Cedar Hill Health Care Center
49 Cedar Hill Drive, Windsor, VT 05089 · Windsor County · (802) 674-6609
39 certified beds, about 34 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 475046 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 20, 2024, inspectors cited 5 health deficiencies (the Vermont average is 7.9, the national average 9.2).
None of its 13 health citations since April 2022 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $10,358 in the last three years; the largest was $10,358, and the latest is dated December 15, 2025.
Nurses and nurse aides worked 4.97 hours per resident per day, against 4.22 across Vermont and 3.86 nationally. Registered nurses accounted for 1.03 of those hours.
53.7% of nursing staff left within the year CMS measured (Vermont average 55.4%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
404/22
404/23
506/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
4E
1F
Potential for minimal harm
0A
4B
0C
June 20, 2024Standard inspection · 5 citations
- F Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that each resident had access to an effective call system at their bedside for 2 of 21 residents sampled (Resident #1 and #7). This deficient practice has the potential to affect all residents who reside in the facility.
- 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.
Inspectors wroteBased on interview and record review the facility failed to ensure that 1 of 4 sampled licensed nursing assistants (LNAs) and 2 of 2 sampled Licensed Practical Nurses (LPNs) were assessed for competency in the skills required to care for the resident needs based on resident care plans.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on resident and staff interviews and record review the facility failed to report an incident of alleged abuse to the state licensing agency for 1 resident (Resident #30) of 21 sampled residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased upon interview and record review, the facility failed to revise resident care plans related to fall prevention for 1 resident [Res.#25] of 21 sampled residents.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview and record review, the facility failed to ensure that records are complete, readily accessible, and systematically organized related to a resident's required pharmacy review for 1 out of 5 sampled residents (Resident # 3).
April 19, 2023Standard inspection · 4 citations
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on staff interview and record review, the facility failed to provide notice of changes in coverage by Medicare for three of three sampled residents (Residents #11, #30, and #4).
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on staff interview and record review the facility failed to provide facility transfer notices prior to transfer for residents and/or their representatives, and to send the same transfer notice (or a copy of it) to a representative of the Office of the State Long-Term Care Ombudsman for 10 out of 10 sampled residents (Residents #1, #2, #3, #7, #8, #10, #11, #13, #18 and #38).
- 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.
Inspectors wroteBased on staff interview and record review the facility failed to provide a written copy of a Bed-Hold notice to residents and/or their representatives prior to transfer or discharge or in case of emergency, within 24 hours for 3 of 10 sampled residents (Residents #18, #8, and #7).
- B Post nurse staffing information every day.
Inspectors wroteBased on observations and interviews the facility failed to update the required posted staffing information at the beginning of each shift.
April 20, 2022Standard inspection · 4 citations
- E Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, staff interview, and record review the facility failed to ensure that resident personal and medical information was maintained in a secure and confidential manner, so that others would not have access to it for 1 of 19 sampled residents and 1 of 2 medication carts with identifying information for all residents.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure the plan of care for 2 of 19 sampled residents in a standard survey sample were revised to reflect necessary care and services. (Residents #9, and #15).
- E 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.
Inspectors wroteBased on observation and interview, the facility failed to ensure drugs and biologicals are stored in accordance with accepted professional standards for 1 of 2 medication carts.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and staff interview the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary environment, specifically in one shared resident bathroom for 2 of 22 resident rooms.
Fire safety inspections
7 fire safety citations on file: 1 on April 19, 2023, 2 on April 20, 2022, 4 on December 3, 2019.
Every fire safety citation7 citations
- C Conduct testing and exercise requirements.
- C Meet other general requirements that are deficient.
- C Install a fire alarm system that can be heard throughout the facility.
- D Meet other general requirements that are deficient.
- D Install a fire alarm system that can be heard throughout the facility.
