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Home / Vermont / Barre

Premier Rehab and Healthcare at Berlin

98 Hospitality Drive, Barre, VT 05641 · Washington County · (802) 229-0308

115 certified beds, about 75 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1979

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 475020 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 4, 2026, inspectors cited 2 health deficiencies (the Vermont average is 7.9, the national average 9.2).

Of 55 health citations since October 2023, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 3 fines totaling $307,847 in the last three years; the largest was $149,292, and the latest is dated May 8, 2025.

Nurses and nurse aides worked 3.91 hours per resident per day, against 4.22 across Vermont and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.

72.9% of nursing staff left within the year CMS measured (Vermont average 55.4%).

CMS links it to Stellar Health Group, an affiliated group of 7 nursing homes.

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.

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 55 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
30D
13E
8F
Potential for minimal harm
0A
0B
1C
June 22, 2026Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review the facility failed to Identify a resident-to-resident altercation as abuse (Resident #1 and Resident #2) and failed to immediately report the incident as required.
February 4, 2026Standard inspection · 2 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on observation and interview, the facility failed to store and prepare in accordance with professional standards for food service safety per observation of stored dirty, greasy, and wet pots and of unclean kitchen equipment. Per observation on 2/2/26 at approximately 10:48 AM, observed numerous pots and pans that were wet on the inside and outside and not dried prior to stacking. Several other pans were noted to be greasy. Per observation on 2/2/26 at approximately 10:58 AM, the meat slicer was observed to have some dry particles on the back of the blade. Per interview on 2/2/26 at approximately 11:02 AM, the Kitchen Manager confirmed the above observations. Per observation on 2/2/26 at approximately 11:03 AM, the floor stand mixer was noted to have a dried, tacky white substance on the underside of the mixer arm, and on the backsplash under the mixer arm. [...]
  2. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on record review and interviews, the facility failed to ensure accurate advanced directive choices were indicated in the electronic medical record for 2 of 21 sampled residents (Resident # 10 and Resident #29).
August 6, 2025Standard inspection, Complaint inspection · 5 citations
  1. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wroteBased on observation and interview the facility failed to provide palatable and appealing food for 10 of 19 sampled Residents (Resident #3, Resident #37, Resident #5, Resident #30, Resident #8, Resident #11, Resident #42, Resident #43, Resident #1, and Resident #27).
  2. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wrotePer observation, interview, and record review, the facility failed to determine whether it is clinically appropriate for residents to self-administer medications for one of one sampled resident (Resident #43). This is a repeat deficiency for this facility, with violations cited during the previous thee recertification surveys, dated 2/6/25, 8/19/24, and 3/01/24.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wroteBased on interview and record review the facility failed to provide adequate supervision to prevent a resident from eloping from a facility for 1 of 3 Residents (Resident #45).
  4. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wroteBased on observation, interview, record review, the facility failed to ensure medications were properly stored for 1 of 7 sampled residents (Resident #43). This is a repeat deficiency for this facility, with violations cited during the previous three recertification surveys, dated 2/6/25, 8/19/24, and 3/01/24
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to perform adequate hand hygiene during a dressing change for 1 of 22 sampled Residents (Resident #67). This is a repeat deficiency for this facility, with violations cited during the previous recertification survey dated 2/6/25.
May 8, 2025Complaint inspection · 6 citations
  1. J
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to ensure that 3 of 7 residents in the applicable sample (Resident #1, #2, and #3) received necessary treatment and services consistent with professional standards of practice to prevent or promote healing and prevent infection of a pressure injury. As a result, Resident #1 developed an unstageable pressure injury which became necrotic (death of tissue); requiring hospitalization, and resulted in death related to due to osteomyelitis and sepsis of the pressure injury. This citation is at the immediate jeopardy level due to the facility's failure to prevent and treat pressure injury resulting in infection and death of 1 resident.
  2. F
    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
