13 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
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
300 Pearl Street, Burlington, VT
(802) 658-4200
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
150
Certified beds
Average residents
114
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Stellar Health Group
Operator or chain grouping
Approved since
1970-02-11
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
RN hours / resident day
0.59
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.90 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.60 · national 2.35
Total nurse hours
3.99
All reported nurse hours · state 4.31 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.71 · national 1.54
Weekend hours
3.64
Weekend nurse staffing · state 3.69 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.53
CMS adjusted total nurse staffing hours
Case-mix index
1.54
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
80%
Annual nurse turnover · state 60% · national 46%
SNF VBP
Program rank
7,307
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.13
Composite VBP score used to determine payment impact.
Payment multiplier
0.9858
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.46
Baseline 21.55% · Performance 19.83% · Measure score 3.46 · Achievement 3.46 · Improvement 3.30
Healthcare-associated infections
6.95
Baseline 6.17% · Performance 5.76% · Measure score 6.95 · Achievement 6.95 · Improvement 2.98
Total nurse turnover
0.55
Baseline 79.85% · Performance 74.07% · Measure score 0.55 · Achievement 0 · Improvement 0.55
Adjusted total nurse staffing
1.10
Baseline 3.81 hours · Performance 3.39 hours · Measure score 1.10 · Achievement 1.10 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.79% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 193 · Observed rate 9.33% · Lower 95% interval 6.96% |
| Discharge to community | 58.47% |
50.57%
7.9 pts better
|
Better than the National Rate · Eligible stays 164 · Observed rate 51.83% · Lower 95% interval 51.4% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.08% |
95.27%
3.8 pts better
|
Numerator 215 · Denominator 217 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 217 |
| Discharge self-care score | 45.56% |
53.69%
8.1 pts worse
|
Numerator 77 · Denominator 169 |
| Discharge mobility score | 50.3% |
50.94%
0.6 pts worse
|
Numerator 85 · Denominator 169 |
| Pressure ulcers or injuries, new or worsened | 4.61% |
2.29%
2.3 pts worse
|
Numerator 10 · Denominator 217 · Adjusted rate 5% |
| Healthcare-associated infections requiring hospitalization | 5.76% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 156 · Observed rate 4.49% · Lower 95% interval 4.01% |
| Staff COVID-19 vaccination coverage | 18.75% |
8.2%
10.6 pts better
|
Numerator 12 · Denominator 64 |
| Staff flu vaccination coverage | 64.38% |
42%
22.4 pts better
|
Numerator 47 · Denominator 73 |
| Discharge function score | 53.25% |
56.45%
3.2 pts worse
|
Numerator 90 · Denominator 169 |
| Transfer of health information to provider | 95.45% |
95.95%
0.5 pts worse
|
Numerator 42 · Denominator 44 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 111 · Denominator 111 |
| Resident COVID-19 vaccinations up to date | 19.64% |
25.2%
5.6 pts worse
|
Numerator 22 · Denominator 112 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.4
0.1 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
2.5
1.6 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.0 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
95.4%
0.5 pts worse
|
93.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 96.2% · Q3 95.1% · Q4 90.0% · 4Q avg 94.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.7% |
97.6%
0.1 pts better
|
95.5%
2.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
5.9%
2.6 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.5% · Q3 3.7% · Q4 4.4% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.2% |
10.0%
7.8 pts better
|
11.4%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.7% · Q3 1.3% · Q4 2.3% · 4Q avg 2.2% |
| Percentage of long-stay residents who lose too much weight | 7.8% |
6.0%
1.8 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 14.9% · Q3 5.2% · Q4 6.1% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.0% |
16.4%
2.4 pts better
|
19.6%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 14.5% · Q3 15.2% · Q4 11.5% · 4Q avg 14.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.5% |
20.9%
0.6 pts worse
|
16.7%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 18.9% · Q3 19.4% · Q4 23.2% · 4Q avg 21.5% · 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 | 22.8% |
19.3%
3.5 pts worse
|
16.3%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 18.3% · Q3 32.2% · Q4 18.0% · 4Q avg 22.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.4% |
20.3%
7.9 pts better
|
14.9%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 17.4% · Q3 13.9% · Q4 10.0% · 4Q avg 12.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.2%
0.3 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 0.9% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
2.4%
0.4 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 3.9% · Q3 3.8% · Q4 2.4% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.2% |
27.4%
0.8 pts worse
|
19.8%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 33.6% · Q3 31.7% · Q4 27.2% · 4Q avg 28.2% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
6.1%
0.4 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 6.3% · Q3 6.8% · Q4 4.9% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.7% |
84.4%
6.3 pts better
|
81.7%
9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.2% · Q2 90.9% · Q3 93.3% · Q4 86.8% · 4Q avg 90.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.4% |
17.6%
5.2 pts better
|
12.0%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 12.6% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.9%
0.4 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 4.6% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.8% |
78.9%
7.9 pts better
|
79.7%
7.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.7% |
21.5%
3.8 pts better
|
23.9%
6.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.7% · Observed 17.0% · Expected 22.9% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire Safety
Use approved construction type or materials.
Not marked corrected
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-16
Health
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.
Corrected 2026-01-16
Health
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.
Corrected 2026-01-16
Health
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.
Corrected 2026-01-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-16
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-16
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 2026-01-16
Health
Respond appropriately to all alleged violations.
Corrected 2026-01-16
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-01-16
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 2026-01-16
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2026-01-02
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-09
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-09
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 2025-01-18
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-18
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 2025-01-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-18
Health
Provide activities to meet all resident's needs.
Corrected 2025-01-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-18
Health
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.
Corrected 2025-01-18
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-01-18
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-09-03
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-09-03
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-09-03
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-09-03
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-03
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2024-09-03
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-07-07
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-04
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-04
Health
Provide activities to meet all resident's needs.
Corrected 2023-09-29
Penalties and ownership
Fine · fine $12,529
Fine
Fine · fine $73,255
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Nearby options
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
Burlington, VT
3-star overall rating with 3-star inspections with $127,834 in total fines with 2 recent health deficiencies
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
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