1/5
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.
1/5
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.
Barre Gardens (Formerly Rowan Court Health & Rehab Center), a distinguished nursing home in Barre, VT, provides a range of services including skilled nursing and assisted living. With a focus on skilled medical care for senior adults, their services include 24-hour supervision, medication management, and 12-16 hours of nursing care.
Residents at Barre Gardens can relish the outdoor courtyard and benefit from transportation services to dialysis and cancer centers, medical appointments, and recreational outings. This nursing community specializes in both short-term rehabilitation and long-term care, offering a variety of medical services including IV therapy, Dialysis Care, Treatment of Infection, Pain Management, and more.
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 4th 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.
| 26m per day | ▼ 47% 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.
| 59m per day | ▲ 11% 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 2m per day | ▼ 21% 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 11m 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.
| 3m per day | ▼ 49% 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.
| 12m per day | ▼ 63% 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.
| 59 | 41 | This facility has 44% more total deficiencies than a typical Vermont nursing home (59 vs. VT avg 41).↑ 44% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Vermont average 6.5
Last Health inspection on Nov 2025
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.
26 of 51 citations resulted from standard inspections; 15 of 51 resulted from complaint investigations; and 10 of 51 came from combined inspections (standard and complaint).
100% better than Vermont averageVermont average: 0.7
100% better than Vermont averageVermont average: 1.9
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
27% fewer staff per resident than Vermont average
9% 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.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
21 total: 8 full-time employees and 13 contractors.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursHelps with daily care and mobility.
55 total: 35 full-time employees and 20 contractors.
55
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
12,509 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 35 | 20 | 55 | 15,793 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 8 | 13 | 21 | 7,624 | 92 | 100% | 10.1 |
| Registered Nurse | 12 | 0 | 12 | 1,777 | 90 | 98% | 8.5 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,589 | 64 | 70% | 8.4 |
| Physical Therapy Assistant | 3 | 0 | 3 | 732 | 68 | 74% | 6.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 534 | 67 | 73% | 7.9 |
| Dietitian | 1 | 0 | 1 | 486 | 61 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 454 | 60 | 65% | 7.6 |
| Respiratory Therapist | 1 | 0 | 1 | 450 | 56 | 61% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 397 | 57 | 62% | 7 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 364 | 58 | 63% | 6.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 304 | 50 | 54% | 6.1 |
| Qualified Social Worker | 1 | 0 | 1 | 223 | 42 | 46% | 5.3 |
| Nurse Practitioner | 1 | 0 | 1 | 5 | 1 | 1% | 5.2 |
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)
65% lower than 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
May 9, 2024 · $44K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 9, 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.
15.9
36% worse than Vermont averageVermont average: 11.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.8
36% 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
28.5%
39% worse than Vermont averageVermont average: 20.4%
Percent of long-stay residents whose ability to move independently worsened
30.8%
53% worse than Vermont averageVermont average: 20.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.1%
20% worse than Vermont averageVermont average: 27.6%
Percent of long-stay residents experiencing one or more falls with major injury
7.0%
20% worse than Vermont averageVermont average: 5.8%
Percent of long-stay high risk residents with pressure ulcers
4.5%
30% better than Vermont averageVermont average: 6.4%
Percent of long-stay residents with a urinary tract infection
5.3%
113% worse than Vermont averageVermont average: 2.5%
Percent of long-stay residents who lose too much weight
8.5%
54% worse than Vermont averageVermont average: 5.5%
Percent of long-stay residents who have depressive symptoms
6.0%
41% better than Vermont averageVermont average: 10.0%
Percent of long-stay residents who received an antipsychotic medication
9.9%
49% better than Vermont averageVermont average: 19.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
In line with Vermont averageVermont average: 95.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Vermont averageVermont average: 97.6%
Number of hospitalizations per 1,000 long-stay resident days.
2.87
99% worse than Vermont averageVermont average: 1.44
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.19
12% 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
87.6%
In line with Vermont averageVermont average: 86.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
15% worse than Vermont averageVermont average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.0%
18% worse than Vermont averageVermont average: 78.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.3%
18% worse than Vermont averageVermont average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.5%
22% worse than Vermont averageVermont average: 17.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Vermont averageVermont average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.3%
12% worse than Vermont averageVermont average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
51.2%
In line with Vermont averageVermont average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
73% of new residents, usually for short-term rehab.
27% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
87Residents meet regularly to discuss policies, care quality, and activities
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 Barre Gardens from 2011–2023, 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 #11 / 11Payroll — State benchmarkedThis home is ranked 11th 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 #10 / 11Payroll % — State benchmarkedThis home is ranked 10th 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 (73% of admissions), and a typical Medicare stay runs around 25 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
What do you like most about living here?
I have been an LNA at Barre Gardens on prospect street for 8 months.
Today I was fired. Here is why.
To begin with, this facility is facing huge troubles with staffing of all departments. Housekeeping, laundry, nursing/lnas, cooks. Everything.
Last Friday the night shift situation was so dire that there were a total of 15 washcloths for 90 residents at the start of the 11pm shift. There were virtually no other linens as well as the laundry team is short staffed and we had been using them as well.
