All citations for St. Johnsbury Health & Rehab

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to St. Johnsbury Health & Rehab

Last standard health inspection on record

January 28, 2026

Showing 1 to 25 of 37 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Widespread (many residents). CMS level L.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  2. Immediate jeopardy to resident health or safety

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

    Widespread (many residents). CMS level L.

    Health citation F-0841, Nursing and Physician Services Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  3. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 9, 2025).

  4. Immediate jeopardy to resident health or safety

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 9, 2025).

  5. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  6. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  7. No harm, with potential for more than minimal harm

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  8. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Widespread (many residents). CMS level F.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  9. No harm, with potential for more than minimal harm

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Widespread (many residents). CMS level F.

    Health citation F-0770, Administration Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  10. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  11. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  12. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0841, Nursing and Physician Services Deficiencies. Inspection of April 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 9, 2025).

  13. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 9, 2025).

  14. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of April 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 9, 2025).

  15. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  16. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  17. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Pattern (more than a few residents). CMS level E.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  18. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  19. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  20. No harm, with potential for more than minimal harm

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0773, Administration Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  21. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  22. No harm, with potential for more than minimal harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0742, Quality of Life and Care Deficiencies. Inspection of December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  23. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  24. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  25. No harm, with potential for more than minimal harm

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0710, Nursing and Physician Services Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.