    F841 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure the Medical Director assisted the facility with the implementation of resident care policies, specifically related to the total skin program at the facility, and failed to coordinate the medical care in the facility. As a result, one resident died of sepsis related to a pressure injury of the sacrum (Resident #1). This deficient practice has the potential to affect all residents at risk for skin impairment and pressure injury residing in the facility.
  3. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to revise the care plan for 3 residents out of 7 sampled (Resident #1, #2, and #3) related to skin, wounds, including pressure prevention interventions and care planning for actual pressure injury. This is a repeat deficiency for this facility, with this violation cited during a previous recertification survey dated 8/19/24.
  4. E
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to ensure that physicians and other providers (as delegated to per regulation) review the residents' total program of care, including skin, pressure injury risk and prevention and treatment plan at each visit as required for 3 of 7 sampled residents (Resident's #1, #3, and #4). This is a repeat deficiency for this facility, with this violation cited during a previous recertification survey dated 8/19/24.
  5. E
    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.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure that licensed nurses have the specific competencies necessary to care for residents' needs as identified through resident assessments and the plan of care for 4 of 5 sampled nurses.
  6. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to notify the resident's power of attorney (POA) of a change in condition on 3/14/25, related to a new pressure ulcer identified on his/her sacrum for 1 resident in the sample of 7 (Resident #1). This is a repeat deficiency for this facility, with violations cited during two previous recertification surveys, dated 2/6/25 and 3/1/24.
February 6, 2025Standard inspection, Complaint inspection · 16 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide sufficient staffing to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This has the potential to impact all residents. This is a repeat deficiency for this facility, with violations cited during the previous recertification survey, dated 08/19/24.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on observation and , it was determined that the facility failed to store food in accordance with professional standards for food service safety and failed to maintain a sanitary kitchen.
  3. F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on interview and record review the facility failed to conduct and document a facility wide assessment. This has the potential to impact all residents.
  4. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on observation, interview, and review of policies and procedures, it was determined that the facility failed to maintain facility-wide systems for the prevention, identification, and control of infection and communicable disease of residents, staff and visitors through surveillance, staff training and following established policies and procedures related to changing oxygen tubing, hand washing, cleaning and disinfection of reusable equipment, proper use and disposal of PPE (personal protective equipment), and facility cleanliness.
  5. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement comprehensive care plans for 2 of 2 sampled residents (Resident #27 and Resident #35) related to palliative care; and failed to implement care plan interventions related to supervision for 1 of 20 sampled residents (Resident #363). This is a repeat deficiency for this facility, with violations cited during the previous two recertification surveys, dated 08/19/24 and 03/01/24.
  6. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide an ongoing activities program to support residents in their choice of group, individual, and independent activities to meet the interests of and support the well-being of each resident as evidenced by a lack of engaging activities both in and out of resident rooms for 6 of 20 sampled residents (Residents #2, #19, #26, #35, #53 and # 563).
  7. E
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure that 7 residents [Resident #363, Resident #463, Resident #57, Resident #52, Resident #312, Resident #8, and Resident #64] of 14 sampled residents who are trauma survivors receive culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents' experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident.
  8. E
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide or obtain from an outside resource routine and emergency dental services to meet the needs of each resident for 3 of 20 sampled residents (Residents #19, #46, and #463). This is a repeat deficiency for this facility, with violations cited during the previous recertification surveys dated 08/19/2024.
  9. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wrotePer observation, interview, and record review, the facility failed to determine whether it is clinically appropriate for residents to self-administer medications for one sampled resident (Resident #364). This is a repeat deficiency for this facility, with violations cited during the previous two recertification surveys, dated 08/19/24 and 03/01/24.