I contacted the director of nursing to report the issue and was told there were wipes available. I had to go down into the supply and a lock that was poorly rigged to a previous fix came undone. I found no wipes. I then had to push open a door to the laundry room that was marked "do not enter" and the Director of nursing did not know the code for and all nurses keys in the building did not open. The door was marked because it had a folding table against it inside. I pushed my way inside and retrieved 70 or so washcloths. Barely enough for the entire building to provide care for your loved ones.
The next day shift would have basically nothing again until almost noon to care for patients.
Are there enough caregivers to handle the residents' needs, especially during emergencies?
No
Are the common areas pleasant and comfortable for socializing or relaxing?
No
How would you rate the quality and variety of the meals? (1-5)
1
Are special diets handled well?
No
Is the dining schedule flexible enough to meet your preferences?
No
They are on the short list to be a "Special Focus" facility which is a designation meaning they have messed up so bad they have to be watched and investigated very closely by state and Medicare officials.
Starting last week a resident in the dementia wing flushed incontinence wipes and hurt the plumbing badly. In a knee-jerk reaction, they decided to eliminate wet wipes for the entire facility over night and move to washcloths. This in itself is not uncommon. Some facilities only use washcloths.
The problem is that the facility did not have the washcloths to accommodate 90 residents daily needs. Quickly the situation became so dire that LNAs were forced to use bed flat/fitted sheets, pillow cases and basically anything available to take care of residents incontinence needs.
How do you feel about the level of social interaction available with other residents?
How was the units offered in this community?
Do you feel safe living in this community?
No
How well do you think the community handles emergencies or unexpected events?
Are there any hidden fees or unexpected charges?
Would you recommend this community to others looking for senior living options?
Is there anything you wish you knew before moving in?
1.4 miles from city center
Estimated distance in miles from Barre's city center to Barre Gardens's address, calculated via Google Maps.
— 2.34 miles to nearest hospital (University Of Vermont Health Network)
Add your location
The information below is reported by the Vermont Department of Disabilities, Aging and Independent Living.
| Barre Gardens | NH MC PC RC SNF | Barre | 96
Facility
96
VT AVG
109
Rank
#10 / 13 |
87.7%
Facility
87.7%
VT AVG
76.7
Rank
#5 / 11 | +14% | 4.04
Facility
4.04
VT AVG
4.27
Rank
#4 / 12 | -5% | -5% | $194.6k
Facility
$194.6k
VT AVG
$151.3k
Rank
#10 / 12 | 51
Facility
51
VT AVG
28.9
Rank
#10 / 12 | 7.3
Facility
7.3
VT AVG
4.3
Rank
#11 / 12 | - | 84 | - |
7
Facility
7
VT AVG
44
Rank
#66 / 70 | Amanda Moxley | $11.5MFiscal year ending 12/2023
Facility
$11.5MFiscal year ending 12/2023
VT AVG
$12.1M
Rank
#9 / 11 | $3.6MFiscal year ending 12/2023
Facility
$3.6MFiscal year ending 12/2023
VT AVG
$4.4M
Rank
#11 / 11 | 31.7%Fiscal year ending 12/2023
Facility
31.7%Fiscal year ending 12/2023
VT AVG
38%
Rank
#10 / 11 | 475037 | ||||
| Berlin Health & Rehabilitation Center | NH HOS MC RC | Barre | 115
Facility
115
VT AVG
109
Rank
#8 / 13 |
66.1%
Facility
66.1%
VT AVG
76.7
Rank
#9 / 11 | -14% | 3.92
Facility
3.92
VT AVG
4.27
Rank
#5 / 12 | -45% | -8% | $390.4k
Facility
$390.4k
VT AVG
$151.3k
Rank
#12 / 12 | 83
Facility
83
VT AVG
28.9
Rank
#11 / 12 | 5.2
Facility
5.2
VT AVG
4.3
Rank
#9 / 12 | 10 | 76 | - |
21
Facility
21
VT AVG
44
Rank
#54 / 70 | - | $10.0MFiscal year ending 09/2023
Facility
$10.0MFiscal year ending 09/2023
VT AVG
$12.1M
Rank
#11 / 11 | $1.9MFiscal year ending 09/2023
Facility
$1.9MFiscal year ending 09/2023
VT AVG
$4.4M
Rank
#9 / 11 | 19.1%Fiscal year ending 09/2023
Facility
19.1%Fiscal year ending 09/2023
VT AVG
38%
Rank
#1 / 11 | 475020 |
Barre Gardens is located in Barre, Vermont.
Here are the financial assistance programs available to residents in Vermont.
Barre Gardens has a walk score of 7. Car-dependent. Most errands require a car, with limited nearby walkable options.
Barre Gardens's occupancy is 92.9%.
No, Barre Gardens has a no-pet policy.
Barre Gardens is registered as a for-profit in VT.
Yes — there are 5 photos of Barre Gardens in the photo gallery on this page.
Barre Gardens is located at 378 Prospect St, Barre, VT 05641.
(802) 476-4166 will put you in contact with the team at Barre Gardens.
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