Federal inspection record · CMS data as of October 1, 2026
St. Johnsbury Health & Rehab
1248 Hospital Drive, Saint Johnsbury, VT · (802) 748-8757
- Special Focus Facility
- Certified beds
- 99
- Residents per day
- 70
- Ownership
- For-Profit
- Chain
- Allaire Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 4, 1971
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Vermont.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Vermont homes
St. Johnsbury Health & Rehab carries 264.5 inspection points. That is fewer than 3% of Vermont's 32 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Vermont: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–21 pts
- 4★ 21–58 pts
- 3★ 58–81 pts
- 2★ 81–150 pts
- 1★ over 150 pts
Bars show every rated home in Vermont by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
71 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (9)
-
L
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
L
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure services provided by the nursing facility meet professional standards of quality.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Everything else, by area of care
Resident Rights12F
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
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.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- F
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.
- E
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.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
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.
Resident Assessment and Care Planning12E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- C
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care10E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Nursing and Physician Services7F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
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.
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- F
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pharmacy Service6F
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- F
Ensure that residents are free from significant medication errors.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Freedom from Abuse, Neglect, and Exploitation6E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Administration5F
- F
Provide timely, quality laboratory services/tests to meet the needs of residents.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- E
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-01-28
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-12-11
37 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (7 deficiencies)
2023-08-30
24 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 30 min of nursing staff time a day, 55 min of it from a registered nurse.
This home
4 h 30 min
Vermont average
4 h 18 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 68% of nursing staff and 46% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$217,310 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-28 | Fine | $217,310 |
| 2025-03-28 | Payment Denial · 55 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.2 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.7 pts worse | 5.5 | 2.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.7 pts worse | 79.6% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.5 pts worse | 95.5% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 4.8% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms42 pts worse | 56.6% | 14.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts better | 6.4% | 6.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14.5 pts worse | 31.1% | 16.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.6 pts better | 14.4% | 20.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.3 pts better | 5.1% | 16.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.2 pts better | 6.6% | 19.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.5% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 2.5% | 2.3% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.3 pts worse | 27.8% | 25.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts worse | 5.8% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.6 pts worse | 81.0% | 83.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts worse | 22.3% | 18.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.3 pts better | 91.3% | 81.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.6 pts worse | 25.8% | 22.2% | 23.4% |
·
Who owns and runs it
28 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ahs Vt Opco Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| 1248 Hospital Drive Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ahs Vt Opco Holdco LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Ahs Vt Propco Holdco LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Ahs Vt Topco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Ahs Vt Topco LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Ahs Vt Topco LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Allaire Health Services | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Brand Sonnenschine Llp | Operational/Managerial Control · Organization | 0% | 63 facilities |
| Brand Sonnenschine Llp | Adp Of The SNF · Organization | 0% | 63 facilities |
| Brecher, Chaim | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Brecher, Chaim | Adp Of The SNF · Individual | 0% | 4 facilities |
| Career Staff Unlimited | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Cibc Bank Usa | Operational/Managerial Control · Organization | 0% | 208 facilities |
| Cibc Bank Usa | Adp Of The SNF · Organization | 0% | 208 facilities |
| Clr Consulting Inc | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Clr Consulting Inc | Adp Of The SNF · Organization | 0% | 3 facilities |
| Digacore Consulting | Adp Of The SNF · Organization | 0% | 9 facilities |
| Kurland, Benjamin | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 23 facilities |
| Kurland, Benjamin | Corporate Officer · Individual | 0% | 23 facilities |
| Kurland, Benjamin | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Kurland, Benjamin | Adp Of The SNF · Individual | 0% | 23 facilities |
| Kurland, Naomi | Indirect Ownership Interest · Individual | 0% | 5 facilities |
| Lawal, Alyssa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lawal, Alyssa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Revv Staffing | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Steinbrecher, Barbara | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Steinbrecher, Barbara | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
Pines Rehab & Health Center
Lyndonville, VT
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 33 min
- Fines
- $0
-
Greensboro Nursing Home
Greensboro, VT
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 56 min
- Fines
- $0
-
Union House Nursing Home
Glover, VT
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 15 min
- Fines
- $103,512