Barre Gardens Nursing and Rehab, LLC

378 Prospect Street · Barre, VT · 05641 · 8024764166

96 certified beds For profit - Partnership Chain: Priority Healthcare Group

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $150,130 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

3 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

$150,130 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

80% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 4
Serious harm & abuse 20% 30
Staffing 20% 54
Federal penalties 15% 41
Trend 10% 27
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.463.48 min · 4.1 strong
RN hours / resident-day0.440.55–0.75
Weekend hours / resident-day3.18≈ weekday level
Nursing turnover / year80%median 45%
Fines (3-yr window)2 · $194,590

Inspection citations (53 in the current record)

  • Potential for harm · E April 20, 2026 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected June 4, 2026 · Resident Rights

  • Immediate jeopardy · L November 13, 2025 · found via complaint

    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

    Corrected February 28, 2026 · Nursing and Physician Services

  • Immediate jeopardy · L November 13, 2025 · found via complaint

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected February 28, 2026 · Administration

  • Immediate jeopardy · L November 13, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 28, 2026 · Infection Control

  • Potential for harm · D November 13, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 28, 2025 · Resident Rights

  • Potential for harm · F November 13, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected February 28, 2026 · Resident Rights

  • Potential for harm · D November 13, 2025 · found via complaint

    Provide appropriate foot care.

    Corrected December 28, 2025 · Quality of Life and Care

  • Potential for harm · E November 13, 2025 · found via complaint

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected December 28, 2025 · Nursing and Physician Services

  • Potential for harm · D November 13, 2025 · found via complaint

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected December 28, 2025 · Quality of Life and Care

  • Potential for harm · D November 13, 2025 · found via complaint

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected December 28, 2025 · Pharmacy Service

  • Potential for harm · F November 13, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 28, 2026 · Nutrition and Dietary

  • Potential for harm · F November 13, 2025 · found via complaint

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected December 12, 2025 · Infection Control

  • Potential for harm · D November 13, 2025 · found via complaint

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected December 28, 2025 · Nursing and Physician Services

  • Potential for harm · E June 25, 2025

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected August 8, 2025 · Resident Rights

  • Potential for harm · D June 25, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected August 8, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 25, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 25, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected August 8, 2025 · Nursing and Physician Services

  • Potential for harm · E June 25, 2025

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected August 8, 2025 · Pharmacy Service

  • Potential for harm · F June 25, 2025

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected July 16, 2025 · Nutrition and Dietary

  • Potential for harm · F June 25, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 8, 2025 · Nutrition and Dietary

  • Potential for harm · E June 25, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected August 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 25, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 8, 2025 · Quality of Life and Care

  • Potential for harm · D April 17, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected May 23, 2025 · Resident Rights

  • Potential for harm · D April 17, 2025 · found via complaint

    Assist a resident in gaining access to vision and hearing services.

    Corrected May 23, 2025 · Quality of Life and Care

  • Potential for harm · D March 5, 2025 · found via complaint

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected March 28, 2025 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 13, 2025Fine$150,130
May 9, 2024Fine$44,460

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 475037 · certified since August 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.