Starfile / Vermont

St. Johnsbury Health & Rehab

1248 Hospital Drive, Saint Johnsbury, VT 05819 · CCN 475019

SFF Candidate Abuse icon

Inspection history vs Vermont & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$353,535

Number of fines

2

Number of penalties

4

Payment denials

2

Chain

Chain

ALLAIRE HEALTH SERVICES

Facilities in chain

20

Chain avg overall

2.30 / 5

Inspection citations (73)4 immediate jeopardy7 actual harm

1. LF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-24 · Health · corrected 2025-08-22

   Immediate jeopardy

2. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-24 · Health · corrected 2025-08-22

   Potential for more than minimal harm

3. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-07-24 · Health · corrected 2025-08-22

   Potential for more than minimal harm

4. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-24 · Health · corrected 2025-08-22

   Potential for more than minimal harm

5. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-24 · Health · corrected 2025-08-22

   Potential for more than minimal harm

6. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-24 · Health · corrected 2025-08-22

   Potential for more than minimal harm

7. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-24 · Health · corrected 2025-08-22

   Potential for more than minimal harm

8. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2025-07-24 · Health · corrected 2025-08-22

   Potential for more than minimal harm

9. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2025-07-24 · Health · corrected 2025-08-22

   Potential for more than minimal harm

10. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-07-24 · Health · corrected 2025-08-22

    Potential for more than minimal harm

11. FF0727Have 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.2025-07-24 · Health · corrected 2025-08-22

    Potential for more than minimal harm

12. FF0760Ensure that residents are free from significant medication errors.2025-07-24 · Health · corrected 2025-08-22

    Potential for more than minimal harm

13. FF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-07-24 · Health · corrected 2025-08-22

    Potential for more than minimal harm

14. EF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-07-24 · Health · corrected 2025-08-22

    Potential for more than minimal harm

15. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-07-24 · Health · corrected 2025-08-22

    Potential for more than minimal harm

16. LF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2025-07-24 · Health · corrected 2025-08-22

    Immediate jeopardy

17. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-07-24 · Health · corrected 2025-08-22

    Potential for more than minimal harm

18. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-05-28 · Health · corrected 2025-06-09

    Potential for more than minimal harm

19. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-28 · Health · corrected 2025-06-09

    Immediate jeopardy

20. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-28 · Health · corrected 2025-06-09

    Potential for more than minimal harm

21. JF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-28 · Health · corrected 2025-06-09

    Immediate jeopardy

22. DF0761Ensure 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.2025-05-28 · Health · corrected 2025-06-09

    Potential for more than minimal harm

23. FF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2025-04-08 · Health · corrected 2025-04-09

    Potential for more than minimal harm

24. FF0880Provide and implement an infection prevention and control program.2025-04-08 · Health · corrected 2025-04-09

    Potential for more than minimal harm

25. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-04-08 · Health · corrected 2025-04-09

    Potential for more than minimal harm

26. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-28 · Health · corrected 2025-03-28

    Actual harm

27. CF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-22 · Health

    Potential for minimal harm

28. DF0578Honor 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.2024-12-11 · Health · corrected 2025-01-31

    Potential for more than minimal harm

29. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-11 · Health · corrected 2025-01-31

    Potential for more than minimal harm

30. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-11 · Health · corrected 2025-01-31

    Potential for more than minimal harm

31. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-11 · Health · corrected 2025-01-31

    Potential for more than minimal harm

32. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-12-11 · Health · corrected 2025-01-31

    Potential for more than minimal harm

33. EF0742Provide 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.2024-12-11 · Health · corrected 2025-01-31

    Potential for more than minimal harm

34. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-12-11 · Health · corrected 2025-01-31

    Potential for more than minimal harm

35. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2024-11-19 · Health · corrected 2024-12-30

    Potential for more than minimal harm

36. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-19 · Health · corrected 2024-12-30

    Potential for more than minimal harm

37. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-19 · Health · corrected 2024-12-30

    Potential for more than minimal harm

38. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-09-24 · Health · corrected 2024-09-23

    Potential for more than minimal harm

39. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-24 · Health · corrected 2024-09-23

    Potential for more than minimal harm

40. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-04-26 · Health · corrected 2024-05-28

    Potential for more than minimal harm

41. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-26 · Health · corrected 2024-04-25

    Potential for more than minimal harm

42. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-03-22 · Health · corrected 2024-05-06

    Potential for more than minimal harm

43. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-03-22 · Health · corrected 2024-05-06

    Potential for more than minimal harm

44. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-22 · Health · corrected 2024-05-06

    Potential for more than minimal harm

45. FF0585Honor 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.2023-11-21 · Health · corrected 2023-12-20

    Potential for more than minimal harm

46. GF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-11-21 · Health · corrected 2023-12-20

    Actual harm

47. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-21 · Health · corrected 2023-12-20

    Potential for more than minimal harm

48. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-25 · Health · corrected 2023-11-28

    Actual harm

49. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-25 · Health · corrected 2023-11-28

    Actual harm

50. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-25 · Health · corrected 2023-11-28

    Actual harm

51. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-10-25 · Health · corrected 2023-11-28

    Potential for more than minimal harm

52. EF0584Honor 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.2023-08-30 · Health · corrected 2023-10-03

    Potential for more than minimal harm

53. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-08-30 · Health · corrected 2023-10-03

    Potential for minimal harm

54. BF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-08-30 · Health · corrected 2023-10-03

    Potential for minimal harm

55. DF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.2023-08-30 · Health · corrected 2023-10-03

    Potential for more than minimal harm

56. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-30 · Health · corrected 2023-10-03

    Potential for more than minimal harm

57. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-30 · Health · corrected 2023-10-03

    Potential for more than minimal harm

58. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-30 · Health · corrected 2023-10-03

    Potential for more than minimal harm

59. EF0692Provide enough food/fluids to maintain a resident's health.2023-08-30 · Health · corrected 2023-10-03

    Potential for more than minimal harm

60. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-08-30 · Health · corrected 2023-10-03

    Potential for more than minimal harm

61. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-08-30 · Health · corrected 2023-10-03

    Potential for more than minimal harm

62. BF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-06-21 · Health

    Potential for minimal harm

63. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-17 · Health · corrected 2023-06-12

    Potential for more than minimal harm

64. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-17 · Health · corrected 2023-06-12

    Potential for more than minimal harm

65. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-05-17 · Health · corrected 2023-06-12

    Potential for more than minimal harm

66. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-04-07 · Health · corrected 2023-05-10

    Potential for more than minimal harm

67. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-07 · Health · corrected 2023-05-10

    Actual harm

68. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-07 · Health · corrected 2023-05-10

    Actual harm

69. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-07 · Health · corrected 2023-05-10

    Potential for more than minimal harm

70. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-08-24 · Health · corrected 2022-12-13

    Potential for more than minimal harm

71. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-08-24 · Health · corrected 2022-09-30

    Potential for more than minimal harm

72. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-08-24 · Health · corrected 2022-12-13

    Potential for more than minimal harm

73. EF0880Provide and implement an infection prevention and control program.2022-08-24 · Health · corrected 2022-09-30

    Potential for more than minimal harm

Ownership

Other facilities in Saint Johnsbury

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.