Add Us On Google Add as a preferred source on GoogleVERGENNES, Vt. (WCAX) - A step-down rehab facility that opened in Vergennes earlier this year offers what advocates call the missing middle between detox and sober living. Ross Kuntzelmann is hard at work in the kitchen at the Valley Vista rehab center, cooking for the full house-- about 30 people, twice a day. He landed in recovery at the Valley Vista step-down rehab facility in Vergennes. “The overall goal is to make people feel like this is a home,” said Kevin Hamel, Valley Vista’s vice president for medical and clinical services. Valley Vista says the step-down program got a boost when the state changed Medicaid rules to allow patients to have coverage for up to 120 days of in-patient treatment.