  10. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on interview, and record review, it was determined that the facility failed to provide resident choices specific to aspects of their life that were important to them for 1 resident in a standard survey sample of 20 residents. (Resident #563).
  11. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure that a physician was notified of symptoms requiring an as needed medication whose prescription had expired for one of 20 sampled residents (Resident #25).
  12. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of 20 sampled residents (Resident #25) was provided necessary assistance to carry out activities of daily living related to grooming and personal hygiene.
  13. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that one of 20 sampled residents (Resident #20) received proper treatment and assistive devices to maintain hearing abilities.
  14. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medication error rates were not 5% or greater. The total error rate for all observations was calculated at 43%. There were 30 medication administration opportunities observed resulting in 13 errors for 1 of 7 sampled residents (Resident #12) due to the late administration of 12 medications, not following administration recommendations, and not administering an as needed (PRN) medication.
  15. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on observation, interview, record review, the facility failed to ensure medications were properly stored for 1 of 7 sampled residents (Resident #364). This is a repeat deficiency for this facility, with violations cited during the previous two recertification surveys, dated 08/19/24 and 03/01/24
  16. D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure safe and sanitary storage, handling, and consumption of one of 20 sampled residents (Resident #4).
January 23, 2025Complaint inspection · 2 citations
  1. F
    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
    F837 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) February 25, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to appoint an administrator licensed by the state to be responsible for managing the facility. This has the potential to negatively impact all residents.
  2. C
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    F836 · Administration · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) February 25, 2025
    Inspectors wroteBased on interview and record review, the facility failed to hold a current license from the State Agency to operate as a nursing home. This has the potential to negatively impact all residents.
August 19, 2024Complaint inspection · 6 citations
  1. F
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) September 27, 2024
    Inspectors wroteBased on observations and staff interview, the facility failed to provide necessary housekeeping and maintenance services to ensure residents have a safe, clean, comfortable, and homelike environment for 2 of 2 open resident units.
  2. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 27, 2024
    Inspectors wroteBased on observation and interview, the facility failed to provide dignity and respect for 4 of 23 sampled residents (Residents #2, #6, #5, and #103) and residents on 1 of 2 units (Unit B).
  3. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 27, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents or resident representatives received written notification of the facility bed hold policy on residents' discharge to the hospital for 1 of 23 residents sampled.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 27, 2024
    Inspectors wroteBased upon observation, interview, and record review, the facility failed to implement care plan interventions related to catheter care and monitoring for 1 [Res.#103] and failed to identify and implement interventions for an actual urinary tract infection and the use of antibiotic therapy for (Resident #5) for 2 of 2 sampled residents.
  5. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 27, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to revise the care plan for 1 of 23 residents sampled (Resident #16), related to significant medication error and symptomatic eye pain.
  6. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 27, 2024
    Inspectors wroteBased upon observation, interview, and record review, the facility failed to implement infection control measures related to catheter care for 1 resident [Res.#103] of 2 sampled residents.
March 1, 2024Complaint inspection · 6 citations
  1. E
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to Identify a resident's past history of trauma, and/or triggers which may cause re-traumatization for 3 applicable residents (Residents #22, #31, and #28).
  2. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that records are complete, accurately documented, readily accessible, and systematically organized related to dental records for all residents and medication reviews for 3 of 5 sampled residents (Residents #16, #32, and #31).
  3. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to protect the residents' right to be free from sexual abuse by a resident for 2 applicable residents (Resident #31 and #38).
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that allegations involving abuse are reported no later than 2 hours to the Administrator of the facility and the State Survey Agency for 2 applicable residents (Resident #31 and #38).
