Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 475019

St. Johnsbury Health & Rehab

73 federal citations on record , including 4 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $353,535.

Abuse Icon Special Focus Status 4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
73
Total citations
65
Last 3 years
11
Actual harm+
4
Federal penalties
$353,535
Total fines
1
Overall ★ rating

Most common violation categories here

Care Planning17 Quality of Care17 Abuse & Neglect9 Nursing & Physician Services8 Resident Rights8

Most common F-tags at this facility

F6567 F6895 F6004 F6553 F6573

Citation history

73 on record
SurveyF-TagViolationSeveritySource
Jul 24, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint
Jul 24, 2025F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.LComplaint
Jul 24, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Jul 24, 2025F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.EComplaint
Jul 24, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.FComplaint
Jul 24, 2025F760Ensure that residents are free from significant medication errors.FComplaint
Jul 24, 2025F727Have 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.FComplaint
Jul 24, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Jul 24, 2025F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DComplaint
Jul 24, 2025F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint
Jul 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 24, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jul 24, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Jul 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Jul 24, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEComplaint
Jul 24, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Jul 24, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.LComplaint
May 28, 2025F761Ensure 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.DComplaint
May 28, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.JComplaint
May 28, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
May 28, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
May 28, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Apr 8, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
Apr 8, 2025F880Provide and implement an infection prevention and control program.FComplaint
Apr 8, 2025F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.FComplaint
Mar 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 22, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.CComplaint
Dec 11, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
Dec 11, 2024F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.EStandard
Dec 11, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Dec 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Dec 11, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 11, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 11, 2024F578Honor 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.DStandard
Nov 19, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 19, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Nov 19, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint
Sep 24, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 24, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Apr 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 26, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint
Mar 22, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Mar 22, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Mar 22, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Nov 21, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 21, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedGComplaint
Nov 21, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.FComplaint
Oct 25, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Oct 25, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint
Oct 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 25, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Aug 30, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Aug 30, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Aug 30, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Aug 30, 2023F692Provide enough food/fluids to maintain a resident's health.EStandard
Aug 30, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Aug 30, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 30, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Aug 30, 2023F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DStandard
Aug 30, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.BStandard
Aug 30, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
Jun 21, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.BComplaint
May 17, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
May 17, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
May 17, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 7, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Apr 7, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Apr 7, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Apr 7, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEComplaint
Aug 24, 2022F880Provide and implement an infection prevention and control program.EStandard
Aug 24, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Aug 24, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 24, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $353,535 and 2 payment-denial actions spanning 75 days.

DateTypeFinePayment denial
Mar 28, 2025Fine$256,522—
Mar 28, 2025Payment Denial—Jun 28, 2025 · 55 days
Aug 30, 2023Fine$97,013—
Aug 30, 2023Payment Denial—Nov 30, 2023 · 20 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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