Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
162
130 employees · 32 contractors · 77 on an average day Birchwood Terrace Rehab and Healthcare
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Burlington, VT
ALM Inspection Grade
C+
ALM's inspection grade is 79 / 100, a C+ — 4 points above the Vermont average for CMS-certified facilities (75/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 79 / 100, a C+ — 4 points above the Vermont average for CMS-certified facilities (75/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
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.
5/5
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.
Birchwood Terrace Rehab and Healthcare
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Burlington, VT
ALM Inspection Grade
C+
ALM's inspection grade is 79 / 100, a C+ — 4 points above the Vermont average for CMS-certified facilities (75/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 79 / 100, a C+ — 4 points above the Vermont average for CMS-certified facilities (75/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
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.
5/5
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.
Birchwood Terrace Rehab and Healthcare accepts Medicare and private pay.
Overview of Birchwood Terrace Rehab and Healthcare
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.
Quality ratings
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 4th out of 12 nursing homes we track 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.
4h 8m
This nursing home is ranked 4th out of 12 nursing homes we track 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.
4h 8mStandout metric: LPN / LVN is +51% above Vermont average
4 of 6 metrics below Vermont average
Daily care time per resident, by role
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. 20 total: 16 of the facility's own employees and 4 agency contractors.
20 staff · 8.1-hour shifts
27m
↓ 46% · VT 49mThis facility: 27m per resident per day, 46% below the Vermont average of 49m (among Vermont facilities reporting a recent figure).
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. 20 total: 16 of the facility's own employees and 4 agency contractors.
20 staff · 8.1-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 45 total: 26 of the facility's own employees and 19 agency contractors.
45 staff · 9.3-hour shifts
1h 20m
↑ 51% · VT 53mThis facility: 1h 20m per resident per day, 51% above the Vermont average of 53m (among Vermont facilities reporting a recent figure).
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. 45 total: 26 of the facility's own employees and 19 agency contractors.
45 staff · 9.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 56 total: 49 of the facility's own employees and 7 agency contractors.
56 staff · 10.3-hour shifts
2h 21m
↓ 9% · VT 2h 35mThis facility: 2h 21m per resident per day, 9% below the Vermont average of 2h 35m (among Vermont facilities reporting a recent figure).
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. 56 total: 49 of the facility's own employees and 7 agency contractors.
56 staff · 10.3-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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.
8m
↑ 33% · VT 6mThis facility: 8m per resident per day, 33% above the Vermont average of 6m (among Vermont facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 35m
↓ 3% · VT 3h 41mThis facility: 3h 35m per resident per day, 3% below the Vermont average of 3h 41m (among Vermont facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
9m
↓ 71% · VT 32mThis facility: 9m per resident per day, 71% below the Vermont average of 32m (among Vermont facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
162
130 employees · 32 contractors · 77 on an average day
162 total staff / 137 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.18 : 1
↓ 28% · VT 1.63This facility: 1.18 staff per resident, 28% below the Vermont average of 1.63 (among Vermont facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
162 staff ÷ 137 residents
See full Vermont ranking →
Average hours one staff member works on a day they are on shift, across every role.
9.2 h
↑ 12% · VT 8.2 hThis facility: 9.2 h, 12% above the Vermont average of 8.2 h (among Vermont facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
64,455 staff hours this quarter
See full Vermont ranking →83.5% of staff hours were worked by the facility's own employees
Vermont average: 79.7% · Contractors this quarter: Licensed Practical Nurse (19), Certified Nursing Assistant (7), Registered Nurse (4), Respiratory Therapy Technician (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
160
Rank #2 / 11Bed count — State benchmarked This nursing home is ranked 2nd out of 11 nursing homes we track in Vermont for bed count. Shows this facility's certified or reported bed count compared to other Vermont facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
160
Rank #2 / 11Bed count — State benchmarked This nursing home is ranked 2nd out of 11 nursing homes we track in Vermont for bed count. Shows this facility's certified or reported bed count compared to other Vermont facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #4 / 14Walk Score — State benchmarked This nursing home is ranked 4th out of 14 nursing homes we track in Vermont for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Vermont facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #4 / 14Walk Score — State benchmarked This nursing home is ranked 4th out of 14 nursing homes we track in Vermont for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Vermont facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
36
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #2 / 11Occupancy rate — State benchmarked This nursing home is ranked 2nd out of 11 nursing homes we track in Vermont for occupancy. Shows this facility's occupancy rate versus the Vermont average, with its Statewide rank out of 11. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #2 / 11Occupancy rate — State benchmarked This nursing home is ranked 2nd out of 11 nursing homes we track in Vermont for occupancy. Shows this facility's occupancy rate versus the Vermont average, with its Statewide rank out of 11. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
90.3%
This home usually has limited availability
Based on residents per day and 160 beds.
