Franklin County Rehab Center, LLC
110 Fairfax Road, St. Albans, VT 05478 · Franklin County · (802) 752-1600
64 certified beds, about 59 residents a day · For profit - Individual · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 475047 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 22, 2026, inspectors cited 9 health deficiencies (the Vermont average is 7.9, the national average 9.2).
None of its 14 health citations since December 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.45 hours per resident per day, against 4.22 across Vermont and 3.86 nationally. Registered nurses accounted for 1.57 of those hours.
40.2% of nursing staff left within the year CMS measured (Vermont average 55.4%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
112/23
303/25
1004/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
2E
3F
Potential for minimal harm
0A
0B
0C
April 22, 2026Standard inspection, Complaint inspection · 10 citations
- F Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on interview and record review, the facility failed to ensure that 2 of 2 licensed nurses, a Registered Nurse (RN) and a Licensed Practical Nurse (LPN) (RN #1 and LPN #1) and 4 of 5 Licensed Nursing Assistants (LNAs) in the sample ( LNAs #1, #2, #3, and #4) were assessed for appropriate competencies and skill sets needed to provide resident care based on resident assessment, individual plans of care, and identified in the facility assessment. This has the potential to impact all residents.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to store food in accordance with professional standards for food service safety. This has the potential to impact all residents.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that infection control measures were followed related to preventing contamination of laundry by leaving wet clean laundry in the washer overnight, which has the potential to impact all residents, and failed to ensure that infection control measures regarding hand hygiene were followed during medication administration for 2 of 2 sampled residents (Resident #7 and Resident #40).
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review, the facility failed to review and revise resident care plans for 2 out of 17 sampled residents related to falls (Residents #40, and #48).
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident was provided with an appropriately sized bed for 1 of 17 residents in the sample, (Resident #33).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, the facility failed to notify the resident's physician of a significant health change for 1 of 17 sampled residents (Resident #5), that experienced a significant weight loss.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, and record review the facility failed to develop a person-centered care plan for 1 of 17 sampled residents (Resident #2) in regard to monitoring behaviors and depression.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review the facility failed to ensure interventions were implemented, evaluated, and modified after a significant weight loss for one of 17 sampled residents (Resident #5).
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review, the facility failed to ensure 1 of 1 sampled residents (Resident #67) was free from significant medication errors related to staff not verifying that morphine concentration on the bottle matched the written order.
- D 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.
Inspectors wroteBased on observations and interviews, the facility failed to ensure medications were properly stored for 2 of 17 sampled residents (Resident #30s and Resident #14). This is a repeat deficiency for this facility, with the violation cited during the previous recertification survey dated 3/12/25.
March 12, 2025Standard inspection · 3 citations
- E 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.
Inspectors wrotePer observation, interview, and facility policy review, the facility failed to ensure medications were removed from the medication storage room use when expiration date has been reached.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow professional standards related to assessing and monitoring a large bruise for 1 of 22 residents (Resident #33).
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that 1 of 5 sampled resident's (Resident #45) was free from unnecessary psychotropic medications.
December 6, 2023Standard inspection · 1 citation
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to promptly provide routine and emergency dental services to meet the residents' needs related to loose decaying teeth for 1 of 17 residents in the applicable sample (Resident #7).
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 6, 2024 | Payment Denial | 25 days from August 6, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Vermont | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.45 | 4.22 | 3.86 |
| Registered nurses | 1.57 | 0.80 | 0.69 |
| All nursing staff on weekends | 4.49 | 3.66 | 3.42 |
| Nurse aides | 3.34 | ||
| Licensed practical nurses | 0.54 | ||
| Nursing staff turnover (share who left in a year) | 40.2% | 55.4% | 45.8% |
| Registered nurse turnover | 23.1% | 39.9% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.78 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.84 on weekdays and 4.49 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.15 in April to June 2025 to 5.45 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.45 | 1.57 | 5.84 | 4.49 | 12.4% | 0 of 90 | 59 |
| Oct to Dec 2025 | 5.19 | 1.57 | 5.49 | 4.41 | 12.6% | 0 of 92 | 59 |
| Jul to Sep 2025 | 5.66 | 1.58 | 6.14 | 4.46 | 8.5% | 0 of 92 | 58 |
| Apr to Jun 2025 | 5.15 | 1.46 | 5.44 | 4.42 | 5.0% | 0 of 91 | 56 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Vermont, Jan to Mar 2026 | 4.25 | 0.79 | 4.47 | 3.71 | 23.2% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Vermont | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.3 | 19.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.1 | 5.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.1 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 14.1 | 5.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.3 | 19.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.9 | 22.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 24.3 | 17.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 2.9 | 1.8 |
Owners and operators
Legal business name: FRANKLIN COUNTY REHAB CENTER LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Condon, Coleen | 5% or greater direct ownership interest | Individual | 100% | 12/31/2021 |
| Theoria Medical | Operational/managerial control | Organization | 04/01/2025 | |
| Condon, Coleen | Operational/managerial control | Individual | 05/24/2004 | |
| Gladden, Katie | Operational/managerial control | Individual | 07/23/2012 | |
| Strenio, Jonathan | Operational/managerial control | Individual | 04/01/2025 | |
| Theoria Medical | Adp of the SNF | Organization | 06/17/2025 | |
| Condon, Coleen | Adp of the SNF | Individual | 12/31/2021 | |
| Strenio, Jonathan | Adp of the SNF | Individual | 04/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on April 22, 2026: "Ensure that residents are free from significant medication errors."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 22, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 22, 2026: "Reasonably accommodate the needs and preferences of each resident."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 22, 2026: "Provide enough food/fluids to maintain a resident's health."
Other nursing homes nearby
- The Villa Rehab St. Albans, 0.5 mi · 1 of 5 stars · 24 citations
- Saint Albans Healthcare and Rehabilitation Center Saint Albans, 1.6 mi · 3 of 5 stars · 14 citations
- Champlain Valley Physicians Hosp Med Ctr S N F Plattsburgh, 20.8 mi · 4 of 5 stars · 17 citations
- Clinton Rehabilitation and Nursing Center Plattsburgh, 20.8 mi · 1 of 5 stars · 38 citations
- Plattsburgh Rehabilitation and Nursing Center Plattsburgh, 20.9 mi · 4 of 5 stars · 21 citations
- Meadowbrook Healthcare Plattsburgh, 21 mi · 2 of 5 stars · 25 citations
- Birchwood Terrace Rehab & Healthcare Burlington, 21.9 mi · 3 of 5 stars · 21 citations
- Elderwood at Burlington Burlington, 22.3 mi · 2 of 5 stars · 74 citations
Vermont contacts for a concern about a nursing home
These are the official offices in Vermont. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Vermont Division of Licensing and Protection, Survey and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Vermont Long-Term Care Ombudsman Project, Vermont Legal Aid, 1-800-889-2047. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Vermont DLP Survey Statements (Find Survey Results), where Vermont publishes its own records on licensed homes.
Common questions
- What is Franklin County Rehab Center, LLC's Medicare star rating?
- CMS rates Franklin County Rehab Center, LLC 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Franklin County Rehab Center, LLC get at its last inspection?
- 9 health deficiencies at the standard inspection on April 22, 2026. The Vermont average is 7.9.
- Has Franklin County Rehab Center, LLC been fined?
- CMS lists no fines in the last three years.
- Does Franklin County Rehab Center, LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Franklin County Rehab Center, LLC?
- CMS lists 8 owners and managers. Legal business name: FRANKLIN COUNTY REHAB CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.