Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

VANDERMAN PLACE

WILLIMANTIC, CT · 124 certified beds · Last Life Safety survey May 23, 2025

CMS Certification Number 075425 · first certified March 2000

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within CT

25 citations — more than 91% of the 191 certified nursing homes in CT. Compared within CT rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 10. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was May 2025. Facilities in CT are typically surveyed 21–28 months after the last one (median 24), measured over 181 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 25 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 25 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in CT, and nationally. Surveyors differ markedly between states, so the CT figure is the meaningful one.

This facility25CT median10National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in CT10
Median facility nationally11

Survey history

Citations at each Life Safety survey
182020-0922023-0552025-05
Citations at each Life Safety survey
Survey dateCitations
September 18, 202018
May 2, 20232
May 23, 20255

Most-cited tags

Most-cited tags at this facility
K-03532E-00372K-09182K-07112E-00301K-03241K-03451K-09111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-05-23
E-0037Establish staff and initial training requirements.22025-05-23
K-0918Have generator or other power source capable of supplying service within 10 seconds.22023-05-02
K-0711Provide a written emergency evacuation plan.22025-05-23
E-0030List the names and contact information of those in the facility.12020-09-18
K-0324Provide properly protected cooking facilities.12025-05-23
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-05-23
K-0911Meet requirements for the installation and maintenance of electrical systems.12020-09-18

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Emergency Preparedness Deficiencies 4
  • Egress Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies5
Emergency Preparedness Deficiencies4
Egress Deficiencies3
Miscellaneous Deficiencies3
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 23, 2025 — 5 citations

Citations issued on May 23, 2025
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (July 15, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 15, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 15, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 15, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 15, 2025)

May 2, 2023 — 2 citations

Citations issued on May 2, 2023
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 20, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 20, 2023)

September 18, 2020 — 18 citations

Citations issued on September 18, 2020
TagWhat the surveyor checksStatus
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (November 12, 2020)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (November 12, 2020)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (November 12, 2020)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 12, 2020)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (November 12, 2020)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (November 12, 2020)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 12, 2020)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (November 12, 2020)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (November 12, 2020)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (November 12, 2020)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 12, 2020)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 12, 2020)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (November 12, 2020)
K-0751Have restrictions on the use of flammable curtains.Deficient, Provider has date of correction (November 12, 2020)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (November 12, 2020)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (November 12, 2020)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 12, 2020)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (November 12, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.