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C
Below Standard

Birchwood Terrace Rehab & Healthcare

43 Starr Farm Rd · Burlington, VT 05408

8028636384 · For profit - Individual

150 beds130.8 residents151 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Birchwood Terrace Rehab & Healthcare receives an overall staffing grade of C (Below Standard). With 3.7215 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5123 HPRD, below the recommended 0.75. It is 0.17 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.73% compared to weekdays. The facility relies heavily on temporary agency staff (17.8% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️RN staffing (0.5123 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️17.8% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.7215hrs/resident/day▼ 0.17
CMS benchmark: 3.48
RN HPRD
0.5123hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
20.73%
3.9531 weekday → 3.1336 weekend
⚠ Significant weekend reduction
Agency Staff
17.8%
12.26% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0341hrs/resident/day
Direct care aides
LPN HPRD
1.175hrs/resident/day
Licensed practical nurses
Consistency
0.4323std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Chittenden County Average-0.84 HPRD
4.57
03.72 HPRD
vs. Vermont State Average-0.64 HPRD
4.36
03.72 HPRD
vs. National Average-0.17 HPRD
3.90
03.72 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Birchwood Terrace Rehab & Healthcare ★
Burlington · This facility
—
C
3.72150.5123★★★☆☆
Elderwood at Burlington
Burlington
0.4 mi
B
3.73140.8782★☆☆☆☆
Premier Rehab and Healthcare at Burlington
Burlington
3.6 mi
B
3.99230.5866★★☆☆☆
Green Mountain Nursing and Rehabilitation
Colchester
5.4 mi
B
5.47280.5956★☆☆☆☆
Wake Robin-Linden Nursing Home
Shelburne
11 mi
A+
5.90891.8069★★★★★
Franklin County Rehab Center, LLC
St. Albans
21.9 mi
A+
5.67331.5794★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
22
Total Deficiencies
$127,834
Fines Assessed
Aug 20, 2025Health
2 deficiencies cited
▼
Dec 31, 2024Health
1 deficiency cited
▼
Sep 3, 2024Health
11 deficiencies cited· Includes actual harm
▼
Jun 24, 2024Health
1 deficiency cited
▼
Jun 14, 2023Health
6 deficiencies cited
▼
Mar 21, 2023Health
1 deficiency cited
▼

Penalty History

Sep 3, 2024Fine
$127,834
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.