C-
55/100

The Villa Rehab Inspection Report, Violations & Safety Grade (St. Albans, Vermont)

7 Forest Hill Drive, St. Albans, Vermont 05478

Phone: 8025243498

CMS Overall:1/5

Overview & Bed Count

Certified Beds
30
Avg Residents/Day
25
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Franklin
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityVermont AvgDifference
RN Hours per Resident per Day0.940.83+0.11
Total Nurse Hours per Resident per Day4.914.30+0.61
CMS Staffing Rating4/53.5/5-
Nursing Staff Turnover63.2%54.8%-

Health Citation History

24 health citations on record

DateCategoryDescriptionSeverity
2026-05-26Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2026-05-26Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2026-03-05Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2026-03-05Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2025-07-30Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.F – Moderate Harm Potential
2025-07-30Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F – Moderate Harm Potential
2025-07-30Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-07-30Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F – Moderate Harm Potential
2025-07-30Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2025-07-30Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F – Moderate Harm Potential
2025-07-30Infection Control DeficienciesInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.F – Moderate Harm Potential
2025-07-30Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F – Moderate Harm Potential
2025-07-30Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2025-07-30Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2025-07-30Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-07-30Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D – Moderate Harm Potential
2025-07-30Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-07-31Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.F – Moderate Harm Potential
2024-07-31Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-07-31Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F – Moderate Harm Potential
2024-07-31Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2024-07-31Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.E – Moderate Harm Potential
2024-07-31Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.C – Minimal Harm Potential
2023-06-07Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential

Fire Safety Citation History

5 fire safety citations on record

DateCategoryDescriptionSeverity
2019-11-20Smoke DeficienciesHave an enclosure around a vertical opening shaft.B – Minimal Harm Potential
2019-11-20Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.B – Minimal Harm Potential
2019-11-20Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.B – Minimal Harm Potential
2019-11-20Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.B – Minimal Harm Potential
2019-11-20Services DeficienciesHave properly installed electrical wiring and gas equipment.B – Minimal Harm Potential

Total Penalties & Fines

$57,990
Total Fine Amount (CMS)
3
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2026-08-12Fine$20,950-
2026-03-05Fine$23,660-
2024-07-31Fine$13,380-

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