Green Mountain Nursing and Rehabilitation
Colchester, VT · 73 beds · For profit - Limited Liability company
Red Flags
- ⚠ 1-star health inspection rating (lowest possible)
- ⚠ 21 deficiencies — 2.1x the state average
- ⚠ 2 citation(s) at the highest severity level — immediate risk to residents
- ⚠ 1 citation(s) where residents suffered actual harm
- ⚠ $161,106 in fines over 3 years
- ⚠ 64% total nursing staff turnover
Green Flags
- ✓ 4-star staffing rating
Quick Facts
Violation Timeline
June 5, 2025
3 deficiencyiesQuality of Life and Care Deficiencies
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Administration Deficiencies
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Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies
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Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
October 21, 2024
3 deficiencyiesFreedom from Abuse, Neglect, and Exploitation Deficiencies
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
March 27, 2024
14 deficiencyiesResident Rights Deficiencies
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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.
Resident Rights Deficiencies
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
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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.
Resident Assessment and Care Planning Deficiencies
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
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Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Quality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
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Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
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Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Pharmacy Service Deficiencies
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
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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.
Staffing
A nurse checks on each resident roughly every 4.6 hours on average.
Fines & Penalties
- Fine Jun 5, 2025$128,362
- Fine Mar 27, 2024$32,744
Ownership
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RUBIN, ALTER
5% OR GREATER DIRECT OWNERSHIP INTEREST
Since since 03/01/2023
100% Individual -
COMBS-WILBER, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
Since since 03/01/2023
Individual -
LUEBBERS, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
Since since 12/01/2023
Individual -
SILVER, PESI
OPERATIONAL/MANAGERIAL CONTROL
Since since 03/01/2023
Individual -
RUBIN, ALTER
CORPORATE OFFICER
Since since 03/01/2023
Individual