Higher than the Vermont average: 84.1%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
145
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
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.
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.
75
days
About This Community
Facility TypeNursing Home
CountyChittenden
certified wound care nurseA specialty credential or certification held by the community or its staff, indicating training or standards beyond basic state licensure.
Resident Council
CNA Training Program
Short-Term Rehabilitation
Respiratory Therapy
Enteral Nutrition Therapy
Post-Stroke Care
IV Therapy
Pulmonary Care
Trach Care
Advanced Wound Care
Dialysis
Cardiac Care
Pain Management
Oncology Care
Bedside Lab and X-Ray Services
Certified Wound Care Nurse Services
Bariatric CareSpecialized care for people with severe obesity, including safe transfers, equipment, mobility support, and management of related health needs.
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Care Transition Planning and Support
Social Work & Case Management
ACCS Program
Assistive Community Care Services (ACCS) is a Medicaid-funded program providing personal care and homemaker services to eligible seniors and adults with disabilities.
ERC Program
Enhanced Residential Care (ERC) is a Medicaid-funded program providing nursing-level care in licensed residential care homes as an alternative to nursing home placement.
Fax802-865-4516
Pets not allowedVisiting pets welcome.
Wi-Fi
Courtyard
Patio
Parking
Beauty Salon
Activities
Therapeutic Recreation
Room Types
Private Room
In-Room Features
In-Room Phone And Free Cable Television
CMS Health Inspection History
ALM Inspection Grade
79 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
4 points above the Vermont average for CMS-certified facilities (75/100)
Category breakdown
Citations
Typical
71 severity-weighted points (16 deficiencies) · 36% higher than the typical CMS-certified VT facility (median: 52)
Enforcement
Concern
$127,834 in fines · 1 enforcement action
Persistence
Strong
29 days to fix issues · faster than the typical CMS-certified VT facility (median: 41)
Total health inspections
5
↓ 22% · VT 6.4This facility: 5, 22% below the Vermont average of 6.4 (among Vermont facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
16
Rank #3 / 12Health citations — State benchmarked This nursing home is ranked 3rd out of 12 nursing homes we track in Vermont for health citations. Shows this facility's total health deficiency citations benchmarked to the Vermont State average, with a ranking across all 12 VT facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 42% · VT 27.8This facility: 16, 42% below the Vermont average of 27.8 (among Vermont facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3.2
Rank #4 / 12Citations per inspection — State benchmarked This nursing home is ranked 4th out of 12 nursing homes we track in Vermont for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Vermont mean across 12 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 24% · VT 4.2This facility: 3.2, 24% below the Vermont average of 4.2 (among Vermont facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
16 of 16 citations corrected
Critical
J–L
1
↑ 11% · VT 0.9This facility: 1, 11% above the Vermont average of 0.9 (among Vermont facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · VT 1.6This facility: 0, 100% below the Vermont average of 1.6 (among Vermont facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
14
↓ 42% · VT 24.3This facility: 14, 42% below the Vermont average of 24.3 (among Vermont facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
1
↑ 11% · VT 0.9This facility: 1, 11% above the Vermont average of 0.9 (among Vermont facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Sep 16, 2026 · 1 citation (Quality of Care, moderate), corrected
Most cited category: Quality of Life & Care, 5 of 16 citations · 8 categories in total
Citations history
Most recent first
Sep 16, 2026
1 citation
Quality of Care moderate citation
Corrected
Corrected
Aug 20, 2025
2 citations
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Dec 31, 2024
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Sep 03, 2024
11 citations
Infection Control critical citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Pharmacy minor citation
Corrected
Corrected
Jun 24, 2024
1 citation
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 16 citations
Quality of Life & Care
5 deficiencies (31%)
Resident Rights
3 deficiencies (19%)
Resident Assessment & Care Planning
2 deficiencies (13%)
Pharmacy Services
2 deficiencies (13%)
