Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0656
J

Failure to Implement and Document Comprehensive Care Plans for High-Risk Residents

Brattleboro, Vermont Survey Completed on 12-09-2025

Penalty

Fine: $161,475
tooltip icon
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 and document comprehensive care plans for multiple residents at high risk for falls and requiring increased supervision. For one resident with end-stage heart failure, chronic kidney disease, and on hospice care, the care plan required hourly safety rounds and use of a motion sensor due to high fall risk and impaired mobility. Despite these interventions, there was no evidence of consistent hourly rounding or toileting care, and the resident was found deceased on the floor with a detached call light and feces present. Staff interviews revealed that assigned personnel took extended breaks without proper communication, were unaware of the resident's need for increased supervision, and failed to document care or the circumstances of the resident's death in the medical record. Another resident with dementia, muscle weakness, and high fall risk had care plan interventions including hourly checks in common areas, use of a motion sensor, and scheduled toileting. Documentation showed that these interventions were not consistently implemented, with gaps in toileting hygiene records and a fall occurring when the motion sensor failed to detect movement due to improper placement. Staff interviews indicated a lack of awareness of specific care plan interventions and infrequent review of care plans, leading to missed or improperly executed fall prevention strategies. A third resident with Parkinson's disease and a history of multiple unwitnessed falls had care plan interventions for motion sensor use, frequent checks, and toileting assistance. Despite these interventions, the resident experienced repeated falls, including one resulting in a hip fracture and hospitalization. The care plan was not updated after the fall, and incident reports were not completed. Staff and leadership interviews confirmed a lack of documentation and monitoring of the effectiveness of hourly checks, as well as confusion regarding which residents required increased supervision. The facility also lacked policies for supervision, call light use, and response to untimely death, contributing to the deficiencies.

An unhandled error has occurred. Reload 🗙