Franklin County Rehab Center, LLC

110 Fairfax Road · St. Albans, VT · 05478 · 8027521600

64 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.

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Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 72
Serious harm & abuse 20% 100
Staffing 20% 92
Federal penalties 15% 82
Trend 10% 18
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day5.193.48 min · 4.1 strong
RN hours / resident-day1.570.55–0.75
Weekend hours / resident-day4.41≈ weekday level
Nursing turnover / year47%median 45%
Fines (3-yr window)none

Inspection citations (6 in the current record)

  • Potential for harm · E April 22, 2026 · found via complaint

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

    Corrected June 2, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 22, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected June 2, 2026 · Pharmacy Service

  • Potential for harm · D March 12, 2025

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

    Corrected April 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 12, 2025

    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 April 11, 2025 · Pharmacy Service

  • Potential for harm · E March 12, 2025

    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 April 1, 2025 · Pharmacy Service

  • Potential for harm · D December 6, 2023

    Provide or obtain dental services for each resident.

    Corrected December 22, 2023 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
May 6, 2024Payment Denial25 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 475047 · certified since May 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.