Infection Control
1 deficiency (6%)
Nutrition & Dietary
1 deficiency (6%)
Abuse, Neglect & Exploitation
1 deficiency (6%)
Nursing & Physician Services
1 deficiency (6%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 16 citations resulted from standard inspections; and 2 of 16 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
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 Oct 2026
1 penalty in the past 3 years
Latest: Sep 3, 2024 · $127,834 civil money penalty
Sep 3, 2024 · $127,834 civil money penalty
Total fines
$127,834
↑ 10% · VT $116KThis facility: $127,834, 10% above the Vermont average of $116,101. Average among the 25 Vermont facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #8 / 12Federal fines — State benchmarked This nursing home is ranked 8th out of 12 nursing homes we track in Vermont for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Vermont average among facilities with fines, and where it ranks among 12 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 39% · VT 1.64This facility: 1, 39% below the Vermont average of 1.64. Average among the 25 Vermont facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
VT avg 0.24Vermont average: 0.24. Average among the 25 Vermont facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Sep 3, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$127,834
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$127,834Fine amount comparison
This facility
$127,834
Vermont average
$116,101
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Vermont and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Vermont average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 20% · VT 2.5This facility: 2.0, 20% below the VT average of 2.5 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 67% · VT 3.0This facility: 5.0, 67% above the VT average of 3.0 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
14.8
Score · lower is better
↑ 39% · VT 10.6This facility: 14.8, 39% above the VT average of 10.6 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
27.8
Score · lower is better
↑ 35% · VT 20.6This facility: 27.8, 35% above the VT average of 20.6 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 4 better, 6 worse, 3 near VT average
8 short-stay measures: 4 better, 1 near VT average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
34.1%
↑ 72% · VT 19.8This facility: 34.1, 72% above the VT average of 19.8 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
34.1%
↑ 72% · VT 19.8This facility: 34.1, 72% above the VT average of 19.8 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
22.3%
↑ 36% · VT 16.4This facility: 22.3, 36% above the VT average of 16.4 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
22.3%
↑ 36% · VT 16.4This facility: 22.3, 36% above the VT average of 16.4 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.9%
↑ 6% · VT 25.5This facility: 26.9, 6% above the VT average of 25.5 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.9%
↑ 6% · VT 25.5This facility: 26.9, 6% above the VT average of 25.5 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.9%
↑ 27% · VT 2.3This facility: 2.9, 27% above the VT average of 2.3 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.9%
↑ 27% · VT 2.3This facility: 2.9, 27% above the VT average of 2.3 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
9.2%
↑ 66% · VT 5.5This facility: 9.2, 66% above the VT average of 5.5 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
9.2%
↑ 66% · VT 5.5This facility: 9.2, 66% above the VT average of 5.5 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
3.5%
↓ 29% · VT 4.9This facility: 3.5, 29% below the VT average of 4.9 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.5%
↓ 29% · VT 4.9This facility: 3.5, 29% below the VT average of 4.9 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
5.1%
↓ 22% · VT 6.5This facility: 5.1, 22% below the VT average of 6.5 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
5.1%
↓ 22% · VT 6.5This facility: 5.1, 22% below the VT average of 6.5 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
1.9%
↓ 87% · VT 14.6This facility: 1.9, 87% below the VT average of 14.6 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
1.9%
↓ 87% · VT 14.6This facility: 1.9, 87% below the VT average of 14.6 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
33.5%
↑ 68% · VT 20.0This facility: 33.5, 68% above the VT average of 20.0 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
33.5%
↑ 68% · VT 20.0This facility: 33.5, 68% above the VT average of 20.0 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
