The Villa Rehab: LNA Cursed at Dementia Resident - VT
The incident happened around 1 to 2 in the morning on February 16, 2026. A licensed practical nurse was at the medication cart when the nursing assistant came up close to her and cursed, telling her she had better go get the resident. He cursed again. The resident, he said, had just urinated in his face.
The nurse walked into the room and found the resident standing naked, urine on the floor. The resident looked terrified.
That should have been the end of it. Instead, while the nurse was in the room trying to help the resident, the nursing assistant came back in and cursed at the resident directly, berating them about urinating in his face.
A progress note entered the following day described what the nurse had seen: an LNA who entered the room and cursed at the resident about how they had urinated on him. The note recorded that the resident looked startled and terrified.
The facility's own complaint investigation, dated February 16, added a detail that does not appear in the nurse's account. The nursing assistant, during the investigation, said he wanted to punch the resident in the face because he was so mad.
The resident has dementia.
Federal inspectors who reviewed the case noted that a person with intact mental status, without any diagnosis affecting their ability to comprehend or respond, would have experienced mental anguish from being left undressed and then sworn at and yelled at by a staff member. The resident in this case did not have intact mental status. They had dementia. The inspectors cited the facility for failing to protect the resident from verbal abuse.
The Villa Rehab, located at 7 Forest Hill Drive in St. Albans, was cited for the violation following a complaint inspection completed on May 26, 2026.
The facility's own abuse policy, last reviewed on January 7, 2026, less than six weeks before the incident, states that the facility will not permit residents to be subject to abuse by anyone, including staff members. The policy defines verbal abuse as any use of oral, written, or gestured language that willfully includes disparaging and derogatory terms to residents, regardless of their age, ability to comprehend, or disability.
The nursing assistant knew the policy existed. Every staff member at a facility that receives Medicare and Medicaid funding is trained on it. The policy was sitting in the facility's own records when inspectors pulled it.
None of that stopped what happened at 1 in the morning.
What the inspection record shows is a sequence of choices. The nursing assistant was providing overnight care to a resident with dementia. Urine splashed on him. He walked to the medication cart and cursed at the nurse on duty. He told her to go get the resident. He did not tell her the resident needed help. He told her she had better go get the resident. Then he followed the nurse back into the room and cursed at the resident.
A resident with dementia. Standing naked. On a wet floor. In the middle of the night.
The nursing assistant did not stop there. He later told investigators he wanted to punch the resident in the face.
The inspection report does not say whether the nursing assistant was suspended, terminated, or referred to any licensing board. It does not say what discipline, if any, the facility imposed. It does not say whether the nursing assistant continued to work at the facility after February 16, or after the complaint investigation concluded, or after federal inspectors arrived in May.
What the report says is that the facility failed to protect one of four residents reviewed.
The licensed practical nurse who witnessed the incident and reported it did what she was supposed to do. She saw the nursing assistant come up close to her at the medication cart and curse. She walked into the room and found the resident naked and terrified. She stayed to help with care. She reported what she saw. The progress note exists because she made sure it did.
The nursing assistant came back into the room anyway.
There is a specific quality to what the inspection record describes that gets lost in regulatory language. The phrase "looked terrified" appears twice, once in the nurse's interview account and once in the progress note. A nurse used that word. A progress note used that word. The resident was a person with dementia, standing without clothes, in the dark hours of the morning, while a staff member came into the room to curse at them about their own body.
The facility's abuse policy lists examples of what verbal abuse looks like: threats of harm, saying things to frighten a resident. The nursing assistant did not threaten the resident in the way the policy's examples describe. He did something more direct. He walked into the room of a person who could not fully comprehend or defend themselves and expressed rage at them for something their body had done involuntarily.
Then he told investigators he wanted to hit them.
The inspection was triggered by a complaint. Someone made a report. The timeline suggests the complaint came after the February 16 incident and before the May 26 inspection date, though the report does not specify who filed it or when. The facility had conducted its own investigation. Inspectors reviewed that investigation when they arrived. The facility's own records confirmed what the nurse had reported.
The harm level assigned to the citation is minimal harm or potential for actual harm. That is a regulatory classification. It reflects the framework inspectors use to categorize deficiencies on a scale that runs from no actual harm up through immediate jeopardy to resident health or safety. Minimal harm is near the bottom of that scale.
The resident with dementia, standing naked on a wet floor at 1 in the morning while a staff member cursed at them, looked terrified.
That is what the record says.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Villa Rehab from 2026-05-26 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 14, 2026 · Our methodology
The Villa Rehab in St. Albans, VT was cited for violations during a health inspection on May 26, 2026.
The incident happened around 1 to 2 in the morning on February 16, 2026.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.