Birchwood Terrace Rehab & Healthcare

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.

66.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 418 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 58.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 271 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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 160 beds and averages 144.7 residents a day — about 90% occupied, or roughly 15 beds typically open. It runs fairly full. 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.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.01 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.43 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.42 hrs/resident/day on weekends vs 4.25 on weekdays — 19% thinner on weekends. RN hours go from 0.54 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% is well above the national median of 45%.

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 fewer than at the previous inspection — improving. 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.

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

• Immediate jeopardy · L2024-09-03 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  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 observations, interviews and record review the facility failed to implement an infection prevention and control program that follows the accepted national standards regarding preventing, identifying and controlling communicable diseases. Specifically, the facility failed to follow the CDC (Centers of Disease Control) and state health department recommendations for outbreak management, related to testing and other mitigation strategies including containment and personal protective equipment (PPE) use. The deficient practices associated with the lack of infection control measures led to the determination that the residents in the facility were in immediate jeopardy of serious harm and/or death. At the time that the facility was notified of the immediate jeopardy on 8/27/2024 at 11:44 AM, 42 residents had tested positive for COVID-19 since the beginning of the facility outbreak that began on 7/13/2024. One resident (Resident #9) was positive for COVID-19 at the time of survey entrance, who resides on Unit…

  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 · F2025-08-20 · 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 — the official record, unedited, may be distressing

  Based on observations, interviews, and policy reviews, the facility failed to store food in accordance with professional standards for food service safety. This deficiency has the potential to impact all residents in the facility. Findings include:Per the initial tour of the kitchen on 8/18/25 at 10:05 AM, revealed in the freezer room, three uncovered boxes that contained frozen vegetables. All three boxes were open to air. There were no expiration dates on the items. Per interview, the Assistant Dietary Manager confirmed items should be covered in the storage area.Per review of a facility policy Food Safety Requirements (Revised 2/2024), Practices to maintain safe refrigeration storage include . Keeping food covered or in tight container.Per interview on 8/19/25 at 11:10 AM, the Dietary Manager confirmed items in storage should be covered or in a container, labeled and dated.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-08-20 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, the facility failed to provide dignity and respect to residents who require feeding assistance for 8 of 8 sampled residents. Findings include:Observation on 8/18/25 at 12:20 PM revealed four staff members feeding eight residents. Each staff was feeding 2 residents at a time. Per interview on 8/18/25 at approximately 12:40 PM, an LNA (Licensed Nursing Assistant) regarding residents requiring assistance stated, we usually do have two staff members feeding the 'feeders' because we don't have enough staff for each 'feeder' to have their own staff member to feed them. This LNA asked if the facility has a lot of residents who require assistance with eating, s/he stated, yes, we have lots of feeders.Per interview on 8/18/25 at approximately 2:45 PM, the Administrator confirmed that staff should not be referring to residents as feeders and they are residents that require assistance with meals.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-12-31 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to protect one out of two sampled residents' [Resident #2] right to be free from physical abuse from a resident to resident altercation. Findings include: Per record review, Resident #1 was admitted to the facility to the Memory Care Unit with diagnoses of Alzheimer's disease, and dementia with behavioral disturbances. Resident #2 was admitted to the facility for nursing and rehabilitative services with current diagnoses of Alzheimer's Disease, and bipolar disorder. Per a facility incident report dated 6/12/24 reads, The staff observed [Resident #1] throw a clipboard at [Resident #2], hitting [him/her] in the elbow. Resident #2 then grabbed the clipboard and threw it back at [other resident named not in report]. [Resident #1] then threw it a second time, but it did not come in contact with [Resident #2]. Staff assessed [Resident #2] for injury with a small 0.5 cm [centimeter] skin tear noted. Although [Resident #2] was the victim in this incident [s/he] has been consistently targeting [Resident #1] as of late, approaching…

  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
• Potential for harm · Fcited before2024-09-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
  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 that resident environments were free of accident hazards related to providing safe water temperatures of less than 120 degrees Fahrenheit (F). Findings include: 1. Per observation on the Special Care Unit ((SCU) a unit that Residents with diagnoses of dementia or other cognitive impairments reside) on 8/25/24 at 4:30 PM, the hot water was assessed from a faucet in the bathroom of room [ROOM NUMBER]. The water was too hot to hold a hand under. Using a thermometer calibrated at 32.2 degrees F, the temperature of the water was 125.8 degrees F. The bathroom sink in room [ROOM NUMBER] was then checked and the temperature was 127.3. Five minutes later at 4:45 PM, the sink in the bathroom of room [ROOM NUMBER] was found to be 124 degrees F. The sample was then expanded to include other resident bathroom sinks throughout all three units. The following water temperatures were discovered: B Unit Resident bathroom sinks #215 - 124 degrees F #…

