Birchwood Terrace Rehab and Healthcare

    43 Starr Farm Rd, Burlington, VT, 05408
    4.1 · 36 reviews
    • Independent living
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Great rehab but staffing concerns

    I experienced excellent rehab, many professional and genuinely caring therapists and nurses, friendly admin, good food, and a warm, homey atmosphere in a beautiful New North End setting. At the same time the place often seemed understaffed-long waits, patients left unattended, inconsistent hygiene, occasional strong odors, and reports of missing belongings. Leadership and communication felt mixed: some long-tenured, attentive staff but also short-tempered or dismissive employees. Overall the care can be wonderful, but I'd be cautious and confirm current staffing and policies before bringing a loved one.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.11 · 36 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      3.9
    • Meals

      3.2
    • Amenities

      3.0
    • Value

      3.5

    Pros

    • Dedicated and caring staff (many reviewers)
    • Strong rehabilitation/therapy program (OT/PT praised)
    • Comprehensive interdisciplinary care team (LNA, PA, head nurse, social worker, dietician)
    • Personalized scheduling around patient energy and needs
    • Dog-friendly visitation policy
    • Long-tenured, professional staff reported
    • Friendly front desk and administrative staff (reported by some)
    • 24/7 nursing presence reported by some reviewers
    • Renovated/modern facility and attractive setting (reported)
    • Homey, warm, and comfortable atmosphere (reported)
    • Active recreation and activities program (game room, card games, community events)
    • Good food and weight gain for some residents
    • Excellent communication with family in several reports
    • Immediate attention to requests reported by some families
    • Sense of community/family among staff and residents (reported)

    Cons

    • Inconsistent staffing levels and understaffing
    • Marked variability in staff attitude and care quality across shifts/units
    • Poor fall prevention and safety concerns (no gait belts/rails, multiple falls)
    • Neglect of basic hygiene needs (missed showers, infrequent linen changes)
    • Reports of strong/unbearable odors and unsanitary conditions in some units
    • Belongings missing or reported lost
    • Management concerns: unresponsive administration, allegations of bullying (specific administrator named)
    • Allegations of overuse of sedatives/tranquilizers
    • Poor communication from some social work or nursing staff
    • Long delays in assistance (residents left unattended for hours)
    • Conflicting reports on cleanliness (some units reported dirty)
    • Claims of serious incidents including injury and at least one death reported by reviewers
    • Reports of profit-driven practices and staffing/pay issues
    • Visitation limitations during quarantine/isolation times
    • Shared rooms and affordability concerns
    • Reports of racial homogeneity noted by reviewers

    Summary review

    Overall sentiment in these reviews for Birchwood Terrace Rehab and Healthcare is highly mixed, with strong praise from many families and residents for the rehabilitation program, certain staff members, and the facility environment, but with serious, repeated concerns from other reviewers about staffing, safety, hygiene, and management. The reviews reveal a polarizing picture: several accounts describe excellent clinical outcomes and compassionate care, while others describe neglect, safety lapses, and poor management responses.

    Care quality and rehabilitation: One of the clearest positive themes is the strength of the rehabilitation services. Numerous reviewers specifically commend the OT/PT teams for personalized therapy sessions, flexible scheduling around the patient's energy level, and successful recoveries. Several people report quick improvement, weight gain, and positive rehab outcomes—some even noting repeat admissions because they trust the rehab team. Conversely, other reviews describe terrible rehab experiences and a facility that failed to meet basic rehabilitation safety practices (for example, lack of gait belts and rail-related injuries). This contrast suggests that rehab outcomes may depend heavily on unit, staff on duty, or bed availability.

    Staffing and staff behavior: Staff-related comments are the most polarized and the most numerous. Many reviewers highlight dedicated, long-tenured, compassionate staff and a sense of family among employees. Others, however, report short-tempered, rude, or disgruntled nurses and aides, and describe long delays in care. Understaffing is a recurring complaint tied to multiple negative outcomes: residents left unattended for hours, patients left in wheelchairs, missed showers and linen changes, and delayed response to call buttons. Several reviewers tie these problems to systemic issues such as pay concerns or burnout; others accuse management of being unresponsive or even bullying staff, which could exacerbate morale problems.

    Safety and clinical concerns: Several reviews raise serious safety issues. Multiple accounts allege inadequate fall prevention (absence of gait belts, unsecured rails) and several describe falls or injuries (bruising, arm caught in rail). There are reports of neglect — residents left alone on the toilet, left in bed for extended periods, or not given basic hygiene care for days. A few reviewers made grave allegations including a resident death while in the facility’s care and submission of photos to the state, which indicate that some families felt compelled to escalate concerns externally. These reports indicate potential patient-safety and regulatory concerns that merit investigation; however, they sit alongside other reports that praise 24/7 nursing coverage and attentive bedside care, reinforcing the pattern of inconsistent experience.

