SNF

Premier Rehab and Healthcare at Berlin

CCN: 475020 · Barre, VT 05641 · Washington County

⚠ Special Focus Facility

Overview

Address
98 Hospitality Drive, Barre, VT 05641
Phone
8022290308
Certified beds
115
Avg daily residents
74 (65% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1979-08-01
Setting
Rural
—
Rating not available

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
Footnote 18.
— Not Available
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
Footnote 18.
— Not Available
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 18.
— Not Available
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
Footnote 18.
— Not Available

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.95 3.88 3.93 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.58 0.68 0.57 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.06 0.86 1.05 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.32 2.34 2.30 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.63 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.20 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.31
hrs / resident / day
RN (weekend)
0.29
hrs / resident / day
Total nurse (adjusted, weekend)
3.29
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
86.5%
annual
RN turnover
82.4%
annual
Administrators departed
3
last 12 months

Resident acuity

Nursing Case-Mix Index
1.37
higher acuity than avg
Case-Mix Index Ratio
1.00
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-08-06 11 5 7 143 1 143
Cycle 2/3 (prior) 2025-02-06 54 16 41 460 1 460
Total weighted health score
222.3
lower is better

Deficiencies (77)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
66 D/E/F Actual harm — potential for minor
9 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2025-08-06 2025-09-11
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2025-08-06 2025-09-11
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2025-08-06 2025-09-11
0880 Provide and implement an infection prevention and control program. D 2025-08-06 2025-09-11
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-08-06 2025-09-11
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-05-08 2025-05-16
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2025-05-08 2025-05-16
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. J 2025-05-08 2025-05-16
0711 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. E 2025-05-08 2025-05-16
0726 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. E 2025-05-08 2025-05-16
0841 Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. F 2025-05-08 2025-05-16
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2025-02-06 2025-03-12
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-02-06 2025-03-12
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-02-06 2025-03-12
0679 Provide activities to meet all resident's needs. E 2025-02-06 2025-03-12
0685 Assist a resident in gaining access to vision and hearing services. D 2025-02-06 2025-03-12
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2025-02-06 2025-03-12
0759 Ensure medication error rates are not 5 percent or greater. D 2025-02-06 2025-03-12
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2025-02-06 2025-03-12
0791 Provide or obtain dental services for each resident. E 2025-02-06 2025-03-12
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-02-06 2025-03-12
0813 Have a policy regarding use and storage of foods brought to residents by family and other visitors. D 2025-02-06 2025-03-12
0838 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F 2025-02-06 2025-03-12
0880 Provide and implement an infection prevention and control program. F 2025-02-06 2025-03-12
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-02-06 2025-03-12
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2025-02-06 2025-03-12
0699 Provide care or services that was trauma informed and/or culturally competent. E 2025-02-06 2025-03-12
0836 Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. C 2025-01-23 2025-02-25
0837 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F 2025-01-23 2025-02-25
0625 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. D 2024-08-19 2024-09-27
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-08-19 2024-09-27
0711 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. E 2024-08-19 2024-09-27
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2024-08-19 2024-09-27
0730 Observe each nurse aide's job performance and give regular training. E 2024-08-19 2024-09-27
0760 Ensure that residents are free from significant medication errors. G 2024-08-19 2024-09-27
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2024-08-19 2024-09-27
0791 Provide or obtain dental services for each resident. D 2024-08-19 2024-09-27
0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. F 2024-08-19 2024-09-27
0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. D 2024-08-19 2024-09-27
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F 2024-08-19 2024-09-27
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F 2024-08-19 2024-09-27
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. D 2024-08-19 2024-09-27
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-08-19 2024-09-27
0584 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. F 2024-08-19 2024-09-27
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-08-19 2024-09-27
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-08-19 2024-09-27
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-08-19 2024-09-27
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-03-01 2024-04-18
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-03-01 2024-04-18
0610 Respond appropriately to all alleged violations. D 2024-03-01 2024-04-18

Showing 50 most recent of 77. See the All Data CSV for the full list.

