Brattleboro, VT

Pine Heights at Brattleboro Center for Nursing & R

5-star overall rating with 4-star inspections with 6 recent health deficiencies

187 Oak Grove Avenue, Brattleboro, VT

(802) 257-0307

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

80

Certified beds

Average residents

79

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

National Health Care Associates

Operator or chain grouping

Approved since

1972-06-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

43 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 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

0.66

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

0.75

Licensed practical nurse staffing · state 0.90 · national 0.87

Aide hours / resident day

2.32

Nurse aide staffing · state 2.60 · national 2.35

Total nurse hours

3.73

All reported nurse hours · state 4.31 · national 3.89

Licensed hours

1.41

RN + LPN hours · state 1.71 · national 1.54

Weekend hours

3.38

Weekend nurse staffing · state 3.69 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

3.41

CMS adjusted total nurse staffing hours

Case-mix index

1.50

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 60% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,622

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

32.25

Composite VBP score used to determine payment impact.

Payment multiplier

0.9870

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.83

Baseline 17.65% · Performance 19.66% · Measure score 3.83 · Achievement 3.83 · Improvement 0

Healthcare-associated infections

4.79

Baseline 5.12% · Performance 6.40% · Measure score 4.79 · Achievement 4.79 · Improvement 0

Total nurse turnover

3.35

Baseline 42.47% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 0

Adjusted total nurse staffing

0.92

Baseline 3.15 hours · Performance 3.34 hours · Measure score 0.92 · Achievement 0.92 · Improvement 0.22

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.35%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 237 · Observed rate 10.55% · Lower 95% interval 7.3%
Discharge to community	50.29%	50.57% 0.3 pts worse	No Different than the National Rate · Eligible stays 258 · Observed rate 44.19% · Lower 95% interval 45.4%
Medicare spending per beneficiary	1.2	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 173 · Denominator 173
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 173
Discharge self-care score	51.64%	53.69% 2 pts worse	Numerator 63 · Denominator 122
Discharge mobility score	62.3%	50.94% 11.4 pts better	Numerator 76 · Denominator 122
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 173 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.4%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 177 · Observed rate 5.65% · Lower 95% interval 3.83%
Staff COVID-19 vaccination coverage	27.12%	8.2% 18.9 pts better	Numerator 32 · Denominator 118
Staff flu vaccination coverage	83.82%	42% 41.8 pts better	Numerator 114 · Denominator 136
Discharge function score	63.11%	56.45% 6.7 pts better	Numerator 77 · Denominator 122
Transfer of health information to provider	80.87%	95.95% 15.1 pts worse	Numerator 93 · Denominator 115
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	50.54%	25.2% 25.3 pts better	Numerator 47 · Denominator 93

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.4 0.2 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	2.5 1.1 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.4% 4.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.6% 2.4 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.5%	5.9% 1.4 pts better	3.3% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.3% · Q3 4.9% · Q4 3.3% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	56.1%	10.0% 46.1 pts worse	11.4% 44.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 74.1% · Q2 78.3% · Q3 42.1% · Q4 27.3% · 4Q avg 56.1%
Percentage of long-stay residents who lose too much weight	3.7%	6.0% 2.3 pts better	5.4% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.5%	16.4% 4.1 pts worse	19.6% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.8% · Q2 22.9% · Q3 11.4% · Q4 13.9% · 4Q avg 20.5%
Percentage of long-stay residents who received an antipsychotic medication	14.5%	20.9% 6.4 pts better	16.7% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 14.3% · Q3 13.3% · Q4 14.0% · 4Q avg 14.5% · 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	11.4%	19.3% 7.9 pts better	16.3% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 11.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.0%	20.3% 11.3 pts better	14.9% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 4.3% · Q3 8.8% · Q4 5.7% · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.8%	1.2% 0.4 pts better	1.0% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.7% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.4% 2.4 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	38.9%	27.4% 11.5 pts worse	19.8% 19.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.3% · Q2 31.2% · Q3 47.4% · Q4 36.4% · 4Q avg 38.9%
Percentage of long-stay residents with pressure ulcers	1.3%	6.1% 4.8 pts better	5.1% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.7% · Q3 0.0% · Q4 1.7% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.7%	84.4% 7.3 pts better	81.7% 10 pts better	Short Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 90.5% · Q3 91.2% · Q4 91.8% · 4Q avg 91.7%
Percentage of short-stay residents who had an outpatient emergency department visit	13.1%	17.6% 4.5 pts better	12.0% 1.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 12.8% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.3%	1.9% 0.6 pts better	1.6% 0.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.5% · Q3 0.0% · Q4 1.9% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.9%	78.9% 16 pts better	79.7% 15.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.5%	21.5% About the same	23.9% 2.4 pts better	Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 20.8% · Expected 23.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-17 · Fire 2023-06-28

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 2 Health 2024-09-11 · Fire 2022-07-13

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-06-28 · Fire 2021-05-05

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2022-07-13

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2022-10-04

D · Potential for more than minimal harm 2022-07-13

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2022-10-04

D · Potential for more than minimal harm 2021-05-05

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2021-05-21

D · Potential for more than minimal harm 2021-05-05

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2021-05-21

D · Potential for more than minimal harm 2021-05-05

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2021-05-21

D · Potential for more than minimal harm 2021-05-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-05-21

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-17

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 2025-10-24

E · Potential for more than minimal harm 2025-09-17

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-10-24

E · Potential for more than minimal harm 2025-09-17

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 2025-10-24

D · Potential for more than minimal harm 2025-09-17

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 2025-10-24

D · Potential for more than minimal harm 2025-09-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-10-24

D · Potential for more than minimal harm 2025-09-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-24

F · Potential for more than minimal harm 2024-09-11

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 2024-10-17

D · Potential for more than minimal harm 2024-09-11

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 2024-10-17

D · Potential for more than minimal harm 2024-09-11

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 2024-09-08

C · Minimal harm 2024-09-11

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-10-17

Penalties and ownership