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Thompson House Nursing Home

80 Maple Street, Brattleboro, VT 05301 · Windham County · (802) 254-4977

43 certified beds, about 39 residents a day · Non profit - Corporation · Medicare and Medicaid since 1995

Special Focus Facility candidate Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 475050 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 18, 2026, inspectors cited 0 health deficiencies (the Vermont average is 7.9, the national average 9.2).

Of 7 health citations since September 2023, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 1 fine totaling $112,499 in the last three years; the largest was $112,499, and the latest is dated December 9, 2025.

Nurses and nurse aides worked 4.95 hours per resident per day, against 4.22 across Vermont and 3.86 nationally. Registered nurses accounted for 0.98 of those hours.

56.1% 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.

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 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
0D
2E
2F
Potential for minimal harm
0A
0B
0C
March 18, 2026Standard inspection · 0 citations
December 9, 2025Complaint inspection · 3 citations
  1. K
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 7, 2026
    Inspectors wroteBased on observation and interview, the facility failed to ensure an effective, functioning resident call system was accessible to all 32 residents on the first floor. Specifically, the facility failed to maintain a system that effectively alerted staff when a call light was disconnected from the wall at the bedside, which occurred in Resident #1's room and was confirmed through sampling in Resident #4's room. On [DATE], Resident #1-who was at high risk for falls and was receiving laxatives-was found deceased on the floor with the call light detached and unalarmed at the nurses' station. The facility failed to implement any policies or routine testing procedures to ensure the call system's audible and visual indicators remained operational. [...]
  2. J
    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 · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 7, 2026
    Inspectors wroteBased on interview and record review, the facility failed to implement a comprehensive care plan to ensure the safety and well-being of 3 of 4 residents (Residents #1, #2, and #3). For Resident #1, the facility failed to provide required hourly safety rounds. The facility failed to ensure a functioning motion sensor was used as planned for a resident at high risk of falls. Specifically, Resident #1-who had received laxatives, was non-ambulatory, and required maximal assistance for toileting-was found deceased on the floor with a detached call light and feces present, after nursing staff failed to monitor the resident according to the established fall-prevention interventions. These failures resulted in an Immediate Jeopardy due to the outcome of death for Resident #1.
  3. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · 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) January 7, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure an environment free from accident hazards and failed to provide adequate supervision to prevent avoidable accidents for 3 of 3 residents (Residents #1, #2, and #3). Specifically, for Resident #1-who was at high risk for falls and required maximal assistance-staff failed to implement care-planned hourly safety rounds and failed to ensure functioning motion sensors and a working call light system were in place. On [DATE], Resident #1 experienced an unwitnessed fall and was found deceased on the floor with the call light detached. These systemic failures in supervision and equipment maintenance constituted an Immediate Jeopardy due to the outcome of death for Resident #1. This is a repeat deficiency for this facility, with violations cited during the previous recertification survey dated [DATE]. [...]
January 8, 2025Standard inspection, Complaint inspection · 1 citation
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 31, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure each resident remains as free of accident hazards as is possible regarding reviewing interventions for effectiveness and attempting new Care Plan interventions to prevent falls for residents identified as fall risks for 3 residents [Res. #29, #6 #7] of 18 sampled residents.
September 20, 2023Standard inspection · 3 citations
  1. F
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 1, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that all grievances were tracked through to their conclusion by failing to document all decisions including steps taken to investigate the grievance, a summary of the pertinent findings or conclusions, whether the grievance was confirmed or not confirmed, and any corrective action taken or to be taken, and the date the written decision was issued. During observations on the second floor on 9/18/2023 at 1:00 PM there was a clear file holder containing a stack of papers that was affixed to the wall diagonally across the nurses station. Review of the papers in the holder revealed that they were Concern Forms that are intended to be used to file grievances. [...]
  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) November 1, 2023
    Inspectors wroteBased on observations the facility failed to store food in accordance with professional standards.
  3. 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 · Corrected (the home has a date of correction) November 1, 2023
    Inspectors wroteBased on observations and interviews the facility failed to treat 4 of 24 residents (Residents #39, 5, 28 & 14) with dignity and respect.

Fines and payment denials

DatePenaltyAmount or length
December 9, 2025Fine $112,499

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)4.954.223.86
Registered nurses0.980.800.69
All nursing staff on weekends4.223.663.42
Nurse aides2.95
Licensed practical nurses1.02
Nursing staff turnover (share who left in a year)56.1%55.4%45.8%
Registered nurse turnover40.0%39.9%42.9%
Administrators who left2

CMS expects 4.14 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 5.24 on weekdays and 4.22 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.37 in April to June 2025 to 4.95 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.950.985.244.22 9.2%3 of 9039
Oct to Dec 20254.131.094.433.36 4.1%0 of 9240
Jul to Sep 20254.681.024.963.96 0.0%0 of 9238
Apr to Jun 20254.370.924.663.64 0.0%0 of 9141
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.

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
10.219.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.42.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
8.55.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.017.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.55.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.519.915.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.81.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
6.02.91.8

Owners and operators

Legal business name: BRATTLEBORO MUTUAL AID ASSOCIATION, INC..

NameRoleTypeShareSince
Abell, PeterCorporate directorIndividual05/15/2019
Huestis, StephanieCorporate directorIndividual05/15/2019
Mabie, JohnCorporate directorIndividual05/15/2018
Taylor Olson, CarolynCorporate directorIndividual05/01/2021
Veenema, RonCorporate directorIndividual05/01/2018
Dickey, KariOperational/managerial controlIndividual01/01/2021
Morton, JudithOperational/managerial controlIndividual09/12/2022
Pratt, TaraOperational/managerial controlIndividual09/30/2024
Dickey, KariAdp of the SNFIndividual03/11/2026
Pratt, TaraAdp of the SNFIndividual03/11/2026

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 2 problems in this area, most recently on December 9, 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 2 problems in this area, most recently on September 20, 2023: "Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances."
  3. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on December 9, 2025: "Make sure that a working call system is available in each resident's bathroom and bathing area."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on December 9, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  5. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Common questions

What is Thompson House Nursing Home's Medicare star rating?
CMS rates Thompson House Nursing Home 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Thompson House Nursing Home get at its last inspection?
0 health deficiencies at the standard inspection on March 18, 2026. The Vermont average is 7.9.
Has Thompson House Nursing Home been fined?
Yes. CMS lists 1 fine totaling $112,499 in the last three years.
Does Thompson House Nursing Home 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 Thompson House Nursing Home?
CMS lists 10 owners and managers. Legal business name: BRATTLEBORO MUTUAL AID ASSOCIATION, INC..

Sources

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