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Elderwood at Burlington

Open-data reference.

Elderwood at Burlington is a for profit - limited liability company facility in Burlington, VT with 150 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $252K.

98 Starr Farm Rd., Burlington, VT 05408

Phone: 8026586717

Overall Rating

1/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

1/5

Facility Information

Provider Number
475030
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
150
Residents
116
In Hospital
No
County
Chittenden
Last Inspection
Apr 2, 2025
Special Focus
SFF Candidate

Staffing Data

RN Hours
N/A (nat'l avg: 0.68)
LPN Hours
N/A
CNA Hours
N/A
Total Nursing Hours
N/A (nat'l avg: 3.89)
PT Hours
N/A
Nursing Turnover
68.4%
RN Turnover
61.9%

What the CMS Record Reveals About Elderwood at Burlington

Elderwood at Burlington operates 150 certified beds in Burlington, VT with approximately 116 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (1★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $252K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. This facility is currently designated "SFF Candidate" under the CMS Special Focus Facility program, reserved for providers with a persistent pattern of serious quality problems.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Elderwood at Burlington falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 68.4%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

C — Widespread - No harm Dec 10, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Jan 9, 2026

D — Isolated - Minimal harm Aug 11, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Sep 8, 2025

D — Isolated - Minimal harm Aug 11, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 8, 2025

D — Isolated - Minimal harm May 12, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 12, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 13, 2025

F — Widespread - Minimal harm Apr 2, 2025 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: May 17, 2025

E — Pattern - Minimal harm Apr 2, 2025 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: May 17, 2025

E — Pattern - Minimal harm Apr 2, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 17, 2025

E — Pattern - Minimal harm Apr 2, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: May 17, 2025

E — Pattern - Minimal harm Apr 2, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: May 17, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: May 17, 2025

E — Pattern - Minimal harm Apr 2, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: May 17, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 17, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 17, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 17, 2025

E — Pattern - Minimal harm Apr 2, 2025 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: May 17, 2025

E — Pattern - Minimal harm Apr 2, 2025 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: May 17, 2025

E — Pattern - Minimal harm Aug 15, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 27, 2024

F — Widespread - Minimal harm Aug 15, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 27, 2024

D — Isolated - Minimal harm Aug 15, 2024 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 27, 2024

E — Pattern - Minimal harm Aug 15, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 27, 2024

E — Pattern - Minimal harm Feb 23, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 28, 2024

E — Pattern - Minimal harm Feb 23, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 28, 2024

E — Pattern - Minimal harm Jan 11, 2024 Tag: 0949

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Category: Administration Deficiencies

Corrected: Feb 14, 2024

F — Widespread - Minimal harm Jan 11, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Feb 14, 2024

E — Pattern - Minimal harm Jan 11, 2024 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Feb 14, 2024

G — Isolated - Actual harm Jan 11, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Feb 14, 2024

E — Pattern - Minimal harm Jan 11, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 14, 2024

F — Widespread - Minimal harm Jan 11, 2024 Tag: 0841

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 14, 2024

F — Widespread - Minimal harm Jan 11, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 14, 2024

E — Pattern - Minimal harm Jan 11, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Feb 14, 2024

G — Isolated - Actual harm Jan 11, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Feb 14, 2024

E — Pattern - Minimal harm Jan 11, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 12, 2024

G — Isolated - Actual harm Jan 11, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Feb 14, 2024

F — Widespread - Minimal harm Jan 11, 2024 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 14, 2024

F — Widespread - Minimal harm Jan 11, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 14, 2024

E — Pattern - Minimal harm Jan 11, 2024 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0710

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 14, 2024

G — Isolated - Actual harm Jan 11, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 12, 2024

E — Pattern - Minimal harm Jan 11, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0691

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

E — Pattern - Minimal harm Jan 11, 2024 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

H — Pattern - Actual harm Jan 11, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 12, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 12, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

E — Pattern - Minimal harm Jan 11, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 14, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 29.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.6% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 10.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 79.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 34.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 28.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 63.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 36.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 22.4% Yes

Penalty History 2 penalties totaling $252K

Date Type Amount
Jan 11, 2024 Fine $221K
Jan 11, 2024 Payment Denial -
May 15, 2023 Fine $31K

Frequently Asked Questions

What is the overall CMS rating for Elderwood at Burlington?
Elderwood at Burlington has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (2★).
What are the staffing levels at Elderwood at Burlington?
Elderwood at Burlington reports N/A total nursing hours per resident day (national average: 3.89). RN hours are N/A per resident day (national average: 0.68). Nursing staff turnover is 68.4%.
How many beds does Elderwood at Burlington have?
Elderwood at Burlington has 150 certified beds with approximately 116 residents. The facility is located at 98 Starr Farm Rd., Burlington, VT 05408.
Does Elderwood at Burlington have any deficiencies on record?
Yes, Elderwood at Burlington has 50 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has Elderwood at Burlington received any fines or penalties?
Yes, Elderwood at Burlington has received 2 penalties totaling $252K.
Who owns Elderwood at Burlington?
Elderwood at Burlington is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Elderwood at Burlington last inspected?
The most recent health inspection for Elderwood at Burlington was on Apr 2, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Elderwood at Burlington?
Elderwood at Burlington is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial