The Villa Rehab

7 Forest Hill Drive · St. Albans, VT · 05478 · 8025243498

30 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

61% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 32
Serious harm & abuse 20% 94
Staffing 20% 86
Federal penalties 15% 75
Trend 10% 27
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day5.303.48 min · 4.1 strong
RN hours / resident-day1.240.55–0.75
Weekend hours / resident-day4.27≈ weekday level
Nursing turnover / year61%median 45%
Fines (3-yr window)1 · $13,380

Inspection citations (22 in the current record)

  • Actual harm · G March 5, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 15, 2026 · Quality of Life and Care

  • Potential for harm · E March 5, 2026 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 5, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D July 30, 2025 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 30, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 30, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected August 29, 2025 · Resident Rights

  • Potential for harm · D July 30, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 5, 2025 · Quality of Life and Care

  • Potential for harm · F July 30, 2025

    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.

    Corrected September 9, 2025 · Nursing and Physician Services

  • Potential for harm · E July 30, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 4, 2025 · Pharmacy Service

  • Potential for harm · F July 30, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 29, 2025 · Nutrition and Dietary

  • Potential for harm · F July 30, 2025

    Conduct 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.

    Corrected August 29, 2025 · Administration

  • Potential for harm · F July 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 5, 2025 · Infection Control

  • Potential for harm · F July 30, 2025

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected August 29, 2025 · Infection Control

  • Potential for harm · F July 30, 2025

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Corrected September 9, 2025 · Infection Control

  • Potential for harm · F July 30, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected September 4, 2025 · Nursing and Physician Services

  • Potential for harm · F July 30, 2025 · found via complaint

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected September 5, 2025 · Resident Rights

  • Potential for harm · E July 31, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected August 29, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F July 31, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 31, 2024 · Quality of Life and Care

  • Potential for harm · F July 31, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 6, 2024 · Nutrition and Dietary

  • Potential for harm · F July 31, 2024

    Conduct 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.

    Corrected August 1, 2024 · Administration

  • Potential for harm · E July 31, 2024

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Corrected September 3, 2024 · Administration

  • No harm found · C July 31, 2024

    Honor 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.

    Corrected August 5, 2024 · Resident Rights

  • Potential for harm · D June 7, 2023

    Ensure that residents are free from significant medication errors.

    Corrected June 6, 2023 · Pharmacy Service

Federal penalties

DateTypeAmount / length
July 31, 2024Fine$13,380

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 475055 · certified since April 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.