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St. Johnsbury Health & RehabCMS ratings, inspections and fines

Address
1248 Hospital Drive, Saint Johnsbury, VT 05819
CCN
475019
Ownership type
For-profit, limited liability company
Certified beds
99
Residents per day
67
CMS flags
  • Special Focus Facility candidate
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating3 of 5
Quality measure rating3 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives St. Johnsbury Health & Rehab an overall rating of 1 of 5 stars. The last standard survey was on 28 Jan 2026. The latest survey cycle has 10 health citations. The median for nursing homes in Vermont is 7. CMS lists 2 fines with a total of $314,323 for this home in its penalties file. CMS also lists 2 payment denials.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of St. Johnsbury Health & Rehab, with medians
Rating (1 to 5 stars)This homeCaledonia County medianVermont medianUS average (CMS)
Overall rating14.03.03.0
Health inspection rating14.03.02.8
Staffing rating34.04.02.9
Quality measure rating33.03.03.6

A median is the middle value of the homes in the group: 2 homes in the county, 33 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of St. Johnsbury Health & Rehab in the last three survey cycles
Survey cycleStandard surveyCitationsVermont median
Cycle 1 (latest)28 Jan 2026107
Cycle 211 Dec 2024397
Cycle 3No date227

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 71 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0

Survey cycle 1 (latest): 10 citations

Standard survey of this cycle: .

Health citations of St. Johnsbury Health & Rehab in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
4 May 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation13 Jun 2026
4 May 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation13 Jun 2026
28 Jan 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey27 Feb 2026
28 Jan 2026F0578Honor 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.DStandard survey27 Feb 2026
28 Jan 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey27 Feb 2026
28 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey27 Feb 2026
28 Jan 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey27 Feb 2026
28 Jan 2026F0761Ensure 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.DStandard survey27 Feb 2026
28 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey27 Feb 2026
28 Jan 2026F0880Provide and implement an infection prevention and control program.DStandard survey27 Feb 2026

Survey cycle 2: 39 citations

Standard survey of this cycle: .

Health citations of St. Johnsbury Health & Rehab in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
24 Jul 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.LComplaint investigation22 Aug 2025
24 Jul 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation22 Aug 2025
24 Jul 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEComplaint investigation22 Aug 2025
24 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation22 Aug 2025
24 Jul 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation22 Aug 2025
24 Jul 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation22 Aug 2025
24 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation22 Aug 2025
24 Jul 2025F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint investigation22 Aug 2025
24 Jul 2025F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DComplaint investigation22 Aug 2025
24 Jul 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation22 Aug 2025
24 Jul 2025F0727Have 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.FComplaint investigation22 Aug 2025
24 Jul 2025F0760Ensure that residents are free from significant medication errors.FComplaint investigation22 Aug 2025
24 Jul 2025F0770Provide timely, quality laboratory services/tests to meet the needs of residents.FComplaint investigation22 Aug 2025
24 Jul 2025F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.EComplaint investigation22 Aug 2025
24 Jul 2025F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint investigation22 Aug 2025
24 Jul 2025F0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.LComplaint investigation22 Aug 2025
24 Jul 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint investigation22 Aug 2025
28 May 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation9 Jun 2025
28 May 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation9 Jun 2025
28 May 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation9 Jun 2025
28 May 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.JComplaint investigation9 Jun 2025
28 May 2025F0761Ensure 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.DComplaint investigation9 Jun 2025
8 Apr 2025F0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.FComplaint investigation9 Apr 2025
8 Apr 2025F0880Provide and implement an infection prevention and control program.FComplaint investigation9 Apr 2025
8 Apr 2025F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint investigation9 Apr 2025
28 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation28 Mar 2025
22 Jan 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.CComplaint investigationDeficient, Provider has no plan of correction
11 Dec 2024F0578Honor 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.DStandard survey31 Jan 2025
11 Dec 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey31 Jan 2025
11 Dec 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey31 Jan 2025
11 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey31 Jan 2025
11 Dec 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey31 Jan 2025
11 Dec 2024F0742Provide 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.EStandard survey31 Jan 2025
11 Dec 2024F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard survey31 Jan 2025
19 Nov 2024F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint investigation30 Dec 2024
19 Nov 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation30 Dec 2024
19 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation30 Dec 2024
24 Sep 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation23 Sep 2024
24 Sep 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation23 Sep 2024

