St. Johnsbury Health & Rehab
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 33 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (33 vs median 7.0)
- High staff turnover (82%)
- High RN turnover (86%)
Bottom 25% in VT · Below recommended RN staffing · Above recommended total nurse staffing · Very high staff turnover · Worst in ALLAIRE HEALTH SERVICES chain · $353,535 in fines · Special Focus Facility (CMS) · Abuse citation
What this means for your family
While some families report positive experiences with the rehab team and facility cleanliness, there are recurring, serious reports of communication failures and neglect. I strongly advise you to visit during off-hours, observe the staff-to-resident interaction closely, and ask for a clear, written plan on how they handle medical updates and hygiene protocols.
Google Reviews
Google Reviews
33 reviews analyzed“St. Johnsbury Health & Rehab receives highly polarized feedback, with some families praising the staff's friendliness and support, while others report severe issues regarding patient neglect and communication. Critical concerns include reports of poor hygiene, inadequate medical coordination, and failures in end-of-life care. Families considering this facility should be aware of the significant gap between the positive experiences of some visitors and the distressing accounts of long-term care quality.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and supportive nursing staff
- Clean, well-maintained facility environment
- Effective short-term rehabilitation services
- Knowledgeable leadership in specific departments
Concerns
- Poor communication regarding medical status and transfers (mentioned by 3 reviewers)
- Neglect of basic hygiene and personal care needs (mentioned by 3 reviewers)
- Inadequate medical management and coordination (mentioned by 3 reviewers)
- Poor food quality and nutritional standards (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve daily communication and care coordination?
- 2Given the recent focus on enhancing the dining experience, what steps are you taking to improve the quality and nutritional variety of the meals served here?
- 3How does your nursing team ensure that personal hygiene and daily care needs are consistently met for every resident throughout the day and night?
- 4With your focus on short-term rehabilitation, how do you coordinate with families to ensure they are kept fully informed about their loved one's medical status and any potential transfers?
- 5What kind of daily activities or social events are currently being prioritized to help residents feel more engaged and connected within the facility?
- 6How do you manage medication administration and medical oversight to ensure residents receive the right care at the right time, especially during shift changes?
Personalized based on this facility's data
Key Review Excerpts
“You let my father die alone in your facility, without us, because you couldn't communicate clearly and concisely.”
“My grandmother has been there for a few months and her health is deteriorating fast. She was supposed to be there temporarily for PT but two months later and she can't even walk anymore and now has bed sores.”
“Great staff, very very knowledgeable and supportive, Kim H. Is the BEST D.O..N I’ve ever met and had in my last 16yrs of major health issues.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
6
measures
4
measures
Residents with depression symptoms
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed numerous complaints triggering 53 of 74 deficiencies, with recurring issues in protection from abuse and neglect, care planning, and accident prevention appearing consistently across multiple surveys. The facility has corrected most violations but shows persistent problems, including recent deficiencies in nursing staffing, medication management, and medical supervision that warrant careful consideration before placement.
Jan 28, 2026Routine9
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 24, 2025Complaint17
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
May 28, 2025Complaint5
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Pharmacy Service Deficiencies
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.
Apr 8, 2025Complaint6
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Mar 28, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 22, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal Penalties
Fine
Mar 28, 2025
$213,971
Payment Denial
Mar 28, 2025
55-day denial
Fine
Aug 30, 2023
$97,013
Payment Denial
Aug 30, 2023
20-day denial
Ownership & Operations
Who Operates This Facility
St. Johnsbury Health & Rehab
for profit
Chain Affiliation
Allaire Health Services
20 facilities nationwide
Chain avg rating: 2.3/5 · Rank 15 of 20 (Worst)
Ownership & Management
Owners
Ahs Vt Opco Holdco LLC
Owner · Organization
Ahs Vt Topco LLC
Owner (parent company) · Organization
Kurland, Benjamin
Owner (parent company)
Kurland, Naomi
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
33 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.