F550 in Vermont. Pick another state for the same tag.
Against expectation — 2025
Vermont cites F550 more often than its own record predicts
Versus expected share1.05×
1.05 times the share F550 takes of citations nationally.
Share of Vermont citations2.24%
Of every deficiency written in Vermont in 2025, this is the portion that was F550.
Vermont2.24%
National2.13%
Share of all citations that were F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F550 findings written in Vermont, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
G · Actual harm, isolatedJanuary 13, 2020
Based on staff interviews and record review, the facility failed to protect and promote the rights of 1 of 4 residents in the applicable sample (Resident #4). The facility failed to treat Resident #4 with respect and dignity and in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing the resident's individuality. Findings include:
Per review of written witness and alleged perpetrator statements, on (MONTH) 24, 2019, Resident #4 was observed having behaviors and being disruptive. The resident has a written care plan in place addressing these behaviors. …
D · No harm, potential for more than minimal, isolatedJune 17, 2026
Based on observation, interviews, and record review, the facility failed to ensure that a resident was treated with dignity for 1 of 27 sampled residents (Resident #41). This is a repeat deficiency for this facility, with the violation cited during a previous partial survey, dated 11/13/25. Findings include:1.) Per interview on 6/15/2026 at approximately 11:28 AM, Licensed Nurse Aide (LNA) #1 was asked to bring Resident #41 to their room to speak in private. LNA #1 stated that the resident only answers the same things over and over again and is not all there. …
C · No harm, potential for minimal, widespreadApril 23, 2025
Based on observations, interviews, and record review, the facility failed to ensure each resident has the right to self-determination and access to persons and services outside of the facility by locking all doors to the facility 24 hours a day, 7 days a week, and not having a current policy and procedure that ensures residents are systematically assessed and given the ability to exercise their rights as a citizen (or resident) of the United States to make personal choices about going outside without interference. This has the potential to affect all residents of the facility and all visitors, including family, legal representatives, and advocates. Findings include:
Per observation on 4/21/2025 at 10:15 AM, the survey team approached the facility's entrances from the main parking area. …
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