47 health deficiencies
Top issue: Resident Rights (8 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Springfield, VT
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $637,467 in total fines with 41 recent health deficiencies
105 Chester Road, Springfield, VT
(802) 885-5741
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
102
Certified beds
Average residents
67
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Allaire Health Services
Operator or chain grouping
Approved since
1978-05-01
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
RN hours / resident day
0.73
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.69
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
3.93
All reported nurse hours · state 4.31 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.71 · national 1.54
Weekend hours
3.27
Weekend nurse staffing · state 3.69 · national 3.43
Weekend RN hours
0.48
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.21
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.68
CMS adjusted RN staffing hours
Adjusted total hours
3.66
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
95%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
82%
Annual nurse turnover · state 60% · national 46%
SNF VBP
Program rank
12,247
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.20
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.97% · Performance 21.25% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.57
Baseline 6.29% · Performance 7.37% · Measure score 1.57 · Achievement 1.57 · Improvement 0
Total nurse turnover
1.32
Baseline 84.38% · Performance 73.56% · Measure score 1.32 · Achievement 0 · Improvement 1.32
Adjusted total nurse staffing
2.40
Baseline 3.70 hours · Performance 3.76 hours · Measure score 2.40 · Achievement 2.40 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.62% |
10.72%
2.9 pts worse
|
No Different than the National Rate · Eligible stays 96 · Observed rate 18.75% · Lower 95% interval 9.78% |
| Discharge to community | 33.72% |
50.57%
16.9 pts worse
|
Worse than the National Rate · Eligible stays 60 · Observed rate 23.33% · Lower 95% interval 22.85% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 77 · Denominator 77 |
| Falls with major injury | 1.3% |
0.77%
0.5 pts worse
|
Numerator 1 · Denominator 77 |
| Discharge self-care score | 54.9% |
53.69%
1.2 pts better
|
Numerator 28 · Denominator 51 |
| Discharge mobility score | 45.1% |
50.94%
5.8 pts worse
|
Numerator 23 · Denominator 51 |
| Pressure ulcers or injuries, new or worsened | 2.6% |
2.29%
0.3 pts worse
|
Numerator 2 · Denominator 77 · Adjusted rate 2.5% |
| Healthcare-associated infections requiring hospitalization | 7.37% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 65 · Observed rate 7.69% · Lower 95% interval 4.51% |
| Staff COVID-19 vaccination coverage | 3.33% |
8.2%
4.9 pts worse
|
Numerator 2 · Denominator 60 |
| Staff flu vaccination coverage | 31% |
42%
11 pts worse
|
Numerator 31 · Denominator 100 |
| Discharge function score | 70.59% |
56.45%
14.1 pts better
|
Numerator 36 · Denominator 51 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 33 · Denominator 33 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 31.25% |
25.2%
6.1 pts better
|
Numerator 10 · Denominator 32 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.4
0.6 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.7 |
2.5
3.2 pts worse
|
1.8
3.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.7 · Observed 4.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.8% |
95.4%
9.6 pts worse
|
93.4%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.4% · Q2 91.4% · Q3 71.6% · Q4 87.3% · 4Q avg 85.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.1% |
97.6%
7.5 pts worse
|
95.5%
5.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.9% |
5.9%
3 pts worse
|
3.3%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 11.4% · Q3 9.0% · Q4 6.3% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 24.7% |
10.0%
14.7 pts worse
|
11.4%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 17.7% · Q3 27.4% · Q4 36.4% · 4Q avg 24.7% |
| Percentage of long-stay residents who lose too much weight | 10.3% |
6.0%
4.3 pts worse
|
5.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.1% · Q3 14.8% · Q4 13.5% · 4Q avg 10.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.2% |
16.4%
2.8 pts worse
|
19.6%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 20.3% · Q3 17.2% · Q4 18.2% · 4Q avg 19.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.8% |
20.9%
3.1 pts better
|
16.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 18.4% · Q3 21.4% · Q4 18.4% · 4Q avg 17.8% · 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 | 16.4% |
19.3%
2.9 pts better
|
16.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · 4Q avg 16.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.7% |
20.3%
3.6 pts better
|
14.9%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 18.9% · Q3 17.0% · Q4 6.2% · 4Q avg 16.7% · 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 2.1% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
2.4%
1.7 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 1.7% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.8% |
27.4%
1.4 pts worse
|
19.8%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 38.8% · Q3 28.7% · Q4 32.1% · 4Q avg 28.8% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
6.1%
About the same
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.0% · Q3 8.9% · Q4 6.6% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 52.0% |
84.4%
32.4 pts worse
|
81.7%
29.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 83.9% · Q2 46.3% · Q3 30.0% · Q4 41.9% · 4Q avg 52.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.2% |
17.6%
5.4 pts better
|
12.0%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 12.2% · Expected 11.2% · 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% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 46.3% |
78.9%
32.6 pts worse
|
79.7%
33.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 46.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.0% |
21.5%
0.5 pts worse
|
23.9%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 19.5% · Expected 21.2% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (8 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (5 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
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.
Not marked corrected
Inspection history
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-12-19
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-19
Health
Respond appropriately to all alleged violations.
Corrected 2025-12-19
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-12-19
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 2025-12-19
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2025-12-19
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-12-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-19
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-12-19
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-12-19
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-19
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 2025-12-19
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 2025-04-29
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 2025-04-29
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-04-29
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-04-29
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-29
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 2025-04-29
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-04-29
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-04-29
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-29
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 2025-04-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-29
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-04-29
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-04-29
Health
Respond appropriately to all alleged violations.
Corrected 2025-04-29
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2025-04-29
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-29
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-29
Health
Provide or obtain dental services for each resident.
Corrected 2025-04-29
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-04-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-02
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-02
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2025-04-02
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-02
Health
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected 2025-04-02
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-04-02
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 2025-04-02
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-02
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-02
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 2025-04-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-02
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-05
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-12-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-03
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-03
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 2024-07-12
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-07-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-12
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 2024-05-29
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 2024-05-29
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-05-29
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-02-22
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 2024-02-22
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 2024-02-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-22
Health
Provide activities to meet all resident's needs.
Corrected 2024-02-22
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-02-22
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 2024-02-22
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-02-22
Health
Post nurse staffing information every day.
Corrected 2024-02-22
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-02-22
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-02-22
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 2024-01-30
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 2024-01-30
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 2024-01-30
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-01-30
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-18
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-02-22
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-02-22
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-02-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-22
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 2023-02-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-22
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-02-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-02-22
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-02-22
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-02-22
Penalties and ownership
Fine · fine $283,220
Fine
Fine · fine $253,692
Fine
Payment Denial · denial start 2025-03-28 · 110 days
110 day denial
Fine · fine $100,555
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Unity, NH
1-star overall rating with 2-star inspections with $16,153 in total fines with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Claremont, NH
2-star overall rating with 2-star inspections with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Windsor, VT
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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