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.
Located in Shelburne, Vermont, overlooking Lake Champlain, Wake Robin is a non-profit Continuing Care Retirement Community. They offer a comprehensive range of services, including independent living, residential care, skilled nursing, and memory care. Wake Robin is committed to fostering a sustainable and dynamic community that promotes mutual support and independence while prioritizing the health and wellness of each resident.
Embracing diversity and upholding the dignity of all, Wake Robin warmly welcomes individuals from various backgrounds. Whether residing in a cozy apartment, cottage, or receiving nursing support at the Linden Health Center, senior residents are encouraged to actively engage in the vibrant community life.
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 1st 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.
| 1h 47m per day | ▲ 119% 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.
| 39m per day | ▼ 26% 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.
| 3h 30m per day | ▲ 35% 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.
| 4h 56m per day | ▲ 34% State avg: 3h 41m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 11% 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.
| 1h 13m per day | ▲ 127% State avg: 32m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
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, citation, 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.
| 3 | 41 | This facility has 93% fewer total deficiencies than a typical Vermont nursing home (3 vs. VT avg 41).↓ 93% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 0.8 | 10.3 | This facility has 92% fewer deficiencies per year than a typical Vermont nursing home (0.8 vs. VT avg 10.3).↓ 92% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Vermont average 6.5
Last Health inspection on Aug 2023
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.
All 3 citations resulted from standard inspections.
100% better than Vermont averageVermont average: 0.7
100% better than Vermont averageVermont average: 1.9
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
20% more staff per resident than Vermont average
21% worse 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 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
13 total: 10 full-time employees and 3 contractors.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
54 total: 47 full-time employees and 7 contractors.
54
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,408 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 47 | 7 | 54 | 8,943 | 92 | 100% | 7.3 |
| Registered Nurse | 11 | 0 | 11 | 2,799 | 92 | 100% | 7.6 |
| Dietitian | 7 | 0 | 7 | 2,072 | 92 | 100% | 5.8 |
| Licensed Practical Nurse | 10 | 3 | 13 | 1,700 | 89 | 97% | 8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,368 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 492 | 62 | 67% | 4.5 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 289 | 65 | 71% | 1.9 |
| Nurse Aide in Training | 1 | 0 | 1 | 176 | 23 | 25% | 7.7 |
| Speech Language Pathologist | 1 | 0 | 1 | 110 | 47 | 51% | 2.3 |
| Physical Therapy Assistant | 1 | 0 | 1 | 99 | 56 | 61% | 1.8 |
| Feeding Assistant | 1 | 0 | 1 | 64 | 48 | 52% | 1.3 |
| Qualified Social Worker | 1 | 0 | 1 | 27 | 26 | 28% | 1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 21 | 23% | 1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 14 | 12 | 13% | 1.2 |
| Medical Director | 0 | 1 | 1 | 14 | 16 | 17% | 0.8 |
| Other Physician | 0 | 1 | 1 | 7 | 14 | 15% | 0.5 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
10.4
11% better than Vermont averageVermont average: 11.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.9
21% better 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
22.6%
10% worse than Vermont averageVermont average: 20.4%
Percent of long-stay residents whose ability to move independently worsened
9.5%
53% better than Vermont averageVermont average: 20.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.6%
22% better than Vermont averageVermont average: 27.6%
Percent of long-stay residents experiencing one or more falls with major injury
12.2%
110% worse than Vermont averageVermont average: 5.8%
Percent of long-stay high risk residents with pressure ulcers
5.6%
13% better than Vermont averageVermont average: 6.4%
Percent of long-stay residents with a urinary tract infection
1.0%
58% better than Vermont averageVermont average: 2.5%
Percent of long-stay residents who lose too much weight
2.2%
60% better than Vermont averageVermont average: 5.5%
Percent of long-stay residents who have depressive symptoms
2.3%
77% better than Vermont averageVermont average: 10.0%
Percent of long-stay residents who received an antipsychotic medication
1.0%
95% better than Vermont averageVermont average: 19.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
In line with Vermont averageVermont average: 95.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
In line with Vermont averageVermont average: 97.6%
Number of hospitalizations per 1,000 long-stay resident days.
1.06
26% better than Vermont averageVermont average: 1.44
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.21
11% better than Vermont averageVermont average: 2.48
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.2%
In line with Vermont averageVermont average: 86.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Vermont averageVermont average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.0%
10% better than Vermont averageVermont average: 78.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
75% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
52Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 Wake Robin – Linden Nursing Center from 2011–2023, based on CMS SNF Cost Reports.
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 #1 / 11Payroll — State benchmarkedThis home is ranked 1st 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in 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 #11 / 11Payroll % — State benchmarkedThis home is ranked 11th 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in 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).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (75% of admissions), and a typical private pay stay runs around 1 - 2 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.7 miles from city center
Estimated distance in miles from Shelburne's city center to Wake Robin – Linden Nursing Center's address, calculated via Google Maps.
— 6.61 miles to nearest hospital (University of Vermont Health)
Add your location
Wake Robin – Linden Nursing Center is located in Shelburne, Vermont.
Here are the financial assistance programs available to residents in Vermont.
Wake Robin – Linden Nursing Center is in the Shelburne neighborhood of Shelburne.
Wake Robin – Linden Nursing Center's occupancy is 78.6%.
Yes — there are 9 photos of Wake Robin – Linden Nursing Center in the photo gallery on this page.
(802) 264-5100 will put you in contact with the team at Wake Robin – Linden Nursing Center.
Wake Robin – Linden Nursing Center is in Chittenden County.
Yes — Wake Robin – Linden Nursing Center is a CMS-certified provider of Medicare and Medicaid.
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