↑ 2% · VT 95.3This facility: 97.7, 2% above the VT average of 95.3 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
↑ 2% · VT 95.3This facility: 97.7, 2% above the VT average of 95.3 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
↑ 2% · VT 97.0This facility: 99.1, 2% above the VT average of 97.0 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
↑ 2% · VT 97.0This facility: 99.1, 2% above the VT average of 97.0 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.47
↑ 2% · VT 1.44This facility: 1.47, 2% above the VT average of 1.44 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.47
↑ 2% · VT 1.44This facility: 1.47, 2% above the VT average of 1.44 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.00
↓ 60% · VT 2.48This facility: 1.00, 60% below the VT average of 2.48 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.00
↓ 60% · VT 2.48This facility: 1.00, 60% below the VT average of 2.48 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
50.6%
↓ 6% · US 53.7This facility: 50.6, 6% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
50.6%
↓ 6% · US 53.7This facility: 50.6, 6% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
66.0%
↑ 31% · US 50.6This facility: 66.0, 31% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
66.0%
↑ 31% · US 50.6This facility: 66.0, 31% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
↑ 51% · US 0.8This facility: 1.2, 51% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
1.2%
↑ 51% · US 0.8This facility: 1.2, 51% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
↓ 22% · VT 1.4This facility: 1.1, 22% below the VT average of 1.4 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
↓ 22% · VT 1.4This facility: 1.1, 22% below the VT average of 1.4 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.2%
↑ 10% · VT 83.6This facility: 92.2, 10% above the VT average of 83.6 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.2%
↑ 10% · VT 83.6This facility: 92.2, 10% above the VT average of 83.6 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.4%
↑ 14% · VT 81.0This facility: 92.4, 14% above the VT average of 81.0 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.4%
↑ 14% · VT 81.0This facility: 92.4, 14% above the VT average of 81.0 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.6%
↓ 4% · VT 21.5This facility: 20.6, 4% below the VT average of 21.5 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.6%
↓ 4% · VT 21.5This facility: 20.6, 4% below the VT average of 21.5 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
16.0%
↓ 9% · VT 17.6This facility: 16.0, 9% below the VT average of 17.6 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
16.0%
↓ 9% · VT 17.6This facility: 16.0, 9% below the VT average of 17.6 (among VT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Birchwood Terrace Rehab and Healthcare’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 11 Vermont nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Breaking even on care
3.0% operating margin
−5.0 pts vs prior year
Positive margin in 4 of the last 8 reported years. Net income $0.9M after other income.
Does it invest in staff?
Payroll in line with Vermont homes
42.4% payroll share of revenue
VT average 40.8%Rank #6 / 11Payroll % of net patient revenue — State benchmarked This nursing home is ranked 6th out of 11 nursing homes we track in Vermont for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Vermont average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.2M while revenue rose $2.2M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Vermont homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2015 → 2024Trend | VT median | Compared with VT homesRank in VT | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $20.1M | +$2.2M | Trend 20152024 | VT median $18.9M | Rank in VT Rank #3 / 11Net patient revenue — State benchmarked This nursing home is ranked 3rd out of 11 nursing homes we track in Vermont for net patient revenue. Shows this facility's net patient revenue compared to the Vermont average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 80% of homes | Above VT median Higher net patient revenue than 80% of VT homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $19.5M | +$3.1M | Trend 20152024 | VT median $17.9M | Rank in VT Rank #2 / 11Operating expenses — State benchmarked This nursing home is ranked 2nd out of 11 nursing homes we track in Vermont for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Vermont homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 90% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.6M | −$0.8M | Trend 20152024 | VT median $0.9M | Rank in VT Rank #8 / 11Net patient income — State benchmarked This nursing home is ranked 8th out of 11 nursing homes we track in Vermont for net patient income. Shows net patient revenue minus operating expenses, compared with other Vermont homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 30% of homes | Profit, shrinking Resident care made money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 3.0% | −5.0 pts | Trend 20152024 | VT median 7.5% | Rank in VT Rank #8 / 11Operating margin — State benchmarked This nursing home is ranked 8th out of 11 nursing homes we track in Vermont for operating margin. Shows net patient income as a share of net patient revenue, compared with other Vermont homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 30% of homes | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.3M | — | Trend — | VT median $0.0M | Rank in VT Rank #2 / 11Other income — State benchmarked This nursing home is ranked 2nd out of 11 nursing homes we track in Vermont for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Vermont homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 90% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.9M | −$0.6M | Trend — | VT median $1.4M | Rank in VT Rank #8 / 11Net income — State benchmarked This nursing home is ranked 8th out of 11 nursing homes we track in Vermont for net income. Shows the bottom line after other income, compared with other Vermont homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 30% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Staff spending in line with Vermont homes
| Metric | FY 2024 | vs prior year | Trend 2015 → 2024Trend | VT median | Compared with VT homesRank in VT | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $8.5M | +$0.2M | Trend 20152024 | VT median $8.5M | Rank in VT Rank #6 / 11Payroll costs — State benchmarked This nursing home is ranked 6th out of 11 nursing homes we track in Vermont for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Vermont average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 50% of homes | Above VT median Higher payroll than 50% of VT homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 42.4% | −4.4 pts | Trend 20152024 | VT median 42.4% | Rank in VT Rank #6 / 11Payroll % of net patient revenue — State benchmarked This nursing home is ranked 6th out of 11 nursing homes we track in Vermont for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Vermont average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Vermont that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 50% of homes | Near VT average The VT average is 40.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2015–2024 2 charts · VT benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Vermont payroll average.
% of net patient revenue
Payroll share Operating margin VT payroll average No report
Year-by-year data, 2015–2024 every reported year · latest first, scroll sideways
| Metric | 2015 | 2016 | 2017 | 2018no report | 2019no report | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $13.0M | $12.6M | $12.7M | $13.3M | $15.5M | $16.0M | $17.9M | $20.1M | ||
| Operating expenses | $14.2M | $14.1M | $14.2M | $13.1M | $15.5M | $16.2M | $16.5M | $19.5M | ||
| Net patient income | −$1.2M | −$1.5M | −$1.5M | $0.2M | $0.0M | −$0.2M | $1.4M | $0.6M | ||
| Operating margin | −9.1% | −12.2% | −11.9% | 1.2% | 0.0% | −1.2% | 8.0% | 3.0% | ||
| Net income | −$1.2M | −$1.5M | −$1.5M | $2.8M | $4.4M | $0.3M | $1.5M | $0.9M | ||
| Payroll costs | $6.6M | $6.8M | $6.8M | $7.2M | $7.3M | $7.9M | $8.4M | $8.5M | ||
| Payroll share of revenue | 50.6% | 53.8% | 53.2% | 54.0% | 47.4% | 49.4% | 46.8% | 42.4% | ||
| Beds | 144 | 144 | 144 | 144 | 144 | 144 | 144 | 144 | ||
| Gross revenue | $21.7M | $21.6M | $21.9M | $14.2M | $16.6M | $16.9M | $18.8M | $21.0M | ||
| Salaries | $5.6M | $5.7M | $5.7M | $6.2M | $6.4M | $6.9M | $7.5M | $7.4M | ||
| Wage-related costs | $1.0M | $1.1M | $1.0M | $1.0M | $0.9M | $1.0M | $0.9M | $1.1M | ||
| Contract labor | $1.1M | $1.0M | $1.1M | $1.1M | $3.4M | $3.2M | $2.9M | $5.1M | ||
| Other operating costs | $7.6M | $7.4M | $7.5M | $6.0M | $8.1M | $8.3M | $8.1M | $11.0M | ||
| Net patient revenue per day | $264 | $264 | $267 | $334 | $356 | $363 | $392 | $429 | ||
| Cost per day | $288 | $296 | $299 | $330 | $356 | $367 | $361 | $416 | ||
| Average length of stay | 138.6 days | 117.2 days | 115.2 days | 99.3 days | 92.4 days | 86.5 days | 90.7 days | 75.5 days |
Showing 2024–2022 · scroll sideways for 7 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
616 admissions · FY2024
Residents admitted during the year.
