Cycle 1
Health 2024-12-11 · Fire 2024-12-11
33 health deficiencies
Top issue: Nursing and Physician Services (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Saint Johnsbury, VT
St. Johnsbury Health & Rehab
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $353,535 in total fines with 33 recent health deficiencies
1248 Hospital Drive, Saint Johnsbury, VT
(802) 748-8757
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
Facility snapshot
Beds
99
Certified beds
Average residents
64
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Allaire Health Services
Operator or chain grouping
Approved since
1971-10-04
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
0.48
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
1.35
Licensed practical nurse staffing · state 0.90 · national 0.87
Aide hours / resident day
2.72
Nurse aide staffing · state 2.60 · national 2.35
Total nurse hours
4.55
All reported nurse hours · state 4.31 · national 3.89
Licensed hours
1.83
RN + LPN hours · state 1.71 · national 1.54
Weekend hours
4.15
Weekend nurse staffing · state 3.69 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
3.79
CMS adjusted total nurse staffing hours
Case-mix index
1.64
Higher values indicate more complex resident acuity
RN turnover
86%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
83%
Annual nurse turnover · state 60% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,647
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.15
Composite VBP score used to determine payment impact.
Payment multiplier
0.9869
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.97
Baseline 18.43% · Performance 19.59% · Measure score 3.97 · Achievement 3.97 · Improvement 0
Healthcare-associated infections
8.36
Baseline 6.58% · Performance 5.34% · Measure score 8.36 · Achievement 8.36 · Improvement 7.35
Total nurse turnover
0
Baseline 75.68% · Performance 79.12% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0.54
Baseline 3.74 hours · Performance 3.23 hours · Measure score 0.54 · Achievement 0.54 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.83% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 132 · Observed rate 8.33% · Lower 95% interval 7.06% |
| Discharge to community | 51.91% |
50.57%
1.3 pts better
|
No Different than the National Rate · Eligible stays 122 · Observed rate 45.9% · Lower 95% interval 43.89% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.09% |
95.27%
3.8 pts better
|
Numerator 109 · Denominator 110 |
| Falls with major injury | 0.91% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 110 |
| Discharge self-care score | 39.51% |
53.69%
14.2 pts worse
|
Numerator 32 · Denominator 81 |
| Discharge mobility score | 51.85% |
50.94%
0.9 pts better
|
Numerator 42 · Denominator 81 |
| Pressure ulcers or injuries, new or worsened | 3.64% |
2.29%
1.4 pts worse
|
Numerator 4 · Denominator 110 · Adjusted rate 3.42% |
| Healthcare-associated infections requiring hospitalization | 5.34% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 97 · Observed rate 2.06% · Lower 95% interval 3.51% |
| Staff COVID-19 vaccination coverage | 1.43% |
8.2%
6.8 pts worse
|
Numerator 1 · Denominator 70 |
| Staff flu vaccination coverage | 95% |
42%
53 pts better
|
Numerator 57 · Denominator 60 |
| Discharge function score | 62.96% |
56.45%
6.5 pts better
|
Numerator 51 · Denominator 81 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 50 · Denominator 50 |
| Resident COVID-19 vaccinations up to date | 13.73% |
25.2%
11.5 pts worse
|
Numerator 7 · Denominator 51 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.4
0.7 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.5
0.4 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.0% |
95.4%
6.4 pts worse
|
93.4%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 91.0% · Q3 85.9% · Q4 80.9% · 4Q avg 89.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
97.6%
1 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% |
5.9%
1.3 pts better
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 3.0% · Q3 4.7% · Q4 5.9% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 34.7% |
10.0%
24.7 pts worse
|
11.4%
23.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 26.2% · Q3 58.6% · Q4 45.6% · 4Q avg 34.7% |
| Percentage of long-stay residents who lose too much weight | 9.3% |
6.0%
3.3 pts worse
|
5.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 15.3% · Q3 8.9% · Q4 1.9% · 4Q avg 9.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.0% |
16.4%
8.6 pts worse
|
19.6%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 20.6% · Q3 27.1% · Q4 35.1% · 4Q avg 25.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.9% |
20.9%
1 pts better
|
16.7%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 20.5% · Q3 24.4% · Q4 15.2% · 4Q avg 19.9% · 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 | 20.9% |
19.3%
1.6 pts worse
|
16.3%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.3% · Q2 16.0% · Q3 13.5% · Q4 8.4% · 4Q avg 20.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.8% |
20.3%
4.5 pts better
|
14.9%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 18.3% · Q3 7.3% · Q4 9.4% · 4Q avg 15.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.2%
0.8 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
2.4%
0.8 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 0.0% · Q4 3.3% · 4Q avg 1.6% · 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 31.4% · Q2 23.0% · Q3 25.1% · Q4 33.5% · 4Q avg 28.2% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
