-02
F · Potential for more than minimal harm
2024-09-03
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-02
E · Potential for more than minimal harm
2024-09-03
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-02
E · Potential for more than minimal harm
2024-09-03
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-02
E · Potential for more than minimal harm
2024-09-03
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-02
E · Potential for more than minimal harm
2024-09-03
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-10-02
E · Potential for more than minimal harm
2024-09-03
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-10-02
E · Potential for more than minimal harm
2024-09-03
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-10-02
E · Potential for more than minimal harm
2024-09-03
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-02
D · Potential for more than minimal harm
2024-09-03
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-02
B · Minimal harm
2024-09-03
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-10-02
D · Potential for more than minimal harm
2024-06-24
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-07-31
E · Potential for more than minimal harm
2023-06-14
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-06-14
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-06-14
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-06-14
F744 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-08-09
B · Minimal harm
2023-06-14
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-08-09
B · Minimal harm
2023-06-14
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2023-08-09
C · Minimal harm
2023-03-21
F559 · Resident Rights Deficiencies
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Not marked corrected
Penalties and ownership
What sits behind the stars
$127,834
2024-09-03
Fine
Fine · fine $127,834
Fine
Ownership
Erlichman, Ariel
5% Or Greater Direct Ownership Interest · Individual
Rubin, Alter
5% Or Greater Direct Ownership Interest · Individual
Dimario, Alecia
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Elderwood at Burlington
Burlington, VT
1-star overall rating with 1-star inspections with Special Focus status with $252,434 in total fines with 20 recent health deficiencies
#2
Premier Rehab and Healthcare at Burlington
Burlington, VT
2-star overall rating with 2-star inspections with abuse icon flag with $85,784 in total fines with 13 recent health deficiencies
#3
Green Mountain Nursing and Rehabilitation
Colchester, VT
1-star overall rating with 1-star inspections with Special Focus status with $161,106 in total fines with 21 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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