St. Johnsbury Health & Rehab
1248 Hospital Drive · Saint Johnsbury, VT · 05819 · 8027488757
99 certified beds For profit - Limited Liability company Chain: Allaire Health Services
Why this verdict
- Carries CMS’s abuse warning icon.
- 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: $217,310 in fines in the last 24 months.
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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
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.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$217,310 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
78% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.66 | 0.55–0.75 |
| Weekend hours / resident-day | 4.17 | ≈ weekday level |
| Nursing turnover / year | 78% | median 45% |
| Fines (3-yr window) | 2 · $314,323 |
Inspection citations (70 in the current record)
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Potential for harm · D January 28, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · D January 28, 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 27, 2026 · Resident Rights
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Potential for harm · D January 28, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · E January 28, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · D January 28, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 27, 2026 · Pharmacy Service
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Potential for harm · D January 28, 2026
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 February 27, 2026 · Pharmacy Service
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Potential for harm · F January 28, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 27, 2026 · Nutrition and Dietary
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Potential for harm · D January 28, 2026
Provide and implement an infection prevention and control program.
Corrected February 27, 2026 · Infection Control
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Immediate jeopardy · L July 24, 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 August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L July 24, 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 August 22, 2025 · Nursing and Physician Services
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Potential for harm · E July 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 24, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 24, 2025 · 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 August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 24, 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 August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025 · found via complaint
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected August 22, 2025 · Nursing and Physician Services
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Potential for harm · D July 24, 2025 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected August 22, 2025 · Nursing and Physician Services
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Potential for harm · F July 24, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 22, 2025 · Nursing and Physician Services
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Potential for harm · F July 24, 2025 · found via complaint
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.
Corrected August 22, 2025 · Nursing and Physician Services
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Potential for harm · F July 24, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 22, 2025 · Pharmacy Service
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Potential for harm · F July 24, 2025 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected August 22, 2025 · Administration
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Potential for harm · E July 24, 2025 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected August 22, 2025 · Administration
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Potential for harm · F July 24, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected August 22, 2025 · Administration
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Potential for harm · F July 24, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected August 22, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 28, 2025 | Fine | $217,310 |
| March 28, 2025 | Payment Denial | 55 days |
| August 30, 2023 | Fine | $97,013 |
| August 30, 2023 | Payment Denial | 20 days |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 475019 · certified since October 4, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.