Elderwood at Burlington
98 Starr Farm Rd. · Burlington, VT · 05408 · 8026586717
150 certified beds For profit - Limited Liability company Chain: Elderwood
Why this verdict
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.92 | 0.55–0.75 |
| Weekend hours / resident-day | 3.32 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 1 · $220,961 |
Inspection citations (70 in the current record)
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Potential for harm · D March 25, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 25, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 25, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 9, 2026 · Quality of Life and Care
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Potential for harm · F March 25, 2026
Observe each nurse aide's job performance and give regular training.
Corrected May 9, 2026 · Nursing and Physician Services
-
Potential for harm · F March 25, 2026
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 May 9, 2026 · Pharmacy Service
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Potential for harm · D March 25, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 9, 2026 · Nutrition and Dietary
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Potential for harm · D March 25, 2026
Provide and implement an infection prevention and control program.
Corrected May 9, 2026 · Infection Control
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Potential for harm · D March 25, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 9, 2026 · Infection Control
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Potential for harm · D March 25, 2026
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 May 9, 2026 · Infection Control
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Potential for harm · E January 14, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 14, 2026 · found via complaint
Provide care by qualified persons according to each resident's written plan of care.
Corrected February 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 14, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 27, 2026 · Pharmacy Service
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No harm found · C December 10, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 9, 2026 · Resident Rights
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Potential for harm · D August 11, 2025 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 11, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 8, 2025 · Pharmacy Service
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Potential for harm · D May 12, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 12, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 2, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 17, 2025 · Resident Rights
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Potential for harm · E April 2, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected May 17, 2025 · Resident Rights
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Potential for harm · D April 2, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 17, 2025 · Quality of Life and Care
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Potential for harm · E April 2, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 17, 2025 · Nursing and Physician Services
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Potential for harm · D April 2, 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 May 17, 2025 · Pharmacy Service
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Potential for harm · E April 2, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 17, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 11, 2024 | Fine | $220,961 |
| January 11, 2024 | Payment Denial | 49 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 475030 · certified since June 17, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.