  5. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to initiate and investigate an investigation of an alleged violation of sexual abuse for 2 applicable residents (Resident #31 and #38).
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased upon observation, interview, and record review, the facility failed to ensure the environment was free of accident hazards for 1 resident [Res.#11] of 34 sampled residents.
February 1, 2024Complaint inspection · 6 citations
  1. G
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 7, 2024
    Inspectors wroteBased on interview and record review, the facility failed to obtain laboratory services to meet the needs of its residents for 2 of 2 sampled residents (Residents #1 and #2) related to obtaining urinalyses (UA) and culture and sensitivity [C&S; a test to determine if there is an infection, what germ is causing the infection, and what medication will work best to treat the infection] as requested by medical providers in a timely manner. As a result, Resident #1 and #2 suffered symptoms of urinary tract infections (UTI), a disease that can be diagnosed with a urinalysis and C&S, and were both transferred to the emergency department (ED) with sepsis [a life-threatening complication of an infection] caused by a UTI.
  2. G
    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
    F776 · Administration · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 7, 2024
    Inspectors wroteBased on interview and record review, the facility failed to obtain an EKG (electrocardiogram; a diagnostic test to evaluate heart function) to meet the needs of its residents for 1 applicable resident (Resident #2). As a result, Resident #2 was transferred to the Emergency Department (ED) and later to the ICU (intensive care unit) to manage the cardiac complications including atrial fibrillation (irregular, often rapid heart rate) with RVR (rapid ventricular response; abnormal rhythm originating in the lower chambers of the heart) and NSTEMI Type II (a heart attack due to mismatched oxygen supply and demand to the heart muscle), both cardiac conditions can potentially be diagnosed with an EKG.
  3. E
    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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 7, 2024
    Inspectors wroteBased on interview and record review, the faciliy failed to implement their policy regarding COVID-19 immunizations by failing to obtain vaccine supply and systematically provide education, obtain consents, and offer vaccines in a timely manner to all residents.
  4. D
    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.
    F742 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 7, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide mental health services and individualized care approaches that address the assessed needs of the resident for 1 applicable resident (Residents #1).
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 7, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services to meet each resident's needs and the facility failed to collaborate with the pharmacist to assure that effective policies and procedures were established and implemented for one applicable resident (Resident #2).
  6. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 7, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents are free of any significant medication errors for one applicable resident (Resident #2) related to the abrupt stop of a medication that should have been titrated down and the discontinuation of a medication due to the facility's inability to acquire the medication, putting Resident #2 at risk for medical complications and increased behaviors.
November 1, 2023Complaint inspection · 2 citations
  1. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure residents received services in the facility with reasonable accommodation of resident needs for 5 residents on A Wing (Residents #2, #3, #4, #5, and #6) as evidenced by not providing access to call lights so that they may make their needs known.
  2. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents are free from chemical restraints for one of three sampled residents (Resident #1) as evidenced by administration of medications without proper indication for use and despite experiencing side effects.
October 17, 2023Complaint inspection · 2 citations
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2023
    Inspectors wroteBased on resident interview, staff interview, and record review, the facility failed to ensure that services provided meet professional standards of quality as evidenced by failing to follow physicians' orders for one of 3 sampled residents (Resident #1).
  2. D
    Employ staff that are licensed, certified, or registered in accordance with state laws.
    F839 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2023
    Inspectors wroteBased on staff interview and record review, the facility failed to ensure that all professional staff are licensed, certified, or registered in accordance with applicable State laws for 1 or 4 sampled licensed nurses (RN #1).
October 9, 2023Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on staff interviews and record review, the facility failed to ensure 1 of 2 applicable residents (Resident #2) was free from abuse.

