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

The Villa Rehab

St. Albans, VT · 30 certified beds · Last Life Safety survey May 25, 2022

CMS Certification Number 475055 · first certified April 1998

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.

5
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within VT

5 citations — more than 69% of the 33 certified nursing homes in VT. Compared within VT 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

When is the next survey likely?

Well past the typical window (June 2023 to October 2023), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was May 2022. Nursing homes nationally are typically surveyed 12–17 months after the last one (median 14), measured over 19,385 consecutive surveys in the last two years of CMS records. VT has too few recent surveys to measure on its own, so the national interval is used.

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

Physical environment (health survey)

4 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 5 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

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

This facility5VT median2National median11
Citations on file over three years, compared
MeasureCitations
This facility5
Median facility in VT2
Median facility nationally11

Survey history

Citations at each Life Safety survey
02018-1152019-1102022-05
Citations at each Life Safety survey
Survey dateCitations
November 28, 20180
November 20, 20195
May 25, 20220

Most-cited tags

Most-cited tags at this facility
K-05111K-03551K-03621K-03531K-03111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0511Have properly installed electrical wiring and gas equipment.12019-11-20
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12019-11-20
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.12019-11-20
K-0353Inspect, test, and maintain automatic sprinkler systems.12019-11-20
K-0311Have an enclosure around a vertical opening shaft.12019-11-20

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Services Deficiencies1

Every citation on file

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

November 20, 2019 — 5 citations

Citations issued on November 20, 2019
TagWhat the surveyor checksStatus
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has no plan of correction
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has no plan of correction
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has no plan of correction
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has no plan of correction
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has no plan of correction

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