- D Install corridor and hallway doors that block smoke.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 15, 2025 | Fine | $10,358 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Vermont | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.97 | 4.22 | 3.86 |
| Registered nurses | 1.03 | 0.80 | 0.69 |
| All nursing staff on weekends | 3.91 | 3.66 | 3.42 |
| Nurse aides | 3.05 | ||
| Licensed practical nurses | 0.89 | ||
| Nursing staff turnover (share who left in a year) | 53.7% | 55.4% | 45.8% |
| Registered nurse turnover | 37.5% | 39.9% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.70 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.40 on weekdays and 3.91 on weekends, 28% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.14 in April to June 2025 to 4.97 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.97 | 1.03 | 5.40 | 3.91 | 17.1% | 0 of 90 | 34 |
| Oct to Dec 2025 | 4.96 | 1.13 | 5.37 | 3.90 | 15.4% | 1 of 92 | 33 |
| Jul to Sep 2025 | 4.87 | 0.85 | 5.18 | 4.07 | 17.4% | 0 of 92 | 35 |
| Apr to Jun 2025 | 5.14 | 0.85 | 5.52 | 4.18 | 13.0% | 1 of 91 | 34 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Vermont, Jan to Mar 2026 | 4.25 | 0.79 | 4.47 | 3.71 | 23.2% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Vermont | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 27.8 | 19.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.6 | 5.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 29.0 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.0 | 5.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.9 | 19.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.4 | 22.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.9 | 17.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.9 | 1.8 |
Owners and operators
Legal business name: CEDAR HILL HEALTH CARE CORPORATION.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| The Mary Louise Sayles Revocable Trust | 5% or greater direct ownership interest | Organization | 82% | 05/16/2024 |
| Horn, Patricia | 5% or greater direct ownership interest | Individual | 18% | 01/01/2004 |
| Horn, Patricia | Operational/managerial control | Individual | 05/16/2024 | |
| The Mary Louise Sayles Revocable Trust | Trustee of the SNF | Organization | 05/16/2024 | |
| Horn, Patricia | Trustee of the SNF | Individual | 05/16/2024 | |
| The Mary Louise Sayles Revocable Trust | Adp of the SNF | Organization | 05/16/2024 | |
| Horn, Patricia | Adp of the SNF | Individual | 05/16/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on April 19, 2023: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 20, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on June 20, 2024: "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."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on June 20, 2024: "Make sure that a working call system is available in each resident's bathroom and bathing area."
Other nursing homes nearby
- Elm Wood Center at Claremont Claremont, 4.2 mi · 2 of 5 stars · 29 citations
- Sullivan County Health Care Unity, 9.7 mi · 4 of 5 stars · 10 citations
- Springfield Health & Rehab Springfield, 10.8 mi · not rated · 79 citations
- Woodlawn Healthcare Center LLC Newport, 11.9 mi · 2 of 5 stars · 16 citations
- Gill Odd Fellows Home of Vermont Ludlow, 15.3 mi · 4 of 5 stars · 25 citations
- Lebanon Center, Genesis Healthcare Lebanon, 17 mi · 1 of 5 stars · 30 citations
- Hanover Terrace Health and Rehabilitation Hanover, 20.7 mi · 4 of 5 stars · 3 citations
Vermont contacts for a concern about a nursing home
These are the official offices in Vermont. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Vermont Division of Licensing and Protection, Survey and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Vermont Long-Term Care Ombudsman Project, Vermont Legal Aid, 1-800-889-2047. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Vermont DLP Survey Statements (Find Survey Results), where Vermont publishes its own records on licensed homes.
Common questions
- What is Cedar Hill Health Care Center's Medicare star rating?
- CMS rates Cedar Hill Health Care Center 3 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cedar Hill Health Care Center get at its last inspection?
- 5 health deficiencies at the standard inspection on June 20, 2024. The Vermont average is 7.9.
- Has Cedar Hill Health Care Center been fined?
- Yes. CMS lists 1 fine totaling $10,358 in the last three years.
- Does Cedar Hill Health Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Cedar Hill Health Care Center?
- CMS lists 7 owners and managers. Legal business name: CEDAR HILL HEALTH CARE CORPORATION.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.