Saint Albans Healthcare and Rehabilitation Center

596 Sheldon Road · Saint Albans, VT · 05478 · 8025246534

115 certified beds For profit - Corporation Chain: Genesis Healthcare

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $148,714 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

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.

Get the Safety Report

Red flags

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$148,714 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 33
Serious harm & abuse 20% 40
Staffing 20% 70
Federal penalties 15% 44
Trend 10% 39
Context 5% 100

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.523.48 min · 4.1 strong
RN hours / resident-day0.810.55–0.75
Weekend hours / resident-day3.17≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)2 · $148,714

Inspection citations (19 in the current record)

  • Potential for harm · E February 25, 2026

    Provide and implement an infection prevention and control program.

    Corrected April 8, 2026 · Infection Control

  • Potential for harm · D December 22, 2025 · found via complaint

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

    Corrected January 20, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J July 22, 2025 · found via complaint

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

    Corrected August 12, 2025 · Quality of Life and Care

  • Immediate jeopardy · J July 22, 2025 · found via complaint

    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.

    Corrected August 12, 2025 · Quality of Life and Care

  • Potential for harm · F January 28, 2025

    Honor 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.

    Corrected March 10, 2025 · Resident Rights

  • Potential for harm · D January 28, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 28, 2025

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

    Corrected March 10, 2025 · Quality of Life and Care

  • Potential for harm · D January 28, 2025

    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.

    Corrected March 10, 2025 · Quality of Life and Care

  • Potential for harm · F January 28, 2025

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

    Corrected March 10, 2025 · Nutrition and Dietary

  • Potential for harm · F January 28, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 10, 2025 · Infection Control

  • Potential for harm · E October 4, 2023

    Honor 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.

    Corrected November 3, 2023 · Resident Rights

  • Potential for harm · D October 4, 2023

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

    Corrected November 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 4, 2023

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected November 3, 2023 · Pharmacy Service

  • Potential for harm · F October 4, 2023

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

    Corrected November 3, 2023 · Nutrition and Dietary

  • Potential for harm · D June 12, 2023 · found via complaint

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

    Corrected July 12, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E June 12, 2023 · found via complaint

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

    Corrected July 12, 2023 · Quality of Life and Care

  • Potential for harm · E June 12, 2023 · found via complaint

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

    Corrected July 12, 2023 · Administration

  • Potential for harm · E June 12, 2023 · found via complaint

    Keep complete, dated laboratory records in the resident's record.

    Corrected July 12, 2023 · Administration

  • No harm found · C June 12, 2023 · found via complaint

    Post nurse staffing information every day.

    Corrected July 12, 2023 · Nursing and Physician Services

Federal penalties

DateTypeAmount / length
July 22, 2025Fine$115,044
January 28, 2025Fine$33,670

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 475021 · certified since May 16, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.