Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cedar Hill Health Care Center during CMS and state inspections, most recent first.
The facility failed to maintain an effective call system for residents, as observed with two residents who were unable to summon assistance due to non-functional call lights. One resident was found unable to alert staff for help to go to the bathroom, and another resident's call light did not activate. The administration admitted there was no system to ensure all call lights were operational, and staff had not reported the issues.
The facility did not ensure competency assessments for certain nursing staff, including an LNA and two LPNs. One LNA's orientation checklist was signed by another LNA without a licensed nurse's assessment. An LPN hired in May 2024 lacked documented competency assessment, and another LPN hired in August 2017 had no annual competency evaluation. The DON and HR Director confirmed these deficiencies.
A resident reported a threatening incident by a staff member to an LNA, but the facility failed to follow its policy to report the alleged abuse to the DON, administrator, APS, or the state agency.
A resident experienced multiple falls without the care plan being updated with new interventions, as required by the facility's policy. Despite falls occurring on several occasions, the care plan was not revised, leading to a subsequent fall that resulted in a wrist fracture. The DON confirmed that the care plan should have been updated after each fall to prevent future incidents.
A facility failed to maintain complete and accessible medical records for a resident's required pharmacy review. The DON stated that a new pharmacist removed previous pharmacy recommendations from paper charts for offsite review, leaving no evidence of monthly reviews in the resident's medical record. The DON confirmed that these reviews should have been part of the medical record.
Deficient Call System in Resident Rooms
Penalty
Summary
The facility failed to ensure that an effective call system was available for residents, as evidenced by the experiences of two residents. During an observation, a resident was found unable to summon assistance using the call light system, which was non-functional. The resident had been attempting to get help to go to the bathroom but was unsuccessful in alerting staff. The Licensed Nursing Assistant (LNA) confirmed the call light was not working and that the resident did not have a hand bell, which was supposed to be an alternative means of summoning help. The LNA was unaware of the resident's need for assistance until the surveyor intervened. Another resident's call light was also found to be non-functional during a separate observation. The call light indicator in the hallway did not activate, and there was no audible signal. Interviews with the facility's administration revealed that there was no comprehensive system in place to ensure all call lights were operational, and staff had not reported the malfunctioning call light of the first resident. The facility acknowledged that call lights sometimes needed repositioning and that maintenance requests were made when staff could not fix them.
Failure to Assess Nursing Staff Competency
Penalty
Summary
The facility failed to ensure that the competencies of certain nursing staff were assessed, which is crucial for providing appropriate care to residents. Specifically, one Licensed Nursing Assistant (LNA) had an orientation checklist signed off by another LNA, but there was no evidence of competency assessment by a licensed nurse. Additionally, one Licensed Practical Nurse (LPN) hired in May 2024 had no documented competency assessment for the skills required to care for residents. Another LPN, hired in August 2017, lacked evidence of an annual competency evaluation. During an interview, the Director of Nursing and the Human Resource Director confirmed the absence of competency assessments for these staff members.
Failure to Report Alleged Abuse Incident
Penalty
Summary
The facility failed to report an incident of alleged abuse involving a resident to the state licensing agency. A resident reported that a staff member on the overnight shift threatened them by making a fist and stating, 'You can't even walk. I can knock the shit out of you.' The resident reported this incident to a Licensed Nursing Assistant (LNA) the following morning. However, the facility's policy, which requires such allegations to be reported to the charge nurse, the nurse on call, and subsequently to the Director of Nursing (DON) and the administrator, was not followed. The DON and the facility administrator confirmed that the incident was not reported to Adult Protective Services (APS) or the state agency as required.
Failure to Revise Care Plan After Resident Falls
Penalty
Summary
The facility failed to revise the care plan for a resident following multiple falls, as required by their Falls-Clinical Protocol policy. The policy mandates that staff and physicians identify and implement new interventions to prevent future falls after each incident. Despite this, the care plan for the resident was not updated with new interventions after falls on several occasions, specifically on 12/8/23, 1/8/24, and 1/10/24. This lack of action was confirmed by the Director of Nursing (DON) during an interview. The resident experienced additional falls, including one on 3/24/24, which resulted in an acute, nondisplaced fracture of the left wrist. The incident reports and nursing notes documented these falls, but no new interventions were added to the care plan to prevent further incidents. The DON acknowledged that the care plan should have been updated after each fall to prevent future falls and injuries, but this was not done, leading to the deficiency.
Incomplete Medical Records for Pharmacy Review
Penalty
Summary
The facility failed to ensure that medical records were complete, readily accessible, and systematically organized for a resident's required pharmacy review. Specifically, there was no evidence in the medical record of a monthly pharmacy review for a resident since their admission. During an interview, the Director of Nursing (DON) revealed that the facility had recently changed pharmacy providers, and the new pharmacist had removed previous pharmacy recommendations from paper charts to review them offsite. At the time of the interview, these recommendations were not available on-site or in the resident's medical record. The DON confirmed that the pharmacy reviews should have been included in the medical record.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 53 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Windsor
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elm Wood Center At Claremont | 4.2 mi | ★★★★★ | 1 | 0 |
| Sullivan County Health Care | 9.7 mi | ★★★★★ | 3 | 0 |
| Springfield Health & Rehab | 10.8 mi | — | 16 | 4 |
| Woodlawn Healthcare Center Llc | 11.9 mi | ★★★★★ | 4 | 0 |
| Gill Odd Fellows Home Of Vermont | 15.3 mi | ★★★★★ | 6 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.