Medicare
354 · 57%
Medicaid
0 · 0%
Private pay & other
262 · 43%
Resident snapshot
137 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
22 · 16%
Medicaid
75 · 55%
Private pay & other
40 · 29%
Leaving
622 discharges · FY2024
Residents discharged during the year.
Medicare
263 · 42%
Medicaid
0 · 0%
Private pay & other
359 · 58%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Birchwood Terrace Rehab and Healthcare
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.
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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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Vermont average is: 40.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Birchwood Terrace Rehab and Healthcare | NH HOS MC RC SNF | Burlington (New North End) | 160
Facility
160
VT AVG
116
Rank
#2 / 11 | C+ |
90.3%
Facility
90.3%
VT AVG
84.1%
Rank
#2 / 11 | +7% | 4.13
Facility
4.13
VT AVG
4.49
Rank
#4 / 12 | +1% | -8% | $127.8k
Facility
$127.8k
VT AVG
$122.5k
Rank
#8 / 12 | 16
Facility
16
VT AVG
27.8
Rank
#3 / 12 | 3.2
Facility
3.2
VT AVG
4.2
Rank
#4 / 12 | 1 | 145 | - |
36
Facility
36
VT AVG
33
Rank
#4 / 14 | Alter Rubin | $20.1MFiscal year ending 12/2024
Facility
$20.1MFiscal year ending 12/2024
VT AVG
$18.2M
Rank
#3 / 11 | $8.5MFiscal year ending 12/2024
Facility
$8.5MFiscal year ending 12/2024
VT AVG
$7.7M
Rank
#6 / 11 | 42.4%Fiscal year ending 12/2024
Facility
42.4%Fiscal year ending 12/2024
VT AVG
40.8%
Rank
#6 / 11 | 475003 | ||||
| Elderwood at Burlington | NH MC PC RC SNF | Burlington (New North End) | 150
Facility
150
VT AVG
116
Rank
#4 / 11 | D |
80.4%
Facility
80.4%
VT AVG
84.1%
Rank
#9 / 11 | -4% | 3.65
Facility
3.65
VT AVG
4.49
Rank
#7 / 12 | +40% | -19% | $221.0k
Facility
$221.0k
VT AVG
$122.5k
Rank
#11 / 12 | 74
Facility
74
VT AVG
27.8
Rank
#12 / 12 | 7.4
Facility
7.4
VT AVG
4.2
Rank
#11 / 12 | 5 | 121 | - |
7
Facility
7
VT AVG
33
Rank
#13 / 14 | 98 Starr Farm Road Operating Holdco LLC | $16.0MFiscal year ending 12/2024
Facility
$16.0MFiscal year ending 12/2024
VT AVG
$18.2M
Rank
#8 / 11 | $9.5MFiscal year ending 12/2024
Facility
$9.5MFiscal year ending 12/2024
VT AVG
$7.7M
Rank
#3 / 11 | 59.1%Fiscal year ending 12/2024
Facility
59.1%Fiscal year ending 12/2024
VT AVG
40.8%
Rank
#1 / 11 | 475030 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other VT nursing home we track that reports that metric, not just the 2 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Vermont
Birchwood Terrace Rehab and Healthcare is in Burlington, Vermont. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
Choices for Care
VT Medicaid CFC
- Who it is for
- Older Vermonters and adults with physical disabilities who need long-term care
- Income limit
- Financial eligibility is determined under Vermont LTC Medicaid rules.
Eligibility
- General
- Vermont Choices for Care serves qualifying older adults and adults with physical disabilities; High/Highest Needs requires clinical eligibility and Long-Term Care Medicaid financial eligibility.
- VT specifics
- Moderate Needs and High/Highest Needs have different rules and service availability.
