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F0561
D

Failure to Honor Resident's Care Provider Preference

Springfield, Vermont Survey Completed on 12-09-2025

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 honor a resident's expressed choice regarding their care provider, as documented in the resident's care plan and grievance records. The resident, who has a history of major depressive disorder, post-traumatic stress disorder, schizoaffective disorder, and borderline personality disorder, submitted a grievance stating they did not wish to receive care from a specific LPN. The care plan was updated to reflect this preference, indicating that the resident requested not to be cared for by this LPN and understood that care might be delayed if another nurse from a different wing was needed. Despite this documented preference and care plan intervention, the LPN in question provided care to the resident, including administering medications, performing treatments, and assessing pain and oxygen saturation. The administrator confirmed that the care plan specified the LPN should not care for the resident, but stated that the LPN had not been informed of the change in time due to being off work. The resident confirmed during an interview that they did not want care from this LPN and were dissatisfied when it occurred.

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