3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Burlington’s New North End is home to Birchwood Terrace Rehab and Healthcare, a 160-bed nursing home that also provides hospice care, memory care, and respite care. The Walk Score sits at 36, so residents’ families might reach a nearby pharmacy or coffee shop on foot, but most errands mean driving.
132 people call the facility’s 160 beds home. Ninety one days is the averagelength of stay. On the staffing side, residents get roughly four hours of total nursing care per day, split across RNs, LPNs, and nurse aides, plus a smaller daily allotment specifically from registered nursing staff.
Two resident-led groups operate here: an Active Resident Council and a Residents Group, both of which meet regularly to weigh in on facility policy, care quality, and the daily rhythm of activities. There’s also something a little less common: a state-approved Nurse Aide Training and Competency Evaluation Program that runs on-site.
Coverage-wise, Birchwood Terrace takes Medicare and private pay, so families have more than one route to financing care. When state inspectors visit facilities like this one, their attention tends to land on the operational basics: medication handling, infection control, staffing credentials, food service, environmental safety, and resident rights, rather than clinical care decisions themselves.
Birchwood Terrace Rehab is a 160-bed nursing home running hospice, memory care, and respite services in parallel, with resident councils built into its structure, organized around a wide range of needs.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 3rd out of 12 homes in Vermont for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 23m per day | ▼ 52% State avg: 49m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 13m per day | ▲ 38% State avg: 53m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 6m per day | ▼ 19% State avg: 2h 35m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 10m per day | ▼ 14% State avg: 3h 41m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 10% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 9m per day | ▼ 71% State avg: 32m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
In Vermont, the Department of Disabilities, Aging and Independent Living is the authority responsible for inspecting facilities and investigating complaints to protect resident well-being.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Vermont state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | VT Average | vs. VT Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 21 | 41 | This facility has 49% fewer total deficiencies than a typical Vermont nursing home (21 vs. VT avg 41).↓ 49% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Vermont average 6.5
Last Health inspection on Dec 2024
Vermont average 28.9
Vermont average 4.31
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 20 citations resulted from standard inspections; and 3 of 20 resulted from complaint investigations.
43% worse than Vermont averageVermont average: 0.7
100% better than Vermont averageVermont average: 1.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
33% fewer staff per resident than Vermont average
7% better than Vermont average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
17 total: 15 full-time employees and 2 contractors.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursAssists with medical care and medications.
39 total: 19 full-time employees and 20 contractors.
39
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
58 total: 51 full-time employees and 7 contractors.
58
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
12,110 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 51 | 7 | 58 | 26,480 | 92 | 100% | 10 |
| Licensed Practical Nurse | 19 | 20 | 39 | 15,364 | 92 | 100% | 8.6 |
| Registered Nurse | 15 | 2 | 17 | 4,484 | 92 | 100% | 7.7 |
| Occupational Therapy Aide | 9 | 0 | 9 | 3,902 | 92 | 100% | 8.4 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,863 | 84 | 91% | 7.3 |
| Respiratory Therapy Technician | 2 | 2 | 4 | 1,396 | 72 | 78% | 7.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,251 | 80 | 87% | 7.1 |
| Dental Services Staff | 2 | 0 | 2 | 1,077 | 75 | 82% | 8.8 |
| Qualified Social Worker | 3 | 1 | 4 | 904 | 67 | 73% | 7.3 |
| Speech Language Pathologist | 2 | 0 | 2 | 505 | 62 | 67% | 7.7 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Medical Director | 0 | 1 | 1 | 83 | 63 | 68% | 1.3 |
| Qualified Activities Professional | 1 | 0 | 1 | 55 | 26 | 28% | 2.1 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
In line with Vermont averageVermont average: $128K
44% fewer fines than Vermont averageVermont average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Vermont averageVermont average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 3, 2024 · $128K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 3, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.3
14% worse than Vermont averageVermont average: 11.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.2
20% worse than Vermont averageVermont average: 22.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
33.4%
64% worse than Vermont averageVermont average: 20.4%
Percent of long-stay residents whose ability to move independently worsened
20.9%
In line with Vermont averageVermont average: 20.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.2%
In line with Vermont averageVermont average: 27.6%
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
10% better than Vermont averageVermont average: 5.8%
Percent of long-stay high risk residents with pressure ulcers
2.2%
66% better than Vermont averageVermont average: 6.4%
Percent of long-stay residents with a urinary tract infection
1.8%
29% better than Vermont averageVermont average: 2.5%
Percent of long-stay residents who lose too much weight
4.7%
14% better than Vermont averageVermont average: 5.5%
Percent of long-stay residents who have depressive symptoms
5.9%
41% better than Vermont averageVermont average: 10.0%
Percent of long-stay residents who received an antipsychotic medication
38.8%
100% worse than Vermont averageVermont average: 19.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
In line with Vermont averageVermont average: 95.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with Vermont averageVermont average: 97.6%
Number of hospitalizations per 1,000 long-stay resident days.
1.47
In line with Vermont averageVermont average: 1.44
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.00
60% better than Vermont averageVermont average: 2.48
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.6%
11% better than Vermont averageVermont average: 86.3%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
25% worse than Vermont averageVermont average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
21% better than Vermont averageVermont average: 78.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.6%
In line with Vermont averageVermont average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.0%
9% better than Vermont averageVermont average: 17.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
51% worse than Vermont averageVermont average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.6%
6% worse than Vermont averageVermont average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
66.0%
31% better than Vermont averageVermont average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
62% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
132Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Birchwood Terrace Rehab and Healthcare from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #7 / 11Payroll — State benchmarkedThis home is ranked 7th out of 11 homes in Vermont for payroll. Shows total annual staff payroll benchmarked to the Vermont average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Vermont that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #5 / 11Payroll % — State benchmarkedThis home is ranked 5th out of 11 homes in Vermont for payroll %. Shows payroll as a percentage of revenue versus the Vermont average. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Vermont that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (62% of admissions), and a typical Medicare stay runs around 22 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.6 miles from city center
Estimated distance in miles from Burlington's city center to Birchwood Terrace Rehab and Healthcare's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the VT Dept. of Disabilities, Aging & Independent Living (DAIL), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Birchwood Terrace Rehab and Healthcare | NH HOS MC RC SNF | Burlington (New North End) | 160
Facility
160
VT AVG
109
Rank
#1 / 13 |
81.3%
Facility
81.3%
VT AVG
76.7
Rank
#7 / 11 | +6% | 4.06
Facility
4.06
VT AVG
4.27
Rank
#3 / 12 | -2% | -5% | $127.8k
Facility
$127.8k
VT AVG
$151.3k
Rank
#8 / 12 | 20
Facility
20
VT AVG
28.9
Rank
#3 / 12 | 4.0
Facility
4.0
VT AVG
4.3
Rank
#5 / 12 | 1 | 130 | - |
36
Facility
36
VT AVG
44
Rank
#37 / 70 | Alter Rubin | $17.9MFiscal year ending 12/2023
Facility
$17.9MFiscal year ending 12/2023
VT AVG
$12.1M
Rank
#7 / 11 | $8.4MFiscal year ending 12/2023
Facility
$8.4MFiscal year ending 12/2023
VT AVG
$4.4M
Rank
#7 / 11 | 46.8%Fiscal year ending 12/2023
Facility
46.8%Fiscal year ending 12/2023
VT AVG
38%
Rank
#5 / 11 | 475003 | ||||
| Elderwood at Burlington | NH MC PC RC SNF | Burlington (New North End) | 150
Facility
150
VT AVG
109
Rank
#3 / 13 |
53.3%
Facility
53.3%
VT AVG
76.7
Rank
#10 / 11 | -30% | 3.71
Facility
3.71
VT AVG
4.27
Rank
#7 / 12 | +21% | -13% | $221.0k
Facility
$221.0k
VT AVG
$151.3k
Rank
#11 / 12 | 83
Facility
83
VT AVG
28.9
Rank
#11 / 12 | 7.6
Facility
7.6
VT AVG
4.3
Rank
#12 / 12 | 15 | 80 | - |
7
Facility
7
VT AVG
44
Rank
#66 / 70 | 98 Starr Farm Road Operating Holdco LLC | $17.4MFiscal year ending 12/2023
Facility
$17.4MFiscal year ending 12/2023
VT AVG
$12.1M
Rank
#5 / 11 | $8.2MFiscal year ending 12/2023
Facility
$8.2MFiscal year ending 12/2023
VT AVG
$4.4M
Rank
#2 / 11 | 46.9%Fiscal year ending 12/2023
Facility
46.9%Fiscal year ending 12/2023
VT AVG
38%
Rank
#3 / 11 | 475030 |
Birchwood Terrace Rehab and Healthcare is located in Burlington, Vermont.
Here are the financial assistance programs available to residents in Vermont.
Birchwood Terrace Rehab and Healthcare is in the New North End neighborhood of Burlington.
Birchwood Terrace Rehab and Healthcare has a walk score of 36. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Birchwood Terrace Rehab and Healthcare's occupancy is 86.8%.
No, Birchwood Terrace Rehab and Healthcare has a no-pet policy.
Birchwood Terrace Rehab and Healthcare is registered as a for-profit in VT.
Yes — there are 6 photos of Birchwood Terrace Rehab and Healthcare in the photo gallery on this page.
Birchwood Terrace Rehab and Healthcare is located at 43 Starr Farm Rd, Burlington, VT 05408.
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