Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, pattern · Dec 9, 2025 · F-0919 · triggered by a complaint
The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Why it matters: A resident who falls or needs help in a bathroom without a working call button may be stranded and unable to summon aid.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 7, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Dec 9, 2025 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 7, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Dec 9, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 7, 2026 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 7 inspection findings. Open the full record below to read every finding.
K · Immediate jeopardy, pattern
The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaintF-0919
J · Immediate jeopardy, isolated
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaintF-0656
J · Immediate jeopardy, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaintF-0689
View all 7 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Dec 9, 2025
▲ K · Immediate jeopardy, pattern
The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint · F-0919
Dec 9, 2025
▲ J · Immediate jeopardy, isolated
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Dec 9, 2025
▲ J · Immediate jeopardy, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jan 8, 2025
E · Potential for more than minimal harm, pattern
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 20, 2023
F · Potential for more than minimal harm, widespread
The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
Sep 20, 2023
F · Potential for more than minimal harm, widespread
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Sep 20, 2023
E · Potential for more than minimal harm, pattern
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Inspection trend by year
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
3
Serious citations (G–L):
0
2025
All citations:
4
Serious citations (G–L):
3
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2023
3
0
F
2025
4
3
K ▲
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Dec 9, 2025
Fine
$112,499
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityVermont averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
4.58
Vermont average:
4.34
U.S. average:
3.95
Registered Nurse hours
This facility:
0.90
Vermont average:
0.82
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.91
Vermont average:
3.76
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
Vermont avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
4.58
4.34
3.95
top 45% in Vermont; top 21% in the U.S.
Registered Nurse hours
0.90
0.82
0.69
top 36% in Vermont; top 20% in the U.S.
Weekend total nurse staffing
3.91
3.76
3.50
top 42% in Vermont; top 26% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.52
0.52
0.48
top 48% in Vermont; top 31% in the U.S.
Total nursing staff turnover (%)
56.1
55.4
45.8
top 39% in Vermont; bottom 23% in the U.S.
RN turnover (%)
40.0
39.9
42.9
top 45% in Vermont; top 46% in the U.S.
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.95, RN 0.98, weekend 4.22.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.95 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Thompson House Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Facility data as of CMS processing date 2026-08-01. CCN 475050.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
The Care File
Visit checklist — Thompson House Nursing Home
80 Maple Street, Brattleboro, VT 05301 · (802) 254-4977
Health inspection rating 1/5 · CMS overall 1/5 · SFF Candidate· Fines (3y): $112,499
Most serious findings on record:
▲ Dec 9, 2025 (F-0919, Immediate jeopardy, pattern): The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
▲ Dec 9, 2025 (F-0656, Immediate jeopardy, isolated): The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
▲ Dec 9, 2025 (F-0689, Immediate jeopardy, isolated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Questions for the administrator:
☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 56% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
While you're there, notice:
☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)
Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 475050 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)