Cycle 1
Health 2025-04-23 · Fire 2025-04-23
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Morrisville, VT
The Manor, Inc.
2-star overall rating with 3-star inspections with $140,856 in total fines with 2 recent health deficiencies
577 Washington Highway, Morrisville, VT
(802) 888-8700
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
72
Certified beds
Average residents
63
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2000-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.76
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.90 · national 0.87
Aide hours / resident day
2.71
Nurse aide staffing · state 2.60 · national 2.35
Total nurse hours
4.19
All reported nurse hours · state 4.31 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.71 · national 1.54
Weekend hours
3.74
Weekend nurse staffing · state 3.69 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.90
CMS adjusted RN staffing hours
Adjusted total hours
4.98
CMS adjusted total nurse staffing hours
Case-mix index
1.15
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 60% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,731
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.08
Composite VBP score used to determine payment impact.
Payment multiplier
1.0018
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.55
Baseline 18.21% · Performance 17.93% · Measure score 7.55 · Achievement 7.55 · Improvement 1.85
Healthcare-associated infections
4.34
Baseline 5.86% · Performance 6.54% · Measure score 4.34 · Achievement 4.34 · Improvement 0
Total nurse turnover
2.83
Performance 52.11% · Measure score 2.83 · Achievement 2.83 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
4.51
Baseline 3.22 hours · Performance 4.36 hours · Measure score 4.51 · Achievement 4.51 · Improvement 3.95
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.44% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 60 · Observed rate 6.67% · Lower 95% interval 6.87% |
| Discharge to community | 44.96% |
50.57%
5.6 pts worse
|
No Different than the National Rate · Eligible stays 55 · Observed rate 41.82% · Lower 95% interval 33.91% |
| Medicare spending per beneficiary | 1.16 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.37% |
95.27%
2.1 pts better
|
Numerator 37 · Denominator 38 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 38 |
| Discharge self-care score | 33.33% |
53.69%
20.4 pts worse
|
Numerator 11 · Denominator 33 |
| Discharge mobility score | 39.39% |
50.94%
11.5 pts worse
|
Numerator 13 · Denominator 33 |
| Pressure ulcers or injuries, new or worsened | 5.26% |
2.29%
3 pts worse
|
Numerator 2 · Denominator 38 · Adjusted rate 5.85% |
| Healthcare-associated infections requiring hospitalization | 6.54% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 40 · Observed rate 2.5% · Lower 95% interval 2.72% |
| Staff COVID-19 vaccination coverage | 14.29% |
8.2%
6.1 pts better
|
Numerator 13 · Denominator 91 |
| Staff flu vaccination coverage | 36.7% |
42%
5.3 pts worse
|
Numerator 40 · Denominator 109 |
| Discharge function score | 42.42% |
56.45%
14 pts worse
|
Numerator 14 · Denominator 33 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.5 |
1.4
0.9 pts better
|
1.9
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.5 · 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 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
95.4%
3.7 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.6%
2.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
5.9%
1 pts better
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.6% · Q3 5.4% · Q4 3.6% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
10.0%
8.6 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 1.8% · Q4 1.8% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 3.5% |
6.0%
2.5 pts better
|
5.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.5% · Q3 2.0% · Q4 0.0% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.1% |
16.4%
3.7 pts worse
|
19.6%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 19.6% · Q3 24.0% · Q4 19.2% · 4Q avg 20.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.6% |
20.9%
1.3 pts better
|
16.7%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 20.5% · Q3 15.6% · Q4 23.4% · 4Q avg 19.6% · 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 | 29.3% |
19.3%
10 pts worse
|
16.3%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 44.7% · Q3 22.8% · Q4 27.9% · 4Q avg 29.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 37.5% |
20.3%
17.2 pts worse
|
14.9%
22.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.5% · Q2 34.8% · Q3 40.0% · Q4 37.5% · 4Q avg 37.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
1.2%
0.1 pts better
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 1.4% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.6% |
2.4%
1.2 pts worse
|
1.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.4% · Q4 9.1% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.1% |
27.4%
6.7 pts worse
|
19.8%
14.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.2% · Q2 41.3% · Q3 29.5% · Q4 31.0% · 4Q avg 34.1% |
| Percentage of long-stay residents with pressure ulcers | 9.3% |
6.1%
3.2 pts worse
|
5.1%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 8.2% · Q3 10.0% · Q4 9.7% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.7% |
84.4%
3.7 pts worse
|
81.7%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 91.3% · Q2 88.9% · Q3 72.7% · Q4 75.0% · 4Q avg 80.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.2% |
17.6%
0.4 pts better
|
12.0%
5.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 16.1% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 9.0% |
1.9%
7.1 pts worse
|
1.6%
7.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 9.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.7% |
78.9%
10.8 pts better
|
79.7%
10 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.3% |
21.5%
9.8 pts worse
|
23.9%
7.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.3% · Observed 25.8% · Expected 19.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-07 · Fire 2024-02-07
7 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.
Cycle 3
Health 2023-02-15 · Fire 2023-02-15
8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
C · Minimal harm
2023-02-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Not marked corrected
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-11-25
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 2025-12-19
C · Minimal harm
2025-04-23
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Not marked corrected
J · Immediate jeopardy
2024-12-16
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 2024-11-14
J · Immediate jeopardy
2024-12-16
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-11-20
D · Potential for more than minimal harm
2024-12-16
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.
Corrected 2024-12-30
G · Actual harm
2024-02-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-02-07
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 2024-03-07
D · Potential for more than minimal harm
2024-02-07
F758 · Pharmacy Service Deficiencies
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 2024-03-07
D · Potential for more than minimal harm
2024-02-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-07
F · Potential for more than minimal harm
2023-02-15
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 2023-03-15
F · Potential for more than minimal harm
2023-02-15
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-03-15
F · Potential for more than minimal harm
2023-02-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-15
E · Potential for more than minimal harm
2023-02-15
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 2023-03-15
E · Potential for more than minimal harm
2023-02-15
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 2023-03-15
E · Potential for more than minimal harm
2023-02-15
F758 · Pharmacy Service Deficiencies
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 2023-03-15
D · Potential for more than minimal harm
2023-02-15
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-03-15
D · Potential for more than minimal harm
2023-02-15
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-03-15
Penalties and ownership
What sits behind the stars
$112,847
2024-12-16
Fine
Fine · fine $112,847
Fine
$28,009
2024-02-07
Fine
Fine · fine $28,009
Fine
Ownership
Coslett, Jeffrey
Corporate Director · Individual
Marron, Richard
Corporate Director · Individual
Norder, Angela
Corporate Director · Individual
Smith, Lynnette
5% Or Greater Direct Ownership Interest · Individual
Smith, Lynnette
Corporate Director · Individual
Smith, Lynnette
W-2 Managing Employee · Individual
Yacovone, Dave
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
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
#2
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
#3
Premier Rehab and Healthcare at Berlin
Barre, VT
0-star overall rating with 0-star inspections with Special Focus status with $390,404 in total fines with 11 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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