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F0609
D

Failure to Timely Report Alleged Abuse and Initiate Investigation

Burlington, Vermont Survey Completed on 05-12-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to implement its policies and procedures for reporting a reasonable suspicion of a crime as required by section 1150B of the Act. A resident reported allegations of employee misconduct and possible abuse involving their roommate and a Licensed Nursing Assistant to a State Surveyor, who then informed both the facility's former Administrator and Assistant Director of Nursing, as well as Adult Protective Services, on the same day. Despite this, the facility did not report the allegations to the required State Survey Agency until seven days later, when Adult Protective Services arrived to investigate. Interviews with the current Administrator, Director of Nursing, and Assistant Director of Nursing confirmed that there was no documentation of an investigation or timely reporting to the State Survey Agency prior to the involvement of Adult Protective Services. No additional evidence of timely reporting or investigation was provided by the facility.

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