Premier Rehab and Healthcare at Berlin
98 Hospitality Drive · Barre, VT · 05641 · 8022290308
115 certified beds For profit - Limited Liability company Chain: Stellar Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $158,555 in fines in the last 24 months.
- 8 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$158,555 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
81% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.90 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 81% | median 45% |
| Fines (3-yr window) | 3 · $307,847 |
Inspection citations (67 in the current record)
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Potential for harm · D February 4, 2026
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.
Corrected February 26, 2026 · Resident Rights
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Potential for harm · F February 4, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 26, 2026 · Nutrition and Dietary
-
Potential for harm · D August 6, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 11, 2025 · Resident Rights
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Potential for harm · D August 6, 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 September 11, 2025 · Pharmacy Service
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Potential for harm · E August 6, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 11, 2025 · Nutrition and Dietary
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Potential for harm · D August 6, 2025
Provide and implement an infection prevention and control program.
Corrected September 11, 2025 · Infection Control
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Potential for harm · D August 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 11, 2025 · Quality of Life and Care
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Immediate jeopardy · J May 8, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 16, 2025 · Resident Rights
-
Potential for harm · E May 8, 2025 · 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 May 16, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E May 8, 2025 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected May 16, 2025 · Nursing and Physician Services
-
Potential for harm · E May 8, 2025 · found via complaint
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.
Corrected May 16, 2025 · Nursing and Physician Services
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Potential for harm · F May 8, 2025 · found via complaint
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected May 16, 2025 · Nursing and Physician Services
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Potential for harm · D February 6, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 12, 2025 · Resident Rights
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Potential for harm · D February 6, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 12, 2025 · Resident Rights
-
Potential for harm · D February 6, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 12, 2025 · Quality of Life and Care
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Potential for harm · E February 6, 2025
Provide activities to meet all resident's needs.
Corrected March 12, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected March 12, 2025 · Quality of Life and Care
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Potential for harm · F February 6, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 12, 2025 · Nursing and Physician Services
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Potential for harm · D February 6, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected March 12, 2025 · Pharmacy Service
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Potential for harm · D February 6, 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 March 12, 2025 · Pharmacy Service
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Potential for harm · E February 6, 2025
Provide or obtain dental services for each resident.
Corrected March 12, 2025 · Quality of Life and Care
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Potential for harm · F February 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 12, 2025 · Nutrition and Dietary
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Potential for harm · D February 6, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected March 12, 2025 · Nutrition and Dietary
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Potential for harm · F February 6, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected March 12, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 8, 2025 | Fine | $80,698 |
| August 19, 2024 | Fine | $77,857 |
| February 1, 2024 | Fine | $149,292 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 475020 · certified since August 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.