SNF

Springfield Health & Rehab

CCN: 475025 · Springfield, VT 05156 · Windsor County

⚠ SFF Candidate ⚠ Abuse citation flag

Overview

Address
105 Chester Road, Springfield, VT 05156
Phone
8028855741
Certified beds
102
Avg daily residents
67 (66% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1978-05-01
Setting
Rural
1 /5
★★★★★
CMS Overall Rating

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.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 2/5
Short-Stay Quality Measures ★★★★★ 3/5

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
 3.93 4.14 3.66 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.73 0.72 0.68 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.69 0.92 0.64 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.51 2.50 2.33 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.43 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.21 — — —

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)
3.27
hrs / resident / day
RN (weekend)
0.48
hrs / resident / day
Total nurse (adjusted, weekend)
3.05
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
81.9%
annual
RN turnover
94.7%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.47
higher acuity than avg
Case-Mix Index Ratio
1.07
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) 2025-03-27 41 18 25 660 2 990
Cycle 2/3 (prior) 2024-01-10 28 11 17 200 1 200
Total weighted health score
792.5
lower is better

Deficiencies (85)

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).

5 A/B/C No actual harm — minor
62 D/E/F Actual harm — potential for minor
9 G/H/I Actual harm
9 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-12-09 2025-12-19
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. E 2025-12-09 2025-12-19
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2025-12-09 2025-12-19
0610 Respond appropriately to all alleged violations. E 2025-12-09 2025-12-19
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 2025-12-09 2025-12-19
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2025-11-19 2025-12-19
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-11-19 2025-12-19
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2025-11-19 2025-12-19
0635 Provide doctor's orders for the resident's immediate care at the time the resident was admitted. K 2025-11-19 2025-12-19
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. J 2025-11-19 2025-12-19
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-11-19 2025-12-19
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. D 2025-11-19 2025-12-19
0760 Ensure that residents are free from significant medication errors. H 2025-11-19 2025-12-19
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2025-03-27 2025-04-29
0585 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. F 2025-03-27 2025-04-29
0610 Respond appropriately to all alleged violations. D 2025-03-27 2025-04-29
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. E 2025-03-27 2025-04-29
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. E 2025-03-27 2025-04-29
0635 Provide doctor's orders for the resident's immediate care at the time the resident was admitted. D 2025-03-27 2025-04-29
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2025-03-27 2025-04-29
0699 Provide care or services that was trauma informed and/or culturally competent. E 2025-03-27 2025-04-29
0711 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. E 2025-03-27 2025-04-29
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. F 2025-03-27 2025-04-29
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. E 2025-03-27 2025-04-29
0759 Ensure medication error rates are not 5 percent or greater. D 2025-03-27 2025-04-29
0791 Provide or obtain dental services for each resident. D 2025-03-27 2025-04-29
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-03-27 2025-04-29
0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. E 2025-03-27 2025-04-29
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F 2025-03-27 2025-04-29
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F 2025-03-27 2025-04-29
0758 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. E 2025-03-27 2025-04-29
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. K 2025-03-03 2025-04-02
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-03-03 2025-04-02
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-03-03 2025-04-02
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. G 2025-03-03 2025-04-02
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 2025-03-03 2025-04-02
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-03-03 2025-04-02
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-03-03 2025-04-02
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. K 2025-03-03 2025-04-02
0710 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. J 2025-03-03 2025-04-02
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 2025-03-03 2025-04-02
0760 Ensure that residents are free from significant medication errors. E 2025-03-03 2025-04-02
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. L 2025-03-03 2025-04-02
0841 Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. G 2025-03-03 2025-04-02
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2025-03-03 2025-04-02
0880 Provide and implement an infection prevention and control program. L 2025-03-03 2025-04-02
0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. G 2025-03-03 2025-04-02
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-11-26 2024-11-05
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-10-18 2024-12-03
0692 Provide enough food/fluids to maintain a resident's health. G 2024-10-18 2024-12-03

Showing 50 most recent of 85. See the All Data CSV for the full list.

