Cycle 1
Health 2025-05-07 · Fire 2025-05-07
2 health deficiencies
Top issue: Administration (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Northfield, VT
Mayo Healthcare Inc.
4-star overall rating with 4-star inspections with 2 recent health deficiencies
71 Richardson Avenue, Northfield, VT
(802) 485-3161
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
46
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-06-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.91
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 0.90 · national 0.87
Aide hours / resident day
2.51
Nurse aide staffing · state 2.60 · national 2.35
Total nurse hours
4.35
All reported nurse hours · state 4.31 · national 3.89
Licensed hours
1.84
RN + LPN hours · state 1.71 · national 1.54
Weekend hours
3.48
Weekend nurse staffing · state 3.69 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.94
CMS adjusted RN staffing hours
Adjusted total hours
4.49
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
5,918
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.60
Composite VBP score used to determine payment impact.
Payment multiplier
0.9885
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.59
Baseline 17.27% · Performance 19.77% · Measure score 3.59 · Achievement 3.59 · Improvement 0
Healthcare-associated infections
3.46
Baseline 6.73% · Performance 6.80% · Measure score 3.46 · Achievement 3.46 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
3.33
Baseline 4.20 hours · Performance 4.02 hours · Measure score 3.33 · Achievement 3.33 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.73% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 121 · Observed rate 12.4% · Lower 95% interval 8.24% |
| Discharge to community | 45.91% |
50.57%
4.7 pts worse
|
No Different than the National Rate · Eligible stays 117 · Observed rate 41.88% · Lower 95% interval 39.68% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 51 · Denominator 51 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 50 |
| Discharge self-care score | 39.53% |
53.69%
14.2 pts worse
|
Numerator 17 · Denominator 43 |
| Discharge mobility score | 48.84% |
50.94%
2.1 pts worse
|
Numerator 21 · Denominator 43 |
| Pressure ulcers or injuries, new or worsened | 1.96% |
2.29%
0.3 pts better
|
Numerator 1 · Denominator 51 · Adjusted rate 2.35% |
| Healthcare-associated infections requiring hospitalization | 6.8% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 67 · Observed rate 5.97% · Lower 95% interval 3.78% |
| Staff COVID-19 vaccination coverage | 15.52% |
8.2%
7.3 pts better
|
Numerator 18 · Denominator 116 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 60.47% |
56.45%
4 pts better
|
Numerator 26 · Denominator 43 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 95.65% |
96.28%
0.6 pts worse
|
Numerator 22 · Denominator 23 |
| Resident COVID-19 vaccinations up to date | 43.33% |
25.2%
18.1 pts better
|
Numerator 13 · Denominator 30 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.4
About the same
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.9 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.1 |
2.5
0.6 pts worse
|
1.8
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.8 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.0% |
95.4%
5.4 pts worse
|
93.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.5% · Q2 88.6% · Q3 89.5% · Q4 89.2% · 4Q avg 90.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 85.7% |
97.6%
11.9 pts worse
|
95.5%
9.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 85.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.0% |
5.9%
0.1 pts worse
|
3.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.7% · Q3 7.9% · Q4 5.4% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 18.0% |
10.0%
8 pts worse
|
11.4%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 15.6% · Q3 8.1% · Q4 27.0% · 4Q avg 18.0% |
| Percentage of long-stay residents who lose too much weight | 9.8% |
6.0%
3.8 pts worse
|
5.4%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 12.9% · Q3 5.9% · Q4 14.3% · 4Q avg 9.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.8% |
16.4%
1.6 pts better
|
19.6%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 11.8% · Q3 17.1% · Q4 22.2% · 4Q avg 14.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.5% |
20.9%
2.6 pts worse
|
16.7%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 11.5% · Q3 27.6% · Q4 31.2% · 4Q avg 23.5% · 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 | 35.7% |
19.3%
16.4 pts worse
|
16.3%
19.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 52.6% · 4Q avg 35.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 36.0% |
20.3%
15.7 pts worse
|
14.9%
21.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 34.4% · Q3 28.6% · Q4 31.4% · 4Q avg 36.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.2%
1.2 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.0% |
2.4%
2.6 pts worse
|
1.7%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 0.0% · Q3 8.1% · Q4 2.8% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
27.4%
3 pts better
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 28.9% · Q3 18.0% · Q4 18.6% · 4Q avg 24.4% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
6.1%
0.8 pts better
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 3.8% · Q3 5.9% · Q4 6.0% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.2% |
84.4%
3.8 pts better
|
81.7%
6.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 94.6% · Q3 88.2% · Q4 85.7% · 4Q avg 88.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.3% |
17.6%
4.7 pts worse
|
12.0%
10.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 22.0% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.9%
1.9 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 26.3% |
78.9%
52.6 pts worse
|
79.7%
53.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 26.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.3% |
21.5%
0.8 pts worse
|
23.9%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 20.3% · Expected 21.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-13 · Fire 2024-03-13
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-02-08 · Fire 2023-02-08
4 health deficiencies
Top issue: Resident Rights (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
B · Minimal harm
2023-02-08
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Not marked corrected
B · Minimal harm
2023-02-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Not marked corrected
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-05-07
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 2025-06-16
F · Potential for more than minimal harm
2025-05-07
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-02-25
F · Potential for more than minimal harm
2024-03-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-19
E · Potential for more than minimal harm
2024-03-13
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 2024-04-19
E · Potential for more than minimal harm
2024-03-13
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-04-19
E · Potential for more than minimal harm
2024-03-13
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 2024-04-19
D · Potential for more than minimal harm
2024-03-13
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-13
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-04-19
D · Potential for more than minimal harm
2023-10-25
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Not marked corrected
F · Potential for more than minimal harm
2023-02-08
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 2023-03-17
B · Minimal harm
2023-02-08
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 2023-03-08
B · Minimal harm
2023-02-08
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-03-08
Penalties and ownership
What sits behind the stars
Ownership
Fowler, Milton
Operational/Managerial Control · Individual
Northfield Savings Bank
5% Or Greater Mortgage Interest · Organization
O'brien, Joseph
Corporate Director · Individual
Stevens, Shellie
Operational/Managerial Control · Individual
Stevens, Shellie
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Premier Rehab and Healthcare at Berlin
Barre, VT
0-star overall rating with 0-star inspections with Special Focus status with $390,404 in total fines with 11 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Barre Gardens Nursing and Rehab, LLC
Barre, VT
1-star overall rating with 1-star inspections with Special Focus status with $44,460 in total fines with 24 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Woodridge Nursing Home
Barre, VT
2-star overall rating with 2-star inspections with abuse icon flag with $33,005 in total fines with 19 recent health deficiencies
Jump out