Survey cycle 3: 22 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of St. Johnsbury Health & Rehab in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
26 Apr 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint investigation28 May 2024
26 Apr 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation25 Apr 2024
22 Mar 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation6 May 2024
22 Mar 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation6 May 2024
22 Mar 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation6 May 2024
21 Nov 2023F0585Honor 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.FComplaint investigation20 Dec 2023
21 Nov 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedGComplaint investigation20 Dec 2023
21 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation20 Dec 2023
25 Oct 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation28 Nov 2023
25 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation28 Nov 2023
25 Oct 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint investigation28 Nov 2023
25 Oct 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation28 Nov 2023
30 Aug 2023F0584Honor 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.EComplaint investigation3 Oct 2023
30 Aug 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard survey3 Oct 2023
30 Aug 2023F0625Notify 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.BStandard survey3 Oct 2023
30 Aug 2023F0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DStandard survey3 Oct 2023
30 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey3 Oct 2023
30 Aug 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey3 Oct 2023
30 Aug 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey3 Oct 2023
30 Aug 2023F0692Provide enough food/fluids to maintain a resident's health.EStandard survey3 Oct 2023
30 Aug 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey3 Oct 2023
30 Aug 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey3 Oct 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of St. Johnsbury Health & Rehab in the CMS penalties file
DateTypeFineDays without payment
28 Mar 2025Fine$217,310
28 Mar 2025Payment denial55
30 Aug 2023Fine$97,013
30 Aug 2023Payment denial20

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at St. Johnsbury Health & Rehab
StaffThis homeVermont medianVermont average (CMS)
All nurse staff4.634.104.22
Registered nurses (RN)0.830.700.80
Licensed practical nurses (LPN)1.220.88
Nurse aides2.582.54
All nurse staff, weekends4.033.703.66
Nurse staff turnover in a year
74.1%
Nurse staff turnover, Vermont median
58.5%
RN turnover in a year
54.5%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of St. Johnsbury Health & Rehab, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeVermont medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay7.2%20.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.5%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.5%2.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.5%5.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay7.7%17.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.6%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.9%19.5%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
1248 Hospital Drive Opco LLC
Chain
Allaire Health Services (20 homes in the CMS chain file)
Organisations in the CMS ownership record of St. Johnsbury Health & Rehab
OrganisationRole in the CMS recordInterestSince
Ahs VT Opco Holdco LLC5% or greater direct ownership interest100%18 Dec 2024
Ahs VT Topco LLC5% or greater indirect ownership interest18 Dec 2024
Ahs VT Opco Holdco LLCOperational/managerial control18 Dec 2024
Ahs VT Topco LLCOperational/managerial control18 Dec 2024
Allaire Health ServicesOperational/managerial control18 Dec 2024
Brand Sonnenschine LLPOperational/managerial control18 Dec 2024
Cibc Bank USAOperational/managerial control18 Dec 2024
CLR Consulting IncOperational/managerial control18 Dec 2024
1248 Hospital Drive Propco LLCAdp of the snf18 Dec 2024
Ahs VT Propco Holdco LLCAdp of the snf18 Dec 2024
Ahs VT Topco LLCAdp of the snf18 Dec 2024
Brand Sonnenschine LLPAdp of the snf9 Apr 2025
Cibc Bank USAAdp of the snf25 Mar 2025
CLR Consulting IncAdp of the snf9 Apr 2025

The site shows organisations only. It does not show the names of persons.

Other homes in Caledonia County

The other nursing home in Caledonia County, Vermont
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Pines Rehab & Health CenterLyndonville4 of 52$011 Feb 2026

All 2 nursing homes in Caledonia County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of St. Johnsbury Health & Rehab (CCN 475019). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/st-johnsbury-health-rehab-saint-johnsbury-vt-475019/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was St. Johnsbury Health & Rehab last inspected?
The latest inspection with a citation in the CMS record was on 4 May 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 11 Dec 2024.
Who operates St. Johnsbury Health & Rehab?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Allaire Health Services. The CMS ownership file names 6 organisations for operational or managerial control. This site does not show the names of persons.
What does the Special Focus status mean for St. Johnsbury Health & Rehab?
CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 1 home in Vermont as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.