F600 in Vermont. Pick another state for the same tag.
Against expectation — 2025
Vermont cites F600 more often than its own record predicts
Versus expected share1.71×
1.71 times the share F600 takes of citations nationally.
Share of Vermont citations4.47%
Of every deficiency written in Vermont in 2025, this is the portion that was F600.
Vermont4.47%
National2.62%
Share of all citations that were F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F600 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.
J · Immediate jeopardy, isolatedNovember 19, 2025
Based on interview and record review, the facility failed protect a resident's right to be free from neglect by failing to provide services to the resident that are necessary to avoid physical harm, pain, mental anguish and emotional distress for 1 of 5 residents in the applicable sample (Resident #1).This deficient practice rose to the immediate jeopardy level due to the facility's failure to provide necessary services, which resulted in antipsychotic medication withdrawal, repeated falls with major head injury, and death. This is a repeat deficiency for this facility, with the violation cited at immediate jeopardy during a partial survey dated 3/3/25. …
Based on interviews and record review, the facility failed to ensure residents' right to be free from physical and verbal abuse from another resident for 2 of 3 sampled residents (Resident #1 and Resident #2). The facility did not implement effective interventions to prevent recurrence after a prior altercation on 8/7/25, nor did it update care plans to address ongoing risk. On 9/17/25, Resident #1 sustained blunt trauma to the nose with bleeding after being struck by Resident #2 during a physical altercation, and Resident #1 expressed feeling unsafe and distressed in his/her home. This deficient practice resulted in actual physical harm and psychosocial harm. …
D · No harm, potential for more than minimal, isolatedJuly 20, 2026
Based on interviews and record review, the facility failed to protect the resident's right to be free from physical abuse by a staff member for 1 of 3 sampled residents (Resident #1). Findings include:Per record review Resident #1 has diagnoses that include dementia and difficulty walking. S/he has care plan interventions that include extensive assist of 1-2 with rolling walker and as needed Hoyer lift. Per progress notes written on 7/9/2026 Resident #1 had vomited and was assisted to the toilet by Licensed Nursing Assistant (LNA) #1 and LNA #2 when Resident #1 became weak unable to stand. S/he sustained a skin tear measuring 3 cm X 2.7 cm x 0.1 cm. …
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