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
Needs attention
For-profitChain member
1 of 5 overall
Elderwood at Burlington (Burlington, VT) has an overall rating of 1 out of 5 stars, with low staffing at 1 out of 5 and health inspection and quality measures each at 2 out of 5. It has no fines in the last 24 months, but it is flagged for the lowest overall rating and recent inspection issues included pressure ulcer care, pharmaceutical services, and medication errors.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: March 25, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 66%
Registered nurse turnover: 68%
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
22.6%21.3%Improving
Residents with a fall causing major injury
8.1%2.2%Improving
Residents with pressure ulcers (bedsores)
8.3%7.2%Improving
Residents with a urinary tract infection
1%0%Improving
Residents who lost too much weight
6.7%7.2%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.1%13.2%Improving
Residents whose ability to walk got worse
41.4%32.6%Improving
Long-stay residents on antianxiety or sleep medication
30%32.1%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0.9%Worsening
Residents with new or worsening incontinence
32.1%21.2%Improving
Residents with depressive symptoms
4.9%12.5%Worsening
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
96%96.7%Improving
Short-stay residents given the seasonal flu vaccine
—63.1%—
Short-stay residents given the pneumonia vaccine
83.3%72.5%Worsening
What the inspectors found
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 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 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
- 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ELDERWOOD · 17 homes · 2.5 stars avg
- Occupancy
- 119.2 residents on an average day (79% 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.