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F0550
D

Failure to Maintain Resident Dignity During Transfer

Middlebury, Vermont Survey Completed on 01-13-2026

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 maintain dignity and respect for one resident during a transfer to bed. During the transfer, as the resident’s feet began to slide on the floor, the LNA assisting them told the resident to be quiet (“shh”) instead of immediately calling for additional help. The resident instructed the LNA to call for assistance and then yelled out for staff themselves before the LNA sought help. The resident reported feeling rushed during the transfer. Once the resident was in bed, the staff member asked, “Do I have anything to worry about?”, which the resident perceived as disrespectful. The Administrator later confirmed the resident’s perspective of this interaction, and the facility’s own Resident Rights policy in effect at the time stated that residents have the right to be treated with dignity and respect. This sequence of events, including the LNA’s initial response to the resident’s distress, the delay in calling for help, the resident’s perception of being rushed, and the staff member’s subsequent question implying concern for themselves rather than the resident, led to the determination that the resident’s right to dignity and respect was not upheld.

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