The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: H
Nursing home report
Elderwood at Burlington
Burlington, VT · Medicare-certified · 150 beds
In good standing
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
2 out of 5 stars overall. Elderwood at Burlington has 2-star health inspection and quality ratings, 3-star staffing, reported nurse staffing below the federal benchmark (3.80 vs 4.1 hours per resident per day), and no fines in the last 24 months; recent inspection citations included pressure ulcer care, vaccinations, and pharmaceutical services.
Facility ratings
Health inspections
Staffing
3.8026 hrs/resident/day
Quality measures
Last inspection: July 1, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8026.
Staffing detail
- Registered nurses
- 0.75
- Licensed practical nurses
- 0.84
- Nurse aides
- 2.21
- Weekend nursing
- 3.48
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 57%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.5%16%Improving
Residents with a fall causing major injury
8.2%2%Improving
Residents with pressure ulcers (bedsores)
5.8%6.8%Worsening
Residents with a urinary tract infection
1%0%Improving
Residents who lost too much weight
8.7%9.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
39.5%24.7%Improving
Residents whose ability to walk got worse
35%43.9%Worsening
Long-stay residents on antianxiety or sleep medication
29.3%25.8%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
3.1%2.6%Improving
Residents with new or worsening incontinence
32.3%30.5%Improving
Residents with depressive symptoms
16.3%13.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95%—
Long-stay residents given the pneumonia vaccine
94.9%92.2%Worsening
Short-stay residents given the seasonal flu vaccine
—63.1%—
Short-stay residents given the pneumonia vaccine
82.4%72.7%Worsening
What the inspectors found
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 883 — 42 CFR §483.80 — S/S: G
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $220,961 in total fines · 1 payment denial.
- 49 days
Medicare/Medicaid payment denial
Jan 11, 2024
- $220,961
Federal fine
Jan 11, 2024
Operator & ownership
Recent ownership change · Dec 17, 2018
Now operated by Elderwood at Burlington, previously Starr Farm Nursing Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ELDERWOOD · 17 homes · 2.3 stars avg
- Occupancy
- 119.4 residents on an average day (80% of 150 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.