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.
Located in Barre, VT, Berlin Health & Rehabilitation Center is a high-quality skilled nursing and rehabilitative care provider for its residents. The focus is on personalized care, offering both short-term and long-term care, respite care, and rehabilitation services within this nursing home community. With a 24-hour awake staff, a nutritionist, an onsite nurse available for 8 hours a day, and comprehensive medication management, your loved ones receive prioritized and attentive care. Residents have access to transportation for appointments, outings, and other necessary trips. The center features a sunroom serving as a relaxing hub where residents can bask in the sun, participate in activities, or unwind while connecting with friends and family.
Berlin Health and Rehabilitation Center takes pride in its housekeeping, fostering a clean and comfortable environment that promotes the well-being and comfort of residents. Additional amenities include activities, pet-friendly spaces, a barber shop, a beauty salon, a media center, common rooms, and an indoor atrium.
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 5th 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.
| 34m per day | ▼ 31% State avg: 49m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 6m per day | ▲ 25% 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 14m per day | ▼ 14% 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 7m per day | ▼ 15% 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.
| 13m per day | ▲ 112% 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.
| 14m per day | ▼ 57% State avg: 32m per day · National avg: 29m per day |
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.
| 84 | 41 | This facility has 105% more total deficiencies than a typical Vermont nursing home (84 vs. VT avg 41).↑ 105% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 28 | 13.7 | This facility has 104% more deficiencies per year than a typical Vermont nursing home (28 vs. VT avg 13.7).↑ 104% 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 Aug 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.
29 of 83 citations resulted from standard inspections; 45 of 83 resulted from complaint investigations; and 9 of 83 came from combined inspections (standard and complaint).
43% worse than Vermont averageVermont average: 0.7
374% worse than Vermont averageVermont average: 1.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
10% fewer staff per resident than Vermont average
5% 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.
7 total: 6 full-time employees and 1 contractor.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
23 total: 4 full-time employees and 19 contractors.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
51 total: 17 full-time employees and 34 contractors.
51
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
18,098 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 17 | 34 | 51 | 15,571 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 4 | 19 | 23 | 7,747 | 92 | 100% | 9 |
| Registered Nurse | 6 | 1 | 7 | 2,532 | 92 | 100% | 8.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,689 | 90 | 98% | 7.6 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,481 | 86 | 93% | 6.8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 929 | 73 | 79% | 7.4 |
| Clinical Nurse Specialist | 1 | 1 | 2 | 897 | 65 | 71% | 8.2 |
| Speech Language Pathologist | 1 | 0 | 1 | 605 | 63 | 68% | 9.6 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 515 | 62 | 67% | 8.3 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 450 | 61 | 66% | 7.4 |
| Physical Therapy Aide | 4 | 0 | 4 | 351 | 49 | 53% | 6.6 |
| Qualified Social Worker | 4 | 0 | 4 | 209 | 32 | 35% | 6.2 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 186 | 26 | 28% | 7.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 38 | 29 | 32% | 1.3 |
Includes penalties issued in 2024-2025
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)
206% higher than Vermont averageVermont average: $128K
182% more fines than Vermont averageVermont average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
83% more payment denials than Vermont averageVermont average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 8, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 19, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 1, 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.
10.1
14% better than Vermont averageVermont average: 11.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.3
6% better than Vermont averageVermont average: 22.7
Percent of long-stay residents whose need for help with daily activities has increased
16.7%
18% better than Vermont averageVermont average: 20.4%
Percent of long-stay residents whose ability to move independently worsened
17.6%
12% better than Vermont averageVermont average: 20.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.6%
7% worse than Vermont averageVermont average: 27.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
43% better than Vermont averageVermont average: 5.8%
Percent of long-stay high risk residents with pressure ulcers
3.3%
49% better than Vermont averageVermont average: 6.4%
Percent of long-stay residents with a urinary tract infection
3.1%
22% worse than Vermont averageVermont average: 2.5%
Percent of long-stay residents who lose too much weight
9.4%
71% worse than Vermont averageVermont average: 5.5%
Percent of long-stay residents who have depressive symptoms
16.9%
69% worse than Vermont averageVermont average: 10.0%
Percent of long-stay residents who received an antipsychotic medication
17.4%
10% better than Vermont averageVermont average: 19.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
In line with Vermont averageVermont average: 95.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.5%
5% worse than Vermont averageVermont average: 97.6%
Number of hospitalizations per 1,000 long-stay resident days.
2.94
104% worse than Vermont averageVermont average: 1.44
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.30
33% worse than Vermont averageVermont average: 2.48
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.6%
14% worse than Vermont averageVermont average: 86.3%
Percent of short-stay residents who newly received an antipsychotic medication
2.3%
34% worse than Vermont averageVermont average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
66.7%
16% worse than Vermont averageVermont average: 78.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.7%
47% worse than Vermont averageVermont average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.0%
38% better than Vermont averageVermont average: 17.6%
Percentage of SNF residents who experience falls with major injury during their stay.
2.9%
282% worse than Vermont averageVermont average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
28.2%
47% worse than Vermont averageVermont average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
43.5%
14% worse than Vermont averageVermont average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
62% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
72Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 Berlin Health & Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
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 #9 / 11Payroll — State benchmarkedThis home is ranked 9th out of 11 homes in Vermont. 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.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 #1 / 11Payroll % — State benchmarkedThis home is ranked 1st out of 11 homes in Vermont. Shows payroll as a percentage of revenue versus the Vermont average. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Vermont that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (62% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.0 miles from city center
Estimated distance in miles from Barre's city center to Berlin Health & Rehabilitation Center's address, calculated via Google Maps.
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The information below is reported by the Vermont Department of Disabilities, Aging and Independent Living.
| Barre Gardens | NH MC PC RC | Barre | 96
Facility
96
VT AVG
109
Rank
#10 / 13 |
92.9%
Facility
92.9%
VT AVG
81%
Rank
#4 / 12 | +15% | 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 | $11.5M
Facility
$11.5M
VT AVG
$12.1M
Rank
#9 / 11 | $3.6M
Facility
$3.6M
VT AVG
$4.4M
Rank
#11 / 11 | 31.7%
Facility
31.7%
VT AVG
38%
Rank
#10 / 11 | 475037 | ||||
| Berlin Health & Rehabilitation Center | NH HC MC RC | Barre | 115
Facility
115
VT AVG
109
Rank
#8 / 13 |
65.7%
Facility
65.7%
VT AVG
81%
Rank
#10 / 12 | -19% | 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 | - | $10.0M
Facility
$10.0M
VT AVG
$12.1M
Rank
#11 / 11 | $1.9M
Facility
$1.9M
VT AVG
$4.4M
Rank
#9 / 11 | 19.1%
Facility
19.1%
VT AVG
38%
Rank
#1 / 11 | 475020 |
Berlin Health & Rehabilitation Center is located in Barre, Vermont.
Here are the financial assistance programs available to residents in Vermont.
Berlin Health & Rehabilitation Center has a walk score of 21. Car-dependent. Most errands require a car, with limited nearby walkable options.
Berlin Health & Rehabilitation Center's occupancy is 65.7%.
Berlin Health & Rehabilitation Center is registered as a for-profit in VT.
Yes — there are 6 photos of Berlin Health & Rehabilitation Center in the photo gallery on this page.
Berlin Health & Rehabilitation Center is located at 98 Hospitality Dr, Barre, VT 05641.
(802) 229-0308 will put you in contact with the team at Berlin Health & Rehabilitation Center.
Berlin Health & Rehabilitation Center is in Washington County.
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