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C
Below Standard

St. Johnsbury Health & Rehab

1248 Hospital Drive · Saint Johnsbury, VT 05819

8027488757 · For profit - Limited Liability company

99 beds63.5 residents99 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very 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

St. Johnsbury Health & Rehab receives an overall staffing grade of C (Below Standard). With 4.5883 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4926 HPRD, below the recommended 0.75. It is 0.69 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 12.18% compared to weekdays. The facility relies heavily on temporary agency staff (44.84% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

⚠️Had 3 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.4926 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️44.84% 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 (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
4.5883hrs/resident/day▲ 0.69
CMS benchmark: 3.48
RN HPRD
0.4926hrs/resident/day▼ 0.19
Recommended: 0.75
Weekend Drop-off
12.18%
4.7518 weekday → 4.1733 weekend
Agency Staff
44.84%
19.2% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
3days this quarter
4+ days = auto 1-star
CNA HPRD
2.7382hrs/resident/day
Direct care aides
LPN HPRD
1.3576hrs/resident/day
Licensed practical nurses
Consistency
0.7201std 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. Caledonia County Average+0.12 HPRD
4.46
04.59 HPRD
vs. Vermont State Average+0.23 HPRD
4.36
04.59 HPRD
vs. National Average+0.69 HPRD
3.90
04.59 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
St. Johnsbury Health & Rehab ★
Saint Johnsbury · This facility
—
C
4.58830.4926★☆☆☆☆
Pines Rehab & Health Center
Lyndonville
4.8 mi
B
4.33930.7393★★★☆☆
Greensboro Nursing Home
Greensboro
16.4 mi
B
3.96560.6336★★★★☆
Union House Nursing Home
Glover
18.2 mi
A
4.16520.7828★★★☆☆
Maple Lane Nursing Home
Barton
25.1 mi
D
4.90440.3472★★☆☆☆
Woodridge Nursing Home
Barre
29.3 mi
A
4.91521.279★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

17
Inspections
73
Total Deficiencies
$353,535
Fines Assessed
Jul 24, 2025Health
17 deficiencies cited· Includes actual harm
▼
May 28, 2025Health
5 deficiencies cited· Includes actual harm
▼
Apr 8, 2025Health
3 deficiencies cited
▼
Mar 28, 2025Health
1 deficiency cited· Includes actual harm
▼
Jan 22, 2025Health
1 deficiency cited
▼
Dec 11, 2024Health
7 deficiencies cited
▼
Nov 19, 2024Health
3 deficiencies cited
▼
Sep 24, 2024Health
2 deficiencies cited
▼
Apr 26, 2024Health
2 deficiencies cited
▼
Mar 22, 2024Health
3 deficiencies cited
▼
Nov 21, 2023Health
3 deficiencies cited· Includes actual harm
▼
Oct 25, 2023Health
4 deficiencies cited· Includes actual harm
▼
Aug 30, 2023Health
10 deficiencies cited
▼
Jun 21, 2023Health
1 deficiency cited
▼
May 17, 2023Health
3 deficiencies cited
▼
Apr 7, 2023Health
4 deficiencies cited· Includes actual harm
▼
Aug 24, 2022Health
4 deficiencies cited
▼

Penalty History

Mar 28, 2025Fine
$256,522
Mar 28, 2025Payment Denial
Aug 30, 2023Fine
$97,013
Aug 30, 2023Payment Denial
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.