Penalties (4)

Fines issued
3
last 3 years
Total fines
$637,467
Payment denials
1
Date Type Fine amount
2024-10-18 Fine $100,555
2025-03-03 Fine $253,692
2025-11-19 Fine $283,220
2025-03-03 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 10.3% Medicaid 78.5% Other 11.2%

Operating performance

Operating Margin
-1.1%
Total Margin
0.7%
Occupancy Rate
65.3%
Cost per Resident Day
$28

Revenue & costs

Net Patient Revenue
$7.9M
Total Costs
$645K
Net Income
$54K

Balance sheet

Total Assets
$1.1M
Total Liabilities
$1.0M
Fund Balance
$54K
Current Ratio
4.75

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

Ownership & Corporate Structure

Chain: ALLAIRE HEALTH SERVICES

Chain ID
21
Facilities in chain
20
Legal business name
105 CHESTER ROAD OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.3
Health
2.0
Staffing
2.6
QM
4.1

Owner / manager organizations (9)

Organization Role Association
AHS VT OPCO HOLDCO LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/18/2024
AHS VT TOPCO LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/18/2024
AHS VT OPCO HOLDCO LLC OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
AHS VT TOPCO LLC OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
ALLAIRE HEALTH SERVICES OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
BRAND SONNENSCHINE LLP OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
CIBC BANK USA OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
CLR CONSULTING INC OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
REVV STAFFING OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024

Owner / manager individuals (6)

Name Role Association
KURLAND, BENJAMIN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/18/2024
BRECHER, CHAIM OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
KURLAND, BENJAMIN OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
SCANLON, KELLY OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
STEINBRECHER, BARBARA OPERATIONAL/MANAGERIAL CONTROL since 12/18/2024
KURLAND, BENJAMIN CORPORATE OFFICER 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
Resident
Sprinkler systems
Yes
Special focus status
SFF Candidate
Abuse citation flag
Yes — last 2 cycles
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 ($) $28 metrics.cost_per_resident_day
Cost Report Current Ratio 4.75 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 78.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 10.3% metrics.medicare_day_share
Cost Report Net Income ($) $53,973 metrics.net_income
Cost Report Net Patient Revenue ($) $7,854,417 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 65.3% metrics.occupancy_rate
Cost Report Operating Margin (%) -1.1% metrics.operating_margin
Cost Report Total Assets ($) $1,087,859 metrics.total_assets
Cost Report Total Costs ($) $644,515 metrics.total_costs
Cost Report Total Fund Balances ($) $53,973 metrics.fund_balance
Cost Report Total Liabilities ($) $1,033,886 metrics.total_liabilities
Cost Report Total Margin (%) 0.7% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.64418 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.33473 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.68480 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.66371 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.04695 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 66.9 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 0.91946 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.49890 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.72474 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.14310 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.65170 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.0 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.6 Chain Average Staffing Rating
Provider Information Chain ID 21 Chain ID
Provider Information Chain Name ALLAIRE HEALTH SERVICES Chain Name
Provider Information City/Town Springfield City/Town
Provider Information CMS Certification Number (CCN) 475025 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Windsor County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1978-05-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 43.3011 Latitude
Provider Information Legal Business Name 105 CHESTER ROAD OPCO LLC Legal Business Name
Provider Information Location 105 Chester Road,Springfield,VT,05156 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -72.507 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 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 102 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 20 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.46771 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.06538 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — 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 105 Chester Road Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Springfield Health & Rehab Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 130 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 660 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 330 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 25 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 2 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 18 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-03-27 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 990 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 41 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 11 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-01-10 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 200 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 17 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 200 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 28 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.48109 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 94.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.42610 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.69126 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.50536 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.21367 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.73485 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 3.93146 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Candidate Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State VT State
Provider Information Telephone Number 8028855741 Telephone Number
Provider Information Total Amount of Fines in Dollars 637467.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.26963 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 4 Total Number of Penalties
Provider Information Total nursing staff turnover 81.9 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 792.500 Total Weighted Health Survey Score
Provider Information Urban N Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 05156 ZIP Code