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Nursing Homes in Vermont
Finding Care in Vermont
If you're searching for nursing home care in Vermont—whether in Burlington, Rutland, Montpelier, or rural towns—you're facing one of life's most difficult decisions. You might be feeling guilty about not providing care at home, worried about limited options in rural areas, or concerned about costs. Please be kind to yourself. Seeking professional nursing care when your loved one needs 24/7 medical support is responsible and compassionate.
Vermont has approximately 40 skilled nursing facilities, regulated by the Division of Licensing and Protection. Many facilities specialize in memory care, post-acute rehabilitation, or complex medical needs. Vermont nursing homes often emphasize person-centered care and community connections rooted in New England values.
Costs in Vermont are above the national average, which can add financial stress to an already difficult situation. Vermont Medicaid covers nursing home care for eligible individuals, and most facilities accept Medicaid. Vermont's ombudsman program provides strong advocacy for residents and families across the state's rural communities.
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Medicaid Coverage in Vermont
Many families need help paying for nursing home care. Medicaid is a vital resource, but the rules vary by state. Here's what you need to know about Medicaid nursing home coverage in Vermont.
Eligibility Requirements
Monthly Income Limit:
$2,982 (2026); Vermont uses an income cap, but those exceeding it can establish a Qualified Income Trust (QIT)
$2,982 (2026); Vermont uses an income cap, but those exceeding it can establish a Qualified Income Trust (QIT)
Asset Limit:
$2,000 for individuals, with home and one vehicle typically exempt. Spousal protections available.
$2,000 for individuals, with home and one vehicle typically exempt. Spousal protections available.
Processing Time:
30-45 days for initial determination
30-45 days for initial determination
How to Apply
Apply through the Vermont Department for Children and Families or Vermont Health Connect at greenmountaincare.org. You'll need financial documents, medical records, and citizenship proof.
Important Tips for Vermont Families
- •Vermont has relatively generous Medicaid policies—work with a Vermont elder law attorney to understand spousal protections.
- •Many Vermont facilities require 30-60 days of private pay before accepting Medicaid. Confirm policies during tours.
- •Vermont has Medicaid estate recovery, but exemptions exist for surviving spouses and disabled children.
- •Veterans in Vermont should apply for VA Aid & Attendance benefits, providing up to $2,424/month.
- •Vermont emphasizes home and community-based services—ask about alternatives if appropriate for your loved one.
Nursing Home Costs in Vermont
$340-$480/day average
Monthly Range: $10,200-$14,400
Vermont nursing home costs are above the national average. Burlington area is most expensive; rural areas offer limited cost savings. Medicare covers skilled nursing for up to 100 days post-hospitalization. Vermont Medicaid covers long-term care for eligible residents.
Medicare Coverage: Medicare Part A covers skilled nursing facility care for up to 100 days following a qualifying hospital stay (3+ days). Days 1-20 are fully covered; days 21-100 require a copay ($217/day in 2026).
Vermont Resources & Advocacy
Oversight & Complaints
Vermont Long-Term Care Ombudsman Project
1-800-642-5119Visit website →
The ombudsman helps resolve complaints and advocates for nursing home residents' rights.
Vermont Division of Licensing and Protection
View inspection reports →Support & Guidance
Vermont Department of Disabilities, Aging and Independent Living
1-802-241-2400Visit website →
Area agencies on aging provide care planning, caregiver support, and benefit counseling.
Medicare Nursing Home Compare
medicare.gov/care-compare →Planning Your Next Steps
Ready to Find the Right Facility?
Use our personalized navigator to find facilities that match your loved one's needs, insurance, and location in Vermont.
Start Navigator Tool →Disclaimer: This guide is educational only. SunsetWell scores are based on CMS data and peer-group analysis. Medicaid eligibility rules change frequently—always verify current requirements with your state Medicaid office. Always tour facilities personally, speak with staff, review current state inspection reports, and consult healthcare professionals before making placement decisions.
Last updated: June 2026 | Data source: CMS Nursing Home Compare, Vermont Division of Licensing and Protection, SunsetWell Analysis