Vermont Veterans' Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 177 beds and averages 83.3 residents a day — about 47% occupied, or roughly 94 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Weekend coverage: total nurse staffing is 5.32 hrs/resident/day on weekends vs 6.19 on weekdays — 14% thinner on weekends. RN hours go from 1.66 to 0.76 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 29% is below the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 11 most serious are shown; the remaining 5 are one tap away and print in full.

• Actual harm · Gcited before2026-03-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a resident remained as free from accidents as possible related to the use of supplemental oxygen while smoking and failed to maintain effective supervision that would reduce the likelihood of incident or injury for 1 of 2 residents in the applicable sample (Resident #93). As a result, Resident #93 suffered a facial burn that resulted in pain, redness, and loss of skin. This is a repeat deficiency for this facility, with the violation cited during the previous re-certification survey, dated 1/29/25. Findings include:Based on interview and record review, the facility failed to ensure a resident remained as free from accidents as possible related to the use of supplemental oxygen while smoking and failed to maintain adequate supervision for 1 of 2 residents in the applicable sample (Resident #93). As a result, Resident #93 suffered a facial burn that resulted in pain, redness, and loss of skin. Findings include:Per a record review, Resident #93 was recently admitted to the facility's long term care unit from…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · E2026-06-09 · tag F0602 — failed to protect residents from theft of their belongings — pattern
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure two of three sampled residents (Resident #1 and Resident #2) remained free from misappropriation of property. Findings include: #1 Per record review, Resident #1 has diagnoses that include Parkinson's Disease, PTSD (post-traumatic stress disorder), dementia, schizoaffective disorder bipolar type, and psychotic delusions. Per an MDS (Minimum Data Set, a resident assessment tool) dated 10/2/25, Resident #1 had a BIMS (Brief Interview for Mental Status) score of 15, indicating fully intact cognition (the ability to perceive, learn, remember, reason, and problem-solve). Per review of the facility investigation, Resident #1 told the LCSW (Licensed Clinical Social Worker) that he had been giving LPN #1 money. S/he reported that LPN #1 asked for it for gas and cigarettes. LPN #1 did not repay the money. Per review of the police report, Resident #1 he had given LPN #1 money for gas and cigarettes when she didn't have money. S/he could not recall how…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · F2026-03-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to store food in accordance with professional standards for food service safety and failed to ensure freezers were maintained at the appropriate temperature. Findings include:Per observation of the kitchen freezer on 3/9/26 at 11:36 AM there was a pack of three sausages and a package of smart dogs opened in the freezer with no date or label. In the dry storage area, there was a 10-pack of instant grits with an expiration date of 11/25. There was a 13.7-ounce bag of cheese queso that had expired on 6/12/25. An interview was conducted with Kitchen Staff Member #1 on 3/9/26 at approximately 11:40 AM. The Kitchen Staff Member confirmed these items were expired. He confirmed that the package of sausages and smart dogs were opened and unlabeled.Per observation of the kitchen on 3/11/26 at 9:01 AM there was one package of open and undated hot dog buns and two packages of hamburger buns with no date or initial. The package of sausages and smart dogs were still in the freezer. An interview was conducted with Kitchen Staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-11 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor 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.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure a safe, clean, comfortable and homelike environment for residents who reside on one of three units of the facility. Findings include: Per observation on 3/9/26 at 1:53 PM in the bathing room on the 500 halls of the Cardinal memory care unit, the tub had chipped paint on both the seat and the tub itself. There were damaged tiles and debris in one of the two shower stalls. The toilet backrest had cracks in the padding and rust on the framing. On both the 500 and 600 halls of the Cardinal memory care unit, there were stained and damaged ceiling tiles, including outside of room [ROOM NUMBER]. The room number signs were missing outside of rooms [ROOM NUMBERS], with the room numbers instead written in with magic marker on the walls outside the room. These items were reviewed and confirmed per interview and tour with the Administrator, Director of Nursing, and Quality Assurance Nurse on 3/11/26 at 10:45 AM.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-11 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interviews the facility failed to ensure all drugs and biologicals were stored in locked compartments for 3 of 7 medication carts on two units. Findings include: Per observation on the [NAME] Unit on 3/9/26 at 2:01 PM a medication cart and a treatment cart were found unlocked, with no staff in the hallway. One resident observed ambulating near the medication cart.Per interview with the Registered Nurse (RN) assigned to the medication cart on 3/9/26 at 2:19 PM confirmed the medication and treatment cart were both unlocked. The medication cart contained medications, inhalers, topical patches, syringes, topical medications, Insulins, prescribed resident specific medications and narcotics in a separate locked compartment. The treatment cart contained wound cleansers, prescription topical creams/pastes, and prescription topical powders.Per interview with RN Unit Manager of the [NAME] Unit on 3/9/26 at 2:24 PM confirmed that medication carts left unattended in common areas with residents…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-11 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to develop a baseline care plan that addressed the smoking needs of 1 of 2 residents in the applicable sample (Resident #93). Findings