6.1%
1 pts better
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.9% · Q3 3.5% · Q4 6.7% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.5% |
84.4%
12.9 pts worse
|
81.7%
10.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 77.5% · Q2 70.3% · Q3 61.8% · Q4 71.9% · 4Q avg 71.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.5% |
17.6%
5.9 pts worse
|
12.0%
11.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 23.6% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.9%
0.1 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.2% · Q3 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 65.8% |
78.9%
13.1 pts worse
|
79.7%
13.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 65.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.6% |
21.5%
0.1 pts worse
|
23.9%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.6% · Observed 20.8% · Expected 23.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-30 · Fire 2023-08-30
21 health deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-08-24 · Fire 2022-08-24
19 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2022-08-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-25
Inspection history
Recent health citations
L · Immediate jeopardy
2025-07-24
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 2025-08-22
L · Immediate jeopardy
2025-07-24
F841 · Nursing and Physician Services Deficiencies
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 2025-08-22
F · Potential for more than minimal harm
2025-07-24
F725 · Nursing and Physician Services Deficiencies
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 2025-08-22
F · Potential for more than minimal harm
2025-07-24
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-08-22
F · Potential for more than minimal harm
2025-07-24
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-08-22
F · Potential for more than minimal harm
2025-07-24
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-08-22
F · Potential for more than minimal harm
2025-07-24
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-08-22
F · Potential for more than minimal harm
2025-07-24
F865 · Administration Deficiencies
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-08-22
E · Potential for more than minimal harm
2025-07-24
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-22
E · Potential for more than minimal harm
2025-07-24
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-08-22
E · Potential for more than minimal harm
2025-07-24
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 2025-08-22
E · Potential for more than minimal harm
2025-07-24
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 2025-08-22
E · Potential for more than minimal harm
2025-07-24
F773 · Administration Deficiencies
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-24
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-24
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 2025-08-22
D · Potential for more than minimal harm
2025-07-24
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-24
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2025-08-22
J · Immediate jeopardy
2025-05-28
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 2025-06-09
J · Immediate jeopardy
2025-05-28
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-05-28
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-05-28
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-05-28
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 2025-06-09
F · Potential for more than minimal harm
2025-04-08
F841 · Nursing and Physician Services Deficiencies
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 2025-04-09
F · Potential for more than minimal harm
2025-04-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-09
F · Potential for more than minimal harm
2025-04-08
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-04-09
G · Actual harm
2025-03-28
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 2025-03-28
C · Minimal harm
2025-01-22
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Not marked corrected
F · Potential for more than minimal harm
2024-12-11
F725 · Nursing and Physician Services Deficiencies
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 2025-01-31
E · Potential for more than minimal harm
2024-12-11
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 2025-01-31
E · Potential for more than minimal harm
2024-12-11
F742 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-11
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 2025-01-31
D · Potential for more than minimal harm
2024-12-11
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 2025-01-31
D · Potential for more than minimal harm
2024-12-11
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-11
F773 · Administration Deficiencies
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-11-19
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-12-30
D · Potential for more than minimal harm
2024-11-19
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 2024-12-30
D · Potential for more than minimal harm
2024-11-19
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 2024-12-30
D · Potential for more than minimal harm
2024-09-24
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-09-23
D · Potential for more than minimal harm
2024-09-24
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-23
D · Potential for more than minimal harm
2024-04-26
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-05-28