What it provides
- Approved long-term care services in an eligible home/community or institutional setting according to assessed need and program group.
Vermont Assistive Community Care Services (ACCS)
Vermont Assistive Community Care Services (ACCS)
- Who it is for
- Vermonters 65+, or 18+ with a disability, on Medicaid and living in a participating residential care setting
Eligibility
- General
- Vermont resident age 65 or older or age 18 or older with a disability; Medicaid eligibility and qualifying residential setting required.
- VT specifics
- ACCS is a Vermont Medicaid benefit for services in participating residential care settings; this is not a general home-care cash grant.
What it provides
- Case management personal care and residential support services as authorized.
VA Aid and Attendance (A&A) and Housebound Benefits
Vermont VA Aid and Attendance/Housebound
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- Countable income must be below the applicable Maximum Annual Pension Rate (MAPR); the rate depends on dependents and benefit category; Qualifying unreimbursed medical expenses may reduce countable income.
- Asset limit
- VA pension net-worth limit is $163,699 from December 1 2025 through November 30 2026; net worth includes countable assets and annual income under VA rules.
Eligibility
- General
- Additional pension benefits for qualifying Veterans or survivors who satisfy VA pension eligibility and the medical requirements for Aid and Attendance or Housebound status; being an older veteran or spouse alone does not qualify.
- VT specifics
- This is a federal VA benefit rather than a state-specific grant; Aid and Attendance and Housebound benefits cannot be received together.
What it provides
- Increased monthly VA pension based on the applicable MAPR less countable income.
Older Americans Act (OAA) Services
Vermont OAA Services
- Who it is for
- Adults 60+ looking for meals, in-home help or other local aging services
- Income limit
- OAA nutrition services have no income means test; priority is directed to people with greatest economic or social need.
- Asset limit
- OAA nutrition eligibility is not asset-tested.
Eligibility
- General
- Older Americans Act supportive and nutrition services generally serve adults age 60 or older; individual services can have additional criteria and specified exceptions.
- VT specifics
- Services are subject to local availability and funding; the OAA does not guarantee an individual entitlement.
What it provides
- Locally available nutrition and supportive services may include meals and in-home assistance.
Family Caregiver Support Program (FCSP)
Vermont Family Caregiver Support Program
- Who it is for
- Family or informal caregivers of an adult 60+ or of someone of any age with dementia
- Income limit
- Federal program prioritizes greatest economic and social need.
Eligibility
- General
- Federal NFCSP supports adult informal caregivers of people age 60 or older or people of any age with Alzheimer disease or related disorders; it also includes specified relative caregivers age 55 or older of children or adults with disabilities.
What it provides
- Information and assistance; counseling and support groups; caregiver training; respite and limited supplemental services.
Attendant Services Program (ASP)
Vermont Attendant Services Program
- Who it is for
- Vermont adults with a severe, permanent disability who need physical help with daily activities
Eligibility
- General
- Vermont adults with a severe and permanent disability who need physical assistance with daily activities; current program and Medicaid eligibility rules apply.
- VT specifics
- Attendant Services Program supports self-directed personal assistance.
What it provides
- Attendant assistance with daily activities according to authorized needs.
Essential Person Program
Vermont Essential Person Program
- Who it is for
- Vermonters 65+, or blind or disabled, with limited income who rely on a live-in helper
Eligibility
- General
- Vermont residents who are age 65 or older or blind or disabled, meet program income rules, receive or have applied for SSI and/or SSDI, and have an essential person living with them to provide needed daily care.
- VT specifics
- The live-in helper must not be eligible for SSI/AABD or Reach Up and must not already be paid by the Department of Disabilities, Aging and Independent Living to provide the applicant personal services. This supports living at home.
What it provides
- Monthly cash assistance helps cover part of the cost of essential live-in care.
Medicare Savings Program (MSP)
Vermont Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
- Income limit
- QMB and QI-1 income eligibility expanded effective January 1 2026.
- Asset limit
- Vermont QMB and QI have no resource limit.
