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St. Johnsbury Health & Rehab

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St. Johnsbury Health & Rehab is a for profit - limited liability company facility in Saint Johnsbury, VT with 99 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $354K.

1248 Hospital Drive, Saint Johnsbury, VT 05819

Phone: 8027488757

Overall Rating

1/5

Health Inspection

1/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
475019
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
99
Residents
64
In Hospital
No
County
Caledonia
Last Inspection
Dec 11, 2024
Special Focus
SFF Candidate
Abuse citation on record

Staffing Data

RN Hours
0.48 (nat'l avg: 0.68)
LPN Hours
1.35
CNA Hours
2.72
Total Nursing Hours
4.55 (nat'l avg: 3.89)
PT Hours
0.13
Nursing Turnover
82.5%
RN Turnover
86.4%

What the CMS Record Reveals About St. Johnsbury Health & Rehab

St. Johnsbury Health & Rehab operates 99 certified beds in Saint Johnsbury, VT with approximately 64 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 (2★), and quality measures (3★). 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 8 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 $354K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.55 total nursing hours per resident day (national average 3.89), with RN coverage at 0.48 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature. 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, St. Johnsbury Health & Rehab 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 82.5%, 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)

F — Widespread - Minimal harm Jul 24, 2025 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Aug 22, 2025

L — Widespread - Jeopardy Jul 24, 2025 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: Aug 22, 2025

F — Widespread - Minimal harm Jul 24, 2025 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Aug 22, 2025

E — Pattern - Minimal harm Jul 24, 2025 Tag: 0773

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Category: Administration Deficiencies

Corrected: Aug 22, 2025

F — Widespread - Minimal harm Jul 24, 2025 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Aug 22, 2025

F — Widespread - Minimal harm Jul 24, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Aug 22, 2025

F — Widespread - Minimal harm Jul 24, 2025 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 22, 2025

F — Widespread - Minimal harm Jul 24, 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: Aug 22, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 22, 2025

D — Isolated - Minimal harm Jul 24, 2025 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: Aug 22, 2025

D — Isolated - Minimal harm Jul 24, 2025 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: Aug 22, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 22, 2025

E — Pattern - Minimal harm Jul 24, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 22, 2025

E — Pattern - Minimal harm Jul 24, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 22, 2025

E — Pattern - Minimal harm Jul 24, 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: Aug 22, 2025

E — Pattern - Minimal harm Jul 24, 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: Aug 22, 2025

L — Widespread - Jeopardy Jul 24, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 22, 2025

D — Isolated - Minimal harm May 28, 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: Jun 9, 2025

J — Isolated - Jeopardy May 28, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 28, 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: Jun 9, 2025

J — Isolated - Jeopardy May 28, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 28, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Jun 9, 2025

F — Widespread - Minimal harm Apr 8, 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: Apr 9, 2025

F — Widespread - Minimal harm Apr 8, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 9, 2025

F — Widespread - Minimal harm Apr 8, 2025 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: Apr 9, 2025

G — Isolated - Actual harm Mar 28, 2025 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: Mar 28, 2025

C — Widespread - No harm Jan 22, 2025 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

D — Isolated - Minimal harm Dec 11, 2024 Tag: 0773

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Category: Administration Deficiencies

Corrected: Jan 31, 2025

E — Pattern - Minimal harm Dec 11, 2024 Tag: 0742

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2025

F — Widespread - Minimal harm Dec 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: Jan 31, 2025

E — Pattern - Minimal harm Dec 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: Jan 31, 2025

D — Isolated - Minimal harm Dec 11, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Dec 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: Jan 31, 2025

D — Isolated - Minimal harm Dec 11, 2024 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Nov 19, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 30, 2024

D — Isolated - Minimal harm Nov 19, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 30, 2024

D — Isolated - Minimal harm Nov 19, 2024 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: Dec 30, 2024

D — Isolated - Minimal harm Sep 24, 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: Sep 23, 2024

D — Isolated - Minimal harm Sep 24, 2024 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 23, 2024

D — Isolated - Minimal harm Apr 26, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 25, 2024

D — Isolated - Minimal harm Apr 26, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 28, 2024

D — Isolated - Minimal harm Mar 22, 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: May 6, 2024

D — Isolated - Minimal harm Mar 22, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 6, 2024

D — Isolated - Minimal harm Mar 22, 2024 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 6, 2024

D — Isolated - Minimal harm Nov 21, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2023

G — Isolated - Actual harm Nov 21, 2023 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: Dec 20, 2023

F — Widespread - Minimal harm Nov 21, 2023 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: Dec 20, 2023

F — Widespread - Minimal harm Oct 25, 2023 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: Nov 28, 2023

G — Isolated - Actual harm Oct 25, 2023 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: Nov 28, 2023

G — Isolated - Actual harm Oct 25, 2023 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: Nov 28, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 15.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% 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 34.7% 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 4.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 89.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 71.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 20.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 25.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 65.8% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 19.9% Yes

Penalty History 2 penalties totaling $354K

Date Type Amount
Mar 28, 2025 Fine $257K
Mar 28, 2025 Payment Denial -
Aug 30, 2023 Fine $97K
Aug 30, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for St. Johnsbury Health & Rehab?
St. Johnsbury Health & Rehab has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (3★).
What are the staffing levels at St. Johnsbury Health & Rehab?
St. Johnsbury Health & Rehab reports 4.55 total nursing hours per resident day (national average: 3.89). RN hours are 0.48 per resident day (national average: 0.68). Nursing staff turnover is 82.5%.
How many beds does St. Johnsbury Health & Rehab have?
St. Johnsbury Health & Rehab has 99 certified beds with approximately 64 residents. The facility is located at 1248 Hospital Drive, Saint Johnsbury, VT 05819.
Does St. Johnsbury Health & Rehab have any deficiencies on record?
Yes, St. Johnsbury Health & Rehab has 50 deficiencies on record from recent inspections. Of these, 8 are classified as causing actual harm or jeopardy.
Has St. Johnsbury Health & Rehab received any fines or penalties?
Yes, St. Johnsbury Health & Rehab has received 2 penalties totaling $354K.
Who owns St. Johnsbury Health & Rehab?
St. Johnsbury Health & Rehab is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was St. Johnsbury Health & Rehab last inspected?
The most recent health inspection for St. Johnsbury Health & Rehab was on Dec 11, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for St. Johnsbury Health & Rehab?
St. Johnsbury Health & Rehab 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