D · Potential for more than minimal harm
2024-04-26
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 2024-04-25
D · Potential for more than minimal harm
2024-03-22
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-03-22
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-03-22
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-05-06
G · Actual harm
2023-11-21
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-12-20
F · Potential for more than minimal harm
2023-11-21
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 2023-12-20
D · Potential for more than minimal harm
2023-11-21
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 2023-12-20
G · Actual harm
2023-10-25
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 2023-11-28
G · Actual harm
2023-10-25
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 2023-11-28
G · Actual harm
2023-10-25
F690 · Quality of Life and Care Deficiencies
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 2023-11-28
F · Potential for more than minimal harm
2023-10-25
F725 · Nursing and Physician Services Deficiencies
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 2023-11-28
E · Potential for more than minimal harm
2023-08-30
F584 · Resident Rights Deficiencies
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 2023-10-03
E · Potential for more than minimal harm
2023-08-30
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 2023-10-03
E · Potential for more than minimal harm
2023-08-30
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-10-03
E · Potential for more than minimal harm
2023-08-30
F756 · Pharmacy Service Deficiencies
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 2023-10-03
D · Potential for more than minimal harm
2023-08-30
F635 · Resident Assessment and Care Planning Deficiencies
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2023-10-03
D · Potential for more than minimal harm
2023-08-30
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 2023-10-03
D · Potential for more than minimal harm
2023-08-30
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-03
D · Potential for more than minimal harm
2023-08-30
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-10-03
B · Minimal harm
2023-08-30
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 2023-10-03
B · Minimal harm
2023-08-30
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 2023-10-03
B · Minimal harm
2023-06-21
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Not marked corrected
D · Potential for more than minimal harm
2023-05-17
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 2023-06-12
D · Potential for more than minimal harm
2023-05-17
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 2023-06-12
D · Potential for more than minimal harm
2023-05-17
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-06-12
G · Actual harm
2023-04-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-10
G · Actual harm
2023-04-07
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-10
E · Potential for more than minimal harm
2023-04-07
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-05-10
E · Potential for more than minimal harm
2023-04-07
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 2023-05-10
E · Potential for more than minimal harm
2022-08-24
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 2022-12-13
E · Potential for more than minimal harm
2022-08-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-30
D · Potential for more than minimal harm
2022-08-24
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-09-30
D · Potential for more than minimal harm
2022-08-24
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-12-13
Penalties and ownership
What sits behind the stars
$256,522
2025-03-28
Fine
Fine · fine $256,522
Fine
$0
2025-03-28
Payment Denial
Payment Denial · denial start 2025-06-28 · 55 days
55 day denial
$97,013
2023-08-30
Fine
Fine · fine $97,013
Fine
$0
2023-08-30
Payment Denial
Payment Denial · denial start 2023-11-30 · 20 days
20 day denial
Ownership
Ahs Vt Opco Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Ahs Vt Opco Holdco LLC
Operational/Managerial Control · Organization
Ahs Vt Topco LLC
5% Or Greater Indirect Ownership Interest · Organization
Ahs Vt Topco LLC
Operational/Managerial Control · Organization
Allaire Health Services
Operational/Managerial Control · Organization
Brand Sonnenschine Llp
Operational/Managerial Control · Organization
Brecher, Chaim
Operational/Managerial Control · Individual
Career Staff Unlimited
Operational/Managerial Control · Organization
Cibc Bank Usa
Operational/Managerial Control · Organization
Clr Consulting Inc
Operational/Managerial Control · Organization
Kurland, Benjamin
5% Or Greater Indirect Ownership Interest · Individual
Kurland, Benjamin
Operational/Managerial Control · Individual
Kurland, Benjamin
Corporate Officer · Individual
Lawal, Alyssa
Operational/Managerial Control · Individual
Revv Staffing
Operational/Managerial Control · Organization
Steinbrecher, Barbara
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Pines Rehab & Health Center
Lyndonville, VT
3-star overall rating with 4-star inspections with 4 recent health deficiencies
#2
Greensboro Nursing Home
Greensboro, VT
4-star overall rating with 3-star inspections with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Union House Nursing Home
Glover, VT
3-star overall rating with 3-star inspections with $18,418 in total fines with 5 recent health deficiencies
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