St. Johnsbury Health & Rehab

Special Focus Facility candidate · Caledonia · VT · For profit - Limited Liability company · ALLAIRE HEALTH SERVICES chain · 99 certified beds · CCN 475019 · 1248 HOSPITAL DRIVE OPCO LLC


St. Johnsbury Health & Rehab operates 99 certified beds in Saint Johnsbury, Vermont. Its Medicare and Medicaid certification dates to 1971-10-04. It averages 67.3 residents a day.

What harm was found in the violations cited at St. Johnsbury Health & Rehab?

CMS lists 71 health-inspection deficiencies for St. Johnsbury Health & Rehab, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-05-04.

Survey dateTagDeficiencySeverity
2026-05-04F0550, F0657Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2026-01-28F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-01-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2026-01-28F0552, F0578, F0628, F0756, F0761, F0880Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide and implement an infection prevention and control program.D
2025-07-24F0600, F0841Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.L
2025-07-24F0725, F0727, F0760, F0770, F0835, F0865Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Ensure that residents are free from significant medication errors. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Have a plan that describes the process for conducting QAPI and QAA activities.F
2025-07-24F0609, F0655, F0656, F0657, F0773Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.E
2025-07-24F0686, F0689, F0710, F0712Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Ensure that the resident and his/her doctor meet face-to-face at all required visits.D
2025-05-28F0600, F0658Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure services provided by the nursing facility meet professional standards of quality.J
2025-05-28F0554, F0628, F0761Allow residents to self-administer drugs if determined clinically appropriate. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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.D
2025-04-08F0841, F0880, F0882Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2025-03-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-01-22F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.C
2024-12-11F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F
2024-12-11F0689, F0742Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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.E
2024-12-11F0578, F0677, F0686, F0773Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D
2024-11-19F0568, F0600, F0656Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-09-24F0602, F0609Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-04-26F0645, F0656PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-03-22F0602, F0607, F0755Protect each resident from the wrongful use of the resident's belongings or money. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-11-21F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedG
2023-11-21F0585Honor 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.F
2023-11-21F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-10-25F0600, F0689, F0690Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G
2023-10-25F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F
2023-08-30F0584, F0656, F0692, F0756Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide enough food/fluids to maintain a resident's health. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E
2023-08-30F0635, F0657, F0684, F0740Provide doctor's orders for the resident's immediate care at the time the resident was admitted. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D
2023-08-30F0623, F0625Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify 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.B

Why was St. Johnsbury Health & Rehab fined 2 times?

DateTypeAmount
2025-03-28Fine$217,310
2023-08-30Fine$97,013

Has St. Johnsbury Health & Rehab had payment denied by Medicare more than once?

Payment denial startLength in days
2025-06-2855
2023-11-3020

How is St. Johnsbury Health & Rehab staffed?

MeasureThis facilityVT average
Total nurse staffing hours per resident per day4.630804.22030
Total nursing staff turnover (%)74.155.4
Average number of residents per day67.374.1

Who owns St. Johnsbury Health & Rehab, and what chain is it in?

St. Johnsbury Health & Rehab is registered with CMS as For profit - Limited Liability company, operates under the legal business name 1248 HOSPITAL DRIVE OPCO LLC and belongs to the ALLAIRE HEALTH SERVICES chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTAHS VT OPCO HOLDCO LLCsince 12/18/2024
5% OR GREATER INDIRECT OWNERSHIP INTERESTAHS VT TOPCO LLC, KURLAND, BENJAMINsince 12/18/2024
INDIRECT OWNERSHIP INTERESTKURLAND, NAOMIsince 12/18/2024
CORPORATE OFFICERKURLAND, BENJAMINsince 12/18/2024
OPERATIONAL/MANAGERIAL CONTROLAHS VT OPCO HOLDCO LLC, AHS VT TOPCO LLC, ALLAIRE HEALTH SERVICES, BRAND SONNENSCHINE LLP, CAREER STAFF UNLIMITED, CIBC BANK USA, CLR CONSULTING INC, REVV STAFFING, BRECHER, CHAIM, KURLAND, BENJAMIN, LAWAL, ALYSSA, STEINBRECHER, BARBARAsince 12/18/2024
ADP OF THE SNF1248 HOSPITAL DRIVE PROPCO LLC, AHS VT PROPCO HOLDCO LLC, AHS VT TOPCO LLC, BRAND SONNENSCHINE LLP, CIBC BANK USA, CLR CONSULTING INC, DIGACORE CONSULTING, BRECHER, CHAIM, KURLAND, BENJAMIN, LAWAL, ALYSSA, STEINBRECHER, BARBARAsince 03/25/2025

Were you or a family member harmed at St. Johnsbury Health & Rehab?