Penalties (6)

Fines issued
5
last 3 years
Total fines
$390,404
Payment denials
1
Date Type Fine amount
2023-05-24 Fine $9,939
2023-05-24 Fine $72,618
2024-08-19 Fine $77,857
2025-05-08 Fine $80,698
2024-02-01 Fine $149,292
2023-05-24 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 14.2% Medicaid 72.2% Other 13.6%

Operating performance

Operating Margin
-6.8%
Total Margin
-4.8%
Occupancy Rate
65.7%
Cost per Resident Day
$29

Revenue & costs

Net Patient Revenue
$10.0M
Total Costs
$786K
Net Income
-$494K

Balance sheet

Total Assets
$1.2M
Total Liabilities
$1.7M
Fund Balance
-$494K
Current Ratio
2.81

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: STELLAR HEALTH GROUP

Chain ID
694
Facilities in chain
7
Legal business name
BERLIN OPERATIONS LLC
Chain-average star ratings (for peer context)
Overall
2.7
Health
2.7
Staffing
2.7
QM
3.3

Owner / manager organizations (1)

Organization Role Association
BERLIN MEMBER LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/18/2024

Owner / manager individuals (5)

Name Role Association
ERLICHMAN, ARIEL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/18/2024
HOLLERAND, RONALD OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
RAINDEL, YEHUDA OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
VAN DYCK, ALEXANDRA OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
WYNER, MOSHE OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Special focus status
SFF
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $29 metrics.cost_per_resident_day
Cost Report Current Ratio 2.81 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 72.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 14.2% metrics.medicare_day_share
Cost Report Net Income ($) $-493,969 metrics.net_income
Cost Report Net Patient Revenue ($) $10,015,735 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 65.7% metrics.occupancy_rate
Cost Report Operating Margin (%) -6.8% metrics.operating_margin
Cost Report Total Assets ($) $1,204,240 metrics.total_assets
Cost Report Total Costs ($) $786,034 metrics.total_costs
Cost Report Total Fund Balances ($) $-493,969 metrics.fund_balance
Cost Report Total Liabilities ($) $1,698,209 metrics.total_liabilities
Cost Report Total Margin (%) -4.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.05197 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.30494 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.57235 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.92926 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.29306 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 74.2 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.86125 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.34069 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.67885 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.88079 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.42051 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.7 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.7 Chain Average Staffing Rating
Provider Information Chain ID 694 Chain ID
Provider Information Chain Name STELLAR HEALTH GROUP Chain Name
Provider Information City/Town Barre City/Town
Provider Information CMS Certification Number (CCN) 475020 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Washington County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1979-08-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating — Health Inspection Rating
Provider Information Health Inspection Rating Footnote 18 Health Inspection Rating Footnote
Provider Information Latitude 44.2174 Latitude
Provider Information Legal Business Name BERLIN OPERATIONS LLC Legal Business Name
Provider Information Location 98 Hospitality Drive,Barre,VT,05641 Location
Provider Information Long-Stay QM Rating — Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 18 Long-Stay QM Rating Footnote
Provider Information Longitude -72.555 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 3 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 115 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 7 Number of Facilities in Chain
Provider Information Number of Fines 5 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.37479 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.99793 Nursing Case-Mix Index Ratio
Provider Information Overall Rating — Overall Rating
Provider Information Overall Rating Footnote 18 Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 98 Hospitality Drive Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Premier Rehab and Healthcare at Berlin Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 110 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating — QM Rating
Provider Information QM Rating Footnote 18 QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 143 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 7 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 5 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-08-06 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 143 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 11 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 16 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2025-02-06 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 460 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 41 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 460 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 54 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.29078 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 82.4 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.63268 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.05738 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.31680 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.20398 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.57530 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.94947 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 18 Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Special Focus Status
Provider Information Staffing Rating — Staffing Rating
Provider Information Staffing Rating Footnote 18 Staffing Rating Footnote
Provider Information State VT State
Provider Information Telephone Number 8022290308 Telephone Number
Provider Information Total Amount of Fines in Dollars 390404.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.31000 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 6 Total Number of Penalties
Provider Information Total nursing staff turnover 86.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 222.250 Total Weighted Health Survey Score
Provider Information Urban N Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 05641 ZIP Code