Springfield Health & Rehab
Medicare withholds the star rating from every home in its Special Focus Facility program. This rating is not missing. It is withheld.
Staffing
Where the benchmark comes from
Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.
Medicare attached a note to this home’s staffing figure, numbered 18. Medicare does not publish what its staffing note numbers mean, so we cannot tell you why it is there, only that it is. Treat the hours above, and the gap we work out from them, with that in mind.
What inspectors found
Inspectors visit every nursing home and write up what they find. This home has 79 findings on record going back to 2023, 50 of them after someone filed a complaint.
The 18 serious findings here
No proper plan of care
The home did not write or follow a full written plan for how a resident’s needs would be met.
The home fixed this on December 19, 2025.
Medicare’s wording
Federal tag F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No doctor’s orders on arrival
The home did not have the doctor’s orders it needed when a resident first arrived.
The home fixed this on December 19, 2025.
Medicare’s wording
Federal tag F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Medication errors
The home did not keep a resident free of a significant medication error.
The home fixed this on December 19, 2025.
Medicare’s wording
Federal tag F760Ensure that residents are free from significant medication errors.
Resident not protected from abuse or neglect
The home did not protect a resident from abuse or neglect by anyone.
The home fixed this on December 19, 2025.
Medicare’s wording
Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Accidents and supervision
The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.
The home fixed this on December 19, 2025.
Medicare’s wording
Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No infection control lead
The home did not put a properly trained person in charge of preventing and controlling infection.
The home fixed this on April 2, 2025.
This home is challenging this finding through Medicare’s informal dispute resolution process. The finding stands on the record unless that challenge succeeds.
Medicare’s wording
Federal tag F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Resident not protected from abuse or neglect
The home did not protect a resident from abuse or neglect by anyone.
The home fixed this on April 2, 2025.
Medicare’s wording
Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No proper plan of care
The home did not write or follow a full written plan for how a resident’s needs would be met.
The home fixed this on April 2, 2025.
Medicare’s wording
Federal tag F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Bedsores
The home did not prevent or properly treat pressure sores.
The home fixed this on April 2, 2025.
Medicare’s wording
Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Accidents and supervision
The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.
The home has submitted a plan to fix this.
This home is challenging this finding through Medicare’s informal dispute resolution process. The finding stands on the record unless that challenge succeeds.
Medicare’s wording
Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No doctor leading medical care
The home did not have a doctor properly in charge of its medical care and care rules.
The home fixed this on April 2, 2025.
Medicare’s wording
Federal tag F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Infection control
The home did not follow proper practices to stop infections from spreading.
The home fixed this on April 2, 2025.
This home is challenging this finding through Medicare’s informal dispute resolution process. The finding stands on the record unless that challenge succeeds.
Medicare’s wording
Federal tag F880Provide and implement an infection prevention and control program.
Doctor and spokesperson not told
The home did not quickly tell the doctor, or the person who speaks for the resident, about a major change.
The home fixed this on April 2, 2025.
This home is challenging this finding through Medicare’s informal dispute resolution process. The finding stands on the record unless that challenge succeeds.
Medicare’s wording
Federal tag F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No doctor for the resident
The home took in a resident without a doctor’s written approval, or did not keep them under a doctor’s care.
The home fixed this on April 2, 2025.
This home is challenging this finding through Medicare’s informal dispute resolution process. The finding stands on the record unless that challenge succeeds.
Medicare’s wording
Federal tag F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Poorly run
The home was not managed in a way that let it provide proper care.
The home fixed this on April 2, 2025.
This home is challenging this finding through Medicare’s informal dispute resolution process. The finding stands on the record unless that challenge succeeds.
Medicare’s wording
Federal tag F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Nutrition
A resident did not get enough food or fluids to stay healthy.
The home fixed this on December 3, 2024.
Medicare’s wording
Federal tag F692Provide enough food/fluids to maintain a resident's health.
Pain
A resident’s pain was not properly treated.
The home fixed this on December 3, 2024.
Medicare’s wording
Federal tag F697Provide safe, appropriate pain management for a resident who requires such services.
Accidents and supervision
The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.
The home fixed this on December 3, 2024.
Medicare’s wording
Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything on record
32 of the 33 nursing homes in Vermont have fewer findings of harm or immediate jeopardy on record than this one.
Medicare also blocked payment for new admissions at this home for 110 days, starting March 28, 2025.
What these levels mean
JImmediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.
GActual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.
The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.
The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.
This home has 3 findings under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home also carries it.
What you can do
Numbers only go so far. These are two things most families do not know they can do.
Ask for today’s staffing sheet
Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.
Call the ombudsman before you decide
Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.
Where this comes from
Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 475025.
What these numbers do not say
Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.
The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.
Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.