Nursing homes in Vermont
Vermont has 33 Medicare- or Medicaid-certified nursing homes in 12 counties, with 2,951 certified beds in total. The state average CMS overall rating is 2.9 of 5 against a national average of 3.0, and homes report 4.22 nurse staffing hours per resident per day against 3.86 nationally.
Vermont against the national average
| Measure | Vermont | United States |
|---|---|---|
| Overall rating (1 to 5) | 2.9 | 3.0 |
| Health inspection rating | 2.8 | 2.8 |
| Staffing rating | 3.3 | 2.9 |
| Nurse staffing hours per resident per day | 4.22 | 3.86 |
| Registered nurse hours per resident per day | 0.80 | 0.69 |
| Nursing staff turnover | 55.4% | 45.8% |
| Health deficiencies in the latest inspection | 8.1 | 9.3 |
| Fines per home, past three years | 1.3 | 0.9 |
Averages are published by CMS. Health inspection ratings are set within each state, so compare them across states with care.
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Nursing home rules and contacts in Vermont
Federal rules on residents' rights, discharge notices and Medicare coverage are the same in every state. These are the offices to call in Vermont, and the rules the state sets for itself.
- Long-term care ombudsman Vermont Long-Term Care Ombudsman Project Run by Vermont Legal Aid1-800-889-2047 (ext. 3) A free advocate for residents and their families.
- File a complaint about a nursing home Division of Licensing and Protection, Survey and Certification Vermont Department of Disabilities, Aging and Independent Living1-888-700-5330 Complaints are taken by phone, email or fax. Anonymous complaints are accepted.
- Apply for Medicaid nursing home coverage Long-Term Care Medicaid (Choices for Care) Department of Vermont Health Access1-833-840-0061 Ask for application form 202LTC.
- Minimum staffing
- Vermont requires at least 3 hours of direct care per resident per day, averaged over a week, including at least 2 hours of nursing-assistant care. A registered nurse must be on duty at least 8 hours in a row every day. Source: Vermont Licensing and Operating Rules for Nursing Homes, § 7.13
- Personal needs allowance (Medicaid)
- A Medicaid resident keeps $79.93 a month for personal expenses ($159.85 for a couple). That amount has applied since January 1, 2024. Source: Department of Vermont Health Access, 2026 Standards Change for Healthcare
- Holding a bed during a hospital stay or leave
- Vermont Medicaid pays to hold a bed for up to 6 days in a row during a hospital stay, but only when the home would otherwise be full and a return is expected within 10 days. It also pays for up to 24 home-visit days in a calendar year when visits are part of the plan of care. State law separately gives residents the right to keep their bed during a hospital stay of up to 10 days in a row. Source: Vermont Medicaid Covered Services Rule 7604.1; 33 V.S.A. § 7301
- Visiting
- State rules require homes to give immediate access to any person the resident chooses to see. Source: Vermont Licensing and Operating Rules for Nursing Homes, § 4.4
- Discharge notice
- Vermont law requires written notice at least 30 days before a discharge and at least 72 hours before a move to another room within the home. Source: 33 V.S.A. § 7301
Checked against Vermont state sources on Oct 6, 2026. Rules and phone numbers change, so confirm with the office listed. For the rules that apply in every state, see residents' rights, how to file a complaint and how Medicaid pays for a nursing home.
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026.