Federal inspection record · CMS data as of October 1, 2026
Cedar Hill Health Care Center
49 Cedar Hill Drive, Windsor, VT · (802) 674-6609
- Certified beds
- 39
- Residents per day
- 33
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1994
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Vermont.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Vermont homes
Cedar Hill Health Care Center carries 57 inspection points. That is fewer than 69% of Vermont's 32 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Vermont: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–21 pts
- 4★ 21–58 pts
- 3★ 58–81 pts
- 2★ 81–150 pts
- 1★ over 150 pts
Bars show every rated home in Vermont by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Rights5D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services2E
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- B
Post nurse staffing information every day.
Nutrition and Dietary1F
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Quality of Life and Care1D
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Pharmacy Service1D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Administration1D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Environmental1F
- F
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2025-12-15
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-06-20
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-04-19
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 53 min of nursing staff time a day, 57 min of it from a registered nurse.
This home
4 h 53 min
Vermont average
4 h 18 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 56% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$10,358 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-15 | Fine | $10,358 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.4 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 2.6 | 2.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.6 pts better | 95.9% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.6 pts worse | 91.4% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better | 4.9% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.6 pts better | 0.0% | 14.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts worse | 9.1% | 6.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.2 pts better | 4.4% | 16.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts better | 16.5% | 20.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.5 pts worse | 27.9% | 16.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.5 pts worse | 30.3% | 19.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.6% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts worse | 4.2% | 2.3% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts worse | 30.9% | 25.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts worse | 7.9% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.4 pts worse | 72.2% | 83.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.4 pts better | 6.3% | 18.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.7 pts better | 91.7% | 81.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.4 pts better | 21.8% | 22.2% | 23.4% |
·
Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| The Mary Louise Sayles Revocable Trust | 5% Or Greater Direct Ownership Interest · Organization | 82% | 1 facilities |
| Horn, Patricia | 5% Or Greater Direct Ownership Interest · Individual | 18% | 1 facilities |
| Horn, Patricia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Horn, Patricia | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Horn, Patricia | Adp Of The SNF · Individual | 0% | 1 facilities |
| The Mary Louise Sayles Revocable Trust | Trustee Of The SNF · Organization | 0% | 1 facilities |
| The Mary Louise Sayles Revocable Trust | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3D
- C
Install a fire alarm system that can be heard throughout the facility.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Install corridor and hallway doors that block smoke.
Egress2D
- C
Meet other general requirements that are deficient.
- D
Meet other general requirements that are deficient.
Emergency Preparedness1C
- C
Conduct testing and exercise requirements.
Miscellaneous1D
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
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Elm Wood Center At Claremont
Claremont, NH · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 23 min
- Fines
- $0
-
Sullivan County Health Care
Unity, NH
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 23 min
- Fines
- $16,153
-
Springfield Health & Rehab
Springfield, VT · Allaire Health Services · Special Focus · Abuse icon
Not rated- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 49 min
- Fines
- $354,247