The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: F
Nursing home report
Cedar Hill Health Care Center
Windsor, VT · Medicare-certified · 39 beds
Needs attention
For-profit
4 of 5 overall
Cedar Hill Health Care Center in Windsor, VT has a 4 of 5 star overall rating, with strong staffing (5 of 5 stars; 4.96 hours/resident/day vs. the 4.1 federal benchmark) but a very low quality measures rating of 1 of 5 stars. It also had $15,935 in fines in the last 24 months and a recent federal penalty, while its health inspection rating was 4 of 5 stars.
Facility ratings
Health inspections
Staffing
4.958 hrs/resident/day
Quality measures
Last inspection: June 20, 2024Penalties, last 24 months: $15,935recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.958.
Staffing detail
- Registered nurses
- 1.13
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.88
- Weekend nursing
- 3.90
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12.5%18.2%Worsening
Residents with a fall causing major injury
3.1%9.1%Worsening
Residents with pressure ulcers (bedsores)
0%12.9%Worsening
Residents with a urinary tract infection
6.7%3.1%Improving
Residents who lost too much weight
7.1%10.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.2%37.9%Worsening
Residents whose ability to walk got worse
—28.9%—
Long-stay residents on antianxiety or sleep medication
0%3.4%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.9%31.8%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.2%—
Long-stay residents given the pneumonia vaccine
96.9%100%Improving
Short-stay residents given the pneumonia vaccine
—55%—
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited April 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to keep residents’ personal and medical records private and confidential. Cited April 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited April 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- PENALTY
A federal fine of $15,935 was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,935 in total fines.
- $15,935
Federal fine
Dec 15, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 33.4 residents on an average day (86% of 39 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.