ElderGrade
F

33/100

Poor

St. Johnsbury Health & Rehab

1248 Hospital Drive, Saint Johnsbury, VT 05819

CMS 1/5 stars #2 of 2 in Caledonia County (802) 748-8757
Certified beds
99
Occupancy
68%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 9 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $314,323 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 74%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 4 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 5 actual-harm citation(s) in the last 3 years
  • -10 for 71 total citations against a national median of 17

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.91 total nurse hours per resident per day (national median 3.77)
  • 0.83 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 74% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $314,323 in federal fines across 2 action(s)
  • -0 for 2 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.63 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.83 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.03 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 74.10%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 71 citations

Last standard health inspection: January 28, 2026 (6 months ago).

D May 4, 2026 F0550 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

D May 4, 2026 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

F Jan 28, 2026 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

E Jan 28, 2026 F0689

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 28, 2026 F0552

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

D Jan 28, 2026 F0578

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Jan 28, 2026 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D Jan 28, 2026 F0756

Pharmacy Service Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of ALLAIRE HEALTH SERVICES, which operates 20 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
KURLAND, NAOMI Individual INDIRECT OWNERSHIP INTEREST
KURLAND, BENJAMIN Individual CORPORATE OFFICER
AHS VT OPCO HOLDCO LLC Organization OPERATIONAL/MANAGERIAL CONTROL
AHS VT TOPCO LLC Organization OPERATIONAL/MANAGERIAL CONTROL
ALLAIRE HEALTH SERVICES Organization OPERATIONAL/MANAGERIAL CONTROL
BRAND SONNENSCHINE LLP Organization OPERATIONAL/MANAGERIAL CONTROL
CAREER STAFF UNLIMITED Organization OPERATIONAL/MANAGERIAL CONTROL
CIBC BANK USA Organization OPERATIONAL/MANAGERIAL CONTROL
CLR CONSULTING INC Organization OPERATIONAL/MANAGERIAL CONTROL
REVV STAFFING Organization OPERATIONAL/MANAGERIAL CONTROL
BRECHER, CHAIM Individual OPERATIONAL/MANAGERIAL CONTROL
KURLAND, BENJAMIN Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

Write a review

No family reviews yet for St. Johnsbury Health & Rehab. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about St. Johnsbury Health & Rehab

What is the ElderGrade for St. Johnsbury Health & Rehab? +

St. Johnsbury Health & Rehab holds an ElderGrade of F (33 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at St. Johnsbury Health & Rehab? +

Residents receive an average of 4.63 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has St. Johnsbury Health & Rehab been cited for harming residents? +

Yes. 9 of the 71 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does St. Johnsbury Health & Rehab accept Medicaid? +

Yes, St. Johnsbury Health & Rehab is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.