Fire safety inspections

8 fire safety citations on file: 1 on August 6, 2025, 7 on February 6, 2025.

Every fire safety citation8 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · August 6, 2025 · Corrected (the home has a date of correction)
  2. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · February 6, 2025 · Corrected (the home has a date of correction)
  3. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 6, 2025 · Corrected (the home has a date of correction)
  4. E
    Install corridor and hallway doors that block smoke.
    K 363 · February 6, 2025 · Not yet corrected
  5. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · February 6, 2025 · Corrected (the home has a date of correction)
  6. D
    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
    K 342 · February 6, 2025 · Not yet corrected
  7. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 6, 2025 · Not yet corrected
  8. D
    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
    K 700 · February 6, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 8, 2025Fine $80,698
August 19, 2024Fine $77,857
February 1, 2024Fine $149,292

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.

MeasureThis homeVermontUnited States
All nursing staff (RN, LPN and aides)3.914.223.86
Registered nurses0.630.800.69
All nursing staff on weekends3.443.663.42
Nurse aides2.24
Licensed practical nurses1.03
Nursing staff turnover (share who left in a year)72.9%55.4%45.8%
Registered nurse turnover69.2%39.9%42.9%
Administrators who left0

CMS expects 4.10 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 4.09 on weekdays and 3.44 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 66.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.92 in April to June 2025 to 3.91 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.910.634.093.44 66.5%0 of 9075
Oct to Dec 20253.900.564.213.11 66.4%0 of 9276
Jul to Sep 20253.950.584.203.31 71.3%0 of 9274
Apr to Jun 20253.920.564.183.27 75.5%0 of 9172
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Vermont, Jan to Mar 20264.250.794.473.7123.2%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Vermont

JobMedianMiddle halfEmployed
Vermont, all employers
CNAs (nursing assistants)$22.66$19.64 to $23.533,030
LPNs and LVNs$33.62$29.56 to $37.611,130
Registered nurses$46.86$39.53 to $50.587,410
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Premier Rehab and Healthcare at Berlin. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeVermontUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
26.319.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.30.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.02.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.65.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.81.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.617.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.95.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.719.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.822.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.217.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.52.91.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Premier Rehab and Healthcare at Berlin's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

43.5% this home

No different from the national rate

US median of homes 51.5% · Vermont: 8 better, 3 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 102 eligible stays.

Potentially preventable readmissions

8.5% this home

No different from the national rate

US median of homes 10.7% · Vermont: 1 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 140 eligible stays.

Infections that led to a hospital stay

5.8% this home

No different from the national rate

US median of homes 7.1% · Vermont: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 64 eligible stays.

Self-care and mobility at discharge

55.6% this home

Median of homes: Vermont57.4% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 81 residents counted.

Falls with major injury

2.3% this home

Median of homes: Vermont0.4% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 133 residents counted.

New or worsened pressure ulcers

5.9% this home

Median of homes: Vermont2.7% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 133 residents counted.

Medication list given at discharge

91.9% this home

Median of homes: Vermont97.6% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 62 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: BERLIN OPERATIONS LLC. CMS links this home to Stellar Health Group, a group of 7 nursing homes averaging 2.7 stars overall.

NameRoleTypeShareSince
Berlin Member LLC5% or greater direct ownership interestOrganization12/18/2024
Erlichman, Ariel5% or greater direct ownership interestIndividual12/18/2024
Hollerand, RonaldOperational/managerial controlIndividual12/18/2024
Raindel, YehudaOperational/managerial controlIndividual12/18/2024
Van Dyck, AlexandraOperational/managerial controlIndividual12/18/2024
Wyner, MosheOperational/managerial controlIndividual12/18/2024
Erlichman, ArielAdp of the SNFIndividual12/19/2024
Hollerand, RonaldAdp of the SNFIndividual02/04/2025
Van Dyck, AlexandraAdp of the SNFIndividual02/04/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on August 6, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on February 4, 2026: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on June 22, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on May 8, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.44 hours per resident per day, below the Vermont average of 3.66.

Other nursing homes nearby

Vermont contacts for a concern about a nursing home

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Common questions

What is Premier Rehab and Healthcare at Berlin's Medicare star rating?
CMS rates Premier Rehab and Healthcare at Berlin 1 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Premier Rehab and Healthcare at Berlin get at its last inspection?
2 health deficiencies at the standard inspection on February 4, 2026. The Vermont average is 7.9.
Has Premier Rehab and Healthcare at Berlin been fined?
Yes. CMS lists 3 fines totaling $307,847 in the last three years.
Does Premier Rehab and Healthcare at Berlin 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 Premier Rehab and Healthcare at Berlin?
CMS lists 9 owners and managers, and links the home to Stellar Health Group. Legal business name: BERLIN OPERATIONS LLC.

Sources

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