Thompson House in Brattleboro, VT has a 1-star overall rating, with a 1-star health inspection rating, but stronger staffing and quality ratings at 4 stars each. It is a Special Focus Facility candidate/flagged special focus facility, had $112,499 in fines over the last 24 months, and reported nurse staffing of 4.95 hours per resident per day, above the 4.1 federal benchmark.
Last inspection: March 18, 2026Penalties, last 24 months: $112,499special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9459.
Staffing detail
Registered nurses
0.98
Licensed practical nurses
1.02
Nurse aides
2.95
Weekend nursing
4.22
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 40%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
13%17.9%Worsening
Residents with a fall causing major injury
12.5%0%Improving
Residents with pressure ulcers (bedsores)
2.4%2.7%No change
Residents with a urinary tract infection
2.7%0%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12%13.3%Worsening
Residents whose ability to walk got worse
—8%—
Long-stay residents on antianxiety or sleep medication
22.2%18.8%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
32.5%39.6%Worsening
Residents with depressive symptoms
5.6%40%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited December 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: K
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited December 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
PENALTY
A federal fine of $112,499 was recorded.
PENALTY
A federal fine of $173,075 was recorded.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $112,499 in total fines.
Federal fine
Dec 9, 2025
$112,499
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
38.5 residents on an average day (90% of 43 beds)
Resident voice
Resident council
Medicare history
Certified for 31 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.