The Manor, Inc.
577 Washington Highway, Morrisville, VT 05661 · Lamoille County · (802) 888-8700
72 certified beds, about 67 residents a day · Non profit - Corporation · Medicare and Medicaid since 2000
CMS Care Compare ratings, data as of September 1, 2026 · CCN 475057 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 15, 2026, inspectors cited 5 health deficiencies (the Vermont average is 7.9, the national average 9.2).
Of 14 health citations since February 2024, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $140,856 in the last three years; the largest was $112,847, and the latest is dated December 16, 2024.
Nurses and nurse aides worked 4.19 hours per resident per day, against 4.22 across Vermont and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
63.6% 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.
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.
April 15, 2026Standard inspection · 5 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 wrotePer interview and record review, the facility failed to ensure that 48 of 48 contracted nursing staff (licensed nursing staff and licensed nursing assistants) obtained through staffing agencies have the specific competencies necessary to care for residents' needs as identified through resident assessments and the plan of care. This has the potential to affect all residents.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observations and interview, the facility failed to ensure a resident's right to privacy was maintained while receiving person care for 2 of 18 sampled residents (Resident #4 and Resident #33).
- D Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a physician supervised and provided consultation or treatment when contacted by the facility for 1 of 18 Residents in the sample (Resident #52).
- D Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure that physicians reviewed the resident's total program of care at required physician visits for 2 of 18 residents (Resident #6 and Resident #33).
- D 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 regarding hand hygiene were followed during medication administration for 2 of 2 (Resident #26 and Resident #28) residents sampled.
November 25, 2025Complaint inspection · 1 citation
- 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 ensure that all food was stored safely and to ensure that sanitary conditions for safe food handling were maintained. This has the potential to impact all residents.
April 23, 2025Standard inspection · 1 citation
- C Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure each resident has the right to self-determination and access to persons and services outside of the facility by locking all doors to the facility 24 hours a day, 7 days a week, and not having a current policy and procedure that ensures residents are systematically assessed and given the ability to exercise their rights as a citizen (or resident) of the United States to make personal choices about going outside without interference. This has the potential to affect all residents of the facility and all visitors, including family, legal representatives, and advocates.
December 16, 2024Complaint inspection · 3 citations
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to protect the resident's right to be free from sexual abuse by staff for 1 of 2 sampled residents (Resident #1). As a result of the deficient practice, Resident #1 was transferred to the hospital and had a sexual assault nurse exam where genital tearing was detected. Using the reasonable person concept, Resident #1 would likely experience severe adverse psychosocial outcomes related to the event.
- J Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on interviews and record review the facility failed to develop and implement a policy related to screening of potential employees to include a national background checks for all employees.
- D Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wrotePer interview and record review that facility failed to provide abuse training prior to a substantiated sexual assault for one out of six employees sampled.
February 7, 2024Standard inspection · 4 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that residents received care in accordance with professional standards of practice related to the worsening of an arterial ulcer that resulted in a Staphylococcus (Staph) infection (an infection caused by a bacteria commonly found on the skin) for 1 of 23 residents sampled (Resident #35).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased upon observation, interview, and record review, the facility failed to implement procedures that assure the accurate acquiring, dispensing and administering drugs to meet the needs of one resident [Res.#45] of 23 sampled residents.
- 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 interview and record review the facility failed to ensure the physician documented a duration of use or rational for extending the use for an as needed (prn) psychotropic medication for 2 of 5 sampled residents (Residents #51 and #10 ).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement and maintain contact precautions for 1 resident [Res.# 108] of 23 sampled residents.
Fire safety inspections
3 fire safety citations on file: 3 on April 15, 2026.
Every fire safety citation3 citations
- F Establish procedures for tracking staff and patients during an emergency.
- F Establish policies and procedures for volunteers.
- F Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 16, 2024 | Fine | $112,847 |
| February 7, 2024 | Fine | $28,009 |
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) | 4.19 | 4.22 | 3.86 |
| Registered nurses | 0.69 | 0.80 | 0.69 |
| All nursing staff on weekends | 3.93 | 3.66 | 3.42 |
| Nurse aides | 2.72 | ||
| Licensed practical nurses | 0.78 | ||
| Nursing staff turnover (share who left in a year) | 63.6% | 55.4% | 45.8% |
| Registered nurse turnover | 40.0% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.41 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 4.30 on weekdays and 3.93 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.15 in April to June 2025 to 4.19 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 | 4.19 | 0.69 | 4.30 | 3.93 | 17.2% | 0 of 90 | 67 |
| Oct to Dec 2025 | 3.97 | 0.62 | 4.09 | 3.69 | 15.8% | 1 of 92 | 65 |
| Jul to Sep 2025 | 4.19 | 0.76 | 4.36 | 3.74 | 24.1% | 0 of 92 | 63 |
| Apr to Jun 2025 | 4.15 | 0.84 | 4.32 | 3.73 | 30.6% | 0 of 91 | 62 |
| 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
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.
Official wage estimates for Vermont
| 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.
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 | 26.7 | 19.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.1 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 5.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.8 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.7 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.4 | 5.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.8 | 19.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.5 | 22.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.3 | 17.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.9 | 1.8 |
Owners and operators
Legal business name: THE MANOR INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| The Manor Inc | 5% or greater direct ownership interest | Organization | 100% | 04/15/1999 |
| Smith, Lynnette | Direct ownership interest | Individual | 03/06/2006 | |
| Smith, Lynnette | 5% or greater indirect ownership interest | Individual | 03/06/2006 | |
| Smith, Lynnette | Operational/managerial control | Individual | 03/06/2006 | |
| Van Vogelpoel, Tusa | Operational/managerial control | Individual | 04/01/2025 | |
| Birmingham, Lisa | Trustee of the SNF | Individual | 01/11/2023 | |
| Norder, Angela | Trustee of the SNF | Individual | 01/01/2008 | |
| Yacovone, Dave | Trustee of the SNF | Individual | 01/01/2011 | |
| The Manor Inc | Adp of the SNF | Organization | 04/15/1999 | |
| Smith, Lynnette | Adp of the SNF | Individual | 03/06/2006 | |
| Van Vogelpoel, Tusa | 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 many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on April 15, 2026: "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."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on December 16, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- 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 15, 2026: "Keep residents' personal and medical records private and confidential."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 15, 2026: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Greensboro Nursing Home Greensboro, 15 mi · 4 of 5 stars · 23 citations
- Union House Nursing Home Glover, 19.9 mi · 4 of 5 stars · 23 citations
- Premier Rehab and Healthcare at Berlin Barre, 23.3 mi · 1 of 5 stars · 55 citations
- Barre Gardens Nursing and Rehab, LLC Barre, 25 mi · 1 of 5 stars · 53 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 The Manor, Inc.'s Medicare star rating?
- CMS rates The Manor, Inc. 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Manor, Inc. get at its last inspection?
- 5 health deficiencies at the standard inspection on April 15, 2026. The Vermont average is 7.9.
- Has The Manor, Inc. been fined?
- Yes. CMS lists 2 fines totaling $140,856 in the last three years.
- Does The Manor, Inc. 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 The Manor, Inc.?
- CMS lists 11 owners and managers. Legal business name: THE MANOR INC.
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.