6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Rutland, VT
4-star overall rating with 4-star inspections with $8,512 in total fines with 6 recent health deficiencies
99 Allen Street, Rutland, VT
(802) 775-2331
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
125
Certified beds
Average residents
113
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Health Care Associates
Operator or chain grouping
Approved since
1971-09-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 3 overall / 3 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
0.89
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 0.90 · national 0.87
Aide hours / resident day
2.10
Nurse aide staffing · state 2.60 · national 2.35
Total nurse hours
3.74
All reported nurse hours · state 4.31 · national 3.89
Licensed hours
1.64
RN + LPN hours · state 1.71 · national 1.54
Weekend hours
3.14
Weekend nurse staffing · state 3.69 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.79
CMS adjusted RN staffing hours
Adjusted total hours
3.34
CMS adjusted total nurse staffing hours
Case-mix index
1.53
Higher values indicate more complex resident acuity
RN turnover
19%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 60% · national 46%
SNF VBP
Program rank
5,469
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.07
Composite VBP score used to determine payment impact.
Payment multiplier
0.9896
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.12
Baseline 17.87% · Performance 19.52% · Measure score 4.12 · Achievement 4.12 · Improvement 0
Healthcare-associated infections
8.06
Baseline 6.54% · Performance 5.43% · Measure score 8.06 · Achievement 8.06 · Improvement 6.72
Total nurse turnover
1.06
Baseline 67.18% · Performance 60.58% · Measure score 1.06 · Achievement 0.76 · Improvement 1.06
Adjusted total nurse staffing
1.19
Baseline 2.95 hours · Performance 3.42 hours · Measure score 1.19 · Achievement 1.19 · Improvement 1.13
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.86% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 311 · Observed rate 10.29% · Lower 95% interval 8.6% |
| Discharge to community | 56.99% |
50.57%
6.4 pts better
|
Better than the National Rate · Eligible stays 324 · Observed rate 52.16% · Lower 95% interval 51.36% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 95.89% |
95.27%
0.6 pts better
|
Numerator 210 · Denominator 219 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 219 |
| Discharge self-care score | 56.57% |
53.69%
2.9 pts better
|
Numerator 56 · Denominator 99 |
| Discharge mobility score | 61.62% |
50.94%
10.7 pts better
|
Numerator 61 · Denominator 99 |
| Pressure ulcers or injuries, new or worsened | 4.11% |
2.29%
1.8 pts worse
|
Numerator 9 · Denominator 219 · Adjusted rate 3.3% |
| Healthcare-associated infections requiring hospitalization | 5.43% |
7.12%
1.7 pts better
|
No Different than the National Rate · Eligible stays 205 · Observed rate 3.9% · Lower 95% interval 3.57% |
| Staff COVID-19 vaccination coverage | 13.33% |
8.2%
5.1 pts better
|
Numerator 22 · Denominator 165 |
| Staff flu vaccination coverage | 51.61% |
42%
9.6 pts better
|
Numerator 128 · Denominator 248 |
| Discharge function score | 67.68% |
56.45%
11.2 pts better
|
Numerator 67 · Denominator 99 |
| Transfer of health information to provider | 83.03% |
95.95%
12.9 pts worse
|
Numerator 137 · Denominator 165 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 52.63% |
25.2%
27.4 pts better
|
Numerator 60 · Denominator 114 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.4
0.3 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.2 · Expected 2.1 · 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 | 87.9% |
95.4%
7.5 pts worse
|
93.4%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 73.0% · Q2 87.4% · Q3 93.4% · Q4 97.8% · 4Q avg 87.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
97.6%
1.4 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.3% |
5.9%
0.4 pts worse
|
3.3%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 6.3% · Q3 6.6% · Q4 5.6% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.3% |
10.0%
3.3 pts worse
|
11.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 10.5% · Q3 11.0% · Q4 16.2% · 4Q avg 13.3% |
| Percentage of long-stay residents who lose too much weight | 4.1% |
6.0%
1.9 pts better
|
5.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.5% · Q3 2.5% · Q4 6.5% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.7% |
16.4%
7.3 pts worse
|
19.6%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 24.4% · Q3 22.0% · Q4 22.8% · 4Q avg 23.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.1% |
20.9%
5.8 pts better
|
16.7%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 17.2% · Q3 13.4% · Q4 13.4% · 4Q avg 15.1% · 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 | 21.9% |
19.3%
2.6 pts worse
|
16.3%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 18.5% · Q3 32.9% · Q4 7.9% · 4Q avg 21.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.5% |
20.3%
4.8 pts better
|
14.9%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 17.3% · Q3 21.4% · Q4 6.0% · 4Q avg 15.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.2%
0.7 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
2.4%
0.7 pts better
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.1% · Q3 3.4% · Q4 1.1% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.2% |
27.4%
4.8 pts worse
|
19.8%
12.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.8% · Q2 35.9% · Q3 27.9% · Q4 29.3% · 4Q avg 32.2% |
| Percentage of long-stay residents with pressure ulcers | 8.8% |
6.1%
2.7 pts worse
|
5.1%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 10.7% · Q3 6.9% · Q4 5.4% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.3% |
84.4%
4.9 pts better
|
81.7%
7.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 82.1% · Q2 89.0% · Q3 93.9% · Q4 92.1% · 4Q avg 89.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.1% |
17.6%
2.5 pts better
|
12.0%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.1% · Observed 14.5% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
1.9%
0.7 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.5% · Q3 3.4% · Q4 1.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.0% |
78.9%
13.1 pts better
|
79.7%
12.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.6% |
21.5%
5.9 pts better
|
23.9%
8.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.6% · Observed 16.1% · Expected 24.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Not marked corrected
Fire Safety
Meet other general requirements that are deficient.
Corrected 2021-09-24
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2021-09-24
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2021-09-24
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2021-09-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-09-24
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-09-24
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-09-24
Inspection history
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-01-05
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-01-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-05
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2026-01-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-15
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-10-25
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-10-25
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-25
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 2024-10-25
Health
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Corrected 2024-10-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-23
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 2023-09-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-18
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 2023-09-18
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 2023-09-18
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-09-18
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-12
Health
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected 2023-06-12
Penalties and ownership
Fine · fine $8,512
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Nearby options
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4-star overall rating with 3-star inspections with $19,390 in total fines with 15 recent health deficiencies
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Ludlow, VT
5-star overall rating with 4-star inspections with 6 recent health deficiencies
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