Rutland, VT

Rutland Healthcare & Rehabilitation Center

4-star overall rating with 4-star inspections with $32,708 in total fines with 5 recent health deficiencies

46 Nichols Street, Rutland, VT

(802) 775-2941

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

103

Certified beds

Average residents

92

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Allaire Health Services

Operator or chain grouping

Approved since

1991-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 facilities

Chain averages 2 overall / 2 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

0.68

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

2.45

Nurse aide staffing · state 2.60 · national 2.35

Total nurse hours

4.05

All reported nurse hours · state 4.31 · national 3.89

Licensed hours

1.60

RN + LPN hours · state 1.71 · national 1.54

Weekend hours

3.46

Weekend nurse staffing · state 3.69 · national 3.43

Weekend RN hours

0.51

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

3.88

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 60% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,723

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

Performance score

35.21

Composite VBP score used to determine payment impact.

Payment multiplier

0.9889

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.27

Baseline 15.82% · Performance 18.99% · Measure score 5.27 · Achievement 5.27 · Improvement 0

Healthcare-associated infections

2.28

Baseline 5.95% · Performance 7.15% · Measure score 2.28 · Achievement 2.28 · Improvement 0

Total nurse turnover

5.68

Baseline 56.67% · Performance 40.45% · Measure score 5.68 · Achievement 5.68 · Improvement 4.60

Adjusted total nurse staffing

0.85

Baseline 3.93 hours · Performance 3.32 hours · Measure score 0.85 · Achievement 0.85 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.77%	10.72% 2 pts better	No Different than the National Rate · Eligible stays 166 · Observed rate 6.02% · Lower 95% interval 6.43%
Discharge to community	51.5%	50.57% 0.9 pts better	No Different than the National Rate · Eligible stays 127 · Observed rate 45.67% · Lower 95% interval 43.5%
Medicare spending per beneficiary	0.96	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 125 · Denominator 125
Falls with major injury	0.8%	0.77% About the same	Numerator 1 · Denominator 125
Discharge self-care score	60.47%	53.69% 6.8 pts better	Numerator 52 · Denominator 86
Discharge mobility score	48.84%	50.94% 2.1 pts worse	Numerator 42 · Denominator 86
Pressure ulcers or injuries, new or worsened	2.4%	2.29% 0.1 pts worse	Numerator 3 · Denominator 125 · Adjusted rate 2.87%
Healthcare-associated infections requiring hospitalization	7.15%	7.12% About the same	No Different than the National Rate · Eligible stays 92 · Observed rate 7.61% · Lower 95% interval 4.62%
Staff COVID-19 vaccination coverage	4.04%	8.2% 4.2 pts worse	Numerator 4 · Denominator 99
Staff flu vaccination coverage	67.72%	42% 25.7 pts better	Numerator 86 · Denominator 127
Discharge function score	56.98%	56.45% 0.5 pts better	Numerator 49 · Denominator 86
Transfer of health information to provider	83.33%	95.95% 12.6 pts worse	Numerator 20 · Denominator 24
Transfer of health information to patient	98.21%	96.28% 1.9 pts better	Numerator 55 · Denominator 56
Resident COVID-19 vaccinations up to date	36.49%	25.2% 11.3 pts better	Numerator 27 · Denominator 74

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	1.4 1 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.1 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	2.5 0.3 pts better	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.8%	95.4% 1.6 pts worse	93.4% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 94.3% · Q3 91.8% · Q4 91.1% · 4Q avg 93.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.9%	97.6% 0.3 pts better	95.5% 2.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	5.9% 3.6 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 1.1% · Q3 2.4% · Q4 1.1% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.8%	10.0% 3.2 pts better	11.4% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 1.2% · Q3 3.8% · Q4 17.9% · 4Q avg 6.8%
Percentage of long-stay residents who lose too much weight	4.9%	6.0% 1.1 pts better	5.4% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.1% · Q3 4.1% · Q4 7.7% · 4Q avg 4.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.9%	16.4% 1.5 pts better	19.6% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 14.6% · Q3 13.8% · Q4 14.3% · 4Q avg 14.9%
Percentage of long-stay residents who received an antipsychotic medication	19.8%	20.9% 1.1 pts better	16.7% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 20.0% · Q3 18.8% · Q4 22.4% · 4Q avg 19.8% · 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	8.9%	19.3% 10.4 pts better	16.3% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 16.8% · Q3 4.1% · Q4 7.3% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.8%	20.3% 11.5 pts better	14.9% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 17.9% · Q3 6.6% · Q4 7.5% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.3%	1.2% 0.1 pts worse	1.0% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 1.1% · Q4 2.7% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.9%	2.4% 1.5 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	30.6%	27.4% 3.2 pts worse	19.8% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.6% · Q2 38.1% · Q3 31.3% · Q4 16.4% · 4Q avg 30.6%
Percentage of long-stay residents with pressure ulcers	2.9%	6.1% 3.2 pts better	5.1% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.0% · Q3 5.0% · Q4 2.3% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.2%	84.4% 12.8 pts better	81.7% 15.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 100.0% · Q3 96.5% · Q4 92.9% · 4Q avg 97.2%
Percentage of short-stay residents who had an outpatient emergency department visit	17.7%	17.6% 0.1 pts worse	12.0% 5.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.7% · Observed 17.0% · Expected 10.7% · 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 0.0% · Q2 3.1% · Q3 3.1% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.7%	78.9% 15.8 pts better	79.7% 15 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.9%	21.5% 0.4 pts worse	23.9% 2 pts better	Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 19.6% · Expected 21.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-19 · Fire 2025-06-19

6 health deficiencies

Top issue: Environmental (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-05-22 · Fire 2023-03-22

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-22 · Fire 2022-02-09

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2022-02-09

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-03-04

B · Minimal harm 2022-02-09

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-02-10

B · Minimal harm 2022-02-09

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2022-02-14

B · Minimal harm 2022-02-09

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2022-02-14

Inspection history

Recent health citations

G · Actual harm 2025-08-05

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 2025-08-29

G · Actual harm 2025-06-19

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 2025-06-19

F · Potential for more than minimal harm 2025-06-19

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 2025-08-03

F · Potential for more than minimal harm 2025-06-19

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-08-03

D · Potential for more than minimal harm 2025-06-19

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 2025-08-03

D · Potential for more than minimal harm 2025-06-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-03

E · Potential for more than minimal harm 2023-09-13

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-09-13

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-10-13

E · Potential for more than minimal harm 2023-07-25

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 2023-08-08

E · Potential for more than minimal harm 2023-03-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-06

D · Potential for more than minimal harm 2023-03-22

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2023-05-06

Penalties and ownership

What sits behind the stars

$8,788 2025-06-19

Fine

Fine · fine $8,788

Fine

$23,920 2025-06-19

Fine

Fine · fine $23,920

Fine

Ownership

Ahs Vt Opco Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2024-12-18

Ahs Vt Opco Holdco LLC