Deficiency Index

Premier Rehab and Healthcare at Burlington

Burlington, Vermont · CCN 475014

65 surveys since 2010. The first finding at harm level was recorded in 2018.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
223
Surveys
65
Harm or worse
31
Immediate jeopardy
17
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy17

Findings at the most serious level CMS records.

Beyond CMS’s monthly file54/65

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
164
Ownership
For profit - Limited Liability company
Chain
STELLAR HEALTH GROUP
County
Chittenden
Medicare-certified since
1970

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 22 for-profit facilities in Vermont.

Last survey on record

Jul 8, 2026

124 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.163.96
Registered-nurse hours per resident day0.52—
Annual nurse turnover70.4%60.1%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$137,679 across 4 penalties
Special focus
SFF Candidate

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG617.1%H—I—
No harm, potential for more than minimalD1542.9%E617.1%F720.0%
No harm, potential for minimalA—B12.9%C—
CMS’s current file: 35 of the 223 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6003×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6552×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • F6792×

    Provide activities to meet all resident's needs.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

In the surveyor’s words

From the most serious findings on record at Premier Rehab and Healthcare at Burlington, in the surveyor’s own words.

  • Immediate jeopardy, patternF684Jan 19, 2023

    Based on record review and interview, the facility failed to provide care to an existing non-pressure related injury for 2 of 2 sampled residents [Residents #2 and #8] and preventative skin care to residents at risk for development of non-pressure related injuries for 5 of 6 sampled residents [Residents #1, #2, #3, #6, and #8] consistent with facility policy and professional standards of practice. Findings include: Record review and interview reveal the facility had multiple systemic failures in its prevention and management of non-pressure injuries in accordance with facility policy and professional standard of practice. […]

  • Immediate jeopardy, patternF686Jan 19, 2023

    Based on record review and interview, the facility failed to provide treatment to an existing pressure injury for 2 of 2 sampled residents [Residents #1 and #6] and preventative skin care to residents at risk for development of pressure injuries for 5 of 6 sampled residents [Residents #1, #2, #3, #6, and #8] consistent with facility policy and professional standards of practice. Findings include: Record review and interview reveal the facility had multiple systemic failures in its prevention and management of pressure injuries in accordance with facility policy and professional standard of practice. […]

  • Immediate jeopardy, patternF726Jan 19, 2023

    Per record review and interview, the facility failed to ensure that licensed nurses and other nursing personnel have the knowledge and competencies to provide skin and diabetic foot care for 5 of 6 sampled residents at risk for skin break down. Findings include: The facility's Facility Assessment, last updated 7/27/22, indicates that the facility is able to provide care and services related to skin integrity and management of medical conditions related to diabetes. Part 2: Services and Care We Offer Based on our Residents' Needs a. Skin integrity: Pressure injury prevention and care, wound care (surgical, pressure, other skin wounds) b. […]

  • Immediate jeopardy, isolatedF578Sep 22, 2021

    Based upon observation, interview, and record review, the facility failed to ensure the resident's right to request, refuse, and/or discontinue treatment was implemented, as indicated in a Do Not Resuscitate [DNR] order, for 1 resident [Res. #37] of 31 residents with DNR orders. This citation is at the immediate jeopardy level due to significant risk of serious harm as a result of the noncompliance to this resident and the 30 other residents with DNR orders. Findings include: A review of Res. #37's medical record reveals the resident has complex medical issues and diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . An interview was conducted with Res. #37 on [DATE] at 4:19 PM. The resident reported that on [DATE] his/her heart stopped and s/he had stopped breathing. […]

  • Immediate jeopardy, isolatedF658Sep 22, 2021

    Based upon observation, interview, and record review, the facility failed to ensure the services provided or arranged by the facility, as outlined by the comprehensive care plan, meet professional standards of quality regarding a Do Not Resuscitate [DNR] order, for 1 resident [Res. #37] of 31 residents with DNR orders. This citation is at the immediate jeopardy level due to significant risk of serious harm to this resident and the 30 other residents with DNR orders, as a result of the noncompliance. […]

Read 48 findings in full →The most serious and the most recent: 48 of 223 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 8, 2026Complaint1 finding
  • Mar 17, 2026Complaint1 finding · 1 harm
  • Dec 17, 2025Standard and complaint10 findings · 2 harm
  • Dec 12, 2025Complaint1 finding
  • May 20, 2025Complaint2 findings
  • Dec 4, 2024Standard8 findings
  • Jul 17, 2024Complaint6 findings
  • Jun 12, 2024Complaint1 finding
Show the 57 earlier surveys
  • May 29, 2024Complaint2 findings · 2 harm
  • Oct 13, 2023Complaint2 findings · 1 harm
  • Sep 13, 2023Standard1 finding
  • Mar 29, 2023Standard3 findings
  • Feb 14, 2023Complaint3 findings
  • Jan 19, 2023Complaint6 findings · 4 harm
  • Dec 13, 2022Complaint1 finding
  • Nov 15, 2022Complaint1 finding
  • Oct 11, 2022Complaint1 finding
  • Sep 21, 2022Standard7 findings · 1 harm
  • Mar 23, 2022Standard11 findings
  • Jan 11, 2022Complaint5 findings
  • Dec 20, 2021Complaint2 findings · 2 harm
  • Nov 10, 2021Complaint2 findings
  • Sep 22, 2021Standard4 findings · 2 harm
  • Jun 1, 2021Complaint1 finding
  • Mar 30, 2021Complaint1 finding
  • Feb 3, 2021Complaint6 findings · 4 harm
  • Aug 14, 2020Complaint1 finding · 1 harm
  • Jan 29, 2020Complaint4 findings
  • Jun 26, 2019Complaint4 findings
  • May 15, 2019Complaint2 findings
  • May 1, 2019Complaint12 findings · 8 harm
  • Feb 13, 2019Complaint1 finding
  • Jan 29, 2019Complaint2 findings
  • Dec 4, 2018Complaint5 findings
  • Oct 24, 2018Standard and complaint5 findings
  • Aug 22, 2018Complaint2 findings
  • Apr 3, 2018Complaint1 finding · 1 harm
  • Feb 5, 2018Complaint2 findings · 2 harm
  • Dec 14, 2017Standard10 findings
  • Aug 14, 2017Complaint3 findings
  • Oct 26, 2016Standard8 findings
  • Mar 22, 2016Complaint1 finding
  • Feb 1, 2016Complaint1 finding
  • Dec 2, 2015Standard8 findings
  • Jul 13, 2015Complaint2 findings
  • Mar 11, 2015Complaint1 finding
  • Jan 27, 2015Complaint1 finding
  • Jan 7, 2015Complaint6 findings
  • Dec 22, 2014Complaint3 findings
  • Oct 8, 2014Standard2 findings
  • Jul 29, 2014Complaint1 finding
  • Apr 29, 2014Complaint3 findings
  • Feb 18, 2014Complaint3 findings
  • Dec 18, 2013—6 findings
  • Jul 2, 2013—1 finding
  • Feb 27, 2013—1 finding
  • Jan 30, 2013—2 findings
  • Oct 17, 2012Standard5 findings
  • Jul 23, 2012—1 finding
  • Jun 5, 2012—2 findings
  • Dec 21, 2011—9 findings
  • Oct 11, 2011—1 finding
  • May 9, 2011—4 findings
  • Feb 16, 2011—6 findings
  • Sep 15, 2010—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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