Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Springfield Health & Rehab runs 102 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.88 hours per resident day, essentially dead even with the national average of 3.86. That parity disappears on weekends, when coverage drops roughly 15 percent below the home's own weekday levels. Annual staff turnover of 69 percent is well above the 45.8 percent national figure, which matters most when you consider that 77 deficiencies sit on the current record, including 18 at the harm or jeopardy level and 9 tied to abuse. Two CMS fines total $354,247, and the home is currently in the Special Focus Facility program.
Barre Gardens is a 96-bed for-profit partnership home in Washington County, and the numbers behind its record are hard to read past. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, and weekends run about 9% thinner than weekdays, and that staffing is being delivered by an unstable workforce, with annual turnover near 79% against a national average closer to 46%. The inspection record is what stands out most: 53 deficiencies, three at harm or jeopardy level, one abuse-related, and $142,045 in fines, all serious enough that CMS has placed the home in its Special Focus Facility program. Its most recent inspection was June 25, 2025.
Premier Rehab And Healthcare At Burlington runs 164 certified beds under for-profit LLC ownership, and its nurse staffing averages 4.16 hours per resident day, roughly 8% above the national average of 3.86. That number looks fine until you notice weekends drop about 9% below the home's own weekday level, and annual turnover sits at 70.4% against a national average of 45.8%. The inspection record is where the real weight lands: 34 deficiencies, including 6 at harm or jeopardy level and 7 tied to abuse, plus four fines totaling $137,679. The last inspection was December 17, 2025. Staffing above average, but a churning workforce and a serious deficiency pattern tell the fuller story.
St. Johnsbury Health & Rehab runs a for-profit operation under a limited liability company, and the numbers tell a split story. Nurse staffing averages 4.63 hours per resident day, roughly 20% above the national average, but weekends dip about 13% below weekday levels and annual turnover sits at 74.1% against a national 45.8%, so the coverage looks better on paper than it likely feels day to day.
The inspection record is where things get serious: 71 deficiencies on file, nine at harm or jeopardy level, nine abuse-related, and $314,323 in fines. CMS has placed the home in its Special Focus Facility program, and the most recent inspection was January 28, 2026.
Thompson House runs lean on inspection results, not on staff. The Brattleboro nonprofit, 43 beds, has averaged 4.95 nurse hours per resident day, roughly 28% above the national figure, yet CMS still gave it a single star for health inspections after seven deficiencies, three serious enough to involve harm or jeopardy, and a $112,499 fine.
Weekend coverage drops about 15% below weekday levels, and turnover sits at 56.1% against a 45.8% national average. Those two numbers matter when the same crew isn't there to catch what a thin weekend shift misses.
Being placed in the Special Focus Facility program means federal regulators are watching this home's correction plan directly. The last inspection was March 2026.
The Villa Rehab runs high on nurse hours, 5.08 per resident day, roughly a third more than the national average, but that staffing thins out on weekends by about 18%, and 61% of staff turned over in the last year against a national rate near 46%. The inspection record is where this home gets into trouble: 24 deficiencies, including four tied to abuse and one serious enough to put residents in immediate harm, plus $37,040 in fines across two penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and its last inspection was July 30, 2025. For-profit, limited liability ownership, 30 beds.
Vernon Green runs a real staffing advantage, 4.44 nurse hours per resident day against a national average of 3.86, and turnover at 36.2% versus 45.8% nationally. That's the good news, and it's genuine.
The trouble sits on the inspection side. Forty-three deficiencies on the current record, three serious enough to involve harm or jeopardy, five tied to abuse. One fine of $87,896. A two-star health inspection and two-star quality measure score pull against the five-star staffing. Weekend coverage also drops about 15% below the home's own weekday levels, so the strong average doesn't hold steady across the week.
A nonprofit with 60 beds and recent inspection activity in January 2026, worth asking directly about the abuse-related findings and what changed since.
The staffing numbers here look good on paper, 4.45 nurse hours per resident day, roughly 15% above the national average, but that average hides a problem: weekends run about 14% leaner than weekdays, so care thins out exactly when families tend to visit. Turnover sits at 57.6%, well above the 45.8% national figure, meaning nearly three in five caregivers left within the year. The health inspection side is where it gets more serious: 35 deficiencies on record, including 2 at the harm or jeopardy level and 4 tied to abuse, plus an $87,750 fine. The last inspection was April 8, 2026.
Woodridge Nursing Home in Barre runs a genuinely strong staffing operation, 4.94 nurse hours per resident day, roughly 28% above the national average of 3.86, which is what earns it a four-star staffing rating. That cushion matters, since weekend coverage drops about 18% below its own weekday level. The harder question is stability: annual turnover sits at 62.6% against a national 45.8%, meaning a large share of those hours are delivered by people who weren't there last year. The inspection record reflects that tension, 32 deficiencies on file, including 10 abuse-related citations and one at the harm level, with a two-star health inspection rating and a $21,453 fine. The most recent inspection was September 12, 2025.