St. Johnsbury Health & Rehab, Saint Johnsbury, Vermont

71
Citations from health inspectionsVermont average: 28 a home: 9
Residents harmed or put in dangerVermont average: 2.5 a home: $217,310
Fines from the federal governmentVermont average: $87,304 a home: 1 out of 5
Overall rating in starsVermont average: 2.9

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

15 inspection visits produced 71 citations. Residents were in immediate danger in four findings. Residents were found hurt in five cases. Federal fines came to $217,310 (one fine). Once, Medicare stopped paying for new admissions.

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

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Quick Look at the Record

The home's overall star rating: 1 out of 5
Rating for health inspections: 1 out of 5
Rating for staffing: 3 out of 5
Rating for quality of care: 3 out of 5
Nurse time for each resident: 4.63 hours each dayThe Vermont average is 4.22 hours
Time from registered nurses: 0.83 hours each dayThe Vermont average is 0.80 hours
Nursing staff who left during one year: 74.1%against the Vermont average of 55.4%
Beds that are certified: 99
Ownership: Limited Liability company (for profit)
Chain: Allaire Health Services, with 21 homes
Street address: 1248 Hospital Drive, Saint Johnsbury, Vermont 05819
County: Caledonia

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Two citations dated May 4, 2026

F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Eight citations dated Jan. 28, 2026

F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.

17 citations dated July 24, 2025

F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread, found on a complaint visit.
F841 Physician Medical Director: immediate danger to residents, widespread, found on a complaint visit.
F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread, found on a complaint visit.
F773 Order Laboratory Tests and Report Results Promptly: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F770 Timely Quality Laboratory Services: risk of harm, no one found hurt, widespread, found on a complaint visit.
F760 Significant Medication Errors: risk of harm, no one found hurt, widespread, found on a complaint visit.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
F712 Face to Face Doctor Visits: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F710 Doctor's Order to Admit and Ongoing Doctor Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: immediate danger to residents, widespread, found on a complaint visit.

Five citations dated May 28, 2025

F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F658 Care That Meets Professional Standards: immediate danger to residents, one or a few residents, found on a complaint visit.
F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated April 8, 2025

F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread, found on a complaint visit.
F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread, found on a complaint visit.
F841 Physician Medical Director: risk of harm, no one found hurt, widespread, found on a complaint visit.

One citation dated March 28, 2025

F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.

One citation dated Jan. 22, 2025

F842 Medical Records and Privacy: minimal risk to residents, widespread, found on a complaint visit.

Seven citations dated Dec. 11, 2024

F773 Order Laboratory Tests and Report Results Promptly: risk of harm, no one found hurt, one or a few residents.
F742 Mental Health and Trauma Treatment: risk of harm, no one found hurt, a pattern, several residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.

Three citations dated Nov. 19, 2024

F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F568 Properly Manage Resident Money Held by Facility: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated Sept. 24, 2024

F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated April 26, 2024

F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated March 22, 2024

F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated Nov. 21, 2023

F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F655 Baseline Care Plan at Admission: residents were harmed, one or a few residents, found on a complaint visit.
F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, widespread, found on a complaint visit.

Four citations dated Oct. 25, 2023

F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
F690 Bladder, Bowel and Catheter Care: residents were harmed, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

10 citations dated Aug. 30, 2023

F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
F635 Doctor's Orders for Care at Admission: risk of harm, no one found hurt, one or a few residents.
F625 Written Notice of Bed Hold Policy: minimal risk to residents, a pattern, several residents.
F623 Notice Before Transfer or Discharge: minimal risk to residents, a pattern, several residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.

Payment Denials and Fines

Date	Penalty	Amount
March 28, 2025	Fine	$217,310
March 28, 2025	Payment denial for new admissions	55 days

Ownership and Management of the Home

The home is run by Ahs Vt Opco Holdco LLC (operational or managerial control).
The home is run by Ahs Vt Topco LLC (operational or managerial control).
The home is run by Allaire Health Services (operational or managerial control).
The home is run by Brand Sonnenschine LLP (operational or managerial control).
The home is run by Career Staff Unlimited (operational or managerial control).
The home is run by Cibc Bank USA (operational or managerial control).
The home is run by Clr Consulting Inc. (operational or managerial control).
The home is run by Revv Staffing (operational or managerial control).

Two additional companies have a stake or a management role, according to CMS.

Two people with an ownership stake are also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 475019. Other homes in Vermont.