46 Nichols Street, Rutland, VT 05701 · Rutland County · (802) 775-2941
103 certified beds, about 91 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 475039 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 8, 2026, inspectors cited 2 health deficiencies (the Vermont average is 7.9, the national average 9.2).
Of 10 health citations since September 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $32,708 in the last three years; the largest was $23,920, and the latest is dated June 19, 2025.
Nurses and nurse aides worked 3.88 hours per resident per day, against 4.22 across Vermont and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.
36.8% of nursing staff left within the year CMS measured (Vermont average 55.4%).
CMS links it to Allaire Health Services, an affiliated group of 21 nursing homes.
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.
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 10 health citations on file.
Inspectors wroteBased upon interview and record review, the facility failed to ensure care plan interventions related to risk for skin breakdown were implemented for 1of 6 sampled residents (Resident #62).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure care plan interventions related to prevention of pressure ulcers were implemented for 2 of 6 sampled residents (Residents #62 and #32).
Inspectors wroteBased on interview and record review, the facility failed to ensure 1 of 3 residents sampled [Resident #1] was free from physical abuse by facility staff. A reasonable person has the expectation that they will be safe in their home and can trust and rely on staff to keep them safe. In this case, a reasonable person would suffer psychosocial harm of fear and or anxiety related to being abused by a staff member.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure the residents' environment remained as free from accident hazards as is possible for 1 of 8 residents surveyed (Resident #29).
Inspectors wroteBased on observation, interview and policy review, it was determined that the facility failed to store food in accordance with professional standards for food service safety. This deficiency has the potential to impact all residents in the facility.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to maintain an effective pest control program that ensures the facility is free of pests. This deficiency has the potential to impact all residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were properly stored for 1 of 7 sampled residents (Resident #42).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure infection control measures were implemented regarding residents on enhanced barrier precautions and hand hygiene practices were completed for 1 of 4 residents sampled (Resident #25).
Inspectors wroteBased on observations, staff interview, resident interview, and record review, the facility failed to ensure that each resident receives food that accommodates allergies, preferences, and intolerances for two of four sampled residents (Residents #1 and #2).
Inspectors wroteBased on staff interview and record review, the facility failed to consult with the resident's physician when there is a need to alter treatment significantly as evidenced by a failure to follow up on consistent refusal of high-risk medications for one of 5 sampled residents (Resident #1).
4 fire safety citations on file: 4 on February 9, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| June 19, 2025 | Fine | $8,788 |
| June 19, 2025 | Fine | $23,920 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.88 | 4.22 | 3.86 |
| Registered nurses | 0.74 | 0.80 | 0.69 |
| All nursing staff on weekends | 3.42 | 3.66 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | 36.8% | 55.4% | 45.8% |
| Registered nurse turnover | 41.2% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.89 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.07 on weekdays and 3.42 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.78 in April to June 2025 to 3.88 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 | 3.88 | 0.74 | 4.07 | 3.42 | 0.0% | 0 of 90 | 91 |
| Oct to Dec 2025 | 3.86 | 0.76 | 4.04 | 3.41 | 0.0% | 0 of 92 | 91 |
| Jul to Sep 2025 | 4.05 | 0.68 | 4.29 | 3.46 | 5.4% | 0 of 92 | 92 |
| Apr to Jun 2025 | 3.78 | 0.82 | 3.97 | 3.30 | 4.2% | 0 of 91 | 92 |
| 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.
Staff pay reports
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Vermont, all employers | |||
| CNAs (nursing assistants) | $22.66 | $19.64 to $23.53 | 3,030 |
| LPNs and LVNs | $33.62 | $29.56 to $37.61 | 1,130 |
| Registered nurses | $46.86 | $39.53 to $50.58 | 7,410 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 6.6 | 19.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 5.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.7 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.9 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 5.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.5 | 19.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.2 | 22.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.8 | 17.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Rutland Healthcare & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.5% 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. 127 eligible stays.
8.8% 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. 166 eligible stays.
7.2% 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. 92 eligible stays.
61.5% 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. 91 residents counted.
0.8% 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. 126 residents counted.
2.5% 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. 126 residents counted.
97.6% 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. 42 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.
Legal business name: 46 NICHOLS STREET OPCO LLC. CMS links this home to Allaire Health Services, a group of 21 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ahs Vt Opco Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 12/18/2024 |
| Ahs Vt Topco LLC | 5% or greater indirect ownership interest | Organization | 12/18/2024 | |
| Kurland, Benjamin | 5% or greater indirect ownership interest | Individual | 12/18/2024 | |
| Kurland, Naomi | Indirect ownership interest | Individual | 12/18/2024 | |
| Kurland, Benjamin | Corporate officer | Individual | 12/18/2024 | |
| Ahs Vt Opco Holdco LLC | Operational/managerial control | Organization | 12/18/2024 | |
| Ahs Vt Topco LLC | Operational/managerial control | Organization | 12/18/2024 | |
| Allaire Health Services | Operational/managerial control | Organization | 12/18/2024 | |
| Brand Sonnenschine LLP | Operational/managerial control | Organization | 12/18/2024 | |
| Cibc Bank USA | Operational/managerial control | Organization | 12/18/2024 | |
| Clr Consulting Inc | Operational/managerial control | Organization | 12/18/2024 | |
| Blanchard, Lisa | Operational/managerial control | Individual | 12/18/2024 | |
| Brecher, Chaim | Operational/managerial control | Individual | 12/18/2024 | |
| Kurland, Benjamin | Operational/managerial control | Individual | 12/18/2024 | |
| Sobel, Eitan | Operational/managerial control | Individual | 12/18/2024 | |
| 46 Nichols Street Propco LLC | Adp of the SNF | Organization | 12/18/2024 | |
| Ahs Vt Propco Holdco LLC | Adp of the SNF | Organization | 12/18/2024 | |
| Ahs Vt Topco LLC | Adp of the SNF | Organization | 12/18/2024 | |
| Allaire Health Services | Adp of the SNF | Organization | 04/09/2025 | |
| Brand Sonnenschine LLP | Adp of the SNF | Organization | 04/09/2025 | |
| Career Staff Unlimited | Adp of the SNF | Organization | 12/18/2024 | |
| Cibc Bank USA | Adp of the SNF | Organization | 07/23/2025 | |
| Clr Consulting Inc | Adp of the SNF | Organization | 04/09/2025 | |
| Digacore Consulting | Adp of the SNF | Organization | 12/18/2024 | |
| Blanchard, Lisa | Adp of the SNF | Individual | 12/18/2024 | |
| Brecher, Chaim | Adp of the SNF | Individual | 12/18/2024 | |
| Kurland, Benjamin | Adp of the SNF | Individual | 12/18/2024 | |
| Kurland, Naomi | Adp of the SNF | Individual | 12/18/2024 | |
| Sobel, Eitan | Adp of the SNF | Individual | 04/09/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Vermont. NursingHomeClear cannot take or act on complaints.