  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 · Ecited before2024-09-03 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident interview, staff interview, and record review, the facility failed to provide a respectful and dignified dining experience that enhances residents' quality of life as evidenced by failure to serve meals to residents at a table at approximately the same time, and the facility failed to ensure care was provided to residents to maintain their respect and dignity as evidenced by the failure to assist with care related to Activities of daily living (ADLs) for 8 of 47 sampled residents (#72, #69, #90, #100, #72, #81, #12, and #47). Findings include: During observations made on A Unit (Special Care Unit (SCU), throughout the survey there were several times that residents were noted to be soiled and unattended. 1. On 8/28/2024 at 9:10 AM Resident #72 was observed propelling her/himself down the hallway. S/he stopped in front of this Surveyor pointed at the door at the end of the hall and stated I have to go out there. Can you help me out there? Her/his pants were visibly soiled from the crotch area to halfway down to the knees. The Resident continued to self…

  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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-03 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to ensure that resident care plans described the resident specific care and services that will be furnished so that the resident can attain or maintain his/her highest practicable physical, mental and psychosocial well-being for 10 of 40 sampled residents (Residents #65, #67, #50, #282, #41, #87, #34, #93, and #109, and #76) related to activities of daily living (ADL). Findings include: Per record review, Residents #65, #67, #50, #282, #41, #87, #34, #93, #109, and #76 care plans reveal that they have ADL self-care performance deficits. An intervention related to ADL care for all the above residents read Nursing staff to provide as much assistance that is needed to complete care tasks ( .). There are no resident specific care interventions to describe what type of assistance these residents require to carry out activities such as feeding assistance, transferring, ambulation, and hygiene care. 1. Per record review, Resident #65's dining profile states that s/he needs constant supervision and verbal…

  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 · E2024-09-03 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 that a resident who is unable to carry out activities of daily living (ADLs) without assistance receives the proper level of assistance for 11 of 40 sampled residents (Residents #65, #67, #50, #282, #41, #87, #34, #93, #109, #76, and #9) Findings include: 1. Per record review, Resident #65's care plan reads [Resident #65] has swallowing difficulty r/t [related to] Hx [history]: coughing/pocketing on advanced textures with Dx [diagnoses]: Dysphagia [difficulty swallowing] s/p [status post] SLP [speech-language pathologist] evaluation, revised 2/4/22, with the following intervention [Resident #65] will eat per therapy directed dining profile, which will be located in chart, and therapy profile binder, initiated 11/16/21. Resident #65's dining profile, last updated on 11/17/21, states that s/he needs constant supervision and verbal cues/prompting while eating. Other descriptions of his/her current status include offering the main…

  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 · E2024-09-03 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  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 provide engaging activities both in and out of resident rooms for 1 of 40 sampled residents (Resident #78); failed to provide an ongoing activities program to support residents in their choice of group, individual, and independent activities to meet the interests of and support the well-being of each resident as evidenced by a lack of opportunities for residents to go outside of 1 of 3 units (Unit B); and failed to provide weekend activities for all interested residents. Findings include: 1. Per observation and interview on 8/29/24 at 3:05 PM, Resident #78 was in his/her bed staring ahead with no stimulation. S/He stated that s/he is interested in having more independent activities to do and more 1 on 1 activities. When asked about what type of activities s/he is interested in, s/he stated that s/he enjoys music and s/he has discussed his/her interest of audio books with staff but does not have them and is still interested. S/He explained…

  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 · E2024-09-03 · tag F0699 — pattern
  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 staff interviews and record review, the facility failed to ensure that residents who are trauma survivors receive trauma-informed care that mitigates triggers that may re-traumatize residents for two of 5 residents sampled for trauma (Residents # 91, #18). Findings include 1. Per record review, Resident # 92 was admitted on [DATE] with a diagnosis of PTSD (Post Traumatic Stress Disorder) and Dementia. A Psychosocial Quarterly Evaluation with a date of 7/12/2023 indicates a diagnosis of PTSD, with supporting trauma documentation obtained from the resident's family. Per review of Resident # 92's record, no evidence was found that Resident # 92 was assessed for triggers that may re-traumatize the Resident. No evidence was found in Resident #92's plan of care regarding the Resident's triggers or how staff can provide care that avoids re-traumatizing the resident. Additionally, there is evidence of only three quarterly assessments in the resident's medical record. Per interview with an LNA on 8/28/2024 at…

  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 · E2024-09-03 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 there are a sufficient number of skilled licensed nurses, nurse aides, and other nursing personnel to provide care and services to attain the highest practicable well-being for each resident and in accordance with each resident's plan of care, potentially impacting all residents of the facility. Per review of the Facility assessment dated [DATE], the percentage of residents that require a one or two person assist for activities of daily living (ADL) is 49% for transferring, 11% for eating, and 45% for toileting and residents that are completely dependent on staff assistance for ADLs is 25% for transferring, 15% for eating, and 25% for toileting. The facility determined the staffing needs to meet the care requirements of the resident population is based on meeting or exceeding the minimum PPD requirements. 1. Per interview and observation on 8/28/24 at 5:13 PM, Resident #79 was yelling from his/her room for help. His/Her call light…

  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.

  Nursing and Physician Services 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

$127,834 in federal fines across 1 penalty.

• $127,834 — penalty dated 2024-09-03

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.

Part of a chain

This home belongs to STELLAR HEALTH GROUP — 7 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

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.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. 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, FY2023). 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