Cedar Hill Health Care Center — nursing home in Windsor, VT

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 39 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 33.1 CMS, MDS-derived
CMS Certification Number: 475046
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 1, 1994
Ownership type: For profit - Corporation
Operator (legal business name): Cedar Hill Health Care Corporation
CMS chain: Not part of a CMS-reported chain
Phone: (802) 674-6609
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Dec 15, 2025

Citations

25

18 health · 7 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D14	E1	F2
Minimal	A·	B4	C3

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$10,358

Payment denials

0

Latest

Dec 15, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 475046
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 39
First approved: Mar 1, 1994
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Vermont.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Dec 15, 2025	Health	Health Standard	9	Actual harm	—	Open →
Jun 20, 2024	Health	Health Standard	5	Potential harm	—	Open →
Apr 19, 2023	Fire safety	Fire Safety Standard	1	Minimal	1	Open →
Apr 19, 2023	Health	Health Standard	4	Minimal	4	Open →
Apr 20, 2022	Fire safety	Fire Safety Standard	2	Minimal	2	Open →
Dec 3, 2019	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Dec 15, 2025	Civil money penalty (fine)	$10,358	—	475046\|Fine\|137949

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D14	E1	F2
Minimal	A·	B4	C3

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Dec 15, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jan 22, 2026
Dec 15, 2025	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 22, 2026
Dec 15, 2025	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 22, 2026
Dec 15, 2025	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 22, 2026
Dec 15, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 22, 2026
Dec 15, 2025	F-0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 22, 2026
Dec 15, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 22, 2026
Dec 15, 2025	F-0801	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jan 22, 2026
Dec 15, 2025	F-0849	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. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jan 22, 2026
Jun 20, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 5, 2024
Jun 20, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 5, 2024
Jun 20, 2024	F-0726	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. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Aug 5, 2024
Jun 20, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 5, 2024
Jun 20, 2024	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 5, 2024
Apr 19, 2023	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	No plan of correction
Apr 19, 2023	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	No plan of correction
Apr 19, 2023	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	No plan of correction
Apr 19, 2023	F-0625	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 Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	No plan of correction
Apr 19, 2023	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	B · Minimal Pattern	No plan of correction
Apr 20, 2022	K-0300	Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Plan of correction, not yet verified Jul 1, 2022
Apr 20, 2022	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	No plan of correction
Dec 3, 2019	K-0300	Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 10, 2020
Dec 3, 2019	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 7, 2020
Dec 3, 2019	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 13, 2020
Dec 3, 2019	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 10, 2020

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.9

Health inspectionsstate 2.8

Staffingstate 3.5

Quality measuresstate 2.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.88

State avg 4.30US avg 3.90

Registered nurse (RN)0.94

State avg 0.83US avg 0.69

Licensed practical nurse0.67

State avg 0.85US avg 0.86

Nurse aide3.27

State avg 2.61US avg 2.35

Weekend total nurse3.95

State avg 3.72US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.15 (case-mix index 1.33).

Staff turnover

Total nursing staff turnover63.0%

State avg 54.8%US avg 45.3%

Registered nurse turnover55.6%

State avg 43.6%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Dec 15, 2025
Cycle 1 health score: 64
Total weighted score: 57

Operating entity

Cedar Hill Health Care Corporation

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

7

Organizations

1

Individuals

4

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
The Mary Louise Sayles Revocable Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	82%	May 16, 2024
Patricia Horn	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	18%	Jan 1, 2004

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
The Mary Louise Sayles Revocable Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	82%	May 16, 2024
Patricia Horn	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	18%	Jan 1, 2004
Patricia Horn	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 16, 2024
The Mary Louise Sayles Revocable Trust	Organization	Trustee	TRUSTEE OF THE SNF	not provided	May 16, 2024
Patricia Horn	Individual	Trustee	TRUSTEE OF THE SNF	not provided	May 16, 2024
The Mary Louise Sayles Revocable Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 16, 2024
Patricia Horn	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 16, 2024

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 49 Cedar Hill Drive, Windsor, VT 05089
ZIP: 05089
County: Windsor County FIPS 50027
State: Vermont
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Elm Wood Center at Claremont 290 Hanover Street, Claremont, NH 03743 CCN 305041	6.7 km	68		Sep 11, 2025	41	—
Sullivan County Health Care 5 Nursing Home Drive, Unity, NH 03743 CCN 305093	15.6 km	156		Dec 11, 2025	111 IJ	$16k
Springfield Health & Rehab 105 Chester Road, Springfield, VT 05156 CCN 475025SFFAbuse icon	17.4 km	102	Not rated	Jun 8, 2026	789 IJ9 harm16 open	$354k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	475046	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	475046	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 475046

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction