Nursing home
St. Johnsbury Health & Rehab
1248 Hospital Drive, Saint Johnsbury, VT 05819 · Map
For profit - Limited Liability company · Part of Allaire Health Services (20 facilities) · 99 certified beds
St. Johnsbury Health & Rehab is a Medicare-certified nursing home in Saint Johnsbury, Vermont. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.55 hours per resident per day, above the Vermont average of 4.31. Its most recent inspection on Dec 11, 2024 cited 33 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 2 fines totaling $353,535In CMS records: 4 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How St. Johnsbury Health & Rehab compares
This facility vs. the Vermont and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Vermont avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.55 | 4.31 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.48 | 0.81 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.72 | 2.60 | 2.34 | above avg |
| Nursing staff turnover | 82.5% | 59.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 33.0 | 10.3 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $353,535, 4 total penalties, 2 Medicare payment denials.
What inspectors found at St. Johnsbury Health & Rehab
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 28, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 28, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 28, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jan 28, 2026 · Full report (PDF) - Potential for harm
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 · Jan 28, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Jan 28, 2026 · Full report (PDF) - Potential for harm
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 · Jan 28, 2026 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Jan 28, 2026 · Full report (PDF) - Immediate jeopardy
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 · Jul 24, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Jul 24, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1248 Hospital Drive
Saint Johnsbury, VT 05819 - CMS certification #
- 475019
- Ownership
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 63.5
- Provider type
- Medicare and Medicaid
- First certified
- 1971-10-04
- Chain
- Allaire Health Services (20 facilities)
- Setting
- Rural
Part of Allaire Health Services
Allaire Health Services operates 20 nursing facilities across the United States. View all Allaire Health Services facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around St. Johnsbury Health & Rehab using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2003
- Workplace safety 1 OSHA workplace safety inspection since 2022, 3 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Mar 2, 2003 to Feb 26, 2005. Violations found: Overtime. Back wages: $3,651 owed to 8 employees. Civil money penalties assessed: $1,760. DOL marked the employer as a repeat violator. Employer as DOL recorded it: St. Johnsbury Health & Rehab Center (Vermont Subacute, LLC d/b/a). Case 1390919.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jul 14, 2022: programmed (planned) inspection, complete (health). Case closed Feb 6, 2023. 3 violations cited (2 serious, 1 other). Penalties: $14,591 proposed, $7,295 now. OSHA record. OSHA recorded the employer as Genesis Healthcare LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Serious: Machine guarding (1910.212(a)(5)). Penalty $7,458 proposed, $3,729 now.
- Serious: Medical services and first aid (including eyewash stations) (1910.151(c)). Penalty $7,133 proposed, $3,566 now. To be fixed by Feb 2, 2023.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(e)(1)(i)). Penalty $0 proposed, $0 now.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Northeastern Vermont Regional Hospital, Saint Johnsbury. 0.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Pines Rehab & Health Center, Lyndonville. 4.8 miles away, straight line.
- Nearest home health agency office
- Caledonia Home Health Care, Saint Johnsbury. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Kinney Drugs. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 05819 as small town (small town core).
- Dialysis within 15 miles
- Fmc Of St. Johnsbury Dialysis, Saint Johnsbury, 0.1 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 05819.
Caledonia Home Health Care, office in Saint Johnsbury, 0.1 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Maria Fatigati, MD, Barton. 25.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective July 3, 1986), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado very low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is St. Johnsbury Health & Rehab a good nursing home?
CMS gives St. Johnsbury Health & Rehab an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is St. Johnsbury Health & Rehab staffed?
St. Johnsbury Health & Rehab reports 4.55 total nurse hours per resident per day, compared with the Vermont average of 4.31.
Has St. Johnsbury Health & Rehab had inspection problems?
Its most recent CMS inspection cited 33 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does St. Johnsbury Health & Rehab have?
St. Johnsbury Health & Rehab is certified for 99 beds.