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Statistics for Vermont (Last 12 Months)

35
Total Providers
48
Total Inspections in the last 12 months
Information
This includes all types of inspections: standard annual surveys, life safety code surveys, re-surveys, complaint investigations, and follow-up inspections.
71.4%
Providers with Citations in the last 12 months
Information
Among all providers that received one or more inspections in the last 12 months, this represents the percentage that received at least one citation of any severity level.
2.9%
Providers with Serious Citations in the last 12 months

Financial Impact (Last 12 Months)

$312,294
Maximum Single Fine
$100,555
Median Fine
0
Max Payment Suspension Days
0
Median Suspension Days

Some of the Latest Corrective Actions taken by Facilities in Vermont


Latest Citations in Vermont

Where do we get this info
Information
Our data comes from the CMS latest release (July 30, 2025) and state websites, both sourced from public records.
Improper Storage and Expired Medications Found in Medication Carts and Storage Rooms
E
F0761
Short Summary

Surveyors observed that medications and biologicals were left unattended on medication carts, expired medications and supplies were present in medication storage rooms and carts, and some medications had missing or illegible expiration dates. Staff confirmed these findings, and a pill cutter with medication debris and food items were also found in medication carts.

No penalty information released
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.
Failure to Implement Infection Control Measures for Isolation Precautions and Medication Pass
E
F0880
Short Summary

Staff did not follow infection control protocols for a resident on contact isolation, including failing to wear PPE and perform hand hygiene after resident contact and handling soiled linens. During a medication pass, a nurse handled medications with bare hands and did not perform hand hygiene between administrations to two residents, contrary to infection prevention standards.

No penalty information released
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.
Failure to Update Care Plans and Interventions After Resident Falls
E
F0689
Short Summary

Three residents with significant mobility and cognitive impairments experienced falls, but the facility did not complete required fall risk assessments or update care plans with new interventions after each incident, despite repeated falls and a policy mandating these actions. The DON confirmed that these steps were not taken as required.

No penalty information released
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.
Failure to Administer Ordered Nutritional Supplements and Appetite Stimulant
D
F0692
Short Summary

A resident with cancer and swallowing difficulties, identified as at risk for malnutrition, did not receive physician-ordered nutritional supplements and an appetite stimulant on multiple occasions. Documentation incorrectly stated these items were unavailable, despite confirmation from pharmacy and dietary staff that they were accessible. The resident experienced significant weight loss during this period, and the DON confirmed the failure to administer the ordered interventions.

No penalty information released
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.
Missing Medication Regimen Review Documentation
D
F0756
Short Summary

A resident's medical chart was missing required documentation of monthly medication regimen reviews for several months, despite pharmacist recommendations being made. Facility policy requires these records to be maintained and easily retrievable, but staff confirmed the documents were not available during review.

No penalty information released
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.
Failure to Involve POA in Advance Directive and Code Status Decisions
D
F0578
Short Summary

A resident with advanced dementia had a notarized advance directive requesting comfort care only, but subsequent COLST forms listed the resident as Full Code without signatures from the resident or POA, and there was no documented consultation with the POA regarding this change. The DON confirmed the lack of communication with the family and absence of required signatures.

No penalty information released
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.
Failure to Provide Adequate Supervision and Timely Interventions After Multiple Resident Falls
G
F0689
Short Summary

Two residents with significant fall risks experienced multiple unwitnessed falls, including one resulting in a hip fracture and another causing a skin tear. The facility did not promptly update care plans or implement effective, timely interventions after these incidents, and was unable to provide evidence of adequate supervision or timely care plan revisions as required by policy and leadership expectations.

Fine: $98,100
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.
Insufficient Staffing Resulting in Delayed Care and Medication Administration
F
F0725
Short Summary

The facility failed to provide adequate nursing staff, leading to frequent delays in medication administration and assistance with ADLs. Multiple residents reported long wait times for care, especially on weekends and evenings, and an LPN confirmed being consistently late with medications due to having to help with non-nursing tasks. Family members also experienced difficulty reaching staff, highlighting the impact of staffing shortages on resident care and communication.

No penalty information released
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.
Failure to Maintain Sanitary Kitchen and Proper Food Storage
F
F0812
Short Summary

Surveyors observed unsanitary conditions in the kitchen, including food debris on equipment and surfaces, cobwebs on storage racks, and expired food items in both dry storage and the cooler. The Dietary Manager confirmed the expired items.

No penalty information released
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.
Failure to Complete and Document Facility-Wide Assessment
F
F0838
Short Summary

The facility did not complete or document a facility-wide assessment to determine necessary resources for competent care, as required. The assessment provided was incomplete, unsigned, undated, and had not been reviewed by leadership. Interviews with the DON, RDCO, and Administrator confirmed the assessment was still in progress and referenced documents that did not exist.

No penalty information released
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.

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