Eligibility
- General
- Eligible Vermont Medicare beneficiaries; current MSP group rules apply.
- VT specifics
- SLMB ended December 31 2025; most SLMB members moved to QMB.
What it provides
- QMB provides Medicare premium and cost-sharing assistance; QI-1 provides Part B premium assistance subject to eligibility; Extra Help eligibility follows the applicable federal rules.
Fuel Assistance Program
Vermont Seasonal Fuel Assistance
- Who it is for
- Low-income Vermont households with home-heating costs
- Income limit
- Gross household income at or below 185% of federal poverty guidelines; use the current 2026-2027 household-size table.
Eligibility
- General
- Eligible low-income Vermont household; fuel assistance is not limited to seniors.
- VT specifics
- Seasonal Fuel Assistance and Crisis Fuel Assistance have separate application and benefit rules; amounts depend on the eligible household and heating arrangement.
What it provides
- Assistance with eligible home-heating costs.
Vermont Property Tax Credit
Vermont Property Tax Credit
- Who it is for
- Vermont homestead owners who meet the residency, ownership and income rules
- Income limit
- Credit depends on household income and the applicable claim year.
Eligibility
- General
- Vermont homestead owners meeting residency ownership and income requirements may claim a property-tax credit; this entry is not the separate renter credit and is not restricted to age 65 or older.
- VT specifics
- For 2026 claims the Homestead Declaration must have been filed by October 15 2026. Qualifying late property-tax credit claims may still be filed through March 15 2027 with a $150 reduction; payment goes directly to the homeowner.
What it provides
- Income-based property-tax credit calculated using the applicable year tax and household-income rules.
Commodity Supplemental Food Program (CSFP)
Vermont CSFP
- Who it is for
- Low-income Vermonters 60+
Eligibility
- General
- CSFP serves eligible low-income adults age 60 or older; Vermont distribution is through participating Vermont Foodbank locations.
- VT specifics
- Vermont Foodbank publishes an April 2026 distribution-location list.
What it provides
- A supplemental food package distributed through participating sites.
VPharm Prescription Assistance
Vermont VPharm Prescription Assistance
- Who it is for
- Vermont Medicare Part D enrollees who meet VPharm income and eligibility rules; obtain federal Extra Help if eligible
- Income limit
- Income must not exceed 225% of the federal poverty guideline under the VPharm statute.
Eligibility
- General
- Vermont Medicare beneficiaries enrolled in Part D who meet VPharm eligibility rules and secure the federal Low Income Subsidy if eligible. Medicaid enrollment is not compatible with VPharm coverage.
- VT specifics
- This is prescription-cost support rather than assistance with senior-living rent or room and board. Program premiums and copayments apply; use the current DVHA determination for the amount.
What it provides
- Helps pay covered prescription costs and eligible Medicare Part D cost-sharing.
Know before you visit
Frequently Asked Questions about Birchwood Terrace Rehab and Healthcare
Quick answers from public records and the community's own listing.01 What neighborhood is Birchwood Terrace Rehab and Healthcare in?
Birchwood Terrace Rehab and Healthcare is in the New North End neighborhood of Burlington.
02 Is Birchwood Terrace Rehab and Healthcare in a walkable area?
Birchwood Terrace Rehab and Healthcare has a walk score of 36. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
03 What is the occupancy rate at Birchwood Terrace Rehab and Healthcare?
Birchwood Terrace Rehab and Healthcare's occupancy is 90.3%.
04 Are pets allowed at Birchwood Terrace Rehab and Healthcare?
No, Birchwood Terrace Rehab and Healthcare has a no-pet policy.
05 Does Birchwood Terrace Rehab and Healthcare operate as a for-profit or non-profit?
Birchwood Terrace Rehab and Healthcare is registered as a for-profit in VT.
06 What is the overall rating for Birchwood Terrace Rehab and Healthcare?
Birchwood Terrace Rehab and Healthcare received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
07 How many beds does Birchwood Terrace Rehab and Healthcare have?
Birchwood Terrace Rehab and Healthcare has 160 beds.
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