    Facilities, cleanliness, and environment: Facility descriptions vary widely. Some reviewers describe a modern, recently renovated, pleasant environment in the New North End with a warm, homey atmosphere and no smell issues. Others report strong/unbearable urine or fecal odors, residents in soiled bedding, and units that appear dirty. Several reviewers note that some parts of the building may need updates while other reviewers explicitly praise renovations and a brand-new feel. This mixed feedback suggests variability between units or changes over time (e.g., before vs. after renovations or under different management).

    Management, communication, and administration: Communication is another bifurcated theme. Some families report excellent communication and immediate attention to requests from administration and therapy staff. Other reviewers report poor communication from social work and nursing management, unacknowledged arrivals, and alleged administrative bullying—indeed, one administrator is named in negative comments. There are also allegations of a profit-driven approach and concerns about staff pay and turnover. Taken together, these comments point to inconsistent administrative responsiveness and an opportunity for clearer, more consistent family communication and stronger oversight.

    Dining, activities, and community life: Positive notes include active recreation programs, community engagement (for example, visiting music groups), a game room, card games, and overall programming that many residents enjoy. Food quality is reported as good by several families (including specific mentions of tasty dishes and weight gain), but other reviewers cite occasional cold meals and limited salad options. Social programming and community-facing activities appear to be strengths when present.

    Patterns and likely explanations: The reviews suggest that experience at Birchwood Terrace may be highly dependent on which unit, shift, or staff members a resident encounters. Many positive reviews emphasize long-tenured staff, attentive therapists, and renovated spaces; many negative reviews emphasize understaffing, hurried or rude care, hygiene lapses, and safety incidents. This dichotomy could reflect staffing variability (e.g., strong day shift vs. weaker night shift), unit-level differences (short-term rehab unit vs. long-term care unit), or recent changes in ownership/management and staffing. Several reviewers also point to systemic problems—administrative practices, compensation and morale—that could explain intermittent declines in care quality.

    Conclusion and considerations: Families considering Birchwood Terrace should weigh the facility’s strong rehabilitation reputation and positive accounts of compassionate staff and programs against multiple reports of understaffing, inconsistent care, and safety/hygiene lapses. Prospective families should ask specific, targeted questions before placement: which unit and staff will care for the resident, current staff-to-resident ratios on all shifts, fall-prevention protocols (gait belts, rails, monitoring), toileting and bathing schedules, linen-change frequency, medication review practices, and how administration handles complaints and incidents (including escalation pathways). Given the reports of serious incidents and regulatory complaints by reviewers, it may be prudent for families to request recent inspection reports, incident logs, and references from recent residents or families to get a clearer, up-to-date picture of the facility’s performance.

    Location

    Map showing location of Birchwood Terrace Rehab and Healthcare

    About Birchwood Terrace Rehab and Healthcare

    Birchwood Terrace Rehab & Healthcare is a large, for-profit facility in Burlington, Vermont, offering both short-term rehabilitation and long-term care services. With 144 beds, the community provides a comprehensive environment for individuals in need of assistance following hospital stays, those requiring continuous care, or residents managing chronic health conditions. The facility participates in both Medicare and Medicaid programs, making it accessible to a broad range of residents. Although not part of a continuing care retirement community, Birchwood Terrace Rehab & Healthcare serves a diverse population seeking support during periods of recovery or extended care.

    The center is known for its average ratings in both short-term rehabilitation and long-term care, reflecting its capability to address post-acute needs as well as ongoing medical assistance. For short-term patients, 57.4% of residents were able to return home after discharge, indicating a solid focus on rehabilitation and recovery outcomes. The incidence of falls that resulted in major injury stood at 0.9%, and 5.0% of short-term stays led to hospitalization due to serious infections. Emergency room visits were recorded at 12.4% among short-term residents. Nurse staffing at Birchwood Terrace Rehab & Healthcare averages about 3 hours and 31 minutes per resident each day, suggesting a commitment to attentive, around-the-clock care, though consistent staffing on weekends has been noted as an area below average for reliability.

    Long-term care at Birchwood Terrace Rehab & Healthcare supports residents in maintaining as much independence as possible. Approximately 80.7% of long-term residents retained the ability to manage daily self-care activities such as eating, moving, and personal hygiene without extensive assistance. An impressive 95.6% of residents received annual influenza vaccinations, reflecting proactive healthcare practices within the community.

    In terms of safety, regular inspections and staff training underscore the facility’s approach to ongoing quality improvements in areas such as resident supervision, care planning, and dementia care. Although there have been citations for issues such as thoroughness in care plan development and dementia-related services, these were generally categorized as very low or low potential for harm, with only a few or some residents affected in each instance. Importantly, Birchwood Terrace Rehab & Healthcare has not been fined or denied payment in the past three years, suggesting a record without significant regulatory penalties.

    The combination of nursing care, rehabilitation, and focus on infection control, as well as the provision of vaccinations and support for resident independence, characterizes Birchwood Terrace Rehab & Healthcare as a capable provider of skilled nursing and rehabilitative care for older adults and those in need of post-hospitalization recovery. The environment emphasizes safety, support for daily living, and a structured approach to fostering well-being for its residents.

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