include:Per a record review, Resident #93 was admitted to the facility on [DATE] with diagnoses that included nicotine dependence and respiratory failure.A smoking assessment dated [DATE] states that Resident #93 is capable of holding his/her own cigarette and smoking unsupervised. The assessment also states that his/her lighter would need to be secured by nursing and would be available as needed.A nursing progress note dated 2/12/26 states that Resident #93 went to smoke several times that day and had to be reminded repeatedly to wear O2 (oxygen). Another nursing progress note dated 2/13/26 states that the Resident went to smoke that day.Further review of nursing progress notes reveals that on 2/16/26 at 6:51 am Resident #93 approached the door of the North unit medication room with black soot on their nose and their…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-11 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure that infection control measures regarding hand hygiene were followed during medication administration for two (Resident #1 and Resident #89) of 9 residents sampled. Findings include:During observation of medication administration on 3/11/2026 at 11:50 AM, there were 9 missed opportunities for proper hand hygiene. An LPN (Licensed Practical Nurse) did not use hand sanitizer or soap and water as required before or after wearing gloves, when preparing and administering medications, or when using and cleaning a glucometer (a device used to collect blood for measurement of glucose). The LPN failed to cleanse hands before and after glove use to: Prepare an oral medication for Resident #1Administer an oral medication to Resident #1Prepare eye drops and glucose testing for Resident #89Instill eye drops for Resident #89Test Resident #89's blood glucose level with a glucometer Cleanse the glucometer and dispose of used testing suppliesPrepare an insulin injectionAdminister insulin by injection to Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure 4 out of 17 sampled residents (Resident #13, #17, #40, #52) received sufficient supervision to prevent resident to resident altercations, and failed to ensure the environment remains as free of accident hazards as is possible for 1 of 17 sampled residents (Resident # 1). Findings include: 1). A facility investigation report of a resident to resident altercation on 6/20/24 submitted to the State Agency stated staff heard veterans yelling in the porch area. When staff found the two residents [Resident #40] was holding [Resident #52's] right forearm. [Resident #52] stated, [S/he] hit me. Per the facility investigation, both residents were in the porch area without staff present when the altercation occurred. Per an Incident Note dated 6/13/24, [Resident #52] had red areas on the right lateral forehead and one red area on the left temple and mild redness on right lateral forearm. Per review of Resident #40's care plan dated 8/24/22…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-29 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that two residents [Res. #29 & #33 ] of 13 sampled residents who are trauma survivors receive culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents' experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident. Findings include: 1. Per review of Res.#29's medical record, the resident was admitted to the facility with diagnoses that include Post Traumatic Stress Disorder [PTSD]. Review of Physician Notes dated 12/27/24 record the resident is well known to myself and the staff here from past admissions. The Physician recorded when [Res.#29] gets irritable, [s/he] goes and hides because afraid [s/he] will blow up, at high risk of decompensation, very depressed, Military History: Army/ combat / communications - was all over Vietnam / still with flashbacks at times, startles easily - if have to awaken [h/her] - touch toes…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-29 · tag F0790 — failed to provide dental care — isolated
  Provide routine and 24-hour emergency dental care for each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide routine dental services for 1 resident [Res. #26] of 3 residents sampled with identified dental issues. Findings include: Per review of Res. #26's medical record, the resident was admitted to the facility with diagnoses including dysphagia [a condition with difficulty in swallowing food or liquid]. Review of Res. #26's Nutrition Assessment conducted for admission to the facility dated 10/28/2024 assessed the resident as having some 'chewing' difficulty related to temporary dentures only with the resident edentulous [lacking teeth], Has temporary dentures. Needs permanent ones. Further record review reveals Res. #26 was seen by a dentist on 10/31/24. Dental Notes record The patient had teeth extracted in June or July and expected a new set [of dentures] to be made after healing. I will contact [Veterans Administration] and see what has been approved and whether I can take over here. An interview was conducted with Res. #26 on 1/27/25 at 3:00 PM.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-13 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews and record review the facility failed to ensure that an allegation of staff to resident abuse was reported to the State Licensing Agency as required. Findings include: During an interview on 2/12/2024 at 2:30 PM Resident #1's significant other reported that she/he had placed a camera with no sound recording in Resident #1's room when visitation was being restricted due to COVID. The significant other stated that on 1/22/2022 while viewing the camera she/he witnessed a licensed nursing assistant (LNA) abuse her/his spouse. According to the significant other this allegation was not reported to the facility until 1/4/2023, on the same day an email was sent to the Deputy Administrator reporting the allegation. At this time the significant other was under the impression that the LNA was let go. On 12/5/2023 approximately one year after the initial allegation, while visiting Resident #1 she/he saw the LNA walk down the hall that Resident #1 resides in and realized that the LNA was allowed to return to work. Per the significant other she/he was very upset to see…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$8,278 in federal fines across 1 penalty.

• $8,278 — penalty dated 2026-03-11

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in VT